CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Lawrence Memorial Hospital

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76536
Insurance Median: $90
Cash Discount Price: $125
vs. Medicare Baseline: 0.84x Medicare

The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Lawrence Memorial Hospital is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $125. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.84x the Medicare baseline. Located in 1309 West Main Street, Walnut Ridge, AR.

Cash / Self-Pay

$125

Average discount available for prompt cash payment at this facility.

Insurance Median

$90

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $125 (117%)

Insurance Median: $90 (84%)

Cash: $125 (117% of Medicare)

Ins. Median: $90 (84% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Ambetter / Centene	$24 - $152	22%
Humana	$24 - $118	22%
Blue Cross Blue Shield	$25 - $162	23%
Allwell	$26 - $123	24%
Amerigroup	$26 - $117	24%
Arkansas Superior Select	$26 - $114	24%
Provider Partners Health Plans	$26 - $114	24%
Wellcare	$26 - $205	24%
Wellcare By Allwell	$26 - $114	24%
Wellcare Health Plans	$26 - $114	24%
Qualchoice	$28 - $152	26%
Cigna	$29 - $119	27%
Qualchoice Of Arkansas	$29 - $141	27%
Covenant Healthcare	$32 - $128	30%
Arkansas Total Care	$35 - $95	33%
Caresource	$37 - $125	35%
Empower Healthcare Solutions	$37 - $99	35%
Assured Benefits Administrators	$40 - $174	37%
Aetna	$164	154%
Healthlink	$191	179%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $125.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76536.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lawrence Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76536.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.