CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Lawrence Memorial Hospital

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 59400
Insurance Median: $2,211
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.00x Medicare

The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Lawrence Memorial Hospital is $2,211. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.00x the Medicare baseline. Located in 1309 West Main Street, Walnut Ridge, AR.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,211

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$2,214.42

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,214.42 (100%)

Insurance Median: $2,211 (100%)

Ins. Median: $2,211 (100% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,214.42 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
Arkansas Total Care	$1,210	55%
Caresource	$1,258	57%
Empower Healthcare Solutions	$1,270	57%
Covenant Healthcare	$1,600 - $2,783	72%
Ambetter / Centene	$2,082 - $2,200	94%
Amerigroup	$2,082	94%
Humana	$2,082 - $2,157	94%
Allwell	$2,186	99%
Wellcare	$2,186	99%
Blue Cross Blue Shield	$2,200 - $3,082	99%
Arkansas Superior Select	$2,265	102%
Provider Partners Health Plans	$2,265	102%
Wellcare By Allwell	$2,265	102%
Wellcare Health Plans	$2,265	102%
Qualchoice	$2,394	108%
Qualchoice Of Arkansas	$2,481	112%
Cigna	$2,498 - $2,589	113%
Assured Benefits Administrators	$3,452	156%

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 $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 59400.

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 59400.
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.