CMS Price Transparency Data

X-ray, ankle

Facility: Lawrence Memorial Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $39
Cash Discount Price: $114
vs. Medicare Baseline: 0.44x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Lawrence Memorial Hospital is $39. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $114. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.44x the Medicare baseline. Located in 1309 West Main Street, Walnut Ridge, AR.

Cash / Self-Pay

$114

Average discount available for prompt cash payment at this facility.

Insurance Median

$39

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $114 (128%)

Insurance Median: $39 (44%)

Cash: $114 (128% of Medicare)

Ins. Median: $39 (44% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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
Allwell	$8 - $150	9%
Ambetter / Centene	$8 - $185	9%
Amerigroup	$8 - $142	9%
Arkansas Superior Select	$8 - $139	9%
Blue Cross Blue Shield	$8 - $142	9%
Humana	$8 - $144	9%
Provider Partners Health Plans	$8 - $139	9%
Wellcare	$8 - $250	9%
Wellcare By Allwell	$8 - $139	9%
Wellcare Health Plans	$8 - $139	9%
Cigna	$9 - $142	10%
Qualchoice	$9 - $185	10%
Qualchoice Of Arkansas	$9 - $172	10%
Covenant Healthcare	$10 - $50	11%
Assured Benefits Administrators	$13 - $212	15%
Arkansas Total Care	$16 - $37	18%
Caresource	$17 - $42	19%
Empower Healthcare Solutions	$17 - $39	19%
Aetna	$100 - $200	112%
Healthlink	$116 - $232	130%

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 $114.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73610.

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 73610.
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.