CMS Price Transparency Data

X-ray, foot

Facility: Lawrence Memorial Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $43
Cash Discount Price: $91
vs. Medicare Baseline: 0.48x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Lawrence Memorial Hospital is $43. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $91. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.48x the Medicare baseline. Located in 1309 West Main Street, Walnut Ridge, AR.

Cash / Self-Pay

$91

Average discount available for prompt cash payment at this facility.

Insurance Median

$43

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: $91 (102%)

Insurance Median: $43 (48%)

Cash: $91 (102% of Medicare)

Ins. Median: $43 (48% 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
Ambetter / Centene	$7 - $130	8%
Humana	$7 - $101	8%
Allwell	$8 - $105	9%
Amerigroup	$8 - $100	9%
Arkansas Superior Select	$8 - $89	9%
Blue Cross Blue Shield	$8 - $100	9%
Provider Partners Health Plans	$8 - $89	9%
Qualchoice	$8 - $130	9%
Wellcare	$8 - $175	9%
Wellcare By Allwell	$8 - $89	9%
Wellcare Health Plans	$8 - $89	9%
Cigna	$9 - $100	10%
Qualchoice Of Arkansas	$9 - $110	10%
Covenant Healthcare	$10 - $50	11%
Assured Benefits Administrators	$12 - $136	13%
Arkansas Total Care	$16 - $44	18%
Caresource	$17 - $65	19%
Empower Healthcare Solutions	$17 - $46	19%
Aetna	$64 - $128	72%
Healthlink	$74 - $163	83%

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 $91.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73630.

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 73630.
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.