CMS Price Transparency Data

X-ray, lower back

Facility: Lawrence Memorial Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $52
Cash Discount Price: $74
vs. Medicare Baseline: 0.49x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Lawrence Memorial Hospital is $52. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $74. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.49x the Medicare baseline. Located in 1309 West Main Street, Walnut Ridge, AR.

Cash / Self-Pay

$74

Average discount available for prompt cash payment at this facility.

Insurance Median

$52

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: $74 (69%)

Insurance Median: $52 (49%)

Cash: $74 (69% of Medicare)

Ins. Median: $52 (49% 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
Allwell	$12 - $126	11%
Ambetter / Centene	$12 - $156	11%
Amerigroup	$12 - $120	11%
Arkansas Superior Select	$12 - $83	11%
Blue Cross Blue Shield	$12 - $120	11%
Humana	$12 - $121	11%
Provider Partners Health Plans	$12 - $83	11%
Wellcare	$12 - $210	11%
Wellcare By Allwell	$12 - $83	11%
Wellcare Health Plans	$12 - $83	11%
Qualchoice	$13 - $156	12%
Qualchoice Of Arkansas	$13 - $103	12%
Cigna	$14 - $120	13%
Covenant Healthcare	$15 - $113	14%
Assured Benefits Administrators	$19 - $127	18%
Arkansas Total Care	$21 - $66	20%
Caresource	$21 - $92	20%
Empower Healthcare Solutions	$22 - $69	21%
Aetna	$76 - $120	71%
Healthlink	$88 - $195	82%

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 $74.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72110.

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 72110.
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.