CMS Price Transparency Data

Care planning with family

Facility: Wheatland Memorial Hospital

Billing Code: 90887 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90887
Insurance Median: $230
Cash Discount Price: $242
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Care planning with family at Wheatland Memorial Hospital is $230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $242. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 530 3Rd St Nw, Harlowton, MT.

Cash / Self-Pay

$242

Average discount available for prompt cash payment at this facility.

Insurance Median

$230

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

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
Amish Old Orders-All Plans	$182	N/A
Allegiance Provider-All Plans	$206	N/A
6 Degrees Health-All Plans	$230	N/A
Americas Choice-All Plans	$230	N/A
Community Health Ntwk-All Plans	$230	N/A
Fedmed Network-All Plans	$230	N/A
First Choice Big Sky-All Plans	$230	N/A
Interwest Ppo-All Plans	$230	N/A
Mountain Health Co-Op-All Plans	$230	N/A
Pacific Source-All Other Plans	$230	N/A
Pacific Steel & Recycling-All Plans	$230	N/A
Rocky Mountain Health Network-All Plans	$230	N/A
Three Rivers-All Plans	$230	N/A
First Health-All Plans	$232	N/A
Ccn-All Plans	$235	N/A
UnitedHealthcare	$237	N/A
City Of Billings-All Plans	$363	N/A
Healthnet Federal-All Plans	$514	N/A
Humana	$514	N/A
Medica Prime Solutions-All Plans	$514	N/A
Pacific Source Mcr Adv	$514	N/A
Triwest-All Plans	$514	N/A

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 $242.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90887.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Wheatland Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 90887.
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.