CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Wheatland Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $731
Cash Discount Price: $2,688
vs. Medicare Baseline: 2.05x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Wheatland Memorial Hospital is $731. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,688. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 2.05x the Medicare baseline. Located in 530 3Rd St Nw, Harlowton, MT.

Cash / Self-Pay

$2,688

Average discount available for prompt cash payment at this facility.

Insurance Median

$731

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $2,688 (754%)

Insurance Median: $731 (205%)

Cash: $2,688 (754% of Medicare)

Ins. Median: $731 (205% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 205% of the Medicare baseline (a markup of 105%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
UnitedHealthcare	$63 - $4,473	18%
Blue Cross Blue Shield	$84 - $136	24%
Healthnet Federal-All Plans	$84 - $2,784	24%
Humana	$84 - $2,784	24%
Pacific Source Mcr Adv	$84 - $2,784	24%
Triwest-All Plans	$84 - $2,784	24%
Medica Prime Solutions-All Plans	$86 - $2,784	24%
Naphcare-All Plans	$134	38%
Allegiance Provider-All Plans	$139 - $3,880	39%
First Choice Big Sky-All Plans	$140 - $4,336	39%
6 Degrees Health-All Plans	$151 - $4,336	42%
Ccn-All Plans	$151 - $4,427	42%
First Health-All Plans	$151 - $4,382	42%
Community Health Ntwk-All Plans	$152 - $4,336	43%
Interwest Ppo-All Plans	$152 - $4,336	43%
Mountain Health Co-Op-All Plans	$153 - $4,336	43%
Rocky Mountain Health Network-All Plans	$153 - $4,336	43%
Pacific Steel & Recycling-All Plans	$167 - $4,336	47%
City Of Billings-All Plans	$181 - $6,846	51%
Pacific Source-All Other Plans	$189 - $4,336	53%
Amish Old Orders-All Plans	$609 - $3,423	171%
Fedmed Network-All Plans	$690 - $4,336	194%
Americas Choice-All Plans	$771 - $4,336	216%
Three Rivers-All Plans	$771 - $4,336	216%

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 $2,688.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

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 74177.
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.