CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Wheatland Memorial Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $1,196
Cash Discount Price: $1,958
vs. Medicare Baseline: 11.20x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Wheatland Memorial Hospital is $1,196. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,958. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 11.20x the Medicare baseline. Located in 530 3Rd St Nw, Harlowton, MT.

Cash / Self-Pay

$1,958

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,196

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: $1,958 (1833%)

Insurance Median: $1,196 (1120%)

Cash: $1,958 (1833% of Medicare)

Ins. Median: $1,196 (1120% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1120% of the Medicare baseline (a markup of 1020%). 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
Blue Cross Blue Shield	$49 - $86	46%
Healthnet Federal-All Plans	$49 - $1,196	46%
Humana	$49 - $1,196	46%
Pacific Source Mcr Adv	$49 - $1,196	46%
Triwest-All Plans	$49 - $1,196	46%
UnitedHealthcare	$49 - $1,921	46%
Medica Prime Solutions-All Plans	$50 - $1,196	47%
Naphcare-All Plans	$79	74%
Allegiance Provider-All Plans	$88 - $1,666	82%
First Choice Big Sky-All Plans	$88 - $1,862	82%
6 Degrees Health-All Plans	$89 - $1,862	83%
Ccn-All Plans	$89 - $1,902	83%
First Health-All Plans	$89 - $1,882	83%
Community Health Ntwk-All Plans	$96 - $1,862	90%
Interwest Ppo-All Plans	$96 - $1,862	90%
Mountain Health Co-Op-All Plans	$97 - $1,862	91%
Rocky Mountain Health Network-All Plans	$97 - $1,862	91%
Pacific Steel & Recycling-All Plans	$106 - $1,862	99%
City Of Billings-All Plans	$115 - $2,940	108%
Pacific Source-All Other Plans	$120 - $1,862	112%
Amish Old Orders-All Plans	$261 - $1,470	244%
Fedmed Network-All Plans	$296 - $1,862	277%
Americas Choice-All Plans	$331 - $1,862	310%
Three Rivers-All Plans	$331 - $1,862	310%

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 $1,958.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

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 71250.
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.