CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Wheatland Memorial Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $412
Cash Discount Price: $1,643
vs. Medicare Baseline: 2.30x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Wheatland Memorial Hospital is $412. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,643. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.30x the Medicare baseline. Located in 530 3Rd St Nw, Harlowton, MT.

Cash / Self-Pay

$1,643

Average discount available for prompt cash payment at this facility.

Insurance Median

$412

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $1,643 (917%)

Insurance Median: $412 (230%)

Cash: $1,643 (917% of Medicare)

Ins. Median: $412 (230% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 230% of the Medicare baseline (a markup of 130%). 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	$58 - $95	32%
Healthnet Federal-All Plans	$58 - $1,724	32%
Humana	$58 - $1,724	32%
Pacific Source Mcr Adv	$58 - $1,724	32%
Triwest-All Plans	$58 - $1,724	32%
UnitedHealthcare	$58 - $2,770	32%
Medica Prime Solutions-All Plans	$60 - $1,724	33%
Naphcare-All Plans	$94	52%
Allegiance Provider-All Plans	$97 - $2,403	54%
First Choice Big Sky-All Plans	$97 - $2,686	54%
6 Degrees Health-All Plans	$105 - $2,686	59%
Ccn-All Plans	$105 - $2,742	59%
First Health-All Plans	$105 - $2,714	59%
Community Health Ntwk-All Plans	$106 - $2,686	59%
Interwest Ppo-All Plans	$106 - $2,686	59%
Mountain Health Co-Op-All Plans	$106 - $2,686	59%
Rocky Mountain Health Network-All Plans	$106 - $2,686	59%
Pacific Steel & Recycling-All Plans	$116 - $2,686	65%
City Of Billings-All Plans	$126 - $4,240	70%
Pacific Source-All Other Plans	$131 - $2,686	73%
Amish Old Orders-All Plans	$344 - $2,120	192%
Fedmed Network-All Plans	$389 - $2,686	217%
Americas Choice-All Plans	$435 - $2,686	243%
Three Rivers-All Plans	$435 - $2,686	243%

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 $1,643.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

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 70470.
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.