CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Wheatland Memorial Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $83
Cash Discount Price: $401
vs. Medicare Baseline: 0.53x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Wheatland Memorial Hospital is $83. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $401. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.53x the Medicare baseline. Located in 530 3Rd St Nw, Harlowton, MT.

Cash / Self-Pay

$401

Average discount available for prompt cash payment at this facility.

Insurance Median

$83

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)

Cash / Self-Pay: $401 (255%)

Insurance Median: $83 (53%)

Cash: $401 (255% of Medicare)

Ins. Median: $83 (53% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 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
Blue Cross Blue Shield	$46 - $75	29%
Healthnet Federal-All Plans	$46	29%
Humana	$46	29%
Pacific Source Mcr Adv	$46	29%
Triwest-All Plans	$46	29%
UnitedHealthcare	$46 - $63	29%
Medica Prime Solutions-All Plans	$47	30%
Naphcare-All Plans	$74	47%
Allegiance Provider-All Plans	$76	48%
First Choice Big Sky-All Plans	$77	49%
Community Health Ntwk-All Plans	$83	53%
Interwest Ppo-All Plans	$83	53%
6 Degrees Health-All Plans	$84	54%
Ccn-All Plans	$84	54%
First Health-All Plans	$84	54%
Mountain Health Co-Op-All Plans	$84	54%
Rocky Mountain Health Network-All Plans	$84	54%
Pacific Steel & Recycling-All Plans	$92	59%
City Of Billings-All Plans	$99	63%
Pacific Source-All Other Plans	$104	66%
Amish Old Orders-All Plans	$301	192%
Fedmed Network-All Plans	$341	217%
Americas Choice-All Plans	$381	243%
Three Rivers-All Plans	$381	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 $401.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

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 77066.
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.