CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Wheatland Memorial Hospital

Billing Code: 90700 (HCPCS)

The BaseRate · fair price low confidence
A fair price for this
$54
modeled fair price · typically $21–$253
modeled estimate · not a bill or quote
Fair price $54 Cash price $423 Hospital's list price $423

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

2 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Humana Blue Cross Blue ShieldAetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $414 —
Humanamajor $258 —
Health Net $258 - $402 —
Medica $258 —
+ 13 smaller / regional plans $258 - $634
Government programs also on file: Military & VA.
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

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Facility Profile & Credentials

  • Address: 530 3Rd St Nw, Harlowton, MT 59036
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals