CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Wheatland Memorial Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $201
  • Cash Discount Price: $420
  • vs. Medicare Baseline: 1.88x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Wheatland Memorial Hospital is $201. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $420. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.88x the Medicare baseline. Located in 530 3Rd St Nw, Harlowton, MT.
Cash / Self-Pay
$420

Average discount available for prompt cash payment at this facility.

Insurance Median
$201

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: $420 (393%)
Insurance Median: $201 (188%)
Cash: $420 (393% of Medicare)
Ins. Median: $201 (188% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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 $27 - $44 25%
Healthnet Federal-All Plans $27 - $376 25%
Humana $27 - $376 25%
Pacific Source Mcr Adv $27 - $376 25%
Triwest-All Plans $27 - $376 25%
UnitedHealthcare $27 - $604 25%
Medica Prime Solutions-All Plans $28 - $376 26%
Naphcare-All Plans $44 41%
Allegiance Provider-All Plans $45 - $524 42%
First Choice Big Sky-All Plans $45 - $586 42%
6 Degrees Health-All Plans $49 - $586 46%
Ccn-All Plans $49 - $598 46%
Community Health Ntwk-All Plans $49 - $586 46%
First Health-All Plans $49 - $592 46%
Interwest Ppo-All Plans $49 - $586 46%
Mountain Health Co-Op-All Plans $49 - $586 46%
Rocky Mountain Health Network-All Plans $49 - $586 46%
Pacific Steel & Recycling-All Plans $54 - $586 51%
City Of Billings-All Plans $58 - $925 54%
Pacific Source-All Other Plans $61 - $586 57%
Amish Old Orders-All Plans $167 - $462 156%
Fedmed Network-All Plans $190 - $586 178%
Americas Choice-All Plans $212 - $586 198%
Three Rivers-All Plans $212 - $586 198%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

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