CMS Price Transparency Data

X-ray, foot

Facility: Wheatland Memorial Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $289
  • Cash Discount Price: $344
  • vs. Medicare Baseline: 3.25x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Wheatland Memorial Hospital is $289. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $344. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.25x the Medicare baseline. Located in 530 3Rd St Nw, Harlowton, MT.
Cash / Self-Pay
$344

Average discount available for prompt cash payment at this facility.

Insurance Median
$289

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $344 (387%)
Insurance Median: $289 (325%)
Cash: $344 (387% of Medicare)
Ins. Median: $289 (325% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 325% of the Medicare baseline (a markup of 225%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $8 - $13 9%
Healthnet Federal-All Plans $8 - $289 9%
Humana $8 - $289 9%
Medica Prime Solutions-All Plans $8 - $289 9%
Pacific Source Mcr Adv $8 - $289 9%
Triwest-All Plans $8 - $289 9%
UnitedHealthcare $8 - $464 9%
Allegiance Provider-All Plans $13 - $403 15%
First Choice Big Sky-All Plans $13 - $450 15%
Naphcare-All Plans $13 15%
6 Degrees Health-All Plans $14 - $450 16%
Ccn-All Plans $14 - $460 16%
Community Health Ntwk-All Plans $14 - $450 16%
First Health-All Plans $14 - $455 16%
Interwest Ppo-All Plans $14 - $450 16%
Mountain Health Co-Op-All Plans $14 - $450 16%
Rocky Mountain Health Network-All Plans $14 - $450 16%
Pacific Steel & Recycling-All Plans $15 - $450 17%
City Of Billings-All Plans $17 - $711 19%
Pacific Source-All Other Plans $18 - $450 20%
Amish Old Orders-All Plans $65 - $355 73%
Fedmed Network-All Plans $74 - $450 83%
Americas Choice-All Plans $83 - $450 93%
Three Rivers-All Plans $83 - $450 93%

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