CMS Price Transparency Data

X-ray, pelvis

Facility: Wheatland Memorial Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $65
  • Cash Discount Price: $197
  • vs. Medicare Baseline: 0.61x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Wheatland Memorial Hospital is $65. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $197. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.61x the Medicare baseline. Located in 530 3Rd St Nw, Harlowton, MT.
Cash / Self-Pay
$197

Average discount available for prompt cash payment at this facility.

Insurance Median
$65

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: $197 (184%)
Insurance Median: $65 (61%)
Cash: $197 (184% of Medicare)
Ins. Median: $65 (61% 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 $8 - $13 7%
Healthnet Federal-All Plans $8 - $196 7%
Humana $8 - $196 7%
Pacific Source Mcr Adv $8 - $196 7%
Triwest-All Plans $8 - $196 7%
UnitedHealthcare $8 - $316 7%
Medica Prime Solutions-All Plans $9 - $196 8%
Allegiance Provider-All Plans $13 - $274 12%
First Choice Big Sky-All Plans $13 - $306 12%
Naphcare-All Plans $13 12%
6 Degrees Health-All Plans $15 - $306 14%
Ccn-All Plans $15 - $312 14%
Community Health Ntwk-All Plans $15 - $306 14%
First Health-All Plans $15 - $309 14%
Interwest Ppo-All Plans $15 - $306 14%
Mountain Health Co-Op-All Plans $15 - $306 14%
Rocky Mountain Health Network-All Plans $15 - $306 14%
Pacific Steel & Recycling-All Plans $16 - $306 15%
City Of Billings-All Plans $18 - $483 17%
Pacific Source-All Other Plans $18 - $306 17%
Amish Old Orders-All Plans $53 - $242 50%
Fedmed Network-All Plans $60 - $306 56%
Americas Choice-All Plans $67 - $306 63%
Three Rivers-All Plans $67 - $306 63%

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