CMS Price Transparency Data

DTaP vaccine (diphtheria, tetanus, pertussis)

Facility: Central Montana Medical Center

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 $57 Hospital's list price $67

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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser 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 $62 —
Blue Cross Blue Shieldmajor $35 - $67 —
Humanamajor $36 —
+ 7 smaller / regional plans $63 - $167
Government programs also on file: Military & VA.
Excludes 2 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: 408 Wendell Ave, Lewistown, MT 59457
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals