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Hospital Profile Critical Access Hospitals Voluntary non-profit - Private

Wheatland Memorial Hospital

530 3RD ST NW, Harlowton, MT 59036

CMS Overall Rating No CMS Rating
Factual Overview

Wheatland Memorial Hospital is a Critical Access Hospitals (Voluntary non-profit - Private) operating in Harlowton, MT. Mapped commercial insurance prices across 67 procedures average 7.53x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: rural Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 36

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 102 min Readmission Rate: N/A

Pricing & Transparency

Procedures Mapped: 67 codes Avg Markup vs Medicare: 7.53x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Blood transfusion
CPT Code: 36430
 $887 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $1,366 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $389 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $1,642 Calc
CT scan, sinuses
CPT Code: 70486
 $993 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $1,006 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $1,574 Calc
X-ray, chest (single view)
CPT Code: 71045
 $291 Calc
X-ray, chest (two views)
CPT Code: 71046
 $238 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $1,958 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $342 Calc
X-ray, lower back
CPT Code: 72110
 $572 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $1,317 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $1,127 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $930 Calc
X-ray, pelvis
CPT Code: 72170
 $196 Calc
CT scan, pelvis
CPT Code: 72192
 $910 Calc
X-ray, shoulder
CPT Code: 73030
 $356 Calc
X-ray, hand
CPT Code: 73130
 $403 Calc
X-ray, hip
CPT Code: 73502
 $343 Calc
X-ray, ankle
CPT Code: 73610
 $346 Calc
X-ray, foot
CPT Code: 73630
 $344 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $1,470 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $3,069 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $2,688 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $598 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $573 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $420 Calc
Ultrasound, pelvis
CPT Code: 76856
 $470 Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 $401 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $96 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $114 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $153 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $116 Calc
Blood test, liver function panel
CPT Code: 80076
 $77 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $68 Calc
Blood test, amylase
CPT Code: 82150
 $138 Calc
Blood test, vitamin D
CPT Code: 82306
 $283 Calc
Blood test, calcium
CPT Code: 82310
 $72 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $61 Calc
Blood test, vitamin B12
CPT Code: 82607
 $148 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $161 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $59 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $119 Calc
Blood test, lipase
CPT Code: 83690
 $67 Calc
Blood test, magnesium
CPT Code: 83735
 $86 Calc
Blood test, potassium
CPT Code: 84132
 $107 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $190 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $122 Calc
Blood test, hemoglobin
CPT Code: 85018
 $58 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $120 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $72 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $141 Calc
Hepatitis C antibody test
CPT Code: 86803
 $161 Calc
Blood antibody screen
CPT Code: 86850
 $181 Calc
Culture, blood
CPT Code: 87040
 $599 Calc
Culture, bacterial
CPT Code: 87070
 $149 Calc
Care planning with family
CPT Code: 90887
 $242 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $626 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $386 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $854 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $80 Calc
Sleep study (overnight, in lab)
CPT Code: 95810
 $11,460 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $147 Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $444 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 $300 Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 $437 Calc