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Wheatland Memorial Hospital
Harlowton, MT · CMS ID: 271321
This hospital has pricing data for 31 procedures ranging from $71 to $3,086.
Procedures (31)
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$305
Gross Charge
$305
Medicare Rate
$24
Insurance Negotiated Rates
Healthnet Federal-All Plans$8
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$390
Gross Charge
$390
Medicare Rate
$31
Insurance Negotiated Rates
Blue Cross Blue Shield$10
Cash Price
(No Insurance)
$120
Gross Charge
$120
Insurance Negotiated Rates
Healthnet Federal-All Plans$73
Cash Price
(No Insurance)
$153
Gross Charge
$153
Insurance Negotiated Rates
Healthnet Federal-All Plans$93
Cash Price
(No Insurance)
$812
Gross Charge
$812
Medicare Rate
$280
Insurance Negotiated Rates
UnitedHealthcare$63
Cash Price
(No Insurance)
$3,086
Gross Charge
$3,086
Medicare Rate
$172
Insurance Negotiated Rates
UnitedHealthcare$63
CT Chest Low Dose
71271Cash Price
(No Insurance)
$359
Gross Charge
$359
Medicare Rate
$128
Insurance Negotiated Rates
Blue Cross Blue Shield$49
Cash Price
(No Insurance)
$2,463
Gross Charge
$2,463
Medicare Rate
$156
Insurance Negotiated Rates
Humana$54
ER Visit Level 3
99283Cash Price
(No Insurance)
$432
Gross Charge
$432
Medicare Rate
$69
Insurance Negotiated Rates
UnitedHealthcare$63
ER Visit Level 4
99284Cash Price
(No Insurance)
$691
Gross Charge
$691
Medicare Rate
$117
Insurance Negotiated Rates
UnitedHealthcare$63
ER Visit Level 5
99285Cash Price
(No Insurance)
$1,342
Gross Charge
$1,342
Medicare Rate
$170
Insurance Negotiated Rates
UnitedHealthcare$63
Knee X-Ray
73560Cash Price
(No Insurance)
$337
Gross Charge
$337
Medicare Rate
$32
Insurance Negotiated Rates
Healthnet Federal-All Plans$8
Lipid Panel
80061Cash Price
(No Insurance)
$94
Gross Charge
$94
Insurance Negotiated Rates
Healthnet Federal-All Plans$57
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$401
Gross Charge
$401
Medicare Rate
$146
Insurance Negotiated Rates
Humana$46
Mammogram Screening
77067Cash Price
(No Insurance)
$96
Gross Charge
$96
Medicare Rate
$118
Insurance Negotiated Rates
Humana$35
Cash Price
(No Insurance)
$71
Gross Charge
$71
Insurance Negotiated Rates
Medica Prime Solutions-All Plans$40
MRI Brain
70551Cash Price
(No Insurance)
$1,783
Gross Charge
$1,783
Medicare Rate
$183
Insurance Negotiated Rates
UnitedHealthcare$63
Cash Price
(No Insurance)
$2,791
Gross Charge
$2,791
Medicare Rate
$296
Insurance Negotiated Rates
UnitedHealthcare$63
MRI Cervical Spine
72141Cash Price
(No Insurance)
$1,600
Gross Charge
$1,600
Medicare Rate
$179
Insurance Negotiated Rates
UnitedHealthcare$63
MRI Knee
73721Cash Price
(No Insurance)
$1,457
Gross Charge
$1,457
Medicare Rate
$191
Insurance Negotiated Rates
Blue Cross Blue Shield$63
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$1,632
Gross Charge
$1,632
Medicare Rate
$180
Insurance Negotiated Rates
UnitedHealthcare$63
MRI Shoulder
73221Cash Price
(No Insurance)
$1,550
Gross Charge
$1,550
Medicare Rate
$191
Insurance Negotiated Rates
Healthnet Federal-All Plans$63
Office Visit Level 3
99213Cash Price
(No Insurance)
$305
Gross Charge
$305
Medicare Rate
$91
Insurance Negotiated Rates
Healthnet Federal-All Plans$57
Office Visit Level 4
99214Cash Price
(No Insurance)
$451
Gross Charge
$451
Medicare Rate
$130
Insurance Negotiated Rates
UnitedHealthcare$63
Shoulder X-Ray
73030Cash Price
(No Insurance)
$358
Gross Charge
$358
Medicare Rate
$33
Insurance Negotiated Rates
Blue Cross Blue Shield$9
TSH (Thyroid)
84443Cash Price
(No Insurance)
$91
Gross Charge
$91
Insurance Negotiated Rates
Healthnet Federal-All Plans$56
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$298
Gross Charge
$298
Medicare Rate
$107
Insurance Negotiated Rates
Healthnet Federal-All Plans$37
Cash Price
(No Insurance)
$164
Gross Charge
$164
Medicare Rate
$129
Insurance Negotiated Rates
ALLEGIANCE PROVIDER-ALL PLANS$37
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$269
Gross Charge
$269
Medicare Rate
$98
Insurance Negotiated Rates
Blue Cross Blue Shield$32
Cash Price
(No Insurance)
$879
Gross Charge
$879
Medicare Rate
$109
Insurance Negotiated Rates
Humana$32