Office visit, established patient (level 4) cost in Montana

Prices at 13 hospitals in Montana, from their machine-readable files. Here the median cash price is $211 — 9% above the US median ($194), roughly 1.6× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
St Luke Community Hospital Ronan, MT $72 $103 — 109 min —
Big Sandy Medical Center Big Sandy, MT $154 $189 — 77 min —
Rosebud Health Care Center Forsyth, MT $168 $162 — 97 min —
Sidney Health Center Sidney, MT $169 $155 ★ 3/5 152 min —
Community Medical Center Missoula, MT $174 $202 ★ 3/5 138 min —
Bozeman Health Deaconess Hospital Bozeman, MT $203 $93 ★ 4/5 142 min —
Phillips County Hospital-CAH Malta, MT $219 $269 — 78 min —
Roosevelt Medical Center Culbertson, MT $232 $213 — 100 min —
Fallon Medical Complex Hospital Baker, MT $253 $154 — 102 min —
Dahl Memorial Healthcare Association Inc Ekalaka, MT $283 $283 — 129 min —
St Peters Health Helena, MT $296 $250 ★ 3/5 179 min —
Clark Fork Valley Hospital Plains, MT $527 $246 — 148 min —

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

Price comparison (median)

Chargemaster (list price)
$252
Cash / self-pay
$211
Insurer-negotiated
$189
Medicare pays
$136
$155$295
Median cash $211  ·  Medicare $136  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $211 — about 1.6× the Medicare rate ($136). Reasonable. A fair cash price is usually within ~2× Medicare ($271).

💡 Asking for the cash price instead of the $252 list price could save about $41 (16%).

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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Office visit, established patient (level 4) cost in other states

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