Office visit, new patient (level 5) cost in Montana

Prices at 12 hospitals in Montana, from their machine-readable files. Here the median cash price is $323 — about the US median ($318), roughly 1.4× the Medicare rate.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
St Luke Community Hospital Ronan, MT $158 $197 — 109 min —
Community Medical Center Missoula, MT $216 $349 ★ 3/5 138 min —
Rosebud Health Care Center Forsyth, MT $235 $231 — 97 min —
Bozeman Health Deaconess Hospital Bozeman, MT $272 $172 ★ 4/5 142 min —
Big Sandy Medical Center Big Sandy, MT $294 $363 — 77 min —
Sidney Health Center Sidney, MT $323 $312 ★ 3/5 152 min —
Phillips County Hospital-CAH Malta, MT $461 $269 — 78 min —
Dahl Memorial Healthcare Association Inc Ekalaka, MT $463 $463 — 129 min —
Fallon Medical Complex Hospital Baker, MT $466 $443 — 102 min —
Clark Fork Valley Hospital Plains, MT $489 $489 — 148 min —
St Peters Health Helena, MT $512 $462 ★ 3/5 179 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)
$463
Cash / self-pay
$323
Insurer-negotiated
$331
Medicare pays
$237
$216$489
Median cash $323  ·  Medicare $237  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $323 — about 1.4× the Medicare rate ($237). Reasonable. A fair cash price is usually within ~2× Medicare ($474).

💡 Asking for the cash price instead of the $463 list price could save about $140 (30%).

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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, new patient (level 5) cost in other states

All Office visit, new patient (level 5) prices (national) → · All hospitals in Montana →