Colonoscopy Cost in Montana (2026): Average Prices & What You'll Pay

What does a colonoscopy cost in Montana?

For a commercially insured patient, a colonoscopy in Montana typically runs $781–$2,306 once facility and physician fees are combined. The median reported facility price across 36 hospitals is $483. The figures draw on CMS fee schedules and hospital price transparency data published under federal law.

Where colonoscopy costs vary in Montana

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.

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CommonSpirit Health (formerly SCL Health) and RiverStone Health cover most of Montana's population. The state's vast geography means most residents have little or no practical alternative to their nearest facility, effectively eliminating competitive pricing pressure outside Billings and Missoula. Critical access hospitals are widespread and use cost-based reimbursement for Medicare. Colonoscopy pricing is particularly sensitive to screening vs. diagnostic coding. A screening colonoscopy is typically covered at 100% under preventive care benefits, but if a polyp is removed or a finding is documented during the same visit, the claim is often re-coded as diagnostic - triggering your deductible and coinsurance. Ambulatory surgery centers perform over 70% of colonoscopies nationally and charge substantially less than hospital outpatient settings.

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Why prices vary - and what it means for your coverage

A small number of hospitals (1) report prices above $2,139, including NORTHEAST MONTANA HEALTHCARE TRINITY at $1,670, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $480 versus $508 inpatient, so where a procedure happens often matters more than which hospital you pick. The biggest swing for this procedure is screening versus diagnostic coding - a polyp removed during a routine screening can recode the whole visit as diagnostic and trigger cost-sharing you weren't expecting.

What you pay out of pocket on top of this depends on your deductible, your plan's out-of-pocket maximum, and whether every provider involved is in-network - not just the facility.

Frequently asked questions: colonoscopy costs in Montana

How much does a colonoscopy cost in Montana?

Across 36 Montana hospitals that publish prices, a colonoscopy ranges from $100 to $13,783, with a median of $483. Most facilities fall between $234 and $950. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get a colonoscopy in Montana?

Based on declared prices, the lowest-cost facility in our Montana data is McCone County Health Center at about $201. By metro, Choteau has the lowest median ($214). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.

Why is a colonoscopy so much cheaper at some Montana hospitals?

Prices vary up to 137.8× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Montana, the median cash (self-pay) price is $483 versus a median negotiated rate of $308 - about 1.6× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for a colonoscopy in Montana?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).