Emergency Room Visit Cost in Montana (2026): Average Prices & What You'll Pay

What does a emergency room visit cost in Montana?

Expect roughly $269 to $502 for an emergency room visit in Montana if you're commercially insured - that range already folds in both the facility charge and the physician fee. The median reported facility price across 31 hospitals is $183. It's built from CMS fee schedules and federally mandated hospital price transparency data.

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. Emergency room costs are driven by two separate charges: the facility fee (which varies by ER level, E1–E5) and the physician fee (billed by an independent emergency medicine group). Most patients are unaware that ER physicians are frequently out-of-network even when the hospital itself is in-network - the No Surprises Act limits your liability in this case, but billing disputes still occur. Using an urgent care center for non-emergency conditions typically costs 80–90% less than an ER visit for equivalent care.

Example: two commercially insured patients in Choteau could pay ~$165 and ~$226 for the identical procedure - a $61 difference driven entirely by facility choice.

Where emergency room visit 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.

Estimate YOUR exact out-of-pocket cost →

Cheapest Emergency Room Visit Providers in Montana

Based on declared cash/self-pay prices from CMS hospital price transparency files.

#	Facility	City	Price	vs Median
1	Benefis Teton Medical Center	Choteau, MT	$156	-$27
2	Benefis Community Hospitals, Inc	Choteau, MT	$156	-$27
3	Logan Health Medical Center	Kalispell, MT	$156	-$27
4	SCL HEALTH - MONTANA, DBA INTERMOUNTAIN HEALTH ST. VINCENT HEALTHCARE	MT	$158	-$25
5	Providence Health & Services - Montana	Missoula, MT	$158	-$25
6	St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITAL	Butte, MT	$161	-$22

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

How where you go changes what you pay for emergency room visit

The same emergency room visit bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.

Hospital Outpatient

$121–$1,560

• Facility fee $104–$728
• Professional fee $17–$832

Estimated from CMS fee schedules + commercial rate multipliers

Hospital Inpatient

$121–$2,856

• Facility fee $104–$2,024
• Professional fee $17–$832

Estimated from CMS fee schedules + commercial rate multipliers

Montana Emergency Room Visit prices by facility

All prices below come from hospital chargemasters - the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.

How we calculate "Your Price"

We prioritize cash price (the self-pay rate) over the negotiated rate, and only fall back to the gross charge, the inflated list price few people actually pay, when nothing else is reported.

Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.

Received a bill? Check it for errors → Estimate YOUR cost before you go →

Why prices vary - and what it means for your coverage

A small number of hospitals (4) report prices above $372, including Logan Health - Shelby at $728, 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 $178 versus $178 inpatient, so where a procedure happens often matters more than which hospital you pick. Facility fees for emergency care scale with the severity level the hospital assigns your visit, which is why two visits that look similar from the exam table can bill very differently.

None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.

Frequently asked questions: emergency room visit costs in Montana

How much does an emergency room visit cost in Montana?

Across 31 Montana hospitals that publish prices, an emergency room visit ranges from $61 to $9,225, with a median of $183. Most facilities fall between $162 and $226. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get an emergency room visit in Montana?

Based on declared prices, the lowest-cost facility in our Montana data is Logan Health - Chester in Chester at about $104. By metro, Choteau has the lowest median ($156). 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 an emergency room visit so much cheaper at some Montana hospitals?

Prices vary up to 151.2× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Montana, the median cash (self-pay) price is $188 versus a median negotiated rate of $88 - about 2.1× 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 an emergency room visit 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.

Other Montana Hospitals for Emergency Room Visit

These hospitals are registered in the CMS National Provider Identifier (NPI) registry as active hospitals in Montana. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.

Provider	City	Type	Est. Cost
ADVANCED CARE HOSPITAL OF MONTANA INC 4063738000	BILLINGS, MT	Long Term Care Hospital	$121–$1,560 bundled est.
BARRETT HOSPITAL & HEALTHCARE 4066833041	DILLON, MT	Critical Access Hospital	$121–$1,560 bundled est.
BARRETT HOSPITAL DEVELOPMENT CORPORATION 4066833000	DILLON, MT	Critical Access Hospital	$121–$1,560 bundled est.
BARRETT HOSPITAL DEVELOPMENT CORPORATION 4066833000	DILLON, MT	Critical Access Hospital	$121–$1,560 bundled est.
BARRETT HOSPITAL DEVELOPMENT CORPORATION 4066833000	DILLON, MT	Critical Access Hospital	$121–$1,560 bundled est.
BENEFIS HEALTHCARE SYSTEM 4064552661	GREAT FALLS, MT	Long Term Care Hospital	$121–$1,560 bundled est.
BIG HORN HOSPITAL ASSOCIATION 4066652310	HARDIN, MT	Critical Access Hospital	$121–$1,560 bundled est.
BIG SANDY MEDICAL CENTER INC 4063782188	BIG SANDY, MT	Critical Access Hospital	$121–$1,560 bundled est.
BILLINGS CINIC 4068981200	BOZEMAN, MT	General Acute Care Hospital	$121–$1,560 bundled est.
BLACKFEET COMMUNITY HOSPITAL 4063386231	BROWNING, MT	Rural Acute Care Hospital	$121–$1,560 bundled est.
BOZEMAN HEALTH BIG SKY MEDICAL CENTER, LLC 4069956995	BIG SKY, MT	General Acute Care Hospital	$121–$1,560 bundled est.
CENTRAL MONTANA MEDICAL FACILITIES, INC 4065357711	LEWISTOWN, MT	Critical Access Hospital	$121–$1,560 bundled est.
▼ Show 87 more Montana hospitals CENTRAL MONTANA SURGERY CENTER, INC. 4062168000 GREAT FALLS, MT General Acute Care Hospital $121–$1,560 bundled est. CHARLOTTE SMITH 4063386202 BROWNING, MT Rural Acute Care Hospital $121–$1,560 bundled est. CHOUTEAU COUNTY DISTRICT HOSPITAL 4066223331 FORT BENTON, MT Critical Access Hospital $121–$1,560 bundled est. CMSC, LLC 4062168000 GREAT FALLS, MT General Acute Care Hospital $121–$1,560 bundled est. COMMUNITY BIRTH GROUP 8003418598 BOZEMAN, MT General Acute Care Hospital $121–$1,560 bundled est. COMMUNITY BIRTH GROUP 8003418598 LIBBY, MT General Acute Care Hospital $121–$1,560 bundled est. COMMUNITY HOSPITAL OF ANACONDA 4065638500 ANACONDA, MT Critical Access Hospital $121–$1,560 bundled est. COMMUNITY HOSPITAL OF ANACONDA 4065638500 ANACONDA, MT Critical Access Hospital $121–$1,560 bundled est. COMMUNITY MEDICAL CENTER INC 4067284100 MISSOULA, MT General Acute Care Hospital $121–$1,560 bundled est. CROW NORTHERN CHEYENNE HOSPITAL 4066383540 CROW AGENCY, MT Rural Acute Care Hospital $121–$1,560 bundled est. CROW-NORTHERN CHEYENNE HOSPITAL 4066383500 CROW AGENCY, MT Critical Access Hospital $121–$1,560 bundled est. FALLON MEDICAL COMPLEX INC 4067783331 BAKER, MT Critical Access Hospital $121–$1,560 bundled est. FLOR-HAVEN HOME LLC 4065422598 MISSOULA, MT Long Term Care Hospital $121–$1,560 bundled est. FORT HARRISON VA 4064426410 HELENA, MT Rural Acute Care Hospital $121–$1,560 bundled est. GLENDIVE MEDICAL CENTER, INC 4063453306 GLENDIVE, MT Critical Access Hospital $121–$1,560 bundled est. GRANITE COUNTY HOSPITAL DISTRICT 4068593271 PHILIPSBURG, MT Long Term Care Hospital $121–$1,560 bundled est. GRANITE COUNTY HOSPITAL DISTRICT 4068593271 PHILIPSBURG, MT Critical Access Hospital $121–$1,560 bundled est. GRANITE COUNTY HOSPITAL DISTRICT 4068593271 PHILIPSBURG, MT Critical Access Hospital $121–$1,560 bundled est. HEALTHCENTER NORTHWEST LLC 4067519729 KALISPELL, MT General Acute Care Hospital $121–$1,560 bundled est. HOLY ROSARY HEALTHCARE 4062332600 MILES CITY, MT Rural Acute Care Hospital $121–$1,560 bundled est. INDIAN HEALTH SERVICES 4063386230 BROWNING, MT Rural Acute Care Hospital $121–$1,560 bundled est. KALISPELL REGIONAL HEALTHCARE 4067518009 KALISPELL, MT Women's Hospital $121–$1,560 bundled est. LIBERTY COUNTY HOSPITAL AND NURSING HOME, INC 4067595181 CHESTER, MT Critical Access Hospital $121–$1,560 bundled est. LIVINGSTON HEALTHCARE 4068236414 LIVINGSTON, MT Critical Access Hospital $121–$1,560 bundled est. LIVINGSTON HEALTHCARE 4062223541 LIVINGSTON, MT Critical Access Hospital $121–$1,560 bundled est. LIVINGSTON HEALTHCARE 4068236429 LIVINGSTON, MT Critical Access Hospital $121–$1,560 bundled est. LIVINGSTONHEALTHCARE 4062223541 LIVINGSTON, MT Critical Access Hospital $121–$1,560 bundled est. LIVINGSTONHEALTHCARE CARDIAC REHAB 4062223541 LIVINGSTON, MT Critical Access Hospital $121–$1,560 bundled est. LIVINGSTONHEALTHCARE CRNA 4062223541 LIVINGSTON, MT Rural Acute Care Hospital $121–$1,560 bundled est. LIVINGSTONHEALTHCARE OCCUPATIONAL THERAPY 4062223541 LIVINGSTON, MT Critical Access Hospital $121–$1,560 bundled est. LIVINGSTONHEALTHCARE OP LAB & XRAY 4062223541 LIVINGSTON, MT Critical Access Hospital $121–$1,560 bundled est. LIVINGSTONHEALTHCARE PHYSICAL THERAPY 4062223541 LIVINGSTON, MT Critical Access Hospital $121–$1,560 bundled est. LIVINGSTONHEALTHCARE RADIOLOGY-LOCUM 4062223541 LIVINGSTON, MT Critical Access Hospital $121–$1,560 bundled est. LIVINGSTONHEALTHCARE SPEECH THERAPY 4062223541 LIVINGSTON, MT Critical Access Hospital $121–$1,560 bundled est. LIVINGSTONHEALTHCARE XRAY PROFEE 4062223541 LIVINGSTON, MT Critical Access Hospital $121–$1,560 bundled est. LOGAN HEALTH - CONRAD 4062713211 CONRAD, MT Critical Access Hospital $121–$1,560 bundled est. LOGAN HEALTH - WHITEFISH 4068633724 WHITEFISH, MT Critical Access Hospital $121–$1,560 bundled est. LOGAN HEALTH - WHITEFISH 4068633510 WHITEFISH, MT Critical Access Hospital $121–$1,560 bundled est. MARCUS DALY MEMORIAL HOSPITAL CORPORATION 4063632211 HAMILTON, MT Critical Access Hospital $121–$1,560 bundled est. MEMORIAL HOSPITAL ASSOCIATION 4064462345 RED LODGE, MT Critical Access Hospital $121–$1,560 bundled est. MEMORIAL HOSPITAL ASSOCIATION 4064462345 RED LODGE, MT Critical Access Hospital $121–$1,560 bundled est. MISSOULA COMMUNITY HEALTH SERVICES, INC. 4068224841 SUPERIOR, MT Rural Acute Care Hospital $121–$1,560 bundled est. MONTANA ANESTHESIA PLLC 4067507379 GREAT FALLS, MT General Acute Care Hospital $121–$1,560 bundled est. MONTANA VAMC 9135784409 FORT HARRISON, MT General Acute Care Hospital $121–$1,560 bundled est. MOUNTAINVIEW MEDICAL CENTER 4065473321 WHITE SULPHUR SPRINGS, MT Critical Access Hospital $121–$1,560 bundled est. MOUNTAINVIEW MEDICAL CENTER 4065473321 WHITE SULPHUR SPRINGS, MT Critical Access Hospital $121–$1,560 bundled est. NORTHERN MONTANA HOSPITAL 4062621302 HAVRE, MT General Acute Care Hospital $121–$1,560 bundled est. NORTHERN ROCKIES MEDICAL CENTER 4068732251 CUT BANK, MT Critical Access Hospital $121–$1,560 bundled est. NORTHERN ROCKIES MEDICAL CENTER, INC. 4068732251 CUT BANK, MT Critical Access Hospital $121–$1,560 bundled est. PHILLIPS COUNTY HOSPITAL ASSN 4066541100 MALTA, MT Critical Access Hospital $121–$1,560 bundled est. PHS INDIAN HOSPITAL 4066383558 CROW AGENCY, MT Critical Access Hospital $121–$1,560 bundled est. PIONEER MEDICAL CENTER 4069324603 BIG TIMBER, MT General Acute Care Hospital $121–$1,560 bundled est. PLAINS HOSPITAL CORPORATION 4068264813 PLAINS, MT Critical Access Hospital $121–$1,560 bundled est. POWELL COUNTY MEMORIAL HOSPITAL ASSOCIATION INC 4068462212 DEER LODGE, MT Critical Access Hospital $121–$1,560 bundled est. PROVIDENCE HEALTH & SERVICES MT 4065437271 MISSOULA, MT General Acute Care Hospital $121–$1,560 bundled est. PROVIDENCE HEALTH & SERVICES MT 4067775522 STEVENSVILLE, MT General Acute Care Hospital $121–$1,560 bundled est. PROVIDENCE HEALTH & SERVICES MT 4066763600 RONAN, MT General Acute Care Hospital $121–$1,560 bundled est. PROVIDENCE ST JOSEPH MEDICAL CENTER 4068835377 POLSON, MT Critical Access Hospital $121–$1,560 bundled est. PUBLIC HOSPITAL DISTRICT OF BEAVERHEAD COUNTY DB 4066833001 DILLON, MT Critical Access Hospital $121–$1,560 bundled est. RCHP BILLINGS - MISSOULA LLC 4067284100 MISSOULA, MT General Acute Care Hospital $121–$1,560 bundled est. ROSEBUD COMMUNITY HOSPITAL, INC 4063462161 FORSYTH, MT Rural Acute Care Hospital $121–$1,560 bundled est. ROUNDUP MEMORIAL HOSPITAL ASSOCIATION 4063233201 ROUNDUP, MT Critical Access Hospital $121–$1,560 bundled est. ROUNDUP MEMORIAL HOSPITAL ASSOCIATION 4063233337 ROUNDUP, MT General Acute Care Hospital $121–$1,560 bundled est. RUBY VALLEY HOSPITAL 4068425454 SHERIDAN, MT Critical Access Hospital $121–$1,560 bundled est. SHERIDAN MEMORIAL HOSPITAL ASSOCIATION 4067653700 PLENTYWOOD, MT Critical Access Hospital $121–$1,560 bundled est. SHERIDAN MEMORIAL HOSPITAL ASSOCIATION 4067653700 PLENTYWOOD, MT Critical Access Hospital $121–$1,560 bundled est. SHERIDAN MEMORIAL HOSPITAL ASSOCIATION 4067653700 PLENTYWOOD, MT Critical Access Hospital $121–$1,560 bundled est. ST JAMES HEALTHCARE 4067232500 BUTTE, MT General Acute Care Hospital $121–$1,560 bundled est. ST JAMES HEALTHCARE 4067232500 BUTTE, MT General Acute Care Hospital $121–$1,560 bundled est. ST JAMES HEALTHCARE 4067232500 BUTTE, MT General Acute Care Hospital $121–$1,560 bundled est. ST LUKES COMMUNITY HOSPITAL 4066764441 RONAN, MT Critical Access Hospital $121–$1,560 bundled est. ST PATRICKS HOSPITAL AND HEALTH SCIENCES CENTER 4065417000 POLSON, MT General Acute Care Hospital $121–$1,560 bundled est. ST PETER'S HEALTH 4064956600 HELENA, MT General Acute Care Hospital $121–$1,560 bundled est. ST PETERS COMMUNITY HOSPITAL 4064442350 HELENA, MT General Acute Care Hospital $121–$1,560 bundled est. ST VINCENT HEALTHCARE 4062377000 BILLINGS, MT General Acute Care Hospital $121–$1,560 bundled est. ST. JAMES HEALTHCARE 4067232500 BUTTE, MT Rural Acute Care Hospital $121–$1,560 bundled est. ST. JAMES HEALTHCARE 4067232500 BUTTE, MT Rural Acute Care Hospital $121–$1,560 bundled est. ST. JAMES HEALTHCARE 4067232500 BUTTE, MT General Acute Care Hospital $121–$1,560 bundled est. ST. VINCENT HEALTHCARE 4062375625 BILLINGS, MT General Acute Care Hospital $121–$1,560 bundled est. ST.VINCENT HEALTHCARE 4062377000 BILLINGS, MT General Acute Care Hospital $121–$1,560 bundled est. STILLWATER HOSPITAL ASSOCIATION, INC. 4063221000 COLUMBUS, MT Critical Access Hospital $121–$1,560 bundled est. STILLWATER HOSPITAL ASSOCIATION, INC. 4063225316 COLUMBUS, MT Critical Access Hospital $121–$1,560 bundled est. SWEET GRASS COUNTY 4069324603 BIG TIMBER, MT Critical Access Hospital $121–$1,560 bundled est. U S HEALTH DEPT OF HEALTH & HUMAN SERVICES 4066392317 LODGE GRASS, MT Critical Access Hospital $121–$1,560 bundled est. U S HEALTH DEPT OF HEALTH & HUMAN SERVICES 4063386369 BROWNING, MT General Acute Care Hospital $121–$1,560 bundled est. US HEALTH DEPT OF HEALTH & HUMAN SERVICES 4062599813 PRYOR, MT Critical Access Hospital $121–$1,560 bundled est. WHEATLAND MEMORIAL HEALTHCARE 4066324351 HARLOWTON, MT Critical Access Hospital $121–$1,560 bundled est.

Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.

Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.

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