Endoscopy Cost in Montana (2026): Average Prices & What You'll Pay
What does a endoscopy cost in Montana?
You could pay $401 or $941 for the same endoscopy in Montana - depending entirely on which facility you choose. The median cash price across 27 reporting hospitals is $711. This data comes directly from hospital price transparency files published under federal law.
Where endoscopy 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.
26+ people checked prices near them this month.
One upper endoscopy can become four separate bills - and a biopsy adds a fifth surprise weeks later.
Your personalized cost report includes:
- ✓ The four separate bills (facility, gastroenterologist, anesthesia, pathology) and which to scrutinize
- ✓ How a biopsy adds a pathology bill that arrives weeks after the procedure
- ✓ Why anesthesia ends up out-of-network even at an in-network surgery center
- ✓ Why an ambulatory surgery center costs less than a hospital for the identical procedure
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Cheapest Endoscopy Providers in Montana
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Fallon Medical Complex | Baker, MT | $215 | -$496 |
| 2 | HOLY ROSARY HEALTHCARE DBA INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL | MT | $215 | -$496 |
| 3 | Bitterroot Health - Daly Hospital | Hamilton, MT | $223 | -$488 |
| 4 | Clark Fork Valley Hospital | Plains, MT | $232 | -$479 |
| 5 | Cabinet Peaks Medical Center | Libby, MT | $261 | -$450 |
| 6 | Logan Health - Conrad | Conrad, MT | $363 | -$348 |
| 7 | Sidney Health Center | Sidney, MT | $411 | -$300 |
| 8 | Big Sandy Medical Center | Big Sandy, MT | $451 | -$260 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Fallon Medical Complex is the lowest-cost option at $215 - $496 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $711, and it's often lower than what insurance pays before your deductible is satisfied.
- This dataset covers hospitals only - freestanding ASCs, which routinely run 30-60% cheaper for the same procedure, aren't included, so it's worth asking your doctor whether one is an option.
How where you go changes what you pay for endoscopy
The same endoscopy 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.
- Facility fee $205–$4,268
- Professional fee $180–$1,516
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $363–$1,820
- Professional fee $180–$1,516
Estimated from CMS fee schedules + commercial rate multipliers
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.
Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →
Why prices vary - and what it means for your coverage
A small number of hospitals (2) report prices above $2,054, including Glendive Medical Center at $4,268, 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 $607 versus $938 inpatient (about 1.5× more), 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.
On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$711 |
| Deductible met - 20% coinsurance | ~$142 |
| Out-of-network provider | $1,564+ |
Frequently asked questions: endoscopy costs in Montana
How much does an endoscopy cost in Montana?
Across 27 Montana hospitals that publish prices, an endoscopy ranges from $205 to $17,100, with a median of $711. Most facilities fall between $312 and $941. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get an endoscopy in Montana?
Based on declared prices, the lowest-cost facility in our Montana data is McCone County Health Center at about $205. 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 endoscopy so much cheaper at some Montana hospitals?
Prices vary up to 83.4× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Montana, the median cash (self-pay) price is $711 versus a median negotiated rate of $502 - about 1.4× 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 endoscopy 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.
Before you book
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read your medical bill
- Deductible vs out-of-pocket max
- Already have a bill? Check it for errors
- How to read an EOB line by line
Other procedures in Montana
Endoscopy, elsewhere
Other Montana Hospitals and ambulatory surgery centers for Endoscopy
These hospitals and ambulatory surgery centers are registered in the CMS National Provider Identifier (NPI) registry as active hospitals and ambulatory surgery centers 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 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ADVANCED CARE HOSPITAL OF MONTANA INC
4063738000 |
BILLINGS, MT | Long Term Care Hospital | $385–$5,784 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BARRETT HOSPITAL & HEALTHCARE
4066833041 |
DILLON, MT | Critical Access Hospital | $385–$5,784 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BARRETT HOSPITAL DEVELOPMENT CORPORATION
4066833000 |
DILLON, MT | Critical Access Hospital | $385–$5,784 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BARRETT HOSPITAL DEVELOPMENT CORPORATION
4066833000 |
DILLON, MT | Critical Access Hospital | $385–$5,784 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BARRETT HOSPITAL DEVELOPMENT CORPORATION
4066833000 |
DILLON, MT | Critical Access Hospital | $385–$5,784 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BENEFIS HEALTHCARE SYSTEM
4064552661 |
GREAT FALLS, MT | Long Term Care Hospital | $385–$5,784 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BENEFIS HOSPITALS INC
4064555000 |
HELENA, MT | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BIG HORN HOSPITAL ASSOCIATION
4066652310 |
HARDIN, MT | Critical Access Hospital | $385–$5,784 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BIG SANDY MEDICAL CENTER INC
4063782188 |
BIG SANDY, MT | Critical Access Hospital | $385–$5,784 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BIG SKY ANESTHETICS PC
4064499100 |
HELENA, MT | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BIG SKY SURGERY CENTER, LLC
4065426559 |
MISSOULA, MT | Ambulatory Surgical Center | - | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BILLINGS CINIC
4068981200 |
BOZEMAN, MT | General Acute Care Hospital | $385–$5,784 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
▼ Show 88 more Montana hospitals and ambulatory surgery centers (of 137 registered)
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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.
What matters before you schedule
ASC vs. hospital
Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same endoscopy - same outcome, very different bill. Call ahead and ask for a self-pay or cash quote at each setting you're considering.
What's on your bill
A endoscopy involves multiple providers who bill separately - typically Facility Fee, Gastroenterologist Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.
Cost by type
Which type your doctor orders for this endoscopy changes the billing code, and what you pay. For example: Ordered to investigate symptoms or a prior finding - standard cost-sharing (deductible, coinsurance) applies.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for endoscopy before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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