Knee Replacement Cost in Montana (2026): Average Prices & What You'll Pay
What does a knee replacement cost in Montana?
For a commercially insured patient, a knee replacement in Montana typically runs $4,481–$10,863 once facility and physician fees are combined. The median reported facility price across 23 hospitals is $3,053. The figures draw on CMS fee schedules and hospital price transparency data published under federal law.
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. Knee replacement is a high-cost elective procedure where facility selection has an outsized impact on total cost. Hospital outpatient and ambulatory surgery center rates for knee replacement have converged on outcomes but diverged further on price - ASC rates are typically 30–50% below hospital rates for the same implant and surgeon. Medicare Advantage plans increasingly direct patients to designated bundled-payment facilities where your out-of-pocket liability is capped.
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Example: two commercially insured patients in Sidney could pay ~$2,061 and ~$4,411 for the identical procedure - a $2,350 difference driven entirely by facility choice.
Where knee replacement 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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Cheapest Knee Replacement Providers in Montana
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Clark Fork Valley Hospital | Plains, MT | $821 | -$2,232 |
| 2 | Sidney Health Center | Sidney, MT | $2,001 | -$1,052 |
| 3 | HOLY ROSARY HEALTHCARE DBA INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL | MT | $2,009 | -$1,044 |
| 4 | McCone County Health Center | MT | $2,018 | -$1,035 |
| 5 | Fallon Medical Complex | Baker, MT | $2,028 | -$1,025 |
| 6 | Providence St Joseph Medical Center | Polson, MT | $2,061 | -$992 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Clark Fork Valley Hospital is the lowest-cost option at $821 - $2,232 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 $3,489, and it's often lower than what insurance pays before your deductible is satisfied.
- Freestanding ambulatory surgical centers (ASCs) are often 30-60% cheaper than hospital outpatient departments for the same procedure and may not appear in this hospital-only dataset - ask your doctor if one is an option.
How where you go changes what you pay for knee replacement
The same knee replacement 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 $426–$33,229
- Professional fee $1,205–$6,940
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $2,001–$25,670
- Professional fee $1,205–$6,940
Estimated from CMS fee schedules + commercial rate multipliers
Montana Knee Replacement 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.
| # | Facility | City | Your Price | vs Median | Gross Charge |
|---|---|---|---|---|---|
| #1 | Cabinet Peaks Medical Center | Libby, MT | $426 | -$2,627 | $568–$2,844 |
| #2 | Bitterroot Health - Daly Hospital | Hamilton, MT | $3,489 | +$436 | $3,489–$5,302 |
| #3 | Big Sky Medical Center | Big Sky, MT | $764 | -$2,289 | $764–$1,659 |
| #4 | Clark Fork Valley Hospital | Plains, MT | $4,411 | +$1,358 | $4,411–$56,886 |
| #5 | Sidney Health Center | Sidney, MT | $2,102 | -$951 | $2,702–$14,871 |
| #6 | HOLY ROSARY HEALTHCARE DBA INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL | MT | $2,009 | -$1,044 | $878–$4,170 |
| #7 | McCone County Health Center | MT | $2,018 | -$1,035 | $1,269–$3,075 |
| #8 | Fallon Medical Complex | Baker, MT | $2,028 | -$1,025 | $683–$3,109 |
| #9 | Providence St Joseph Medical Center | Polson, MT | $2,061 | -$992 | $2,355–$2,577 |
| #10 | Providence Health & Services - Montana | Missoula, MT | $2,147 | -$906 | $1,140–$2,684 |
| #11 | FRANCES MAHON DEACONESS HOSPITAL | MT | $2,315 | -$738 | $2,573–$7,245 |
| #12 | Barrett Hospital and HealthCare | MT | $3,039 | -$14 | $1,848–$3,199 |
| #13 | Deaconess Regional Medical Center | Bozeman, MT | $3,053 | +$0 | $764–$5,635 |
| #14 | Billings Clinic | Billings, MT | $3,252 | +$199 | $1,061–$6,025 |
| #15 | Livingston HealthCare | MT | $3,638 | +$585 | $1,134–$8,011 |
| #16 | COMMUNITY HOSPITAL OF ANACONDA | MT | $4,004 | +$951 | $1,151–$6,297 |
| #17 | CENTRAL MONTANA MEDICAL CENTER | MT | $4,181 | +$1,128 | $4,919–$7,522 |
| #18 | Glendive Medical Center | MT | $25,670 | +$22,617 | $25,670–$55,453 |
| #19 | COMMUNITY MEDICAL CENTER | MT | $10,835 | +$7,782 | $18,059 |
| #20 | SCL HEALTH - MONTANA, DBA INTERMOUNTAIN HEALTH ST. VINCENT HEALTHCARE | MT | $12,866 | +$9,813 | $12,866–$13,512 |
| #21 | St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITAL | Butte, MT | $13,124 | +$10,071 | $13,124–$13,783 |
| #22 | Logan Health Medical Center | Kalispell, MT | $14,269 | +$11,216 | $21,953 |
| #23 | Great Falls Clinic Hospital | Great Falls, MT | $24,190 | +$21,137 | $1,696–$32,289 |
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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.
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Why prices vary - and what it means for your coverage
A small number of hospitals (3) report prices above $16,006, including Glendive Medical Center at $25,670, 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 $3,053 versus $3,370 inpatient, so where a procedure happens often matters more than which hospital you pick. Setting drives most of the spread here: an ambulatory surgical center (ASC) is usually meaningfully cheaper than a hospital operating room for the same procedure, when your case qualifies.
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 | ~$7,085 |
| Deductible met - 20% coinsurance | ~$1,417 |
| Out-of-network provider | $15,587+ |
Frequently asked questions: knee replacement costs in Montana
How much does a knee replacement cost in Montana?
Across 23 Montana hospitals that publish prices, a knee replacement ranges from $568 to $56,886, with a median of $3,053. Most facilities fall between $2,044 and $4,411. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a knee replacement in Montana?
Based on declared prices, the lowest-cost facility in our Montana data is Cabinet Peaks Medical Center in Libby at about $426. By metro, Hamilton has the lowest median ($2,049). 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 knee replacement so much cheaper at some Montana hospitals?
Prices vary up to 100.2× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Montana, the median cash (self-pay) price is $3,489 versus a median negotiated rate of $1,269 - about 2.7× 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 knee replacement 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
- How to read your medical bill
- How to stop medical bill problems before they start
- How to negotiate your medical bills
- Allowed amount vs negotiated rate: what your EOB is really saying
Other procedures in Montana
Knee Replacement, elsewhere
Other Montana Hospitals and ambulatory surgery centers for Knee Replacement
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 | $1,631–$40,169 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BARRETT HOSPITAL DEVELOPMENT CORPORATION
4066833000 |
DILLON, MT | Critical Access Hospital | $1,631–$40,169 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BARRETT HOSPITAL DEVELOPMENT CORPORATION
4066833000 |
DILLON, MT | Critical Access Hospital | $1,631–$40,169 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BARRETT HOSPITAL DEVELOPMENT CORPORATION
4066833000 |
DILLON, MT | Critical Access Hospital | $1,631–$40,169 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BENEFIS HEALTHCARE SYSTEM
4064552661 |
GREAT FALLS, MT | Long Term Care Hospital | $1,631–$40,169 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 | $1,631–$40,169 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BIG SANDY MEDICAL CENTER INC
4063782188 |
BIG SANDY, MT | Critical Access Hospital | $1,631–$40,169 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 | $1,631–$40,169 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BLACKFEET COMMUNITY HOSPITAL
4063386231 |
BROWNING, MT | Rural Acute Care Hospital | $1,631–$40,169 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
▼ Show 126 more Montana hospitals and ambulatory surgery centers
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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 knee replacement - 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 knee replacement involves multiple providers who bill separately - typically ASC Facility Fee, Orthopedic Surgeon Professional 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 knee replacement changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
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 knee replacement before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
A knee replacement is four separate bills - and physical therapy, the longest of any joint replacement, is billed per visit.
Your personalized cost report includes:
- ✓ Why a short inpatient stay adds a facility day-rate on top of the surgery itself
- ✓ The separate anesthesia bill that can be out-of-network even at an in-network hospital
- ✓ How physical therapy is billed - per visit, often for months - and the plan limits to confirm first
- ✓ The questions to ask before scheduling, including whether you qualify for a lower-cost surgery center
- ✓ A real patient billing breakdown, line by line
Free for patients - takes 30 seconds to get.
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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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