Spinal Fusion Cost in Montana (2026): Average Prices & What You'll Pay
What does a spinal fusion cost in Montana?
A typical spinal fusion in Montana costs $6,202–$15,247 for a commercially insured patient, including facility and physician fees. The median reported facility price across 15 hospitals is $3,441. This estimate is based 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. Spinal fusion is among the highest-cost elective surgeries, with total episode costs (implant hardware, facility, anesthesia, and post-acute care) commonly exceeding $50,000 for multi-level procedures. The implant components alone can account for $15,000–$40,000 of the facility charge, and prices vary dramatically across hospitals for identical hardware. Seeking a second surgical opinion and confirming bundled vs. itemized billing before scheduling are the most impactful steps you can take.
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Example: two commercially insured patients in Sidney could pay ~$3,085 and ~$6,935 for the identical procedure - a $3,850 difference driven entirely by facility choice.
Where spinal fusion 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 Spinal Fusion Providers in Montana
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | McCone County Health Center | MT | $3,002 | -$439 |
| 2 | Fallon Medical Complex | Baker, MT | $3,018 | -$423 |
| 3 | Sidney Health Center | Sidney, MT | $3,085 | -$356 |
| 4 | Deaconess Regional Medical Center | Bozeman, MT | $3,108 | -$333 |
| 5 | Big Sky Medical Center | Big Sky, MT | $3,108 | -$333 |
| 6 | Providence Health & Services - Montana | Missoula, MT | $3,774 | +$333 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- McCone County Health Center is the lowest-cost option at $3,002 - $439 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 $3,814, 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 spinal fusion
The same spinal fusion 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 $1,242–$42,576
- Professional fee $569–$7,784
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $3,085–$24,246
- Professional fee $569–$7,784
Estimated from CMS fee schedules + commercial rate multipliers
Montana Spinal Fusion 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 | HOLY ROSARY HEALTHCARE DBA INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL | MT | $1,242 | -$2,199 | $1,242–$2,158 |
| #2 | Clark Fork Valley Hospital | Plains, MT | $1,293 | -$2,148 | $1,293–$2,018 |
| #3 | McCone County Health Center | MT | $3,002 | -$439 | $2,002–$3,496 |
| #4 | Fallon Medical Complex | Baker, MT | $3,018 | -$423 | $1,053–$3,452 |
| #5 | Sidney Health Center | Sidney, MT | $3,085 | -$356 | $1,211–$5,450 |
| #6 | Deaconess Regional Medical Center | Bozeman, MT | $3,108 | -$333 | $1,218–$6,097 |
| #7 | Big Sky Medical Center | Big Sky, MT | $3,108 | -$333 | $1,218–$6,097 |
| #8 | Providence Health & Services - Montana | Missoula, MT | $3,774 | +$333 | $1,470–$5,272 |
| #9 | Bitterroot Health - Daly Hospital | Hamilton, MT | $3,854 | +$413 | $1,175–$6,016 |
| #10 | Glendive Medical Center | MT | $6,783 | +$3,342 | $2,070–$9,762 |
| #11 | Great Falls Clinic Hospital | Great Falls, MT | $6,952 | +$3,511 | $6,952–$10,669 |
| #12 | SCL HEALTH - MONTANA, DBA INTERMOUNTAIN HEALTH ST. VINCENT HEALTHCARE | MT | $12,866 | +$9,425 | $12,866–$18,390 |
| #13 | St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITAL | Butte, MT | $13,124 | +$9,683 | $13,124–$18,757 |
| #14 | Billings Clinic | Billings, MT | $24,246 | +$20,805 | $24,246 |
| #15 | Providence St Joseph Medical Center | Polson, MT | $42,576 | +$39,135 | $42,576–$71,452 |
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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 (2) report prices above $23,842, including Providence St Joseph Medical Center at $42,576, 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 $3,774 versus $3,814 inpatient, so where a procedure happens often matters more than which hospital you pick.
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 | ~$8,636 |
| Deductible met - 20% coinsurance | ~$1,727 |
| Out-of-network provider | $18,999+ |
Frequently asked questions: spinal fusion costs in Montana
How much does a spinal fusion cost in Montana?
Across 15 Montana hospitals that publish prices, a spinal fusion ranges from $1,053 to $71,452, with a median of $3,441. Most facilities fall between $3,085 and $6,935. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a spinal fusion in Montana?
Based on declared prices, the lowest-cost facility in our Montana data is HOLY ROSARY HEALTHCARE DBA INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL at about $1,242. By metro, Sidney has the lowest median ($3,085). 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 spinal fusion so much cheaper at some Montana hospitals?
Prices vary up to 67.9× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Montana, the median cash (self-pay) price is $3,814 versus a median negotiated rate of $1,172 - about 3.3× 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 spinal fusion 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
Other procedures in Montana
Spinal Fusion, elsewhere
Other Montana Hospitals for Spinal Fusion
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.
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ADVANCED CARE HOSPITAL OF MONTANA INC
4063738000 |
BILLINGS, MT | Long Term Care Hospital | $1,811–$50,360 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BARRETT HOSPITAL & HEALTHCARE
4066833041 |
DILLON, MT | Critical Access Hospital | $1,811–$50,360 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BARRETT HOSPITAL DEVELOPMENT CORPORATION
4066833000 |
DILLON, MT | Critical Access Hospital | $1,811–$50,360 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BARRETT HOSPITAL DEVELOPMENT CORPORATION
4066833000 |
DILLON, MT | Critical Access Hospital | $1,811–$50,360 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BARRETT HOSPITAL DEVELOPMENT CORPORATION
4066833000 |
DILLON, MT | Critical Access Hospital | $1,811–$50,360 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BENEFIS HEALTHCARE SYSTEM
4064552661 |
GREAT FALLS, MT | Long Term Care Hospital | $1,811–$50,360 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BIG HORN HOSPITAL ASSOCIATION
4066652310 |
HARDIN, MT | Critical Access Hospital | $1,811–$50,360 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BIG SANDY MEDICAL CENTER INC
4063782188 |
BIG SANDY, MT | Critical Access Hospital | $1,811–$50,360 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BILLINGS CINIC
4068981200 |
BOZEMAN, MT | General Acute Care Hospital | $1,811–$50,360 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BLACKFEET COMMUNITY HOSPITAL
4063386231 |
BROWNING, MT | Rural Acute Care Hospital | $1,811–$50,360 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BOZEMAN HEALTH BIG SKY MEDICAL CENTER, LLC
4069956995 |
BIG SKY, MT | General Acute Care Hospital | $1,811–$50,360 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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CENTRAL MONTANA MEDICAL FACILITIES, INC
4065357711 |
LEWISTOWN, MT | Critical Access Hospital | $1,811–$50,360 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
▼ Show 88 more Montana hospitals
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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
What's on your bill
A spinal fusion involves multiple providers who bill separately - typically Drg Facility Stay, Spine 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 spinal fusion changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
Prior authorization
Most commercial and Medicare Advantage plans require pre-approval for spinal fusion. Call the member services number on your insurance card before scheduling and get the authorization number in writing - a lapsed or missing authorization can leave you responsible for the full cost.
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 spinal fusion 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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