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Heart valve surgery (open) in Montana: what insurers pay

Posted commercial rates at 7 Montana hospitals, each next to its own Medicare base rate.

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MS-DRG 220

Hospital	Median across insurers	× Medicare	Insurers	File date
Mccone County Health Center Circle	$25,284	0.7×	1	2026-01-01
Intermountain Health St James Hospital Butte	$36,731	0.9×	5	2026-03-22
Intermountain Health St Vincent Regional Hospital Billings	$72,021	1.9×	11	2026-03-22
Great Falls Clinic Hospital Great Falls	$86,920	2.2×	2	2026-02-18
Logan Health Medical Center Kalispell	$100,796	2.6×	2	2026-04-01
St Peters Health Helena	$131,398	3.4×	4	2026-03-31
Providence St Joseph Medical Center Polson	$183,619	4.7×	1	2026-04-01

MS-DRG 219

Hospital	Median across insurers	× Medicare	Insurers	File date
Mccone County Health Center Circle	$36,936	0.7×	1	2026-01-01
Intermountain Health St James Hospital Butte	$52,886	0.9×	5	2026-03-22
Intermountain Health St Vincent Regional Hospital Billings	$103,697	1.9×	11	2026-03-22
Great Falls Clinic Hospital Great Falls	$124,810	2.2×	2	2026-02-18
Logan Health Medical Center Kalispell	$144,473	2.6×	2	2026-04-01
St Peters Health Helena	$189,190	3.4×	4	2026-03-31
Providence St Joseph Medical Center Polson	$274,606	4.9×	1	2026-04-01

MS-DRG 216

Hospital	Median across insurers	× Medicare	Insurers	File date
Mccone County Health Center Circle	$46,070	0.7×	1	2026-01-01
Intermountain Health St James Hospital Butte	$67,381	0.9×	5	2026-03-22
Intermountain Health St Vincent Regional Hospital Billings	$132,119	1.9×	11	2026-03-22
Great Falls Clinic Hospital Great Falls	$158,806	2.2×	2	2026-02-18
Logan Health Medical Center Kalispell	$183,662	2.6×	2	2026-04-01
St Peters Health Helena	$241,044	3.4×	4	2026-03-31
Providence St Joseph Medical Center Polson	$329,120	4.6×	1	2026-04-01

MS-DRG 217

Hospital	Median across insurers	× Medicare	Insurers	File date
Mccone County Health Center Circle	$30,827	0.6×	1	2026-01-01
Intermountain Health St James Hospital Butte	$45,288	0.9×	5	2026-03-22
Intermountain Health St Vincent Regional Hospital Billings	$88,801	1.9×	11	2026-03-22
Great Falls Clinic Hospital Great Falls	$106,992	2.2×	2	2026-02-18
Logan Health Medical Center Kalispell	$123,934	2.6×	2	2026-04-01
St Peters Health Helena	$162,012	3.4×	4	2026-03-31
Providence St Joseph Medical Center Polson	$214,488	4.5×	1	2026-04-01

Questions

How much do insurers pay for heart valve surgery (open) in Montana?

7 Montana hospitals post usable commercial rates for heart valve surgery (open) in their federal price-transparency files. For inpatient stay (MS-DRG 220), the median across 7 hospitals is $86,920, 2.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.