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Shoulder replacement in Montana: what insurers pay

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

Open in the explorerAll statesEvery bill for the whole procedure

CPT 23472

HospitalMedian across insurers× MedicareInsurersFile date
St Peters Health Helena$21,8461.2×202026-03-31
Intermountain Health St Vincent Regional Hospital Billings$35,8602.0×82026-03-22
Intermountain Health St James Hospital Butte$38,6192.2×32026-03-22
Providence St Joseph Medical Center Polson$42,5762.4×12026-04-01

MS-DRG 483

HospitalMedian across insurers× MedicareInsurersFile date
Mccone County Health Center Circle$12,1640.6×12026-01-01
St Peters Health Helena$15,2900.8×12026-03-31
Intermountain Health St James Hospital Butte$19,0920.9×52026-03-22
Intermountain Health St Vincent Regional Hospital Billings$37,4351.9×112026-03-22
Great Falls Clinic Hospital Great Falls$45,5512.3×22026-02-18
Logan Health Medical Center Kalispell$53,1092.6×22026-04-01
Providence St Joseph Medical Center Polson$79,6494.0×12026-04-01

Questions

How much do insurers pay for shoulder replacement in Montana?

7 Montana hospitals post usable commercial rates for shoulder replacement in their federal price-transparency files. For CPT 23472, hospital outpatient, the median across 4 hospitals is $37,240, 2.1× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.