What Medicare pays Montana hospitals and surgery centers for knee, hip and shoulder replacement, what hospitals list, and which cost the most and the least.
Montana has a certificate-of-need program that does not cover surgery centers.
Zoom into Montana on the mapBuild a Montana report
| Hospital | City | Inpatient avg total payment | List price | Outpatient allowed |
|---|---|---|---|---|
| Logan Health Medical Center | Kalispell | $12,855 | $57,419 | $13,139 |
| Great Falls Clinic Hospital | Great Falls | $13,276 | $81,696 | $12,043 |
| Bozeman Health Deaconess Regional Medical Center | Bozeman | $13,973 | $69,308 | $13,022 |
| Intermountain Health St Vincent Regional Hospital | Billings | $14,332 | $55,475 | $12,172 |
| St Peters Health | Helena | $14,352 | $39,830 | $12,898 |
| Billings Clinic Hospital | Billings | $15,365 | $39,674 | $10,666 |
| Hospital | City | Inpatient avg total payment | List price | Outpatient allowed |
|---|---|---|---|---|
| Billings Clinic Hospital | Billings | $15,365 | $39,674 | $10,666 |
| St Peters Health | Helena | $14,352 | $39,830 | $12,898 |
| Intermountain Health St Vincent Regional Hospital | Billings | $14,332 | $55,475 | $12,172 |
| Bozeman Health Deaconess Regional Medical Center | Bozeman | $13,973 | $69,308 | $13,022 |
| Great Falls Clinic Hospital | Great Falls | $13,276 | $81,696 | $12,043 |
| Logan Health Medical Center | Kalispell | $12,855 | $57,419 | $13,139 |
In 2024 the median average total payment to Montana hospitals was $14,153 per Medicare inpatient hip or knee replacement stay (MS-DRG 470, 6 hospitals; Medicare's payment plus the patient's share), and the median Medicare allowed amount was $12,278 per outpatient case. An orthopedic surgery center is paid about $8,267 for a knee.
Logan Health Medical Center ($12,855), Great Falls Clinic Hospital ($13,276), Bozeman Health Deaconess Regional Medical Center ($13,973) (average total payment per inpatient stay, patient share included).
The median list (chargemaster) price is $56,447, about 4.0× the median average total payment for a Medicare stay.
Montana has a certificate-of-need program that does not cover surgery centers. A 2021 law (HB 231) repealed CON for everything except long-term care beds and swing beds.