Montana procedure costs
63 hospitals · 524 Medicare providers · 2,305 procedure codes with Montana locality adjustments.
The short answer
Montana has 63 hospitals and 524 Medicare-billing providers across 2,305 procedure codes. The average Medicare payment per procedure is $191.94; the average submitted (billed) charge is $927.51.
- Procedure codes
- 2,305
- Providers per hospital
- 8.3
- Billed-to-Medicare ratio
- 4.8x
- Markup rank
- #47 of 56
Source: CMS Medicare Physician & Other Practitioners, 2023.
About this dataset, nationwide
According to the Centers for Medicare & Medicaid Services (CMS), the 2023 Medicare Physician & Other Practitioners dataset records payments for 9,297 procedure codes billed across 5,426 hospitals in 56 states and territories; see our methodology for how each figure is sourced and computed.
Montana against every US state
Where the state's average Medicare payment per procedure falls, all 56 tracked jurisdictions
$192 higher than 27% of 56 states
Each bar is a $25-wide band; taller bars hold more states. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Medicare Physician & Other Practitioners, 2023
The priciest procedures in Montana
Highest average Medicare payment per procedure billed in Montana. Hover any bar for the exact figure; even these top procedures are billed well above what Medicare reimburses.
Top procedures by Medicare payment - Montana
The cost spread in Montana
The highest- and lowest-paying procedures Medicare reimbursed in Montana, side by side.
Most expensive
Least expensive
Top Procedures by Volume
Montana Healthcare Cost Landscape
CMS lists 63 hospitals in Montana across 59 cities. BILLINGS holds 2 (3%). The three densest cities together hold 10% of the state roster. Statewide that is 524 Medicare-billing providers, 8.3 per listed hospital.
16 hospitals carry a CMS overall star rating (3 five-star, 8 four-star, 2 three-star, 2 two-star, 1 one-star) ; five-star share among rated facilities is 19%. 47 hospitals in this extract have no published overall rating.
Facility-type mix: Critical Access Hospitals 50 (79%); Acute Care Hospitals 11 (17%); Acute Care - Veterans Administration 1 (2%); Psychiatric 1 (2%).
Among the 30 highest-volume procedure codes billed in Montana, Drugs (Administered) leads with 1.1M services (26% of this top-volume slice) across 8 codes. Next is Medicine at 24%.
Submitted charges average $927.51 against $191.94 Medicare payment (4.8x billed-to-Medicare). That ratio ranks #47 of 56 jurisdictions with both figures in this extract. Average Medicare payment itself is #41 of 56.
Volume leaders are not the high-payment codes. Ground Mileage, Per Statute Mile is in the top volume slice but not the highest Medicare payments; Ambulance Service, Conventional Air Services, Transport, One Way (fixed Wing) is in the high-payment set without matching volume rank.
These are CMS roster and claims aggregates for Montana, not a quote for any patient, plan, or visit. See the methodology and CMS Medicare Provider Charge Data.
Where Montana hospitals sit
City of the CMS hospital roster, not a travel or care recommendation. 59 distinct cities appear on 63 listed facilities.
| City | Hospitals | Share of state roster |
|---|---|---|
| BILLINGS | 2 | 3% |
| GREAT FALLS | 2 | 3% |
| HELENA | 2 | 3% |
| MISSOULA | 2 | 3% |
| ANACONDA | 1 | 2% |
| BAKER | 1 | 2% |
| BIG SANDY | 1 | 2% |
| BIG SKY | 1 | 2% |
Nationwide states with similar hospital scale or Medicare payment
Two CMS-extract-derived peer sets for Montana: nearest hospital inventory and nearest statewide average Medicare payment. Not clinical substitutes: registry-scale and payment neighborhoods only.
Similar CMS hospital count
Nearest states with ≥5 hospitals (63 here).
Similar average Medicare payment
Nearest states with published averages ($191.94 here).
Hospitals in Montana
How Montana Compares Nationally
Montana's average Medicare payment is #41 of 56 in this extract. Submitted-over-Medicare markup ranks #47 of 56 (4.8x). Hospital-count peers (nearest CMS roster size to 63): Oregon 62, Puerto Rico 61, South Dakota 61, South Carolina 66. Payment peers (nearest average Medicare payment to $191.94): New Hampshire $188.37, Iowa $198.45, Idaho $183.99, Wisconsin $201.63.
Those peer sets are registry neighborhoods, not clinical substitutes. Markup rank and payment rank can diverge: a jurisdiction can sit high on billed-to-Medicare while sitting mid-pack on payment, or the reverse. Figures remain CMS averages for Montana, not an out-of-pocket quote.
Related registry pages
Montana averages sit on two maps: Medicare payment and submitted-over-Medicare markup.
- Procedure codes billed in this extract, in national volume order. Browse procedures
- State payment rank versus markup rank on the rankings hub. Rankings
- How these figures are sourced. Methodology
Figures here are Montana CMS averages, not a quote for any patient, plan, or visit.
Read our methodology - how this data is sourced, computed, and verified.
Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.