Medical Procedure Costs in Montana
Montana Medicare physician rates are generally near the national average. One statewide locality, and the ZIP tool still maps you onto it.
Look up any CPT in Montana
Featured table below is 66 procedures. Search covers 7,500+ fee-schedule codes.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery center rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. These Montana averages are unweighted means of the state’s localities, not population-weighted.
How Medicare prices Montana
Montana runs on a single statewide locality with geographic indices near the bottom of the national range, so its published Medicare rates are uniform across nearly 150,000 square miles. Billings and a remote Hi-Line town share identical adjustment factors, a simplicity that belies the enormous distances involved in actually reaching care. CMS applies a rural floor to work adjustments that benefits frontier states like this one. For pricing purposes, Montana is one market; for access purposes, it is dozens of small ones.
Billings hosts the state's largest medical community and serves as a referral hub not just for Montana but for northern Wyoming and the western Dakotas, with Missoula, Great Falls, Bozeman, and Kalispell anchoring their own regions. Frontier counties may be hours from the nearest hospital that performs a given procedure. Some Montanans travel to Salt Lake City, Denver, or Seattle for highly specialized care.
Look up your ZIP for local context, whether you are in Billings, Missoula, Bozeman, Great Falls, Helena, Kalispell, or one of Montana's frontier counties.
Featured physician rates in Montana
Office (non-facility) physician rates. Open a row for the locality table and ZIP tool.
Other states
Medical costs in Montana: questions
Across the 66 featured procedures on this page, Montana sits near the national average. Examples: incision & drainage of abscess $129, skin biopsy (tangential) $96, skin biopsy (punch) $121. Search any other CPT in the box above; those codes are in the tool, not as extra Montana articles.
Montana is one Medicare locality, so the physician fee schedule is statewide. Site of service (office vs hospital) and hospital facility fees still change what a patient is billed.
The table shows Medicare physician allowed amounts in an office: the professional fee after GPCI, which for imaging and other tests done outside a hospital is the full global rate. It does not include hospital facility charges, anesthesia, or your plan’s contracted rate; each procedure page adds the full hospital or surgery center total where CMS pays one. Medicare patients typically owe 20% of the allowed amount after the Part B deductible, before Medigap.
Yes. The table is the featured set (66 procedures). The search box looks up 7,500+ payable codes from the 2026 fee schedule and applies Montana’s locality when you enter a ZIP.