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Montana

Cost of a C-Section Visit
in Montana

Reviewed by Momentary Medical Group West PC

Montana's rural healthcare landscape and recent Medicaid expansion create unique cost dynamics for C-Section procedures across Big Sky Country. Patients typically pay between $95.90 and $6,113.79, with a median cost of $2,953.77, though actual out-of-pocket expenses vary significantly based on insurance coverage and facility type. With 38 active providers offering C-Section services statewide, patients can browse all providers in Montana to find the most cost-effective option for their delivery needs.

Average

$3,054

Median

$2,954

Lowest

$96

Highest

$6,114

Providers

38

National avg: $3,776Montana: $3,054

19% below national average

Compare Similar Procedures

How does c-section compare to related procedures in Montana?

ProcedureCPTLowMedianHighProviders
Vaginal Delivery

Routine obstetric care including vaginal delivery

59400$80$80$3,476311

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 59510Routine obstetric care including cesarean delivery). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 59510 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 59510 (Routine obstetric care including cesarean delivery), as mandated by the CMS Price Transparency Rule.

What CPT 59510 covers: the provider's professional fee for c-section. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top-Rated Hospitals in Montana

These hospitals in Montana are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
77% would recommend184 patient surveys
4/5
84% would recommend276 patient surveys
4/5
83% would recommend394 patient surveys
4/5
83% would recommend171 patient surveys
4/5
82% would recommend337 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why C-Section Visit Costs Vary Across Montana

Montana's C-Section costs run approximately 12% below national averages, reflecting the state's rural healthcare economics and lower overall cost of living compared to coastal regions. The vast distances between population centers and limited provider competition in many areas create unique pricing dynamics across Big Sky Country.

Urban vs. Rural Provider Availability

Montana's C-Section services concentrate heavily in Billings, Missoula, Great Falls, and Bozeman, while vast rural counties often require patients to travel hundreds of miles for delivery. This geographic maldistribution drives up indirect costs for rural patients while limiting pricing competition in underserved areas.

Facility Type and Overhead Costs

Hospital-based obstetric services dominate Montana's C-Section landscape, with critical access hospitals serving rural communities and larger health systems like Billings Clinic and Providence St. Patrick anchoring urban markets. Independent birthing centers remain rare, limiting cost-saving alternatives for low-risk patients seeking vaginal delivery options.

Insurance Market Competition in Montana

Blue Cross Blue Shield Montana maintains significant market share alongside PacificSource and UnitedHealthcare, though rural areas often have limited insurer choices affecting negotiated rates. The state's individual marketplace offers fewer plan options than urban states, potentially reducing competitive pressure on C-Section reimbursement rates.

Physician Supply and Demand in Montana

With 38 active C-Section providers serving nearly 1.1 million residents, Montana faces obstetric workforce shortages particularly acute in rural counties. This limited physician supply can drive up costs and extend wait times for prenatal care, though it also means established providers often maintain stable patient volumes supporting consistent pricing.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — C-Section Costs in Montana

What is the average cost of a C-Section visit in Montana without insurance?

Without insurance, C-Section procedures in Montana range from $95.90 to $6,113.79, with a median cost of $2,953.77 based on negotiated rates between hospitals and insurers. Self-pay patients often receive discounts of 20-40% from these rates, though total costs including hospital stay, anesthesia, and physician fees can exceed $15,000. Many Montana hospitals offer payment plans to help uninsured patients manage these substantial expenses over time.

Does Montana Medicaid cover C-Section visits?

Yes, Montana Medicaid covers C-Section procedures as part of comprehensive prenatal and delivery care, with minimal out-of-pocket costs for eligible patients. Since Montana expanded Medicaid under the Affordable Care Act, coverage extends to pregnant women with household incomes up to 138% of the federal poverty level. Medicaid typically covers the entire delivery process including prenatal visits, hospital stay, and postpartum care.

How do I find an affordable C-Section near me in Montana?

Compare costs across Montana's major health systems including Billings Clinic, Providence, and regional hospitals, as prices can vary significantly even within the same city. Ask about self-pay discounts if you're uninsured, and consider critical access hospitals in rural areas which may offer lower rates. Community health centers provide prenatal care on sliding fee scales, helping reduce overall pregnancy-related costs even if delivery occurs elsewhere.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial obstetric consultations typically cost more than routine prenatal follow-up visits due to comprehensive history-taking and examination requirements. New patient visits may range from $200-400, while established patient prenatal visits often cost $100-250 depending on testing requirements. However, most insurance plans cover routine prenatal care without copays as preventive services, making cost differences less relevant for insured patients.

Can I use an HSA or FSA to pay for a C-Section visit in Montana?

Yes, C-Section procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these tax-advantaged funds to pay deductibles, copays, and other out-of-pocket costs related to your delivery and hospital stay. Keep detailed receipts for all pregnancy and delivery-related expenses, as these can represent substantial tax savings for high-deductible health plan members.

How does telemedicine affect the cost of seeing a C-Section in Montana?

While C-Section procedures require in-person delivery, telemedicine significantly reduces costs for prenatal care in rural Montana by eliminating travel to distant specialists. Virtual consultations typically cost $50-150 versus $200-400 for in-office visits, particularly valuable for high-risk pregnancy monitoring. Many Montana providers now offer hybrid care models combining telehealth prenatal visits with essential in-person appointments, reducing overall pregnancy care costs while maintaining safety.

Click a state to compare costs

Average Visit Cost

$1,255
$13,567

Office visit (CPT 59510)

Compare With Other States

RankStateAverage
1Kentucky
Range: $2,043$19,329
$13,567
2West Virginia
Range: $2,199$19,329
$8,244
3Wisconsin
Range: $73$18,189
$7,236
4Iowa
Range: $85$12,254
$5,786
5Minnesota
Range: $90$12,428
$5,136
6Alaska
Range: $98$11,867
$5,001
7Nebraska
Range: $2,560$6,114
$4,565
8New York
Range: $2,228$7,603
$4,543
9Massachusetts
Range: $2,111$7,609
$4,495
10Georgia
Range: $1,846$7,945
$4,411
11Wyoming
Range: $2,474$6,748
$4,393
12Maine
Range: $2,875$5,140
$4,261
13New Hampshire
Range: $2,156$5,919
$4,190
14Washington
Range: $2,480$6,440
$4,088
15Rhode Island
Range: $1,996$5,919
$3,929
16Connecticut
Range: $2,007$6,163
$3,864
17South Dakota
Range: $1,979$6,114
$3,710
18California
Range: $1,979$5,068
$3,697
19District of Columbia
Range: $2,100$5,187
$3,684
20New Mexico
Range: $2,093$5,520
$3,679
21Vermont
Range: $2,280$5,532
$3,612
22Colorado
Range: $1,979$5,427
$3,602
23Hawaii
Range: $2,156$5,068
$3,508
24Pennsylvania
Range: $1,743$5,806
$3,501
25New Jersey
Range: $1,847$5,806
$3,468
26Idaho
Range: $1,979$5,262
$3,443
27Utah
Range: $1,250$4,802
$3,232
28Oregon
Range: $95$6,223
$3,220
29Delaware
Range: $1,985$4,794
$3,163
30North Carolina
Range: $1,753$4,945
$3,138
31Indiana
Range: $81$6,574
$3,122
32North Dakota
Range: $92$6,114
$3,120
33Montana
Range: $96$6,114
$3,054
34Maryland
Range: $2,100$4,565
$2,988
35Illinois
Range: $80$6,052
$2,938
36Arkansas
Range: $1,601$4,386
$2,929
37Michigan
Range: $1,926$4,497
$2,921
38South Carolina
Range: $1,652$4,450
$2,855
39Tennessee
Range: $1,874$3,931
$2,787
40Virginia
Range: $1,695$4,355
$2,783
41Ohio
Range: $1,401$4,305
$2,685
42Louisiana
Range: $1,666$3,854
$2,683
43Missouri
Range: $1,970$3,300
$2,644
44Arizona
Range: $1,875$3,966
$2,607
45Kansas
Range: $1,970$3,374
$2,595
46Oklahoma
Range: $1,795$3,423
$2,498
47Alabama
Range: $1,632$3,518
$2,468
48Texas
Range: $90$4,541
$2,460
49Nevada
Range: $1,400$3,868
$2,415
50Mississippi
Range: $1,789$3,249
$2,402
51Florida
Range: $35$3,675
$1,255
C-Section in Other States