Cost of a Hip Replacement Surgery Visit
in Montana
Reviewed by Momentary Medical Group West PC
Montana's vast rural landscape creates unique challenges for orthopedic care access, with many residents traveling significant distances to reach specialized Hip Replacement Surgery providers. Based on transparency data from Montana insurers, Hip Replacement Surgery procedures typically range from $80 to $6,442, with a median negotiated rate of $1,395 across 49 active providers statewide. Patients throughout the Treasure State can browse all Hip Replacement Surgery specialists to find the most affordable option for their specific insurance plan.
Average
$2,639
Median
$1,395
Lowest
$80
Highest
$6,442
Providers
49
31% above national average
Compare Similar Procedures
How does hip replacement compare to related procedures in Montana?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Knee Replacement Total knee replacement (arthroplasty) | 27447 | $92 | $1,667 | $6,877 | 35 |
| Cataract Surgery Cataract extraction with intraocular lens insertion | 66984 | $85 | $554 | $2,744 | 48 |
| Knee Arthroscopy Arthroscopy of the knee with meniscectomy | 29881 | $80 | $80 | $985 | 300 |
| Gallbladder Removal (Laparoscopic) Laparoscopic cholecystectomy | 47562 | $80 | $80 | $1,124 | 315 |
| Appendectomy (Laparoscopic) Laparoscopic appendectomy | 44970 | $80 | $80 | $1,231 | 321 |
| Hysterectomy (Laparoscopic) Laparoscopic total hysterectomy | 58571 | $82 | $983 | $4,679 | 42 |
| Septoplasty Nasal septum repair | 30520 | $80 | $80 | $920 | 298 |
| Tonsillectomy Tonsillectomy, primary or secondary | 42820 | $85 | $313 | $581 | 38 |
| Inguinal Hernia Repair Inguinal hernia repair | 49505 | $378 | $656 | $2,328 | 32 |
| Mastectomy Partial or simple mastectomy | 19301 | $85 | $675 | $2,902 | 39 |
| Carpal Tunnel Surgery Open carpal tunnel release | 64721 | $90 | $469 | $979 | 37 |
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 27130 — Total hip arthroplasty). 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 27130 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 27130 (Total hip arthroplasty), as mandated by the CMS Price Transparency Rule.
What CPT 27130 covers: the provider's professional fee for hip replacement. 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.
FORT HARRISON, MT
WHITEFISH, MT
MISSOULA, MT
ANACONDA, MT
GREAT FALLS, MT
Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.
Why Hip Replacement Surgery Visit Costs Vary Across Montana
Hip Replacement Surgery costs in Montana run approximately 19% below the national average, reflecting the state's lower overall healthcare costs despite challenging rural access issues. Montana's sparse population density and limited specialist concentration create unique cost dynamics where patients often face travel expenses that offset any savings from lower procedure fees.
Urban vs. Rural Provider Availability
Montana's 49 Hip Replacement Surgery providers are concentrated primarily in Billings, Missoula, Great Falls, and Bozeman, leaving vast rural areas underserved. Patients in eastern Montana or along the Hi-Line often travel 200+ miles for specialized orthopedic care, adding significant indirect costs to their treatment despite lower base procedure prices.
Facility Type and Overhead Costs
Hospital-based orthopedic departments at facilities like Billings Clinic and Providence St. Patrick Hospital typically charge higher facility fees than independent surgical centers. Montana's smaller independent practices often offer more competitive pricing but may have limited surgical capacity or require patients to travel to partner hospitals for complex procedures.
Insurance Market Competition in Montana
With Blue Cross Blue Shield of Montana holding significant market share alongside PacificSource and UnitedHealthcare, insurer competition remains moderate compared to larger states. This limited competition can result in higher negotiated rates for specialty services, though Montana's Certificate of Need laws help control facility proliferation and associated costs.
Physician Supply and Demand in Montana
Montana's 49 active Hip Replacement Surgery providers serve a population of over one million residents, creating access challenges particularly in rural counties. This supply constraint can lead to longer wait times for non-urgent procedures but doesn't necessarily drive up prices due to the state's overall lower cost structure and regulatory environment.
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.
Frequently Asked Questions — Hip Replacement Surgery Costs in Montana
What is the average cost of a Hip Replacement Surgery visit in Montana without insurance?
Does Montana Medicaid cover Hip Replacement Surgery visits?
How do I find an affordable Hip Replacement Surgery near me in Montana?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Hip Replacement Surgery visit in Montana?
How does telemedicine affect the cost of seeing a Hip Replacement Surgery in Montana?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 27130)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $10,565 | $4,747 |
| 2 | Alaska Range: $1,137 – $6,292 | $3,083 |
| 3 | Connecticut Range: $807 – $6,060 | $2,863 |
| 4 | New York Range: $900 – $6,060 | $2,750 |
| 5 | Georgia Range: $1,115 – $5,088 | $2,741 |
| 6 | Massachusetts Range: $80 – $6,060 | $2,717 |
| 7 | Wyoming Range: $1,632 – $4,245 | $2,717 |
| 8 | Rhode Island Range: $80 – $6,060 | $2,706 |
| 9 | New Hampshire Range: $1,435 – $4,083 | $2,653 |
| 10 | Montana Range: $80 – $6,442 | $2,639 |
| 11 | Delaware Range: $80 – $6,060 | $2,571 |
| 12 | Nebraska Range: $1,627 – $3,012 | $2,526 |
| 13 | Pennsylvania Range: $80 – $6,060 | $2,506 |
| 14 | Washington Range: $1,500 – $3,707 | $2,415 |
| 15 | Iowa Range: $91 – $3,950 | $2,326 |
| 16 | New Jersey Range: $953 – $4,590 | $2,322 |
| 17 | Maine Range: $1,585 – $2,639 | $2,238 |
| 18 | New Mexico Range: $1,203 – $3,377 | $2,225 |
| 19 | District of Columbia Range: $1,045 – $3,311 | $2,214 |
| 20 | West Virginia Range: $90 – $4,590 | $2,119 |
| 21 | Colorado Range: $940 – $3,328 | $2,082 |
| 22 | Utah Range: $90 – $2,909 | $1,936 |
| 23 | North Carolina Range: $90 – $3,786 | $1,919 |
| 24 | Vermont Range: $959 – $3,289 | $1,902 |
| 25 | Oregon Range: $90 – $3,637 | $1,883 |
| 26 | Mississippi Range: $1,040 – $3,084 | $1,819 |
| 27 | Illinois Range: $85 – $3,707 | $1,819 |
| 28 | Missouri Range: $1,274 – $2,249 | $1,813 |
| 29 | Kentucky Range: $386 – $3,244 | $1,804 |
| 30 | Tennessee Range: $1,095 – $2,579 | $1,792 |
| 31 | Indiana Range: $85 – $3,549 | $1,751 |
| 32 | Nevada Range: $1,115 – $2,360 | $1,717 |
| 33 | California Range: $80 – $3,012 | $1,704 |
| 34 | Kansas Range: $1,274 – $2,226 | $1,700 |
| 35 | Maryland Range: $1,124 – $2,667 | $1,694 |
| 36 | Virginia Range: $920 – $2,659 | $1,684 |
| 37 | Louisiana Range: $960 – $2,505 | $1,674 |
| 38 | Idaho Range: $90 – $3,023 | $1,652 |
| 39 | Hawaii Range: $90 – $2,947 | $1,644 |
| 40 | South Dakota Range: $90 – $3,012 | $1,624 |
| 41 | Michigan Range: $80 – $2,869 | $1,566 |
| 42 | Arizona Range: $1,097 – $2,279 | $1,504 |
| 43 | Arkansas Range: $90 – $2,535 | $1,488 |
| 44 | South Carolina Range: $80 – $2,907 | $1,477 |
| 45 | Alabama Range: $80 – $2,767 | $1,453 |
| 46 | Ohio Range: $85 – $2,491 | $1,331 |
| 47 | Oklahoma Range: $85 – $2,536 | $1,298 |
| 48 | Texas Range: $90 – $2,602 | $1,277 |
| 49 | Minnesota Range: $91 – $3,227 | $1,136 |
| 50 | Florida Range: $35 – $2,391 | $827 |
| 51 | North Dakota Range: $91 – $2,019 | $734 |
