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Montana

Cost of a Joint Injection Visit
in Montana

Reviewed by Momentary Medical Group West PC

Montana's rural geography creates unique challenges for specialty care access, with patients often traveling significant distances for treatment. Joint Injection procedures in Montana typically cost between $70 and $95 based on insurer-negotiated rates, with a median out-of-pocket cost around $80 for common procedures. The state maintains 320 active providers offering joint injection services, giving patients throughout Montana reasonable access to care even in remote areas.

Average

$82

Median

$80

Lowest

$70

Highest

$95

Providers

320

National avg: $120Montana: $82

32% below national average

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How does joint injection compare to related procedures in Montana?

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Skin Biopsy

Tangential biopsy of skin

11102$80$80$108312
Abscess Drainage (I&D)

Incision and drainage of abscess, simple

10060$80$80$308314
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$3$3$80391

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 20610Arthrocentesis, aspiration and/or injection, major joint). 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 20610 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 20610 (Arthrocentesis, aspiration and/or injection, major joint), as mandated by the CMS Price Transparency Rule.

What CPT 20610 covers: the provider's professional fee for joint injection. 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.

Why Joint Injection Visit Costs Vary Across Montana

Montana's joint injection costs run approximately 4% above national averages, reflecting the state's rural healthcare challenges and limited specialist competition. The vast distances between population centers create natural service monopolies that can drive up procedure pricing despite lower general cost of living.

Urban vs. Rural Provider Availability

Billings and Missoula concentrate most of Montana's joint injection specialists, while rural counties often have no local options within 100 miles. Patients in eastern Montana frequently travel to North Dakota or Wyoming for specialist care, creating cross-border pricing dynamics. This geographic dispersion means urban providers can command premium pricing due to limited competition.

Facility Type and Overhead Costs

Hospital-owned outpatient clinics dominate Montana's specialist market, with systems like Billings Clinic and Providence St. Patrick controlling significant market share. Independent orthopedic and rheumatology practices face challenges competing against these integrated health systems. Hospital facility fees can add $100-200 to joint injection costs compared to freestanding clinics.

Insurance Market Competition in Montana

Blue Cross Blue Shield of Montana holds the largest market share, followed by PacificSource and UnitedHealthcare in select regions. Limited insurer competition reduces pressure on negotiated rates, contributing to higher-than-average procedure costs. The individual marketplace offers fewer plan choices than most states, giving insurers more pricing power.

Physician Supply and Demand in Montana

With 320 active joint injection providers serving nearly 1.1 million residents, Montana maintains reasonable specialist availability despite its rural nature. However, providers are heavily concentrated in Billings, Bozeman, Great Falls, and Missoula, creating access challenges for rural populations. This uneven distribution allows urban specialists to maintain higher pricing due to strong demand and limited competition.

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 — Joint Injection Costs in Montana

What is the average cost of a Joint Injection visit in Montana without insurance?

Without insurance, joint injection procedures in Montana typically range from $70 to $95 based on negotiated rate data, with a median cost around $80. Self-pay patients often qualify for discounts of 20-40% when paying at the time of service. Many providers offer payment plans or sliding scale fees to make treatment more affordable for uninsured patients.

Does Montana Medicaid cover Joint Injection visits?

Yes, Montana Medicaid covers medically necessary joint injections since the state expanded Medicaid in 2019. Coverage includes both the procedure and associated office visit costs when performed by enrolled providers. Prior authorization may be required for certain types of injections or repeated treatments within specific timeframes.

How do I find an affordable Joint Injection near me in Montana?

Compare costs between hospital-owned clinics and independent practices, as pricing can vary significantly across facility types. Community health centers and federally qualified health centers often offer sliding scale fees based on income. Consider traveling to nearby cities if local options are limited, as Montana's provider concentration in urban areas may offer more competitive pricing.

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

Initial joint injection consultations typically involve comprehensive evaluation and treatment planning, while follow-up visits focus on monitoring treatment response and potential repeat procedures. The injection procedure itself (CPT 20610) averages $80 in Montana regardless of visit type. Follow-up appointments may have lower office visit fees but similar injection procedure costs when treatment is repeated.

Can I use an HSA or FSA to pay for a Joint Injection visit in Montana?

Yes, joint injection procedures qualify as eligible medical expenses for both Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs). This includes the office visit, injection procedure, and any prescribed medications related to treatment. Keep all receipts and documentation for tax purposes and FSA reimbursement claims.

How does telemedicine affect the cost of seeing a Joint Injection in Montana?

While joint injections require in-person procedures, telemedicine consultations can reduce overall costs by eliminating unnecessary office visits for follow-up care or treatment planning. Montana's rural geography makes telehealth particularly valuable for initial evaluations and post-procedure monitoring. Telemedicine visits typically cost 30-50% less than in-person consultations but cannot replace hands-on examination and injection procedures.

Click a state to compare costs

Average Visit Cost

$64
$246

Office visit (CPT 20610)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $72$487
$246
2Massachusetts
Range: $55$538
$227
3Minnesota
Range: $57$487
$224
4Rhode Island
Range: $42$538
$223
5Connecticut
Range: $44$538
$222
6Pennsylvania
Range: $43$538
$220
7Delaware
Range: $41$538
$220
8New York
Range: $44$538
$220
9Hawaii
Range: $52$487
$208
10North Dakota
Range: $44$307
$144
11Iowa
Range: $61$256
$142
12South Dakota
Range: $48$268
$134
13West Virginia
Range: $42$264
$131
14Michigan
Range: $45$254
$127
15New Hampshire
Range: $65$185
$122
16District of Columbia
Range: $40$221
$116
17Wyoming
Range: $60$201
$116
18Nebraska
Range: $56$155
$114
19Kentucky
Range: $48$209
$114
20Georgia
Range: $45$211
$114
21California
Range: $64$185
$112
22Idaho
Range: $51$202
$111
23Colorado
Range: $45$208
$111
24Indiana
Range: $50$191
$110
25Illinois
Range: $50$191
$108
26Maine
Range: $75$128
$105
27Oregon
Range: $58$167
$103
28New Jersey
Range: $34$205
$101
29Washington
Range: $62$152
$98
30North Carolina
Range: $45$158
$95
31New Mexico
Range: $51$141
$93
32Vermont
Range: $48$152
$92
33Utah
Range: $37$142
$90
34Maryland
Range: $39$167
$89
35Oklahoma
Range: $38$136
$87
36South Carolina
Range: $42$131
$83
37Texas
Range: $45$119
$83
38Mississippi
Range: $38$151
$82
39Montana
Range: $70$95
$82
40Alaska
Range: $80$85
$82
41Arkansas
Range: $47$116
$82
42Virginia
Range: $35$138
$80
43Nevada
Range: $35$140
$79
44Missouri
Range: $43$101
$77
45Louisiana
Range: $38$115
$75
46Ohio
Range: $38$106
$75
47Alabama
Range: $38$117
$74
48Tennessee
Range: $42$111
$74
49Kansas
Range: $43$100
$70
50Florida
Range: $35$109
$66
51Arizona
Range: $38$102
$64
Joint Injection in Other States