Cost of a Knee Replacement Surgery Visit
in Montana
Reviewed by Momentary Medical Group West PC
Montana's healthcare landscape reflects the state's vast rural geography, with Big Sky Country's residents often traveling significant distances for specialized orthopedic care like Knee Replacement Surgery. While comprehensive pricing data is still emerging from transparency initiatives, Montana maintains 35 active Knee Replacement Surgery providers across the state, representing solid access despite the challenging geography. Patients can browse all providers in Montana to find the most convenient and cost-effective option for their orthopedic needs.
Average
$2,879
Median
$1,667
Lowest
$92
Highest
$6,877
Providers
35
27% above national average
Compare Similar Procedures
How does knee replacement compare to related procedures in Montana?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Hip Replacement Total hip replacement (arthroplasty) | 27130 | $80 | $1,395 | $6,442 | 49 |
| 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 27447 — Total knee 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 27447 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 27447 (Total knee arthroplasty), as mandated by the CMS Price Transparency Rule.
What CPT 27447 covers: the provider's professional fee for knee 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 Knee Replacement Surgery Visit Costs Vary Across Montana
Montana's healthcare costs run approximately 4% above the national average, reflecting the state's challenging geography and lower population density that increases operational costs for medical practices. The state's vast rural areas create significant access challenges, often requiring patients to travel hundreds of miles for specialized orthopedic care.
Urban vs. Rural Provider Availability
Montana's extreme rural geography creates stark disparities in Knee Replacement Surgery access, with most specialists concentrated in Billings, Missoula, Great Falls, and Bozeman. Rural residents often face 2-4 hour drives to reach the nearest orthopedic surgeon, leading to delayed care and higher overall costs when travel and lodging are factored in. This geographic concentration allows urban providers to command higher rates due to limited competition.
Facility Type and Overhead Costs
Hospital-owned orthopedic clinics in Montana typically charge 20-40% more than independent practices due to higher overhead costs and facility fees. Major health systems like Billings Clinic, Providence St. Patrick Hospital in Missoula, and Benefis Health System in Great Falls dominate the market in their respective regions. Independent ambulatory surgery centers offer cost-effective alternatives for many knee procedures, though they're primarily located in larger metropolitan areas.
Insurance Market Competition in Montana
Montana's insurance market features moderate competition with Blue Cross Blue Shield Montana holding the largest market share, followed by PacificSource and UnitedHealthcare. This three-way competition helps keep negotiated rates more reasonable than in states with single-payer dominance. Rural areas often have limited insurer options, which can affect provider network adequacy and negotiated rates.
Physician Supply and Demand in Montana
With 35 active Knee Replacement Surgery providers serving Montana's population of just over one million, the state maintains adequate specialist coverage in urban areas but significant shortages in rural regions. This geographic mismatch creates longer wait times and higher costs in underserved areas, while urban markets remain competitive. The limited supply of rural orthopedic surgeons often leads to these providers maintaining higher rates due to reduced competition.
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 — Knee Replacement Surgery Costs in Montana
What is the average cost of a Knee Replacement Surgery visit in Montana without insurance?
Does Montana Medicaid cover Knee Replacement Surgery visits?
How do I find an affordable Knee 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 Knee Replacement Surgery visit in Montana?
How does telemedicine affect the cost of seeing a Knee Replacement Surgery in Montana?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 27447)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $10,559 | $4,785 |
| 2 | Rhode Island Range: $1,136 – $6,051 | $3,170 |
| 3 | Alaska Range: $1,136 – $6,451 | $3,152 |
| 4 | Massachusetts Range: $1,061 – $6,051 | $3,102 |
| 5 | Connecticut Range: $909 – $6,051 | $2,917 |
| 6 | Delaware Range: $1,005 – $6,051 | $2,914 |
| 7 | Montana Range: $92 – $6,877 | $2,879 |
| 8 | Pennsylvania Range: $909 – $6,051 | $2,837 |
| 9 | Wyoming Range: $1,657 – $4,492 | $2,807 |
| 10 | South Dakota Range: $1,099 – $5,330 | $2,798 |
| 11 | Georgia Range: $1,131 – $5,082 | $2,783 |
| 12 | New York Range: $898 – $6,051 | $2,746 |
| 13 | Minnesota Range: $873 – $5,078 | $2,705 |
| 14 | New Hampshire Range: $1,433 – $4,078 | $2,650 |
| 15 | Iowa Range: $95 – $4,753 | $2,594 |
| 16 | West Virginia Range: $1,204 – $4,734 | $2,556 |
| 17 | Nebraska Range: $1,637 – $3,009 | $2,527 |
| 18 | Washington Range: $1,606 – $3,703 | $2,474 |
| 19 | New Jersey Range: $952 – $4,588 | $2,321 |
| 20 | New Mexico Range: $1,216 – $3,606 | $2,318 |
| 21 | North Carolina Range: $1,136 – $3,785 | $2,311 |
| 22 | Maine Range: $1,713 – $2,689 | $2,297 |
| 23 | Oregon Range: $1,116 – $3,635 | $2,288 |
| 24 | District of Columbia Range: $1,061 – $3,475 | $2,286 |
| 25 | Colorado Range: $1,136 – $3,475 | $2,220 |
| 26 | North Dakota Range: $1,198 – $3,475 | $2,189 |
| 27 | Utah Range: $842 – $2,906 | $2,184 |
| 28 | Kentucky Range: $977 – $3,564 | $2,126 |
| 29 | Michigan Range: $1,136 – $3,355 | $2,121 |
| 30 | Maryland Range: $1,204 – $3,475 | $2,015 |
| 31 | Idaho Range: $1,061 – $3,049 | $2,001 |
| 32 | Indiana Range: $90 – $4,087 | $1,966 |
| 33 | Hawaii Range: $1,018 – $2,946 | $1,953 |
| 34 | Vermont Range: $958 – $3,286 | $1,900 |
| 35 | South Carolina Range: $1,060 – $3,108 | $1,898 |
| 36 | Mississippi Range: $1,039 – $3,303 | $1,895 |
| 37 | Illinois Range: $85 – $3,789 | $1,884 |
| 38 | Arkansas Range: $1,138 – $2,603 | $1,878 |
| 39 | Texas Range: $1,056 – $3,006 | $1,877 |
| 40 | California Range: $75 – $3,286 | $1,863 |
| 41 | Nevada Range: $1,136 – $2,632 | $1,853 |
| 42 | Alabama Range: $964 – $2,946 | $1,845 |
| 43 | Tennessee Range: $1,147 – $2,647 | $1,843 |
| 44 | Missouri Range: $1,272 – $2,246 | $1,811 |
| 45 | Virginia Range: $976 – $2,946 | $1,798 |
| 46 | Louisiana Range: $989 – $2,664 | $1,757 |
| 47 | Kansas Range: $1,272 – $2,223 | $1,698 |
| 48 | Ohio Range: $848 – $2,491 | $1,603 |
| 49 | Arizona Range: $1,097 – $2,276 | $1,503 |
| 50 | Oklahoma Range: $85 – $2,533 | $1,311 |
| 51 | Florida Range: $35 – $2,438 | $843 |