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Montana

Cost of a Pregnancy Ultrasound Visit
in Montana

Reviewed by Momentary Medical Group West PC

Montana's rural healthcare landscape presents unique challenges for expectant mothers seeking specialized care, with over 70% of the state classified as medically underserved. Pregnancy Ultrasound visits in the Big Sky State show significant cost variations, with patients typically paying between negotiated insurance rates and self-pay discounts based on their coverage and chosen provider. With 354 active Pregnancy Ultrasound providers across Montana's vast terrain, patients can browse all available specialists to find quality care that fits their budget and location needs.

Average

$370

Median

$68

Lowest

$51

Highest

$991

Providers

354

National avg: $151Montana: $370

145% above national average

Compare Similar Procedures

How does ob ultrasound compare to related procedures in Montana?

ProcedureCPTLowMedianHighProviders
Colonoscopy

Diagnostic colonoscopy

45378$80$80$538319
Colonoscopy with Biopsy

Colonoscopy with biopsy

45380$80$80$545315
Colonoscopy with Polyp Removal

Colonoscopy with polyp removal by snare

45385$80$80$3,638307
Upper Endoscopy (EGD)

Diagnostic upper GI endoscopy

43235$90$231$58140
Upper Endoscopy with Biopsy

Upper GI endoscopy with biopsy

43239$80$80$523327
ECG / EKG

12-lead electrocardiogram with interpretation

93000$14$14$80367
Echocardiogram

Transthoracic echocardiogram with Doppler

93306$80$80$269318

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 76805Ultrasound, pregnant uterus, complete). 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 76805 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 76805 (Ultrasound, pregnant uterus, complete), as mandated by the CMS Price Transparency Rule.

What CPT 76805 covers: the provider's professional fee for ob ultrasound. 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 Pregnancy Ultrasound Visit Costs Vary Across Montana

Montana's healthcare costs run approximately 4% above the national average, reflecting the unique challenges of delivering specialized care across the nation's fourth-largest state with fewer than 1.1 million residents. The state's extreme rural geography creates significant cost pressures, as many specialists must travel between multiple locations or patients must journey long distances for care.

Urban vs. Rural Provider Availability

Montana's urban centers like Billings, Missoula, and Great Falls concentrate most Pregnancy Ultrasound specialists, creating cost advantages through provider competition and higher patient volumes. Rural areas often rely on traveling specialists or require patients to drive 100+ miles for care, leading to higher effective costs when factoring in travel expenses. The state's frontier geography means that some communities have no local access to specialized prenatal imaging services.

Facility Type and Overhead Costs

Hospital-based Pregnancy Ultrasound services dominate Montana's healthcare landscape, with major systems like Providence and Benefis operating across multiple locations throughout the state. These hospital-affiliated practices often charge higher rates due to facility overhead and administrative costs compared to independent clinics. Smaller communities may only have access to hospital-based services, limiting price competition and patient choice.

Insurance Market Competition in Montana

Montana's insurance market features moderate competition with BCBS MT, PacificSource, and UHC serving different geographic regions and market segments across the state. The relatively small population and vast geography limit insurer participation, reducing competitive pressure on negotiated rates with providers. Rural areas often have fewer insurer options, potentially leading to higher out-of-pocket costs for patients with limited network choices.

Physician Supply and Demand in Montana

With 354 active Pregnancy Ultrasound providers serving Montana's population, the state maintains reasonable specialist availability in urban areas but faces shortages in rural regions. This geographic maldistribution creates longer wait times and higher costs in underserved areas, as patients may need to travel to larger cities for timely care. The limited specialist supply in rural Montana gives providers more pricing power, potentially leading to higher costs in areas with fewer competitive options.

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 — Pregnancy Ultrasound Costs in Montana

What is the average cost of a Pregnancy Ultrasound visit in Montana without insurance?

Self-pay costs for Pregnancy Ultrasound visits in Montana vary widely based on provider type and complexity of imaging needed. Basic ultrasound scans at independent clinics may cost $200-400, while comprehensive diagnostic imaging at hospital-based facilities can reach $600-1,000 or more. Many Montana providers offer cash-pay discounts of 20-40% off standard rates, and payment plans are commonly available to help manage costs.

Does Montana Medicaid cover Pregnancy Ultrasound visits?

Yes, Montana Medicaid covers medically necessary Pregnancy Ultrasound services as part of comprehensive prenatal care benefits. Since Montana expanded Medicaid in 2016, more low-income pregnant women qualify for coverage, including routine screening ultrasounds and diagnostic imaging when recommended by healthcare providers. Rural Montana Medicaid recipients may need to travel to larger cities for specialized services, but transportation assistance is sometimes available.

How do I find an affordable Pregnancy Ultrasound near me in Montana?

Compare costs across different facility types in Montana, as independent clinics often charge less than hospital-based services for routine ultrasounds. Ask providers about self-pay discounts, sliding scale fees, and payment plans, which are widely available throughout the state. Community health centers in Montana may offer reduced-cost services based on income, and some providers offer package deals for multiple prenatal visits.

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

Initial Pregnancy Ultrasound consultations typically involve comprehensive evaluation and detailed imaging, often costing 25-50% more than routine follow-up visits in Montana. Follow-up appointments for monitoring established pregnancies usually require less time and fewer imaging sequences, resulting in lower costs. Insurance coverage may vary between initial diagnostic visits and routine prenatal monitoring, affecting your out-of-pocket expenses.

Can I use an HSA or FSA to pay for a Pregnancy Ultrasound visit in Montana?

Yes, both HSA and FSA funds can be used to pay for medically necessary Pregnancy Ultrasound services in Montana, including routine prenatal screening and diagnostic imaging. These tax-advantaged accounts help reduce the effective cost of care, particularly valuable for high-deductible health plans common in Montana's individual insurance market. Keep receipts for reimbursement and ensure services are prescribed or recommended by a healthcare provider to qualify for HSA/FSA payment.

How does telemedicine affect the cost of seeing a Pregnancy Ultrasound in Montana?

While actual ultrasound imaging requires in-person visits, telemedicine consultations can reduce costs for initial evaluations and follow-up discussions in Montana's rural areas. Virtual visits for reviewing ultrasound results or discussing concerns typically cost $50-150 less than office visits, saving both money and travel time for rural patients. Some Montana practices offer hybrid care models combining remote consultations with necessary in-person imaging appointments to minimize costs and travel burden.

Click a state to compare costs

Average Visit Cost

$84
$457

Office visit (CPT 76805)

Compare With Other States

RankStateAverage
1Alaska
Range: $51$991
$457
2Washington
Range: $51$991
$378
3Montana
Range: $51$991
$370
4Idaho
Range: $50$591
$242
5Wisconsin
Range: $68$502
$222
6Maine
Range: $79$272
$177
7Nebraska
Range: $82$329
$176
8Wyoming
Range: $51$331
$175
9Iowa
Range: $58$329
$174
10Vermont
Range: $42$341
$169
11New Hampshire
Range: $57$317
$168
12District of Columbia
Range: $39$342
$166
13Rhode Island
Range: $50$328
$164
14Georgia
Range: $50$319
$163
15New York
Range: $36$328
$158
16Massachusetts
Range: $52$328
$153
17Pennsylvania
Range: $43$328
$152
18New Mexico
Range: $48$292
$149
19Connecticut
Range: $45$328
$148
20Utah
Range: $51$241
$145
21Colorado
Range: $51$275
$143
22Nevada
Range: $76$221
$143
23California
Range: $52$287
$143
24Indiana
Range: $45$280
$142
25North Carolina
Range: $44$272
$141
26Hawaii
Range: $54$230
$137
27Delaware
Range: $54$216
$136
28Illinois
Range: $45$257
$134
29Texas
Range: $46$237
$126
30Oregon
Range: $68$236
$124
31Kentucky
Range: $44$229
$122
32New Jersey
Range: $35$244
$121
33Maryland
Range: $37$231
$119
34South Carolina
Range: $43$221
$118
35Michigan
Range: $42$216
$115
36Tennessee
Range: $48$189
$114
37Virginia
Range: $36$215
$112
38Arkansas
Range: $49$188
$111
39West Virginia
Range: $50$215
$111
40Ohio
Range: $32$211
$110
41Arizona
Range: $51$178
$107
42Missouri
Range: $46$165
$104
43Minnesota
Range: $68$175
$103
44Alabama
Range: $39$189
$103
45Kansas
Range: $48$165
$103
46Mississippi
Range: $38$189
$102
47Oklahoma
Range: $42$175
$101
48North Dakota
Range: $68$157
$97
49Florida
Range: $35$192
$96
50Louisiana
Range: $38$159
$88
51South Dakota
Range: $68$117
$84
OB Ultrasound in Other States