| Metric | Value | vs. CaseFlow Avg |
|---|---|---|
| Montana Joint replacement No-Show Rate | 5.3% | +2.2pp above CaseFlow |
| CaseFlow Avg (1,247 practices) | 3.1% | — baseline |
| Avg Case Value | $19,260 | per surgical case |
| Annual Revenue at Risk | $462k | per practice / year |
Why Montana Joint replacement Practices Are Losing $462k Per Year
In Billings, Missoula, and Bozeman, Joint replacement practices are losing 2 surgical slots per month on average — not due to clinical complexity, but to patient no-shows and last-minute cancellations. At $19,260 per case, each missed slot represents significant foregone revenue that could have been recovered with a systematic waitlist response system.
Joint replacement remains the highest-value category in Montana orthopedic practices. CMS reimbursement for primary hip and knee in Montana tracks closely with national AWP — making the 7.1% average no-show rate a seven-figure annual problem for multi-surgeon groups.
The no-show rate for Joint replacement in Montana — 5.3% — is measured against CaseFlow's 3.1% national average for practices running automated recovery. That 2.2 percentage-point gap represents the structural opportunity for any Billings-area practice to recover revenue currently slipping through last-minute cancellations.
Backtest Your Billings Practice in 60 Seconds
Upload last month's OR schedule — we'll show you exactly how many slots CaseFlow would have recovered and at what revenue value.