How much does a Surgeon make in Montana?

The average Surgeon salary in Montana is around $540,000 per year. After federal taxes, FICA, and Montana state taxes, your estimated take-home pay is approximately $334,542 annually ($27,879/month).

What is the take-home pay for a Surgeon in Montana?

On a $540,000 salary in Montana, your take-home pay is approximately $334,542/year or $27,879/month. Federal tax: $152,134. State tax: $30,995. FICA: $0.00.

Is $540,000 a good Surgeon salary?

$540,000 is a strong salary for a Surgeon — above the national median. In Montana, demand for this role is active.

How do Montana taxes affect Surgeon salaries?

Montana levies state income tax on top of federal taxes. Your estimated state tax on $540,000 is $30,995. Your total effective tax rate is approximately 38.0%.

What are the career growth prospects for Surgeons?

3% growth projected 2022-2032 (slower than average) overall — but specific subspecialties (cardiothoracic, neurosurgery, plastic, transplant, pediatric subspecialty) face severe shortage with 8-15 year supply lag from training pipeline. Aging Boomer demographic = sustained surgical volume through 2035+. AI/robotics augment but do not replace operative judgment in the 10-year window.. Related roles include: Anesthesiologist, Orthopedic Surgeon, Cardiothoracic Surgeon, Neurosurgeon, Plastic Surgeon, Vascular Surgeon, General Surgeon, Trauma Surgeon, Transplant Surgeon, Pediatric Surgical Subspecialist, Surgical Oncologist.

How can a Surgeon in Montana reduce their tax bill?

Maximize your 401(k) contribution ($24,500 in 2026) to reduce taxable income. An HSA ($4,400 single / $8,750 family) adds further pre-tax savings. These strategies can save thousands annually — use our calculator to see your exact savings.

Healthcare

Surgeon Salary in Montana (2026)

The average Surgeon in Montana earns around $540,000/year. After taxes, your estimated take-home is $334,542/year ($27,879/month).

Take-Home Pay Breakdown

Category	Amount
Annual Take-Home Pay	$334,542
Monthly Take-Home Pay	$27,879
Biweekly Take-Home Pay	$12,867
Hourly Take-Home Pay based on 2,080 hrs/year	$161/hr
Federal Tax	$152,134
State Tax	$30,995
FICA Taxes	$22,329
Effective Tax Rate total taxes ÷ gross salary	38.05%

Estimates only — not tax advice. · Full disclaimer →

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Key terms:···

Surgeon Salary Ranges in Montana

Entry Level (0–3 yrs)

$410,000

/year

See tax breakdown →

Mid Level (3–7 yrs)

$540,000

/year

See tax breakdown →

Senior Level (7+ yrs)

$950,000

/year

See tax breakdown →

Not all Surgeons earn the same — not even close

Montana's surgical market is anchored by Billings Clinic Billings (the only MT Level 1 adult trauma + Billings Clinic Heart & Vascular Center + Billings Clinic Cancer Center surgical oncology), Logan Health Kalispell (post-2024 Logan-Billings merger + the substantial Logan Health surgical), Bozeman Health Deaconess (~440-bed regional flagship + the substantial Bozeman post-2020 growth surgical), St Vincent Healthcare Billings (post-2023 Intermountain Health acquisition), Benefis Health Great Falls + St Patrick Hospital Missoula + Community Medical Center Missoula, the substantial Indian Health Service IHS MT surgical (Blackfeet + Crow Agency + Northern Cheyenne + Fort Peck IHS surgical), the substantial post-Yellowstone trauma + Big Sky ski + Whitefish + Bridger Bowl + Glacier NPS recreation injury orthopedic referral, plus WWAMI medical education GME + MT private surgical practice.

Senior Trauma Surgeon (Billings Clinic Level 1)

$465,000–$915,000+ bonus

Billings Clinic · the only MT Level 1 + post-Yellowstone trauma + 24/7 trauma call

Senior Cardiac Surgeon (Billings Clinic Heart)

$525,000–$1,185,000+ bonus

Billings Clinic Heart & Vascular Center · cardiac + thoracic + vascular

Senior Orthopedic Surgeon

$525,000–$1,150,000+ bonus

MT ortho + Billings + Logan + Bozeman + post-Big Sky ski + Whitefish injury referral

Senior Surgical Oncologist (Billings Cancer)

$445,000–$815,000+ bonus

Billings Clinic Cancer Center · surgical oncology + MT NCI-affiliated

Senior Neurosurgeon (Billings / Logan)

$565,000–$1,285,000+ bonus

Billings Clinic + Logan Health Kalispell · adult neurosurgery

Senior Pediatric Surgeon

$385,000–$715,000+ bonus

Pediatric surgery at Billings Clinic + Bozeman Health · the substantial MT pediatric

Senior General Surgeon

$345,000–$585,000+ bonus

MT general surgery + Billings + Logan + Bozeman + St Vincent + Benefis + St Patrick

Senior Plastic Surgeon (Private)

$385,000–$885,000+ bonus

Private practice plastic surgery · the substantial MT cosmetic + reconstructive + Bozeman

Mid-Career Surgeon (5-10 yrs post-fellowship)

$325,000–$545,000

Specialty surgeon 5-10 yrs · transitioning to senior partnership

Surgical Resident / Fellow

$58,000–$80,000

Billings Clinic Surgery residency · MT WWAMI GME + Logan Health fellowship

Worth knowing: Billings Clinic + the only MT Level 1 trauma + post-Yellowstone trauma + post-Big Sky ski injury orthopedic referral is one of the country's distinctive concentrated US single-state Northern Rockies trauma + recreation injury surgical anchor and a feature most national surgeon surveys understate for MT. Billings Clinic (the only MT Level 1 adult trauma + Billings Clinic Heart & Vascular Center cardiac + thoracic + vascular surgery + Billings Clinic Cancer Center surgical oncology MT NCI-affiliated + ~250-bed flagship + the substantial post-2024 Billings Clinic-Logan Health merger creating substantial MT system + the substantial Billings Clinic Magnet designation + the substantial Billings Clinic Mayo Clinic Care Network affiliation + the substantial Billings Clinic St Vincent partnership) supports substantial MT senior surgical work. Senior Billings Clinic trauma + cardiac + neurosurgery clear $465K-$1.285M+ bonus. Logan Health Kalispell post-2024 merger + Bozeman Health Deaconess + St Vincent Intermountain MT + Benefis + St Patrick + Community Medical Center supports broad MT surgical. The substantial post-Yellowstone + Big Sky + Whitefish + Bridger Bowl + Glacier NPS recreation injury orthopedic referral pipeline drives substantial MT ortho surgical referral. MT IHS reservation surgical at Blackfeet + Crow + Northern Cheyenne + Fort Peck. WWAMI GME pipeline. MT flat 5.9% + MT 0% sales tax anchor the MT surgical proposition.