Our Billing Practices

At Yellowstone Surgery, we focus on making your experience here the best it can be. That's why we're providing you the following information about our billing practices.

Patient Responsibility

You, or your legal guardian, if you are under age 18, are responsible for all incurred charges. This may include, but is not limited to, any insurance deductibles, co-payment, or any amounts not covered by your insurance provider.

Insurance Billing

As a courtesy to you, we will file a claim with your primary insurance company. In most cases, payment is sent directly from your insurer to us within 4-6 weeks. We will then bill your secondary insurance company should you have one and if you have provided us that information.

If your insurance company or companies have not met their obligation within 6 weeks, we advise that you contact them directly to verify the status of your claim and the date on which payment is expected to be made.

Once your insurance company(s) have responded, you will receive a statement from our office. It will detail your date(s) of service, insurance payments or adjustments and any remaining balance for which you remain responsible.


Yellowstone Surgery Center does accept assignment on Medicare claims. We will bill Medicare and, when we receive payment, they will instruct us on how much to discount and how much we are to bill you or your secondary insurance. If you have secondary insurance, we will bill it at this time. Any balance remaining after we receive their payment will be your responsibility.

Other Charges

The bill you receive from Yellowstone Surgery Center will not include charges made by the physician who performed the procedure or the anesthesiologist. You will receive separate bills, directly from their offices, along with any bills for pathology or laboratory charges.

Payment Methods

We currently accept credit cards, cash, checks, cashiers checks or money orders as payment for services rendered. Please note that there may be a charge for any checks returned for insufficient funds.

Missed Appointments

If you are unable to make your appointment as scheduled, please contact our office promptly. This appointment time will be rescheduled for patients requiring our services.

In the event an appointment is missed, and no attempt was made to cancel the appointment in advance, we reserve the right to charge a $50 fee. These fees are not covered by insurance and will be your personal responsibility.

Estimated Charges

Payment arrangements are made prior to surgery; however, additional fees may be incurred due to unforeseen circumstances. Each case is different and, if necessary for your health and safety, your physician may order additional supplies or conduct different or additional procedures than those originally scheduled. Although these fees were not included in your original estimate, you will be billed for them.

We are always happy to answer any questions that you may have about our billing procedures. Please contact our offices at (406) 237-5900 whenever we may be of help or if we may provide additional information. We appreciate the opportunity to serve you.

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