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 deductible, co-payment, or any amounts not covered by your insurance provider.

Billing Department Contact

  Contact by Phone: (406) 237-5977
Monday – Friday 8:00 am – 5:00 pm

Payment Methods

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

Co-payments and/or deductible may be required at the time of the procedure. If you have not met your annual deductible with your insurance company, a down payment of $100.00 OR your copayment for out-patient surgery will be expected upon check-in. If you are unsure of your copayment, please contact our Billing Department at (406) 237-5977.


Yellowstone Surgery Center offers in-house financing for up to six months with no interest regular monthly payments (beginning after insurance pays). If you need additional time to make payments, an outside billing service is available for up to 48 months with a 10% compound interest fee.

Financial Assistance

Yellowstone Surgery Center offers Financial Assistance to those who qualify. Qualification is based on a case-by-case basis. Personal financial documentation is required to be provided with your application. If you have applied for financial assistance with SCL Health you will need to complete a separate application for Yellowstone Surgery Center. Yellowstone Surgery Center will take into consideration the award offered by SCL Health but will not guarantee the same award.

Multiple Bills

You will receive a bill from Yellowstone Surgery Center as a facility for our services. You will receive separate bills from:

  • Your physician’s office, who performed the procedure
  • Anesthesia Partners of Montana
  • If applicable to your procedure:
    • Pathology charges
    • Laboratory charges
  • If required by your physician:
    • Outpatient physical therapy clinic

Locating your Account Number

Your account number can be found on the payment slip portion of the collection letter from Healthcare Facility. Please refer to the following picture.

Transparency in Cover (TiC)

    The following Machine Readable Files (MRF) can be accessed in the link below:
        1. INN rates – to include the negotiated rates, underlying fee schedules or derived amounts reflected as a dollar amount per provider per billable code (service).
         2. OON allowed amounts – to include the billed charges and allowed amounts per code (service) per provider.


In the event that your account is referred to an independent collection agency or attorney for collection, you will be responsible for any attorney fees, court costs and collection fees.

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.

Contact Your Insurance Company

Contact your insurance company to verify your current benefits and if Yellowstone Surgery is considered an In-Network Facility. Also determine your benefits and to find out if your insurance company requires a pre-authorization.


  • Pre-authorization for surgical procedures is done by your physician’s office.
  • Pre-authorization for pain procedures is done by Yellowstone Surgery Center.
  • Pre-authorization does not guarantee payment from your insurance.
  • Your insurance company may deny payment if pre-authorization is not completed.

Don’t Have Insurance?

If you do not have insurance, prior to your procedure, you will need to contact Yellowstone Surgery Center to speak with a Patient Representative to discuss payment options.

Insurance Billing

As a courtesy to you, we will file a claim with your primary insurance company. Please make sure to provide us with the necessary information. 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 with 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.

If you have a Cost-Sharing Program, Yellowstone Surgery Center will provide you with an itemized bill to submit to the program. Monthly payments will be required until the Cost Sharing program remits payment.

You will not receive a bill from Yellowstone Surgery Center until your insurance has processed your claim.


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.

Additional 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.

Remaining Balance

If you have a balance after your insurance pays, the balance will need to be paid off in four to six months with regular monthly payments. It is important to contact our Billing Department should you have difficulty paying your balance off in this amount of time. There are options that may be available to you.