
Big Sky Surgery Center and staff welcome you to our facility.
You and your family’s well being are our primary concern. We hope the information provided will answer your questions about our services, policies and procedures.

About Us
Our goal is to provide you with a high quality outpatient surgical experience emphasizing comfort and convenience for you and your family.
For all your billing questions, please call (406) 542-6559 during regular business hours.
What We Do
What is a Surgery Center?
Ambulatory Surgery Centers (ASC’s) are facilities where surgeries that do not require a hospital admission are performed. ASC’s treat patients who are referred by a surgeon and have selected surgery as an appropriate treatment. ASC’s provide a comfortable, convenient and cost-effective environment that is more relaxing for the patient.
We provide health care with dignity and respect, and focus on a personal approach in which you are treated with compassion, trust and integrity.
Please bring your current insurance card(s) when you come to our center on the day of your procedure. Please notify our facility of any change in name, address, phone number, or insurance as soon as any changes occur. If you are uninsured, please be prepared to discuss payment options.
Fees
Our fees for services are based upon the complexity of your procedure. Our billing staff will be glad to discuss our fees with you. Please do not hesitate to inquire about an estimate for services.
Uninsured Payment Options
Charges are to be paid in full prior to treatment unless proof of insurance is provided. For your convenience, we provide the following payment options.
- Payment in full prior to surgery. Please contact our office to inquire about a paid in full discount!
- 50% of procedure estimate, with balance due in full upon receipt of your first statement.
If other arrangements are needed, please speak with our billing personnel prior to receiving service. For your convenience, we accept cash, checks and the following credit cards: Mastercard, Visa, Discover and American Express. We also accept Care Credit, for more information please click HERE.
We also have other financing options available. Please inquire with our billing personnel for more information.
Insurance
Our business office will submit primary and secondary insurance claims as a service to you if you have given us current information prior to the service being provided.
Policy coverage varies from one insurance plan to another, as do the “usual, customary and reasonable” (UCR) fees that various insurance plans have established. Our fees are accepted by most plans, but occasionally a patient is notified that the amount for our service exceeds “UCR FEES”. Our contractual agreement is with you, our patient, not your insurance company. Should there be a dispute related to the service provided or the charge for that service, the settlement of that dispute is between you and your insurance carrier. Our facility is not involved in the settlement of such disputes. The final responsibility for the services provided to you is yours.
Medicare
Our office submits all Medicare claims for you; we will also file with your secondary insurance provided we are given the correct information. Any balance remaining after your insurance(s) has paid will be your responsibility. All balances are due in full upon receipt of your first statement.
Worker’s Compensation
As a courtesy to our patients, our business office will file worker’s compensation claims. Please provide us with the following information:
- Date of injury, state you were injured in, and name of the company you were working for at the time of injury
- Policy or Claim #
- Work Comp Carrier and Address
- Contact Person and Phone #
If your claim is denied, unsettled, or is not paid within 90 days from the date of service, we request that you file a personal health insurance claim or pay the charges in full. You should always notify your company if there is any delay or problem in resolving your worker’s comp claim. Unreasonable delays or the use of delaying tactics should be reported to the Office of the Insurance Commissioner of Montana.
Thank You!
We appreciate your selection of our facility to meet your health service needs. We are committed to you and strive to provide you with excellent quality care.
Our administrative, technical and clinical staff work as a team. We take great pride in our training, abilities and dedication, and hope that you will share in our confidence. Please inquire with us if you have any questions, and be aware that your comments and suggestions are always welcome.
Understanding Your Surgery Billing
As you prepare for your surgery, we want you to understand how you will be billed for the services you receive. The success of your surgery depends on a team effort by many dedicated professionals, including those in our surgery center. Since government and insurance rules allow us to bill only for our facility, you will receive separate bills from other professionals involved in your care, such as your surgeon and anesthesiologist.
Depending on your specific surgery or procedure, you will receive at least two separate bills and possibly more. We do realize that multiple bills can be confusing. Our staff will do their best to assist you with questions and will refer you to the proper sources of information. If you have questions about your bills, please do not hesitate to contact us at (406) 542-6559.
The following is an explanation of the bills you may receive:
1. Surgery Center’s Bill
You will receive a Facility Fee Bill from Big Sky Surgery Center. This bill includes staff, supplies and equipment used for services provided by Big Sky Surgery Center. Questions and payments regarding this bill should be addressed directly to us.
2. Surgeon’s Bill
Since the surgeon performing your surgery is not an employee of the surgery center, your surgeon will bill you separately for services performed. All questions and payments regarding the surgeon’s services should be addressed to your surgeon’s office.
3. Anesthesia Bill
The anesthesia you receive during your surgery is provided by an anesthesiologist who is not a staff member of the surgery center. You will receive a separate bill for the services provided by the anesthesiologist. Questions regarding this bill should be addressed to Missoula Anesthesiology at (406) 728-8420.
4. Other Bills
Depending on several factors relating to your surgery, you may receive other services for which you will be separately billed. These bills will not be sent by Big Sky Surgery Center, but will be sent to you by the facility or entity performing those services. These additional bills may include, but are not limited to:
Laboratory/Pathology Bill – This bill may include charges for blood and/or urine tests, charges for tissue sampling and diagnosis, allergy testing, etc.
Radiology Bill – Charges may include services for X-rays, such as angiograms, MRI’s, CT scans, ultrasounds or other diagnostic testing.
Cardiology Bill – Charges may include services for Electrocardiograms (EKG’s), cardiology consults, etc.
Durable Medical Equipment Bill – These charges include the fees for equipment on loan to you from a medical supply company. The company supplying the equipment will send you their bill.
Physical Therapy Bill (if applicable) – If physical therapy services are needed before or after your surgery, your surgeon will refer you to a physical therapist. These bills will be sent from the physical therapist’s office, and questions should be addressed to that office. If at any time you have questions about your surgery billing, please contact us and we will be happy to assist you.