Billing & Insurance

Rocky Mountain Surgical Center
We Now Accept CareCredit Payments! Scan our QR Code.

Pay Your Bill Online!

Billing & Insurance Information

We accept Visa, MasterCard, Discover, American Express and Care Credit. You may choose to pay your entire bill or a portion of your bill. Our online bill pay system is now live!

Explore Our Resources For More Information On Billing

Privacy Policy

We may collect personally identifiable information when you visit our online bill payment site. We also automatically receive and record information on our server logs from your browser including your IP address, cookie information and the page (s) you visited. We will not sell your personally identifiable information to anyone. Learn more about our privacy policy.

Security Policy

We respect and are committed to protecting your payment information. All payment transactions are secure and protected by our Secure Sockets Layer (SSL) software. This software is the industry standard and among the best available today for secure commerce transactions. It encrypts all of your personal information, including credit card number, name, and address, so that it cannot be read over the internet.

No Surprise Act

Surgical procedure cost estimates are available for all patients of RMSC. At the time a procedure is scheduled, an estimate of charges will be generated based on the physicians’ orders. Patients with Federal insurance coverage must request this estimate to receive one. To request an estimate of charges, please call our office at (406) 556-9000 or send a request via email to

Refund Policy

Should an over payment occur on your account, we guarantee a refund within 30 days of your account being paid in full. All refunds will be provided as a refund check payable to the individual/guarantor listed on the account.

Frequently Asked Questions

Billing & Insurance

Account Balance vs. Patient Balance

Account Balance vs. Patient Balance: Account Balance is the total outstanding due on the account.

Patient Balance is the outstanding patient responsibility due on the account.

These balances may differ if there are multiple dates of service, or if a claim is being reprocessed through insurance. This occurs when insurance pays incorrectly and the claim requires additional review.

Will you bill my insurance first?

Yes, as long as we receive current insurance policy information during the check-in process we will bill your insurance first.

What if my procedure is worker's compensation?

Rocky Mountain Surgical Center requires the following information to bill for Worker’s Compensation claims: claim number, date of injury, and Worker’s compensation carrier.

Is Rocky Mountain Surgical Center a PPO?

Rocky Mountain Surgical Center is a PPO Provider for the following insurances: Allegiance, Blue Cross Blue Shield, First Choice Network, Montana Health Coop, Pacific Source, and United Health Care. We also participate with most government programs including Medicare, Medicaid, and Tricare.

How do I know what I will owe?

When you are scheduled for surgery at your Provider’s office, your Provider will send over the information to Rocky Mountain Surgical Center to schedule the procedure. We are referral based only and cannot schedule directly with the patient. Once information is received from your Provider’s office our billing department will review the information received. A pre-estimate letter will be created based on the Patient’s benefits and the procedure scheduled. These estimate-only letters are then sent out to the Patient for their review. Please be aware this letter is only an estimate and may be subject to change.

I don’t understand the codes on my statement.

Medical billing statements can be difficult to understand. Please do not hesitate to call our Billing Department with any questions. The attached statement code guide explains each journal code that may show on your statement and what it represents.

Will you authorize my procedure?

It is recommended for patients to check with their insurance to verify if authorization is needed or has been done as you are responsible for your policy’s terms and conditions. Your physician’s office can help with authorizing your procedure. Since Rocky Mountain Surgical Center is a referral-based facility, authorizations are done by the physician’s office as they can provide all needed documentation for consideration. This may include documentation of prior visits or conservative methods tried. Rocky Mountain Surgical Center will authorize under specific circumstances for specified supplies.

How is my procedure coded?

Medical coding is done by inputting the physician’s operative report into sets of numeric and alphanumeric sequences. Medical diagnoses are based on post-operative results only and may differ from the preoperative diagnosis. Rocky Mountain Surgical Center follows rules and regulations for Ambulatory Surgical Centers and insurance contracts. Please call our office for clarification if needed.

Physician Referral

Find a specialist for your patient

Physicians referring patients to Bridger Orthopedic please fax a physician referral and recent office notes to 844-646-2480. All imaging should be sent to Bozeman Deaconess Hospital.