In preparation 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 at Northern Rockies Orthopaedics. Since government and insurance rules allow us to only bill for our physician, you will receive separate bills from other professionals and facilities involved in your care, such as your anesthesiologist and the facility where your surgery was performed.

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, so please do not hesitate to call our office for assistance. Our staff will do their best to assist you with questions and will refer you to the proper sources of information.

Surgeon’s Bill

Northern Rockies Orthopaedics will bill your insurance and/or you for services provided by one of our physicians. *Please note: If a wire or implant is used in your original surgery, charges for the removal of the wire or implant are not included in the original surgery fee. There may be charges for post-operative services that are not included in the cost of surgery. Northern Rockies Orthopaedics often utilize a Physician Assistant or a Nurse Practitioner to assist in the delivery of orthopaedic care. The services these individuals perform may be billed separately from the physicians. Insurance companies vary on covering the services of a Physician Assistant or Nurse Practitioner. If you have a concern, please ask us.

Surgery Center’s Bill

You will receive a facility fee bill from the hospital/surgery center. This bill includes staff, supplies, and equipment used for services provided by the facility. Questions and payments regarding this bill should be addressed directly to the facility.

Anesthesiologist’s Bill

An anesthesiologist, who is not a staff member of the surgery center, provides the anesthesia you receive during your surgery. You will receive a separate bill for the services provided by the anesthesiologist. Questions regarding this bill should be addressed directly to the anesthesiologist.

Other Bills

Depending on several factors relating to your surgery, you may receive other services for which you will be billed separately. These bills 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 tests, urine tests, charges for biopsies, etc.

Radiology Bill

Charges may include services for X-rays, arthrograms, MRIs, CT scans, or other diagnostic testing.

Cardiology Bill

Charges may include services for Electrocardiograms (EKGs), cardiology consults, etc.

Durable Medical Equipment Bill

These charges include the fees for equipment on loan to you from a medical supply company, bracing purchases, continuous passive motion machine, or a cold unit your physician has prescribed. The company supplying the equipment and/or bracing will send you their bill.

Physical Therapy Bill

If physical therapy services are needed before or after your surgery, your physician will refer you to a physical therapy facility. These bills will be sent from the physical therapy facility, and questions should be addressed to that facility.

Providers & Facilities Utilized

We recommend that you contact your insurance company to make sure that these providers and facilities are preferred providers under your insurance plan. Some of our physicians have an ownership in Big Sky Surgery Center and our MRI. If you wish, we can schedule you at another facility of your choice.

Northern Rockies Physical Therapy: 406-543-0617

Big Sky Surgery Center: 406-542-6559

Providence Surgery Center: 406-327-3300

Community Medical Center: 406-728-4100

St. Patrick Hospital: 406-543-7271

Missoula Anesthesiology: 406-728-8420

Pacific Medical, Inc.: 406-327-9200

Big Sky Medical: 406-880-8000

Advanced Imaging: 406-327-3950

Surgery: Understanding Your Billing