Billing & Insurance

You may receive up to five (5) separate bills for your procedure:

• The facility fee is separate from any physician’s group practice and is billed through The Endoscopy Center, Inc. For questions regarding this fee, please call (605) 721-8500.
• The fee for the physician performing your procedure is billed through the Rapid City Medical Center, LLP. For questions regarding this fee, please call (605) 721-8499.
• If you have specimens taken during your procedure you will receive two separate bills:
  • GI Histology Lab at Rapid City Medical Center – For questions, please call (605) 721-8499.
  • Clinical Laboratory of the Black Hills – For questions, please call (877) 254-6522.
• If you receive sedation from a Certified Registered Nurse Anesthetist, you will receive a bill from Peloton Anesthesia, PLLC. For questions regarding this fee, please call BCS at (888) 278-4126 and ask to speak with Patient Accounts.

You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost.

Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.

• You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
• If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within three business days after you ask.
• If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.
• Make sure to save a copy or picture of your Good Faith Estimate and the bill.

For questions or more information about your right to a Good Faith Estimate visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.

Your out-of-pocket expenses will vary based on the type of insurance coverage you have.

• Please contact your insurance company prior to your procedure to:
  • obtain any necessary pre-authorization required
  • verify benefits and network provider status for both The Endoscopy Center, Inc. and the physician performing your procedure
  • verify your benefits for a screening colonoscopy if applicable
    • NOTE:
      • In the presence of any signs or symptoms, the procedure is considered a diagnostic exam and not a screening exam.
      • Surveillance colonoscopy (history of colon polyps or cancer) with no current symptoms is considered a high risk screening procedure.
• Insurance companies consider your scheduled procedure to be outpatient surgery. Please notify your insurance company your procedure will be performed in an ambulatory surgery center.
• Any fees, or portion of fees, not paid by your health insurance is your responsibility.