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Montana Woman Fights Surprise $97K Medical Bill to Repair Broken Elbow

Uninsured patient disputes nearly $98,000 bill after surgery complications with bone shattered into more pieces than expected, facing full out-of-pocket costs despite a 20% self-pay discount.

  • Deborah Buttgereit, a 60-year-old uninsured woman in Bozeman, Montana, fractured her left arm in December and had outpatient surgery four days later to repair it.
  • She faced these costs after losing her husband in 2023 and struggling to afford coverage despite a subsidized health plan, which left her responsible for the full surgery bill.
  • Bozeman Health initially estimated $50,560 out-of-pocket, but complications mid-surgery raised the bill to nearly $98,000, which Buttgereit contested as inflated and possibly erroneous.
  • A billing employee offered a $7,000 discount with a payment plan, while federal officials informed Buttgereit she could dispute the bill under the 2022 No Surprises Act dispute process.
  • Buttgereit continues contesting the charges with a $100 monthly plan, says, "I'll make payments the rest of my life," and feels cautiously hopeful about the dispute process ahead.
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Montana StandardMontana Standard
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Bozeman woman fights surprise $97K medical bill to repair broken elbow

After her fall, Deborah Buttgereit went in for a three-hour surgery. Her doctor told her the procedure ended up being more complicated than expected. Then the bill came.

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kffhealthnews.org broke the news in on Wednesday, September 24, 2025.
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