GOOD FAITH ESTIMATE
Under Federal Law, healthcare providers are required to provide you with a Good Faith Estimate that summarizes the full anticipated cost of your medical care if you do not have medical insurance or choose not to utilize it for any reason.
- You have the right to receive a Good Faith Estimate of the total expected costs of scheduled or non-emergency items or services. This includes the costs of items and services anticipated to be provided during the visit, such as medical tests or prescription drugs.
- You are entitled to receive your Good Faith Estimate in writing at least 1 business day before your medical care.
- You can also request a Good Faith Estimate from your healthcare provider before you schedule a service. This estimate will be based on the information available at the time of scheduling. Please be advised that the exact cost of care cannot be determined until the evaluation takes place as the physician may recommend or require additional services.
- If you receive a bill that is at least $400 more than the Good Faith Estimate provided for your estimate, you may dispute the bill.
- Please save a copy or picture of your Good Faith Estimate.
For additional questions or concerns regarding your rights under the No Surprises Act, please visit www.cms.gov/nosurprises.
Click below for a list of our self-pay fees: