Good Faith Estimate Notice

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

Under federal law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of expected charges for health care items and services before those services are provided.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services upon request or when scheduling services.

If you schedule a service at least 3 business days in advance, you should receive a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a service at least 10 business days in advance, you should receive a Good Faith Estimate in writing within 3 business days after scheduling.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you may have the right to dispute the bill.

For questions or more information about your right to a Good Faith Estimate, visit CMS No Surprises Act resources or call 1-800-985-3059.