Your rights
Under the federal No Surprises Act, you have the right to receive a written estimate of expected charges before you get care. Here's how it works.
You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost if you don't have insurance or you choose not to use your insurance (self-pay). Health care providers are required by law to give you an estimate of expected charges for medical services.
Your Good Faith Estimate covers the total expected cost of the non-emergency services you've scheduled or requested, including related costs such as examinations, X-rays and imaging, and treatment services provided at our clinic.
You can ask for a Good Faith Estimate before you schedule a service, or at any point while scheduling. Make sure your estimate is given to you in writing at least one business day before your service.
Call or text us and ask for a Good Faith Estimate. We'll prepare a written estimate for your scheduled services at no charge and with no obligation.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill through the federal patient-provider dispute resolution process. You generally must start the dispute process within 120 calendar days of the date on the bill. Save a copy or photo of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.
This page explains your right to request a written estimate. It is not a price list, a quote, or a guarantee of charges. Your written Good Faith Estimate is prepared individually based on the services you schedule.