good faith estimate
Costs for Patients Who Don't Have Insurance
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- If your appointment is scheduled 3 or more days in advance, your Good Faith Estimate will be mailed, emailed, or available to you on the Patient Portal. If your appointment is scheduled less than 3 days in advance, you must request a Good Faith Estimate in order to receive one.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy or picture of your Good Faith Estimate. Please Note: Good Faith Estimates are only available to those patients who do not have insurance or are not using insurance.
Questions: For questions or more information about your right to a Good Faith Estimate, visit
No Surprises Act | CMS or call 1-877-696-6775.