Good Faith Estimate

Information Regarding the No Surprises Act

In compliance with the No Surprises Act, all patients have the right to receive a “Good Faith Estimate” explaining how much health care will cost.

Under the law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for health care items and services.

  • Patients 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.

  • Patients should make sure their health care provider gives them a Good Faith Estimate in writing at least 1 business day before receiving health care services or items. Patients can also ask their health care provider, and any other provider they choose, for a Good Faith Estimate before scheduling an item or service.

  • If a patient receives a bill that is at least $400 more than their Good Faith Estimate, they can dispute the bill.

  • Patients should be sure to save a copy or take a picture of their 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.