Good Faith Estimate
Clear information about the expected cost of your care.
CMS states that uninsured or self-pay patients can receive estimates when scheduling sufficiently in advance or upon request, and explains the $400/120-day dispute rules. CMS patient guidance
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Patients who are uninsured or who choose not to submit a claim to their health plan generally have the right to receive a Good Faith Estimate of expected charges.
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A written estimate will be provided according to applicable federal timing requirements after services are scheduled. You may also request an estimate before scheduling.
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The estimate will describe the reasonably expected charges for the scheduled services known at the time it is prepared. It is not a bill or a guarantee of final charges. The estimate may change if the recommended services or circumstances change.
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If a bill from a provider or facility is at least $400 more than its Good Faith Estimate, you may qualify for the federal dispute-resolution process. Generally, the dispute must be initiated within 120 calendar days of receiving the initial bill.