Right to Receive a Good-Faith Estimate

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

Under the law, healthcare 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.


• Make sure your healthcare provider gives you a Good-Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good-Faith Estimate before you schedule an item or service.


• 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.

For questions or more information about your right to a Good-Faith Estimate, visit: www.cms.gov/nosurprises, or call 800-985-3059.

Click here for a printable version of this notice

Click here for "Your Rights and Protections Against Surprise Medical Billing"

Click here for information on financial assistance

Effective Date:   January 1, 2022
Last Revision Date:   January 1, 2022