What a Good Faith Estimate is

A Good Faith Estimate is an estimate of expected charges for items and services that may be provided as part of your care. It is not a bill.

When this applies

This applies if you do not have insurance, or if you choose not to use insurance for services.

Disputing a bill

If you receive a bill that is at least $400 more than the expected charges listed in your Good Faith Estimate, you may be able to dispute the bill through the patient-provider dispute resolution process.

Learn more: CMS – Dispute a medical bill.


Requesting an estimate

If you have questions about fees or would like to request a Good Faith Estimate, please use the appointment request form.