Good Faith Estimate (No Surprises Act)

You have the right to receive a Good Faith Estimate of the expected cost of services.

• This applies if you are paying out-of-pocket or not using insurance.

• You will receive a written estimate before beginning services.

• If your bill is at least $400 more than your estimate, you have the right to dispute the charge.

For more information, visit: https://www.cms.gov/nosurprises/consumers.