No Surprises Act
Your Right to a Good Faith Estimate
If you're uninsured or paying out of pocket, you have the right to know what your care will cost — in advance and in writing.
Last updated: January 2026
This is placeholder template content provided for layout purposes. The practice should review and finalize this page with qualified legal counsel before launch.
You have the right to a Good Faith Estimate
Under the law, health care providers need to give patients who don't have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychiatric evaluations, follow-up visits, and related care.
What this means for you
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services.
- You can ask your provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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 your records.
How to request one
To request a Good Faith Estimate before scheduling, contact the practice by phone or email listed on our Contact page. We'll provide a written estimate of expected charges for your care.
Questions and disputes
For questions or more information about your right to a Good Faith Estimate, or to learn more about the federal dispute resolution process, visit www.cms.gov/nosurprises or call the number provided there.