You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost.
Under the law, health care organizations 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 health care organization gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care organization, and any other organization 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 1-800-985-3059.
SHEFitPT Good Faith Estimates can be found upon booking in your Patient Portal under Intake Forms. If you have any difficulty finding this document, please contact firstname.lastname@example.org and it can be emailed to you.
All Current Cash-Pay rates for services can be found on our Pricing Page