Good Faith Estimates

You have the right to receive a “Good Faith Estimate” explaining how much your health care will cost.

Under Federal law, healthcare providers must provide patients who don’t have insurance or are paying for care themselves with an estimate of their bill for healthcare items and services before those items or services are provided.

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Your Right to a Good Faith Estimate 📝

You have the right to get a Good Faith Estimate, which is a list of the expected costs for any medical care you plan to receive. This helps you know how much you might have to pay ahead of time. The estimate should include all related costs, like medical tests, prescription medicines, and clinic fees.

Getting Your Estimate

You can ask your doctor's office, clinic, or hospital for an estimate at any time. There are a few rules for how quickly they must give it to you in writing (like on paper or in an email):

  • If you schedule an appointment at least 3 business days in advance, they must give you the estimate within 1 business day.

  • If you schedule an appointment at least 10 business days in advance, they must give you the estimate within 3 business days.

  • If you ask for an estimate before scheduling, they must give it to you within 3 business days.

What to Do if Your Bill Is Much Higher

If you get a bill from a provider that is at least $400 more than the Good Faith Estimate they gave you, you have the right to challenge that bill.

Important Tip: Always save a copy or take a picture of your Good Faith Estimate and the final bill. This will help you if you need to challenge the charges later.

For questions or more information about your right to Good Faith Estimate, visit 
www.cms.gov/nosurprises/consumers, or email 
FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.