Good Faith EstimateYou have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. 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. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care 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.

This Good Faith Estimate doesn't not account for late cancellations, no-show fees, crisis sessions, consultation fees, court litigation fees or other non-medical service fees.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.