01
Total expected cost
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.
Good Faith Estimate
Your right to know what your care will cost under the No Surprises Act.
Your Patient Rights
You have the right to a Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
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 bill for medical items and services.
What You’re Entitled To
Four key protections
02
In writing, at least 1 business day in advance
Make sure your health care provider 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 provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
03
Dispute bills $400 or more above your estimate
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
04
Save a copy
Make sure to save a copy or picture of your Good Faith Estimate for your records.
Need More Information?
Learn more about your rights
For questions or more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises.
To request a Good Faith Estimate from our office, call 952-920-7535.
Address
6200 Excelsior Blvd, Suite 201
Saint Louis Park, MN 55416
Phone
952-920-7535Hours
- Mon / Thu:8:30–11:30am · 2:30–5:30pm
- Tue / Fri:8:30am – 11:30am
- Wed:10:00am – 12:00pm
- Sat:By Appointment
- Sun:Closed