Good Faith Estimate

Your Right to a Good Faith Estimate

Under the No Surprises Act, patients who are uninsured or who choose to self‑pay have the right to receive a Good Faith Estimate explaining the expected cost of non‑emergency medical services.

This estimate helps you understand your potential charges before you receive care.

What Is a Good Faith Estimate?

A Good Faith Estimate outlines the expected costs for your visit based on the information available at the time. It is not a bill, and actual charges may vary depending on your needs during treatment.

What’s Included in the Estimate

Your estimate may include:

  • Examination

  • Chiropractic adjustments

  • Rehabilitation or therapeutic exercises

  • Any additional recommended services

Requesting a Good Faith Estimate

You can request a Good Faith Estimate at any time before scheduling or receiving care. To request one, please contact our office:

We will provide your estimate in writing within the required timeframe.

If You Receive a Bill That Is Higher Than Expected

If your bill is $400 or more above your Good Faith Estimate, you have the right to dispute the charges.

You may:

  • Ask us to update or review the bill

  • Request a payment plan

  • Start a dispute process through the U.S. Department of Health & Human Services

Learn More

For more information about your rights, visit: www.cms.gov/nosurprises

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