Good Faith Estimate

Under the No Surprises Act (NSA), health care providers and facilities are required to give uninsured or self-pay individuals an estimate of the expected cost of health care services before they receive care. This estimate is called a Good Faith Estimate.

A Good Faith Estimate shows the expected charges for medical items or services. This may include the cost of appointments, evaluations, treatment sessions, and other related services. The estimate helps individuals understand what they may be asked to pay before they agree to receive services.

If you are uninsured or choosing to pay for services on your own, you have the right to receive a Good Faith Estimate of the total expected cost of your care. This estimate will be provided before services are scheduled or delivered whenever possible. The estimate helps individuals and families plan ahead and make informed decisions about their care.

Please note that the estimate is based on the information available at the time it is created. The actual cost of services may vary if additional care or services are needed during treatment.

Questions About Your Good Faith Estimate

IIf you have questions about your Good Faith Estimate or would like more information about your rights, please contact the DMCC Billing Department for assistance.

You can also learn more about your rights under the No Surprises Act by visiting the Centers for Medicare and Medicaid (CMS) No Surprises Act , or call (800) 985-3059.

We are committed to helping families understand their health care costs and ensuring transparency in the services we provide.