Your Right to a
Good Faith Estimate
Under the federal No Surprises Act, you have the right to know what your care will cost before you receive it.
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 expected charges for medical services, including related costs like anesthesia.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.
- 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 any provider for a Good Faith Estimate before you schedule an item or 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.
For questions or more information about your right to a Good Faith Estimate, or to request one, contact our billing partner, Anesthesia Revenue Cycle Solutions (ARCS), at (713) 491-2243 or visit www.cms.gov/nosurprises.
When you request an estimate, please have your insurance carrier name, the facility name, the CPT code for the procedure, and the expected length of the procedure ready so we can give you an accurate number.