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.
  • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services that are reasonably expected at the time of scheduling. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • For patients who don’t have insurance or who are not using insurance, PCHC will provide a Good Faith Estimate of scheduled services in writing at least 1 business day before the medical service or item.
  • You can also ask PCHC, and any other provider you choose, 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, visit\ or call 1-800-985-3059.
  • This notice is not intended to be a full summary of the No Surprises Act. It is intended only to be a general information summary of technical legal standards. Readers should refer to the applicable statutes, regulations and other interpretive materials and complete and current information. See here: