Good Faith Estimate

Your Right to a Good Faith Estimate

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. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
• 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.
• 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.

How we provide your estimate

For new self-pay or uninsured clients, we will provide a written Good Faith Estimate at or before scheduling, and at least 1 business day before your first appointment.

Our standard self-pay rates

For reference, our current self-pay rates are listed on our Rates page. Most clients attend weekly 55-minute sessions; the total cost depends on the length of treatment, which varies by client and goals.

For questions or more information

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.

To request a Good Faith Estimate from us, contact us at 865-317-4141 or [email protected], or use our contact form.