Your Right to a Good Faith Estimate

Under the federal No Surprises Act, uninsured and self-pay patients have the right to an estimate of expected costs before care.

What this means

You have the right to receive a Good Faith Estimate explaining how much your medical care will cost. Under the law, health care providers must give patients who do not have insurance or who are not using insurance an estimate of the expected charges for medical items and services.

Your rights

Important notes

A Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs. The estimate is based on information known at the time it is created. It does not include any unknown or unexpected costs that may come up during treatment. The estimate is not a contract and does not require you to receive the items or services listed.

Request an estimate

To ask for a Good Faith Estimate before scheduling, or to ask questions about expected costs, contact First Choice Medical Center at 928-888-9750 or Info@1stchoicemed.center. Please do not include protected health information or private medical details in non-secure messages.

Learn more

For questions or more information about your right to a Good Faith Estimate, or to start a dispute if you are billed at least $400 more than your estimate, visit cms.gov/nosurprises or call 1-800-985-3059.