Health Care LawYou have the right to receive a “Good Faith Estimate” explaining how much your health care will cost. Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage, an estimate of their bill for health care items and services before those items or services are provided.
• You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs,equipment, and hospital fees.
• If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the healthcare provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.
• If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.
• Make sure to save a copy or picture of your Good Faith Estimate and the bill.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.
General Office Fees
The following represents the fee range that a patient without insurance coverage, or coverage with insurance that we do not participate with, can expect for typical initial and subsequent visits when payment is made at the time services are rendered. Patients with insurance coverage may pay a lower amount or, in certain cases, depending on each individual policy, not have any out of pocket costs for care received. If you have any questions about your specific coverage or fees, please contact our office and we will do our best to give you the most accurate estimate possible based on the information that we obtain from your insurance provider.
Initial Visit Office Fees
Examination: $58; Treatment: $38 - $67 (for most people the treatment portion of the visit is $42; however, this depends on the type of treatment required). This means that the total amount for the initial visit for most people without insurance is approximately $100.
Subsequent Visit Office Fees*
$38 - $67 (for most people subsequent visits are $42)
*Note: an additional fee may apply if a re-examination is required on a subsequent visit. This may occur if a patient presents with a new complaint, an injury, or in certain cases where a long time has passed since a patient's previous visit and re-examination is warrented.
If you do have insurance coverage, the above may not apply. In this case, billing your insurance company will not allow our "time of service" fees to apply and your insurance will be billed our usual and customary fee. If we participate with your insurance provider, this fee will then be subject to our participating provider agreement and the amount owed will be adjusted as appropriate.