What Is No Surprise Billing?

As of January 1, 2022, patients have the right to receive a "Good Faith Estimate" explaining how much their medical care will cost.

Under the No Surprises Act, health care providers need to provide patients, who either don't have insurance or  are not using insurance, with an estimate of the bill for medical items and services.

  • Patients 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.

  • Patients should make sure their health provider gives them a Good Faith Estimate in writing at least one business day prior to the medical service or item.  Patients can also ask their healthcare provider, and any other provider of their choice, for a Good Faith Estimate before scheduling a service or item.

  • If patients receive a bill that is at least $400 more than the Good Faith Estimate, patients have the right to dispute the bill.

  • Patients should save a copy or picture of their Good Faith Estimate.

For questions or more information about patient's right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call Nicely Counseling Services at (508)927-1955.