No Surprises Act

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 expected charges for medical services, including psychotherapy services.

What Is a Good Faith Estimate?

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.

• You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a 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.

Our Current Rates

For Questions or More Information

Contact us at 904.419.8571 or sitwithsonte@yourpeacefulplace.com. You may also visit cms.gov/nosurprises for more information about your rights under federal law.