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Right to receive a Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your care will cost

Under federal law, health care providers need to give patients who don’t have insurance, or who aren’t 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.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises (opens in a new tab) or call us at (808) 260-7210.

This notice applies if you’re uninsured, or if you have insurance but choose not to use it for your care. If you’re using insurance to pay for your visits, see our Insurance & pricing page instead.

Please don’t include medical details. Pay and pick up at the clinic.

Prices and stock can change. Call or text us to confirm before you come in: (808) 260-7210.

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