Your right to a Good Faith Estimate

You have the right to receive a Good Faith Estimate explaining how much your 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 services. Our practice is self-pay, so this applies to essentially every patient we see. We would tell you the cost up front regardless, because that is how we prefer to work.

What this means for you

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency care.
• You can ask for a Good Faith Estimate before you schedule a service.
• If you receive a bill that is at least 400 dollars more than your Good Faith Estimate, you may be able to dispute the bill.
• Make sure to save a copy or picture of your Good Faith Estimate.

How care is priced here

Our published rates are the new patient examination, the existing patient adjustment, and the pediatric family rate. Clinical therapies such as cold laser, shockwave, and electroanalgesia are priced per treatment and are quoted to you before they are added to your plan. If your examination points toward a multi-visit protocol, Dr. Hayes lays out the full scope and cost before you commit to it.

How to request one

Ask any member of our team, call (636) 735-3599, or visit us at 15510 Olive Blvd, Suite 105, Chesterfield, MO 63017. For questions or more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises or call 1-800-985-3059.