You have the right to a Good Faith Estimate.

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OrthoSurg ASC LLC • Effective: pending approval • Last reviewed: pending approval

Know the expected cost of your care

Under federal law, health care providers and facilities generally must give people who do not have health insurance, or who are not using insurance for the service, a written estimate of the expected charges for nonemergency items or services. This is called a Good Faith Estimate.

You may ask for an estimate before you schedule care. The estimate should identify the expected charges for the items and services reasonably expected as part of the care. Ask whether related charges, such as tests, drugs, equipment, surgeon services or anesthesia, are included and which providers need to give you separate estimates.

When should you receive it?

• If you request an estimate without scheduling, it generally must be provided within three business days of the request.
• If you schedule care at least three but fewer than ten business days in advance, it generally must be provided within one business day after scheduling.
• If you schedule care ten or more business days in advance, it generally must be provided within three business days after scheduling.

Different circumstances can affect these rules. Additional Indiana estimate requirements may apply. Ask our billing team how the requirements apply to your planned care. This website does not substitute for your individualized written estimate.

What if the bill is much higher?

You may be eligible for the federal patient-provider dispute resolution process if a provider's or facility's bill is at least $400 more than that provider's or facility's Good Faith Estimate. Keep a copy or picture of your estimate and the bill. The process has eligibility rules and deadlines; contact the No Surprises Help Desk promptly rather than ignoring the bill.