Select Your Style

Choose View Style

  • Full
  • Boxed

Choose Colour style

  • skyblue
  • green
  • blue
  • coral
  • cyan
  • eggplant
  • pink
  • slateblue
  • gold
  • red

Good Faith Estimate

Good Faith Estimate

Good Faith Estimate

Right to Receive a Good Faith Estimate of Expected Charges

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 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 or call 1-800-985-3059.

Every Day Giving Excellence

You are now leaving Surgical Elite of Avondale

Surgical Elite of Avondale provides links to web sites of other organizations in order to provide visitors with certain information. A link does not constitute an endorsement of content, viewpoint, policies, products or services of that web site. Once you link to another web site not maintained by Surgical Elite of Avondale, you are subject to the terms and conditions of that web site, including but not limited to its privacy policy.

You will be redirected to

Click the link above to continue or CANCEL