Last reviewed September 16, 2026.

Your right to a Good Faith Estimate

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

Under the federal No Surprises Act, health care providers must give patients who do not have insurance, or who are not using insurance for a particular service, an estimate of the expected charges for medical items and services.

What this means for you at IPW Health

  • 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 such as the evaluation itself and any services we reasonably expect to provide alongside it.
  • If you schedule an item or service at least three business days in advance, you can ask for, and we will give you, a Good Faith Estimate in writing before your appointment.
  • You can also ask us for a Good Faith Estimate before you schedule anything at all. Just ask.
  • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill through the federal patient–provider dispute resolution process.
  • Keep a copy of your Good Faith Estimate somewhere you can find it.

How to request one

Call (949) 259-5123 or email shahrzad-np@ipwhealth.com and ask for a Good Faith Estimate. You do not need to justify the request, and asking for one does not affect your care in any way. We would rather you knew the cost in advance than found out afterwards.

If you do have insurance

The Good Faith Estimate requirement applies when you are uninsured, or insured but choosing not to use your insurance for a given service. If you are using insurance, ask your plan for an Advance Explanation of Benefits instead, and we can help you verify your benefits before your first visit. Our guide to insurance versus self-pay explains the trade-offs between the two routes.

What an estimate is and is not

A Good Faith Estimate shows the costs of items and services that are reasonably expected for your care. It is an estimate made in good faith on the information available when it is written. If your care changes — if more visits are needed than anticipated, or a different service turns out to be appropriate — actual costs can differ. It is not a contract, and it does not oblige you to receive any of the care listed.

Where to find out more

For questions or more information about your right to a Good Faith Estimate, visit the Centers for Medicare & Medicaid Services at www.cms.gov/nosurprises or call CMS at 1-800-985-3059.

This page describes a federal patient right and is provided for information. It is not legal advice.

If you are in crisis or having thoughts of harming yourself, call or text 988 to reach the Suicide and Crisis Lifeline, available 24 hours a day in the United States. If you are in immediate danger, call 911. Cost should never be the reason care is delayed in an emergency.