No Surprises Act: Your Right to a Good Faith Estimate

Therapy Group of Charleston · Updated October 17, 2026

The federal No Surprises Act took effect on January 1, 2022. Among other protections, it gives people who are uninsured, or who choose not to use their insurance, the right to an estimate of what their care will cost before it begins. Below is the federal government’s standard notice of that right.

If you’re paying for therapy yourself rather than through insurance, you have the right to a written Good Faith Estimate, and you can ask us for one anytime. You can also see our current session fees on our payment page.


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

Under the law, health care providers need to give patients who don’t have certain types of health care coverage or who are not using certain types of health care coverage an estimate of their bill for health care items and services before those items or services are provided.

  • You have the right to receive a Good Faith Estimate for the total expected cost of any health care items or services upon request or when scheduling such items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
  • If you schedule a health care item or service at least 3 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 1 business day after scheduling. If you schedule a health care item or service at least 10 business days in advance, make sure your health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after scheduling. You can also ask any health care provider or facility for a Good Faith Estimate before you schedule an item or service. If you do, make sure the health care provider or facility gives you a Good Faith Estimate in writing within 3 business days after you ask.
  • If you receive a bill that is at least $400 more for any provider or facility than your Good Faith Estimate from that provider or facility, you can dispute the bill.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises/consumers, email , or call 1-800-985-3059.