Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
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 or call CMS at 1-800-985-3059

Village Child Assessment, LLC

Phone: (410) 205-6564


Office Location: 1010 Dulaney Valley Rd, Towson, MD 21204

Mailing Address: PO Box 691, Riderwood, MD 21139

Please click here for a copy of our Privacy Policy regarding this website.

Please click here for information about receiving a Good Faith Estimate, in accordance with the No Surprises Act.

Share This