Good Faith Estimate - Estimates for Uninsured & Self-Pay
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 uninsured or self-pay patients a Good Faith 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.
State of Florida: 1-877-693-5236 or Consumer.Services@myfloridacfo.com
Price Estimation for Service Bundles
The Agency for Health Care Administration places an emphasis on health care transparency for Florida's consumers. We have provided a link to the Florida Health Price Finder website to help you make more informed health care decisions. Information about payments made to Horizon Surgery Center for defined bundles of services and procedures is available at http://pricing.floridahealthfinder.gov/. The service bundle information is a non-personalized estimate of costs that may be incurred by the patient for anticipated services, and actual costs will be based on services actually provided to the patient. Patients and prospective patients may request a more personalized estimate of charges and other information from this facility and other health care providers. Patients and prospective patients should contact each healthcare practitioner who will provide services in the surgery center to determine the health insurers and health maintenance organizations with which the health care practitioner participates as a network provider or preferred provider.