Good Faith Estimate

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

 

To Request a customized Good Faith Estimate, please contact CVCH at 509-662-6000. 

The Good Faith Estimate applies to uninsured patients who qualify for a sliding fee discount in categories A-D and is based on our understanding of your needs as of today.

While caring for you, our providers may recommend additional services that are not listed here. This estimate is not a contract and does not require you to get services from CVCH. 

Your actual charges may vary from this estimate. If the actual charges are more than $400 above this estimate, you can initiate a provider-patient dispute resolution process. Starting a dispute resolution process will not impact the quality of health services you receive at CVCH.

To learn more about how to start the dispute resolution process, contact CVCH billing department at 509-662-6000. 

For uninsured patients in category E of the Sliding Fee Scale, the estimate below is limited to common services and a range of prices associated with those services. Actual prices may be less than the maximum price but will not exceed the maximum for the codes listed. The prices listed are for the visit itself, and does not include the cost of vaccinations, tests or other procedures that may be performed.

*Actual prices may be less than maximum price but will not exceed the maximum for the codes listed. The prices listed are for the visit itself, and does not include the cost of vaccinations, tests, or other procedures that may be performed.

 

 

Under the law, health care providers need to give patients who do not 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 509-662-6000.