Good Faith Estimate 

Good Faith Estimate for Non-emergency Services 

Beginning July 1, 2020, in accordance with Indiana’s House Enrolled Act (HEA 1004-2020); if patients request it, health care practitioners must provide a good faith estimate of the total price they will charge for a nonemergency health care service that has been ordered, scheduled or referred. Patients will not be charged for this information. The estimates are not binding, the final price may vary from the estimate based on patient’s medical needs, and the estimate is valid for 30 days.  

Please contact your care center staff for any requests.