Good Faith Estimate/Cost

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under federal law, healthcare providers must give patients who don’t have insurance, or who are not using insurance, an estimate of the expected charges for medical services.

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You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency services. This includes related costs such as medical tests, equipment, or therapy sessions.

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Your provider will give you a written Good Faith Estimate at least one (1) business day before your scheduled appointment or service. You may also request a Good Faith Estimate at any time before booking an appointment.

If you receive a bill that is $100or more than your Good Faith Estimate, you have the right to dispute the bill.

Be sure to keep a copy or photo of your Good Faith Estimate for your records.

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Costs for services 

-Initial evaluation: $200.00

-Individual follow up's (1-hour appt) $175.00

-Packages available for full plan of cares with lower cost. 

- Needle, Wellness, and Stretch sessions available in 30-minute windows at $75-85.00

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For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or contact our office:

Restore PT and Wellness

Phone: (662) 426-1001

Email: cfhill816@restorept.org