English 
Español de México 
Good Faith Estimates
How much will my medical care cost?
Under the law, health care providers are required to give patients who don’t have insurance or who are not using insurance an estimate of the cost for medical items and services.
Need to pay your bill? Click here to log in to the patient portal.
What is a Good Faith Estimate?
A Good Faith Estimate (GFE) is an estimate of your expected bill for medical items/services. It is your right to receive a GFE for the total expected cost of any non-emergency items or services, including office visits, labs and medical tests or procedures.
How Much Will My Care Cost?
It is difficult to know exactly what type of care you will receive during your visit. The chart below shows the average cost associated with different kinds of care a patient may receive from a Christ Community Health provider, based on their eligibility for our Fee Discounts Program. For more information on our Fee Discounts Program, visit www.cchsaugusta.org/payment
| Eligible for Fee Discounts | Not Eligible for Fee Discounts | ||||
|---|---|---|---|---|---|
|
Medical Services |
$30 - $75 |
$130 - $300 |
|||
|
Behavioral Health Services |
$30 - $75 |
$125 - $285 |
|||
|
Lab Services |
$0 - $150 |
$0 - $850 |
|||
|
Dental Exams, X-Rays and Preventative Services |
$30 - $75 |
An estimate of costs will be provided prior to care delivery. |
|||
|
Tooth Extractions, Tooth Fillings and Gum Cleaning Services |
$50 - $125 |
An estimate of costs will be provided prior to care delivery. |
|||
|
Advanced Dental Services ( i.e. dentures and crowns) |
An estimate of costs will be provided prior to care delivery. |
An estimate of costs will be provided prior to care delivery. |
Disclaimer
This Good Faith Estimate (GFE) shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created. The GFE does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute your bill.
You may contact the Billing Department at Christ Community Health if your billed charges are higher than your GFE. You can ask us to revise the bill to match your GFE, ask to negotiate the bill, or ask if there is financial assistance available.
More Information
For more information about your right to a Good Faith Estimate (GFE), visit www.cms.gov/nosurprises or call 1-800-985-3059.
