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Getting a Good Faith Estimate

San Mateo Medical Center

You can request a Good Faith Estimate that will outline the expected costs for medical services.

How to Get a Good Faith Estimate

1

Self-Service Estimate Tool

Click here to use our Self-Service Estimate Tool. If you need help, please call 650-573-2525.

The estimate will be based on the health insurance plan and the procedure(s) you select. The estimate will clearly show the estimated price of the procedure(s), your health coverage benefits, including deductible, co-insurance and co-pay, plus your estimated out-of-pocket responsibility amount.

Disclaimer: Information provided is only an estimate and is not a guarantee of final billed charges. Final billed charges may vary from estimates for many reasons, including the patient’s medical condition, unknown circumstances or complications, final diagnosis and recommended treatment ordered by the provider. Insurance benefit information (where applicable) is based on information provided by your insurance company as of the date of this estimate. Benefits and eligibility are subject to change and are not a guarantee of payment.

2

Good Faith Estimate

If you don’t have insurance or are not using insurance, 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.

Request Good Faith Estimate

You must request a Good Faith Estimate from your provider at least one business day before your medical appointment or procedure. You can request the estimate before you schedule the visit or procedure.

Save a copy of Estimate

Make sure to save a copy or a picture of your Good Faith Estimate. If you receive a bill that is at least $400 more than your Good Fait Estimate, you can dispute the bill.