Good Faith Estimate

What is a Good Faith Estimate (GFE)? 

If you don’t have health insurance or plan to pay for health care services yourself, generally, healthcare providers and facilities must give you an estimate of expected charges when you schedule an appointment for a health care item or service, or if you ask for an estimate. This is called a “good faith estimate.” 

Who does the GFE effect?  

New and established clients who are: 

  1. Uninsured, or self-pay 
  2. Clients who are shopping for care 
  3. Clients who received services that are not covered by their insurance. 

Clients with in-network coverage through Medicaid, Medicare, or a Medicaid Managed Care company would be exempt from receiving a GFE. Applicable co-pays, deductibles are co-insurance remain the clients' responsibility for an in-network clients. 

How much will my services cost, approximately? 

Please refer to the GFE Quote Calculator. Take note that the fees are subject to change when the Centers for Medicare and Medicaid Services (CMS) or Healthcare and Family Services (HFS) fees change. Refer to this page for updates periodically. Fees indicated on the GFE Quote Calculator are based on the DCHD's base reimbursement rates. This is an estimate only, the actual fees may vary depending on the amount of time and complexity of the appointment. 

Additional items or services may be recommended or required during a visit that may not be reflected in the current GFE provided. Discounts and sliding fees may also not be reflected in the initial estimate of costs. 

If you are unclear about costs from the calculator, please arrow over to the second page to view the full listing of services and fees.

A GFE is not a contract!

Does not require the uninsured/self-pay individuals receiving a GFE to obtain items and services from any of the providers or facilities identified in the GFE.  Please review the "Right to Receive a Good Faith Estimate of Charges" document here

Still have questions after reviewing the Good Faith Estimate Fee Sheet?  

If you scheduled an appointment for services, but are still not sure what your out-of-pocket cost would be, you can call (630) 682-7400 and you will be directed to someone who can assist with your question.   

Please note: We accept many/all Medicaid Managed Care insurance coverage. DCHD has a team available to help residents who are uninsured apply for health coverage, as appropriate. Financial assistance is also available for those who qualify. 

Please review the list of accepted insurances here

Note: Clients are responsible for any and all self-pay balances.  

Last Updated: 4/24/2023