Good Faith Estimate for Healthcare Services


In compliance with the No Surprises Act (2022)

Under federal law, clients who are uninsured or choose out-of-pocket care have the right to receive a Good Faith Estimate (GFE) explaining the expected cost of mental health services.

You are entitled to:

  • Receive a written Good Faith Estimate before your scheduled service.

  • Request an estimate at any time, even if you are not ready to schedule.

  • Receive a revised estimate if your treatment plan or fees change.

  • Dispute a bill that is at least $400 more than your Good Faith Estimate.

  • Receive care without surprise or hidden fees.

What Your Good Faith Estimate Includes

Your personalized GFE will outline:

  • The type of service you are seeking (e.g., therapy, psychological testing).

  • The length and frequency of your anticipated appointments.

  • The provider’s hourly rate or service rate.

  • The estimated total cost over 12 months, based on clinical recommendations.

  • Any additional anticipated testing fees, if relevant.

  • Instructions on how to request a revised estimate.

Estimated Rates at ALPS

Visit our Fees & Insurance page for an estimate of our rates by service and the billing codes we most frequently use.

Limitations of the Good Faith Estimate

The GFE is not a contract, and receiving one does not obligate you to obtain services.

Actual costs are subject to change if:

  • You attend more or fewer sessions than estimated

  • Your provider adjusts the treatment plan

  • Additional testing or specialty services are recommended

You may request an updated estimate at any time.