Good Faith Estimate

Your Right to a Good Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

• 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.
• Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
• If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
• Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 1-800-985-3059.

Our Fees

Individual therapy session: $175

If you are paying privately, or choosing not to use your insurance, you will receive a written Good Faith Estimate before your first session. It will show the expected number of sessions and the total expected cost. Therapy is personal, so the number of sessions you need may change over time. If that happens, we’ll give you an updated estimate.

If you are using your insurance for therapy, your costs follow your insurance plan, and this Good Faith Estimate notice does not apply to those sessions.

Request a Good Faith Estimate

You can ask for a Good Faith Estimate at any time, including before you schedule.

• Phone:(432) 309-4336
• Email:connect@mightymindfulwellness.com

Mighty Mindful Wellness, LLC · Effective October 28, 2026