Good Faith Estimates
We want you to be informed about out-of-pocket costs for care or services you will receive at Alomere Health. Our Team can help by providing you with information and resources to plan healthcare costs before, during, and after your visit.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. For questions or more information about your right to a Good Faith Estimate, visit CMS.gov.
Patient Price Estimate Request Form
Patients may use the Patient Price Estimate Request Form to learn how much a medical service or procedure will cost. Our Estimates Team will review your information and respond to you within two business days.
Convening Provider Price Estimate Request Form
For representatives from another healthcare organization: You may submit a Convening Provider Estimate Request Form to receive a Good Faith Estimate for services performed at Alomere Health. Our Estimate Team will review your information and respond to you within the guidelines set by the No Surprises Act.