{"id":3393,"date":"2026-05-14T07:13:35","date_gmt":"2026-05-14T07:13:35","guid":{"rendered":"https:\/\/jerseycityimaging.com\/?page_id=3393"},"modified":"2026-05-14T07:31:30","modified_gmt":"2026-05-14T07:31:30","slug":"good-faith-estimate","status":"publish","type":"page","link":"https:\/\/jerseycityimaging.com\/es\/good-faith-estimate\/","title":{"rendered":"Good Faith Estimate"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"3393\" class=\"elementor elementor-3393\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d68de88 e-flex e-con-boxed e-con e-parent\" data-id=\"d68de88\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-24c54e8 elementor-widget elementor-widget-bdoctor-heading\" data-id=\"24c54e8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"bdoctor-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"bdoctor__section-heading bdoctoraligh\">\r\n        <h2 class=\"bdoctor__heading-title spilit__enable split-in-fade\">Your Right to a Good Faith Estimate <\/h2>            <p>Under the federal No Surprises Act, you have the right to receive a Good Faith Estimate of expected charges for any medical service or item before you schedule it. This federal protection applies to patients who are uninsured or who choose to pay out of pocket without using insurance. \nThis page explains your rights under the No Surprises Act and how to request a Good Faith Estimate from Jersey City Imaging Center. \n<\/p>\r\n    <\/div>\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-a01e2b1 e-grid e-con-full e-con e-child\" data-id=\"a01e2b1\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c7d27ef elementor-align-justify elementor-widget__width-initial elementor-widget elementor-widget-button\" data-id=\"c7d27ef\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/jerseycityimaging.com\/es\/contact-us\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Book an Appointment <\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bba7209 elementor-align-justify elementor-widget__width-initial elementor-widget elementor-widget-button\" data-id=\"bba7209\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-button elementor-size-sm\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Get Directions<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0841b05 e-flex e-con-boxed e-con e-parent\" data-id=\"0841b05\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-cd01fe2 e-con-full e-flex e-con e-child\" data-id=\"cd01fe2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3c65173 elementor-widget elementor-widget-heading\" data-id=\"3c65173\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"> Your Right to a Good Faith Estimate \n<\/h2>\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e7e19ba e-con-full e-flex e-con e-child\" data-id=\"e7e19ba\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e59adff elementor-widget elementor-widget-bdoctor-heading\" data-id=\"e59adff\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"bdoctor-heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"bdoctor__section-heading bdoctoraligh\">\r\n        <h3 class=\"bdoctor__heading-title spilit__enable split-in-fade\"><\/h3>            <p>You have the right to receive a Good Faith Estimate explaining how much your medical care will cost. Under the law, healthcare providers must give patients who do not have insurance, or who are not using insurance, an estimate of the expected charges for medical services, including any related services that may be needed during your visit. \nYou have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency medical services. This includes diagnostic imaging tests like MRI, CT scan, ultrasound, X-ray, and DEXA bone density.<br>\nMake sure your healthcare provider gives you a Good Faith Estimate in writing at least one business day before your medical service. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. \n<\/p>\r\n    <\/div>\r\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0216641 e-flex e-con-boxed e-con e-parent\" data-id=\"0216641\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-94335bf e-con-full e-flex e-con e-child\" data-id=\"94335bf\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d238c58 elementor-widget elementor-widget-heading\" data-id=\"d238c58\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">What a Good Faith Estimate Includes <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-808cf48 elementor-widget elementor-widget-text-editor\" data-id=\"808cf48\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">When you receive a Good Faith Estimate from Jersey City Imaging Center, it may include the following:\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-32f534f elementor-icon-list--layout-traditional elementor-list-item-link-full_width elementor-widget elementor-widget-icon-list\" data-id=\"32f534f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-list.default\">\n\t\t\t\t\t\t\t<ul class=\"elementor-icon-list-items\">\n\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-check\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">The expected total cost of the scheduled service <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-check\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">A list of items and services included in that cost <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-check\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">The diagnostic codes (CPT or HCPCS codes) associate<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-check\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">A description of services that may be ordered separately<\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t\t\t<li class=\"elementor-icon-list-item\">\n\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-icon\">\n\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"fas fa-check\"><\/i>\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-icon-list-text\">The provider's contact information <\/span>\n\t\t\t\t\t\t\t\t\t<\/li>\n\t\t\t\t\t\t<\/ul>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-75157d0 elementor-widget elementor-widget-text-editor\" data-id=\"75157d0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p>Your Good Faith Estimate is provided in writing and can be delivered by email, by mail, or as part of your booking confirmation, depending on your preference. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-27cd498 e-flex e-con-boxed e-con e-parent\" data-id=\"27cd498\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-dd3c912 e-con-full e-flex e-con e-child\" data-id=\"dd3c912\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-bae9aa0 e-con-full e-flex e-con e-child\" data-id=\"bae9aa0\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5857e90 elementor-widget elementor-widget-heading\" data-id=\"5857e90\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"> How to Request a Good Faith Estimate \n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8ad3c0a elementor-widget elementor-widget-text-editor\" data-id=\"8ad3c0a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Jersey City Imaging Center provides Good Faith Estimates to all uninsured and self-pay patients on request. We deliver written estimates within one business day of your request.\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">To request a Good Faith Estimate, please contact us using any of the methods below. <br \/><\/span><b><\/b><\/p><p><b>By Phone <\/b><span style=\"text-decoration: underline;\"><a href=\"tel:(551) 353-9911\"><span style=\"font-weight: 400;\">(551) 353-9911\u00a0<\/span><\/a><\/span><\/p><p><b>By Email <\/b><span style=\"text-decoration: underline;\"><span style=\"font-weight: 400;\">contact@jerseycityimaging.com\u00a0<\/span><\/span><\/p><p><b>Through Our Website <\/b><span style=\"font-weight: 400;\">Submit a self-pay quote request through our online form. The form is available on our pricing page and at the bottom of every modality page.\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">When you contact us, please be ready to share the following information so we can prepare an accurate estimate:\u00a0<\/span><\/p><ul><li><span style=\"font-weight: 400;\"> The type of scan your physician ordered (MRI, CT, ultrasound, X-ray, or DEXA) <\/span><\/li><li><span style=\"font-weight: 400;\">The body part being scanned\u00a0<\/span><\/li><li><span style=\"font-weight: 400;\"> Whether contrast dye is required, if your physician indicated this<\/span><\/li><li>Any other details from your prescription that affect the scope of the scan\u00a0<\/li><\/ul><p><span style=\"font-weight: 400;\">We will return your written Good Faith Estimate within one business day, by your preferred contact method.\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-13c8cb7 e-flex e-con-boxed e-con e-parent\" data-id=\"13c8cb7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-dc59589 e-con-full e-flex e-con e-child\" data-id=\"dc59589\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b966169 elementor-widget elementor-widget-heading\" data-id=\"b966169\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Your Right to Dispute a Bill <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-db786df elementor-widget elementor-widget-text-editor\" data-id=\"db786df\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the charge through the federal Patient-Provider Dispute Resolution process.\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">You may contact the healthcare provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the healthcare provider or facility, you will have to pay the higher amount.\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">To learn more and get a form to start the process, go to<\/span> <a href=\"http:\/\/www.cms.gov\/nosurprises\"><span style=\"font-weight: 400;\">www.cms.gov\/nosurprises<\/span><\/a> <span style=\"font-weight: 400;\">or call <span style=\"text-decoration: underline;\"><a href=\"tel:1-800-985-3059\">1-800-985-3059<\/a><\/span>.\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-45339f2 e-flex e-con-boxed e-con e-parent\" data-id=\"45339f2\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-6274983 e-con-full e-flex e-con e-child\" data-id=\"6274983\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e26e23f elementor-widget elementor-widget-heading\" data-id=\"e26e23f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">For More Information \n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-79356e1 elementor-widget elementor-widget-text-editor\" data-id=\"79356e1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">For questions or more information about your right to a Good Faith Estimate, visit <\/span><a href=\"http:\/\/www.cms.gov\/nosurprises\"><span style=\"font-weight: 400;\">www.cms.gov\/nosurprises<\/span><\/a> <span style=\"font-weight: 400;\">or call <a href=\"tel:1-800-985-3059\">1-800-985-3059<\/a>.\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">For questions about Good Faith Estimates from Jersey City Imaging Center specifically, contact us at <span style=\"text-decoration: underline;\"><a href=\"tel:(551) 353-9911\">(551) 353-9911<\/a><\/span> or <a href=\"mailto:contact@jerseycityimaging.com\">contact@jerseycityimaging.com<\/a>.\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-0eac755 e-flex e-con-boxed e-con e-parent\" data-id=\"0eac755\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-ac38147 e-con-full e-flex e-con e-child\" data-id=\"ac38147\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d977e49 elementor-widget elementor-widget-heading\" data-id=\"d977e49\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Keep a Copy of This Notice\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fe8793f elementor-widget elementor-widget-text-editor\" data-id=\"fe8793f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">Keep a copy of this Good Faith Estimate notice in a safe place or take pictures of it. You may need it if you are billed a higher amount.\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e06431a e-flex e-con-boxed e-con e-parent\" data-id=\"e06431a\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t<div class=\"elementor-element elementor-element-8aea354 e-con-full e-flex e-con e-child\" data-id=\"8aea354\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-06c0515 elementor-widget elementor-widget-heading\" data-id=\"06c0515\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Last Updated \n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e19fe35 elementor-widget elementor-widget-text-editor\" data-id=\"e19fe35\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">This Good Faith Estimate Notice was last updated on May, 2026.\u00a0<\/span><\/p><p><span style=\"font-weight: 400;\">We review and update this notice regularly to reflect changes in federal regulations and our internal practices. Significant changes will be reflected in the date above.\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Your Right to a Good Faith Estimate Under the federal No Surprises Act, you have the right to receive a Good Faith Estimate of expected charges for any medical service or item before you schedule it. This federal protection applies to patients who are uninsured or who choose to pay out of pocket without using [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"footnotes":""},"class_list":["post-3393","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Accessibility Statement | Jersey City Imaging Center<\/title>\n<meta name=\"description\" content=\"Jersey City Imaging Center is committed to digital and physical accessibility for all patients. 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