The Estimate Experience
Estimates help you understand and plan for your medical expenses before your scheduled visit.
Requesting Estimates
You always have the option to request estimates through our Patient Price Estimate Request form. Our Patient Benefit Assistance team will review your request and respond within 48 hours.
There is also a tool in MyChart that allows patients to create estimates for many of the most common services provided by CentraCare.
If you have questions regarding requesting an estimate, please call our Patient Benefit Assistance team at 320-255-7764.
Receiving Estimates
Most patients receive estimates within three days of scheduling an appointment. Estimates are sent via text, email or mail. You can update your estimate notification preferences any time at previsit.centracare.com.
You may not receive an estimate if you schedule an appointment three or fewer days in advance. Additionally, insured patients may not automatically receive estimates for some services.
Questions about an estimate? Call 320-255-5616.
Estimates Versus Bills
Are Estimates Accurate?
A majority of CentraCare’s estimates are within $50 of the final bill.
Estimates are created when a medical service is scheduled and are based on the scheduled service. Estimates provide price transparency and an opportunity for you to discuss financial support options (including no-interest payment plans) prior to receiving care. Final bills are generated after you receive a service and are based on the service received.
If you pay an estimate and the final bill is lower than the estimate, the overpayment will first go to any outstanding balance you have with CentraCare. Any remaining amount will be refunded.
If a final bill is at least $400 more than an estimate, according to the law, self-pay patients may be eligible to dispute the bill through the Centers for Medicare & Medicaid Services (CMS). More details can be found at cms.gov/nosurprises.
Paying an Estimate or Copay
Why should I pay an estimate?
Preparing for out-of-pocket expenses before your scheduled appointment or procedure ensures you can get financial help if you need it.
Making a down payment or setting up a payment plan gives you more flexibility to budget for the expense and pay on your timeline before you ever receive a final bill.
What are my payment options?
There are two ways to pay an estimate or copay:
- Pay in full.
- Make a down payment.
Where/how can I pay an estimate or co-pay?
To make a payment, click View Estimate when you receive a communication about estimates via text or email. Follow the prompts, including verifying your identity and contact information. When you see the Review Estimate screen, choose your preferred payment option.
Additional Information on Estimates
If you have additional questions about estimates, please see our Estimates FAQs, or contact our financial counselors at 320-255-5616.
Good Faith Estimate Disclosure: You have the right to receive a “Good Faith Estimate” (or, “estimate”), explaining how much your medical care will cost. For questions or more information about your right to an estimate, visit CMS.gov or call our Patient Benefit Assistance team at 320-255-7764.
For Representatives From Other Health Care Organizations
You may submit a Convening Provider Estimate Request form to receive a Good Faith Estimate for services performed by CentraCare providers at non-CentraCare locations. We will review your information and respond to you within the guidelines set by the No Surprises Act.