Good Faith Estimate

Effective Date: February 1, 2026

Know What to Expect — No Surprises

We believe in being upfront and honest about the cost of care. If you’re paying out of pocket or not using insurance, you have the right to get a Good Faith Estimate — a clear breakdown of what your treatment might cost before you get started.

What’s a Good Faith Estimate?

It’s just what it sounds like: an estimate of what your care will cost based on the services we expect to provide. This includes things like:

  • Your first visit or consultation with Dr. Justin Swanson
  • Chiropractic adjustments
  • Acupuncture treatments
  • Any follow-up treatments we recommend
  • Additional therapies or services that may be part of your care plan

We’re here to make sure you feel confident and informed about your care — no hidden fees or surprise bills.

Who Can Get a Good Faith Estimate?

You can request a Good Faith Estimate if you:

  • Don’t have health insurance
  • Have insurance but choose not to use it for these services
  • Are receiving services that aren’t covered by your insurance
  • Are an out-of-network patient

When Will I Get It?

If you book your appointment at least 3 business days in advance, we’ll send you a written estimate:

  • Within 1 business day if your appointment is 3–9 days away
  • Within 3 business days if your appointment is 10+ days away

And if you ever want an estimate before scheduling, just ask — we’re happy to provide one anytime.

What If the Final Cost Is More?

If your final bill is more than $400 above the estimate, you have the right to dispute it. There’s a simple process you can follow to challenge the charges if something doesn’t seem right.

To dispute a bill:

  • You must file your dispute within 120 days of the date on your bill
  • You’ll need your Good Faith Estimate and final bill
  • Contact the federal dispute resolution process at 1-800-985-3059
  • Visit www.cms.gov/nosurprises for more information

How to Request an Estimate

Just give us a call at +15124522525 or stop by the front desk at our Austin location — we’ll walk you through everything and get you what you need.

Austin Chiropractic & Acupuncture Clinic
5750 Balcones Dr Suite 108
Austin, TX 78731
Phone: +15124522525
Website: https://www.austintxchiro.com/

Our team will work with you to create a personalized estimate based on your specific condition and Dr. Justin Swanson’s recommended treatment plan.

Important Things to Know

Your estimate is personalized. We’ll base it on your specific health needs and the care plan we develop together. Everyone’s treatment is different, so your estimate will be too.

Keep your estimate safe. You may need it later if you have questions about your bill or need to dispute charges.

Estimates don’t include unexpected services. If something changes during your care — like we discover an issue that needs immediate attention — we’ll always talk to you first before providing additional services.

Insurance patients: If you’re using insurance, your out-of-pocket costs will depend on your specific benefits, deductibles, and copayments. We’re happy to help you understand your coverage.

We Want You to Feel Good About Your Care

We want you to feel good about your care — both physically and financially. That’s why we’re committed to transparency and clear communication about costs.

If you have any questions about pricing, payment options, or your Good Faith Estimate, Dr. Justin Swanson and our staff are here to help. Don’t hesitate to ask — we’re here for you.

Note: Your Good Faith Estimate includes expected costs for planned services, but not unexpected services or emergencies. We’ll always discuss any changes with you before moving forward.

For more details about your rights under the No Surprises Act, check out www.cms.gov/nosurprises.