• Online Scheduling | Careers

Lutheran Children's Hospital
  • Quick Links
    • Find a Doctor
    • Services
      • Services

        • View All Services
        • Child Life Services
        • Critical Care Medicine
        • Emergency Services
        • Forget-Me-Not Program
        • Heart Care
        • Laboratory Services
        • Maternity Care
        • Neonatal Intensive Care
        • Pediatric Care
        • Pediatric Day Clinic
        • Rehabilitation Services
          • Patients & Visitors
            • For Patients

              • Patients & Visitors
              • Campus Map
              • Clinics & Classes
              • DAISY Award Nominations
              • Events
              • Financial Information
              • Online Scheduling
              • Patient Portal
              • Request Medical Records
                • Careers
                • Locations
                  • Hospitals
                  • Lutheran Health Network
                • About
                  • About

                    • About Us
                    • Commitment to Our Community
                    • Community Benefits
                    • Contact Us
                    • Hope’s Harbor Family Hospitality Homes
                    • Hospital Tours
                    • Newsroom
                    • Newsroom
                    • Patient and Family Advisory Council
                    • Phone Directory
                    • Quality & Safety
                    • Student Clinicals
                    • Volunteer Opportunities
                      • lutheranhealth.net
                      • Lutheran Health Network
                        • Bluffton Regional Medical Center
                        • Dukes Memorial Hospital
                        • Dupont Hospital
                        • Lutheran Kosciusko Hospital
                        • Lutheran Downtown Hospital
                        • Lutheran Hospital
                        • Lutheran Children's Hospital
                        • The Orthopedic Hospital
                        • Medstat
                        • Redimed
                        • Lutheran Health Physicians
                      • (260) 435-2699
                      • Online Scheduling
                      • Bill Pay
                      • Events
                      • Contact
                      Home/Patients & Visitors/Financial Information/Your Right to a Good Faith Estimate
                      About Us
                      eNewsletter Redirect
                      Events
                      Events
                      Find a Doctor
                      Locations
                      Notice of Non-Discrimination
                      Patients & Visitors
                      Campus Map
                      Clinics & Classes
                      DAISY Award Nominations
                      Events
                      Financial Information
                      Billing & Insurance
                      Billing & Registration FAQ
                      Eligibility Services
                      Financial Assistance Program
                      Medicare
                      Online Bill Pay
                      Patient Protections Against Surprise Billing
                      Price Information
                      Your Right to a Good Faith Estimate
                      Online Scheduling
                      Patient Portal
                      Request Medical Records
                      Services

                      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.

                      If you don't have insurance or don't intend to use insurance to pay for scheduled non-emergency health care services, federal law requires that health care providers and facilities provide you with an estimate of the expected charges for medical items and services at least 1 business day before the scheduled services are to be performed.

                      • If you are uninsured or not using insurance to pay for your health care services, and receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

                      Any patient may request an estimate of the expected charges for non-emergency health care services that have been ordered, scheduled or referred and state law requires that health care providers and facilities provide you with an estimate of the expected bill for medical items and services within 5 business days of the request.

                      • You have the right to receive a Good Faith Estimate for the total expected cost of any nonemergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
                      • If you request an estimate and the actual charge for the health care services exceeds your Good Faith Estimate by the greater of: (i) $100; or (ii) 5%, we will provide a written explanation as to why the charges exceed the estimate.
                      • 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/consumers or call 1-800-985-3059.

                      Lutheran Children's Hospital

                      • 7950 W Jefferson Blvd
                      • Fort Wayne, IN 46804
                      • P: (260) 435-2699
                      • F: (260) 435-7632

                      • ADA Accessibility Policy
                      • Terms & Conditions
                      • Privacy Policy
                      • Change Your Privacy Choices
                      • Notice of Privacy Practices
                      • Patient Rights & Responsibilities
                      • Price Transparency

                      Copyright ©2025. All rights reserved.

                      Lutheran Children's Hospital is owned in part by physicians.

                      An AllianceHealth Oklahoma® hospital

                      Services

                      • Child Life Services
                      • Critical Care Medicine
                      • Emergency Services
                      • Forget-Me-Not Program
                      • Heart Care
                      • Laboratory Services
                      • Maternity Care
                      • Neonatal Intensive Care
                      • Pediatric Care
                      • Pediatric Day Clinic
                      • Rehabilitation Services

                      Patients & Visitors

                      • Campus Map
                      • Clinics & Classes
                      • DAISY Award Nominations
                      • Events
                      • Financial Information
                      • Online Scheduling
                      • Patient Portal
                      • Request Medical Records

                      About Us

                      • Commitment to Our Community
                      • Community Benefits
                      • Contact Us
                      • Hope’s Harbor Family Hospitality Homes
                      • Hospital Tours
                      • Newsroom
                      • Newsroom
                      • Patient and Family Advisory Council
                      • Phone Directory
                      • Quality & Safety
                      • Student Clinicals
                      • Volunteer Opportunities

                      Notice of Nondiscrimination
                      • English,
                      • አማርኛ,
                      • العربية,
                      • বাংলা,
                      • ျမန္မာဘာသာ,
                      • tsalagi gawonihisdi,
                      • 繁體中文,
                      • Chahta,
                      • Oroomiffa,
                      • Nederlands,
                      • Français,
                      • Kreyòl Ayisyen,
                      • Deutsch,
                      • ગુજરાતી,
                      • हिंदी,
                      • Hmoob,
                      • Igbo asusu,
                      • Ilokano,
                      • Italiano,
                      • 日本語,
                      • 한국어,
                      • Ɓàsɔ́ɔ̀‑wùɖù‑po‑nyɔ̀,
                      • ພາສາລາວ,
                      • Kajin Ṃajōḷ,
                      • ខ្មែរ,
                      • Diné Bizaad,
                      • नेपाली,
                      • Deitsch,
                      • فارسی,
                      • Polski,
                      • Português,
                      • ਪੰਜਾਬੀ,
                      • Română,
                      • Русский,
                      • Gagana fa'a Sāmoa,
                      • Srpsko‑hrvatski,
                      • Español,
                      • ܣܘܼܪܸܬ݂,
                      • Tagalog,
                      • ภาษาไทย,
                      • Türkçe,
                      • Українська,
                      • اُردُو,
                      • Tiếng Việt,
                      • èdè Yorùbá,
                      • עִברִית
                      Loading... Loading...