Insurance & Billing

Getting an Informal Estimate for Your Care

MyChart Patient Estimate Tool – (No log-in required)

The MyChart Patient Estimate Tool is an easy-to-use online resource to assist patients with obtaining a self-generated cost estimate based on insurance availability, coverage and benefit plan. The MyChart tool provides information on several hundred of the most frequently performed services and procedures provided at UTMB.

  • If you are unable to locate an option for the procedure you are interested in within the MyChart tool, please Email the Patient Estimates team: patientestimates@utmb.edu
  • In order to enhance the accuracy and ensure the estimate is for the appropriate treatment or procedure, please provide the exact procedure code (CPT) and the diagnosis code (ICD-10) for the services that are of interest.
  • This information can be provided to you by your physician or clinic.

Additional Information Regarding Your Informal Estimate:

  • The informal estimate is not a final or formal estimate and will not be added to your MyChart account.
  • Once information is provided, you will receive a response within 2-3 business days.
  • While the quoted prices are current prices, if you are insured, it is recommended that you call your insurance company for your contracted rates and benefits.
  • Please keep in mind that communications via email over the internet are not always secure. Although it is unlikely, there is a possibility that information you include in an email can be intercepted and ready by other parties besides the person to whom it is intended or addressed.

Getting a Formal Estimate for Your Care

Send Email for Good Faith Estimate

 

For Self-Pay Patients:

If you would like a formal Good Faith Estimate regarding your upcoming scheduled services at UTMB Health, please Email the Patient Estimates team: patientestimates@utmb.edu and provide the following: 

  • Patient Name
  • Date of Birth
  • Date of Scheduled Procedure or CPT Codes, if not yet scheduled

You have the right to receive a Good Faith Estimate for the total expected self-pay cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. For questions or more information about your right to a Good Faith Estimate, visit CMS: Ending Surprise Medical Bills webpage.

For Insured Patients:

UTMB can provide an estimate for health care services using your insurance benefits and the out-of-pocket requirements of your plan. To request an out-of-pocket estimate, please Email the Patient Estimates team: patientestimates@utmb.edu and provide the following: 

  • Patient Name
  • Date of Birth
  • Date of Scheduled Procedure or CPT Codes, if not yet scheduled


Additional Information Regarding Your Formal Good Faith Estimate:

  • The formal Good Faith Estimate will be added to your MyChart account for review.
  • Once information is provided, you will receive a response within 2-3 business days.
  • While the quoted prices are current prices, if you are insured, it is recommended that you call your insurance company for your contracted rates and benefits.
  • Please keep in mind that communications via email over the internet are not always secure. Although it is unlikely, there is a possibility that information you include in an email can be intercepted and ready by other parties besides the person to whom it is intended or addressed.

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