Good Faith Estimate
Audiology Care in Red Bank, NJ

This Good Faith Estimate shows the costs of the items and services that are reasonably expected for your healthcare needs for an item or service. This treatment plan may change during our time together, and you are entitled to an updated Good Faith Estimate at any time. The information provided in this estimate, and any subsequent estimate, is only an estimate, and actual items, services and charges may be different. At any point during treatment, you have the right to engage in dispute resolution if the actual costs of services significantly exceed those listed in the below estimate. This estimate does not obligate you to continue treatment or obtain any of the listed services from NeuroHear.

The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if special circumstances occur. If you are billed more than $400 over this Good Faith Estimate, federal law allows you to dispute your bill with the U.S. Department of Health and Human Services (HHS).

Comprehensive Audiogram CPT 92557 ($130), Telehealth For New Patient CPT 99443 ($120), Cerumen Removal CPT 69209 ($120), Basic Service V5299 – 15 Minutes ($60), Basic Service V5299 – 30 minutes ($120), Tympanometry & Acoustic Reflex Testing CPT 92570 ($60)