What is the No Surprises Act and a Good Faith Estimate? The No Surprises Act is a recently passed bill that entitles people who self-pay for out of network services to receive an estimate of their costs prior to their visit. This actually does not effect our practice in anyway as we inform every patient what the initial visit will cost prior to attending their appointment. It is difficult to determine the total cost of follow up treatments prior to the initial evaluation as each patient will require a different number of treatments based on their condition. However, at the initial evaluation, once the number of visits has been determined, a total cost can then be provided so there will still be no surprise bills down the road.