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Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, health care providers need to give patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask you health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule and item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.
To download a template for a Good Faith Estimate, click here. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call LRMC @(208) 252-7654.
Medical Records-With the link to the form To obtain a copy of your medical record from Lost Rivers Medical Center or to release your medical record to a third-party, please complete our Authorization for Release and mail or fax the completed form to the attention of the medical records department. If you have any questions or would like additional information regarding your medical record, please contact Lost Rivers Medical Center medical records department: Phone: (208) 252-7654 x 107 Fax: (208) 527-3105
Financial Services/Billing Thank you for choosing Lost Rivers Medical Center as your Healthcare provider. We want to ensure that your billing questions and concerns are addressed.
Call us at: Phone: (208) 252-7654 x 103, 105, 107 Fax: (208) 527-3430 Payment Due at the Time of Service/Registration Lost Rivers Medical Center asks for payment upfront for your share of the bill, as most businesses do. This might include co-payments, co-insurance, deductibles, and services not covered by your insurance program. For your convenience, we accept cash, check, debit and credit cards, money orders, as well as Visa, MasterCard, AMEX and Discover credit cards.