Fees vary based on service. Please contact us for more information.

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 don’t 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 your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an 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.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call our office at 909-266-2810.

Insurance Reimbursement

The Center for Divergent Connections does not accept insurance. Payment is due at the time of service. Depending on your insurance benefits, some insurances may reimburse a portion of the fee for “out of network” providers. We can provide a “superbill” for you to submit to your insurance for reimbursement upon request.


Address: 870 North Mountain Avenue, Suite 206, Upland, CA 91786
Email: CenterforDivergentConnections@pacificclinics.org
Phone: (909) 266-2810