An estimate is not the final bill
A U.S. institution may provide a cost estimate, but actual fees can change based on tests, treatment, physician decisions and insurance status.
International patients should ask whether prepayment, deposits or financial review are required.
Confirm payment and cancellation policies in writing
Ask about payment methods, refund rules, cancellation or rescheduling policies, international credit cards and receipts.
Written confirmation reduces pre-travel uncertainty.