Our Sliding Fee Scale
Your total costs will be a percentage of the providers charges. We determine the percentage due by comparing your total income to the total number of members in your household.
We Accept:
Medicaid - Medicare - Insurance
FAMILY SIZE:
TOTAL INCOME RANGE:
1
0 - $12,140
$12,140 - $16,146
$16,146 - $20,152
$20,152 - $24,280
Over $24,280
2
0 - $16,460
$16,460 - $21,892
$21,892 - $27,323
$27,323 - $32,920
Over $32,920
3
0 - $20,780
$20,780 - $27,638
$27,638 - $34,494
$34,494- $41,560
Over $41,560
4
0 - $25,100
$25,100 - $33,384
$333,384 - $41,665
$41,665 - $50,200
Over $50,200
5
0 - $29,420
$29,420 - $39,130
$39,130 - $48,836
$48,836 - $58,840
Over $58,840
6
0 - $33,740
$33,740 - $44,876
$444,876- $56,007
$56,007 - $67,480
Over $67,480
7
0 - $38,060
$38,060 - $50,622
$50,622 - $63,178
$63,178 - $76,120
Over $76,120
8
0 - $42,380
$42,380 - $56,368
$56,368 - $70,349
$70,349 - $84,760
Over $84,760
Each >8
$4,320
$5,746
$7,171
$8,640
-
MEDICAL /
BEHAVIORAL
$10 Patient Payment 0-100% FPL


$10 Patient Payment 100-133% FPL


$15 Patient Payment 134-166% FPL


$25 Patient Payment 167-200% FPL


100% of Charges
+200% FPL
DENTAL
$25 Patient Payment
0-100% FPL
$30 Patient Payment
100-133% FPL
$50 Patient Payment
134-166% FPL
$70 Patient Payment
167-200% FPL
100% of Charges
+200% FPL
A minimum fee will be collected for each visit at the time of service based upon income.