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 - $12,060
$12,060 - $16,040
$16,041 - $20,020
$20,021 - $24,120
Over $24,121
2
0 - $16,240
$16,241 - $21,600
$21,601 - $26,958
$26,959 - $32,480
Over $32,481
3
0 - $20,420
$20,421 - $27,159
$27,160 - $33,897
$33,898 - $40,840
Over $40,841
4
0 - $24,600
$24,601 - $32,718
$32,719 - $40,836
$40,837 - $49,200
Over $49,201
5
0 - $28,780
$28,781 - $38,277
$38,278 - $47,775
$47,776 - $57,560
Over $57,561
6
0 - $32,960
$32,961 - $43,837
$43,838 - $54,714
$54,715 - $65,920
Over $65,921
7
0 - $37,140
$37,1411 - $49,396
$49,397 - $61,652
$61,653 - $74,280
Over $74,281
8
0 - $41,320
$41,321 - $54,956
$54,957 - $68,951
$68,952 - $82,640
Over $82,641
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
$90 Patient Payment
+200% FPL
A minimum fee will be collected for each visit at the time of service based upon income.
For Families with more than 8 members add $4,160 for each additional member.
Percentage of charges may apply depending on income.