2015 Sliding Fee Scale

CCS 2015 Sliding Fee Scale
Based on 2015 Federal Poverty Guidelines (FPL)
                       
    Sliding Fee
    10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
Family Size 1 $0 $1,031 $1,270 $1,509 $1,748 $1,987 $2,226 $2,465 $2,704 $2,943
$1,030 $1,269 $1,508 $1,747 $1,986 $2,225 $2,464 $2,703 $2,942  
2 $0 $1,399 $1,722 $2,045 $2,368 $2,691 $3,014 $3,337 $3,660 $3,983
$1,388 $1,721 $2,044 $2,367 $2,690 $3,013 $3,336 $3,659 $3,982  
3 $0 $1,769 $2,176 $2,582 $2,989 $3,396 $3,802 $4,209 $4,616 $5,023
$1,768 $2,175 $2,581 $2,988 $3,395 $3,801 $4,208 $4,615 $5,022  
4 $0 $2,139 $2,629 $3,120 $3,610 $4,101 $4,591 $5,082 $5,572 $6,063
$2,138 $2,628 $3,119 $3,609 $4,100 $4,590 $5,081 $5,571 $6,062  
5 $0 $2,509 $3,083 $3,657 $4,231 $4,806 $5,380 $5,954 $6,528 $7,103
$2,508 $3,082 $3,656 $4,230 $4,805 $5,379 $5,953 $6,527 $7,102  
6 $0 $2,879 $3,537 $4,195 $4,853 $5,511 $6,169 $6,827 $7,485 $8,143
$2,878 $3,536 $4,194 $4,852 $5,510 $6,168 $6,826 $7,484 $8,142  
7 $0 $3,249 $3,991 $4,732 $5,474 $6,216 $6,957 $7,699 $8,441 $9,183
$3,248 $3,990 $4,731 $5,473 $6,215 $6,956 $7,698 $8,440 $9,182  
8+ $0 $3,619 $4,444 $5,270 $6,095 $6,921 $7,746 $8,572 $9,397 $10,223
$3,618 $4,443 $5,269 $6,094 $6,920 $7,745 $8,571 $9,396 $10,222  
                       
    100% of FPL is 90% Discount for patient
    Nominal Fee = 10% of CCS Usual and Customary-see rates tab of worksheet
                       
    *Additional charitable programs available for persons unable to afford sliding fee scale – see policy
    **Charity programs provide services at no charge to customers
Please follow and like us:
Follow by Email3k
Facebook0
Facebook
LinkedIn0