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 Size1$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
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