No One Will Be Denied Access To Services Due To Inability To Pay.
At Park DuValle Community Health Center, no one will be denied access to services due to inability to pay; and there is a discounted / sliding fee schedule available based on family size and income. Please contact us or inquire at our front desk.
Effective December 11, 2023, there will be some changes made to our sliding fee scale for self-pay patients. Please see the table below for those changes in fees.
ALL self-pay patients are required to provide proof of income to qualify for the sliding fee scale. Those documents must be returned within 30 days of your first self-pay visit. Without those documents patients will be billed at 100%.
|
Sliding Fee Class |
Income as a percent of Federal Poverty Level (FPL) |
Patient Responsibility Medical
|
Patient Responsibility Dental & Behavioral |
|
|
|
|
|
|
Class A |
100% of FPL and below |
Nominal Fee $25 |
Nominal Fee $50 |
|
Class B |
101 to 125% of FPL |
Billed 20% of Remaining Balance |
Billed 20% of Remaining Balance |
|
Class C |
126 to 150% of FPL |
Billed 40% of Remaining Balance |
Billed 40% of Remaining Balance |
|
Class D |
151 to 175% of FPL |
Billed 60% of Remaining Balance |
Billed 60% of Remaining Balance |
|
Class E |
176% to 200% of FPL |
Billed 80% of Remaining Balance |
Billed 80% of Remaining Balance |
|
Class F |
Above 200% of FPL |
Billed 100% of Remaining Balance |
Billed 100% of Remaining Balance |
|
Family Size |
Class A |
Class B |
Class C |
Class D |
Class E |
Class F |
|
1 |
$0 – $14,580 |
$14,581 – $18,225 |
$18,226 – $21,870 |
$21,871 – $25,515 |
$25,516 – $29,160 |
$29,161 – up |
|
2 |
$0 – $19,720 |
$19,721 – $24,650 |
$24,651 – $29,580 |
$29,581 – $34,510 |
$34,551 – $39,440 |
$39,441 – up |
|
3 |
$0 – $24,860 |
$24,861 – $31,075 |
$31,076 – $37,290 |
$37,291 – $43,505 |
$43,506 – $49,720 |
$49,721 – up |
|
4 |
$0 – $30,000 |
$30,001 – $37,500 |
$37,501 – $45, 000 |
$45,001 – $52,500 |
$52,501 – $60,000 |
$60,001 – up |
|
5 |
$0 – $35,140 |
$35,141 – $43,925 |
$43,926 – $52,710 |
$52,711 – $61,495 |
$61,496 – $70,280 |
$70,281 – up |
|
6 |
$0 – $40,280 |
$40,281 – $50,350 |
$50,351 – $60,420 |
$60,421 – $70,490 |
$70,491 – $80,560 |
$80,561 – up |
|
7 |
$0 – $45,420 |
$45,421 – $56,775 |
$56,776 – $68,130 |
$68,131 – $79,485 |
$79,486 – $90,840 |
$90,841 – up |
|
8 |
$0 – $50,560 |
$50,561 – $63,200 |
$63,201 – $75,840 |
$75,841 – $88,480 |
$88,481 – $101, 120 |
$101,121 – up |
We’re excited to share that a new school-based clinic will be opening soon at the West End School, expanding access to care for students and families in the community. Stay tuned for more details on our grand opening!
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