Sliding Fee Scale
Sliding Fee
| Service Provided | A | B | C | D | Full Fee |
| Individual Therapy | $30 | $40 | $50 | $60 | $90 |
| Psychiatric Evalution | $30 | $40 | $50 | $60 | $90 |
| Follow up Psychiatry Visit | $60 | $80 | $100 | $120 | $140 |
Toggle between ‘A’ ‘B’ ‘C’ ‘D’ to view scale
| Category | 0-100% of FPL | |
| Family Size | Monthly Income | Annual Income |
| 1 | 0.00-1,255 | 0.00-$15,060.00 |
| 2 | 0.00-1,703 | 0.00-$20,440.00 |
| 3 | 0.00-2,152 | 0.00-$25,820.00 |
| 4 | 0.00-2,600 | 0.00-$31,200.00 |
| 5 | 0.00-3,048 | 0.00-$36,580.00 |
| 6 | 0.00-3,497 | 0.00-$41,960.00 |
| 7 | 0.00-3,945 | 0.00-$47,340.00 |
| 8 | 0.00-4,393 | 0.00-$52,720.00 |
| Each Additional Person add | 448 |
$5,380 |
| Category | 101-135% of FPL | |
| Family Size | Monthly Income | Annual Income |
| 1 | 1,256-$1,694 | $15,060.01-$20,331.00 |
| 2 | 1,704-$2,300 | $20,440.01-$27,594.00 |
| 3 | 2,153-$2,905 | $25,820.01-$34,857.00 |
| 4 | 2,601-$3,510 | $31,200.01-$42,120.00 |
| 5 | 3,049-$4,115 | $36,580.01-$49,383.00 |
| 6 | 3,498-$4,721 | $41,960.01-$56,646.00 |
| 7 | 3,946-$5,326 | $47,340.01-$63,909.00 |
| 8 | 4,394-$5,931 | $52,720.01-$71,172.00 |
| Each Additional Person add | $605 | $7,263 |
| Category | 136-165% of FPL | |
| Family Size | Monthly Income | Annual Income |
| 1 | $1,695-$2,071 | $20,331.01-$24,849.00 |
| 2 | $2,301-$2,811 | $27,594.01-$33,726.00 |
| 3 | $2,906-$3,550 | $34,857.01-$42,603.00 |
| 4 | $3,511-$4,290 | $42,120.01-$51,480.00 |
| 5 | $4,116-$5,030 | $49,383.01-$60,357.00 |
| 6 | $4,722-$5,770 | $56,646.01-$69,234.00 |
| 7 | $5,327-$6,509 | $63,909.01-$78,111.00 |
| 8 | $5,932-$7,249 | $71,172.01-$86,988.00 |
| Each Additional Person add | $740 | $8,877 |
| Category | 166-200% of FPL | |
| Family Size | Monthly Income | Annual Income |
| 1 | $2,072-$2,510 | $24,849.01-$30,120.00 |
| 2 | $2,812-$3,407 | $33,726.01-$40,880.00 |
| 3 | $3,551-$4,303 | $42,603.01-$51,640.00 |
| 4 | $4,291-$5,200 | $51,480.01-$62,400.00 |
| 5 | $5,031-$6,097 | $60,357.01-$73,160.00 |
| 6 | $5,771-$6,993 | $69,234.01-$83,920.00 |
| 7 | $6,510-$7,890 | $78,111.01-$94,680.00 |
| 8 | $7,250-$8,787 | $86,988.01-$105,440.00 |
| Each Additional Person add | $897 | $10,760 |
| Full Fee 201% of FPL & Over |
Note:
Monthly and Annual Incomes that are above the limits in Slide Category D are ineligible for the sliding fee scale program and are charged the full amount of standard fees.