| Fee Schedule For Clinical Services (Not Related to Nonprofit Operations) | |||||||||||
| Fee Schedule | |||||||||||
| CommuniCare, Inc. Sliding Fee Schedule for 2007 | |||||||||||
| 2007 Fed Poverty Levels | Family Size | 150% | 175% | 200% | 225% | 250% | 275% | 300% | 325% | 350% | |
| $ 10,210.00 | 1 | $ 15,315.00 | $17,867.50 | $ 20,420.00 | $ 22,972.50 | $25,525.00 | $ 28,077.50 | $ 30,630.00 | $ 33,182.50 | $ 35,735.00 | |
| $ 13,690.00 | 2 | $ 20,535.00 | $23,957.50 | $ 27,380.00 | $ 30,802.50 | $34,225.00 | $ 37,647.50 | $ 41,070.00 | $ 44,492.50 | $ 47,915.00 | |
| $ 17,170.00 | 3 | $ 25,755.00 | $30,047.50 | $ 34,340.00 | $ 38,632.50 | $42,925.00 | $ 47,217.50 | $ 51,510.00 | $ 55,802.50 | $ 60,095.00 | |
| $ 20,650.00 | 4 | $ 30,975.00 | $36,137.50 | $ 41,300.00 | $ 46,462.50 | $51,625.00 | $ 56,787.50 | $ 61,950.00 | $ 67,112.50 | $ 72,275.00 | |
| $ 24,130.00 | 5 | $ 36,195.00 | $42,227.50 | $ 48,260.00 | $ 54,292.50 | $60,325.00 | $ 66,357.50 | $ 72,390.00 | $ 78,422.50 | $ 84,455.00 | |
| $ 27,610.00 | 6 or more | $ 41,415.00 | $48,317.50 | $ 55,220.00 | $ 62,122.50 | $69,025.00 | $ 75,927.50 | $ 82,830.00 | $ 89,732.50 | $ 96,635.00 | |
| Client Responsibility | 0% | ________ | $5.00 per Outpatient Visit | 12.50% | 25.00% | 37.50% | 50.00% | 62.50% | 75.00% | 87.50% | 100.00% |