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Need An Appointment?
Call Our Appointment Center:
(209) 468-6820
SJCC Sliding Fee Scale

2016 Federal Poverty Level Based on Monthly Income
by Family Size

Minimum Fee $30 $40 $50 $60
Family Size 0-100% 101-133% 134-150% 151-200%
1 $1,011.67 $1,345.52 $1,517.51 $2,023.34
2 $1,371.67 $1,824.32 $2,057.51 $2,743.34
3 $1,731.67 $2,303.12 $2,597.51 $3,463.34
4 $2,091.67 $2,781.92 $3,137.51 $4,183.34
5 $2,451.67 $3,260.72 $3,677.51 $4,903.34
6 $2,811.67 $3,739.52 $4,217.51 $5,623.34
7 $3,171.67 $4,218.32 $4,757.51 $6,343.34
8 $3,531.67 $4,697.12 $5,297.51 $7,063.34
Each additional
person +8
$360.00 $478.80 $540.00 $720.00

For persons above 200% of poverty, full charges will be assessed unless patients apply
and qualify for other charity discounts.

 



Call: MFA
Our Medical Financial
Assistance Office


468-6679
or mfa@sjgh.org
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