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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 $990.00 $1,316.70 $1,485.00 $1,980.00
2 $1,335.00 $1,775.55 $2,002.50 $2,670.00
3 $1,680.00 $2,234.40 $2,520.00 $3,360.00
4 $2,025.00 $2,693.25 $3,037.50 $4,050.00
5 $2,370.00 $3,152.10 $3,555.00 $4,740.00
6 $2,715.00 $3,610.95 $4,072.50 $5,430.00
7 $3,060.83 $4,070.90 $4,591.25 $6,121.66
8 $3,407.50 $4,531.98 $5,111.25 $6,815.00
Each additional
person +8
$346.67 $461.07 $520.01 $693.34

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
We’re Here for You!