Sliding Fee Scale – People's Health Centers

Sliding Fee Scale

Self Pay Program for Uninsured Patients

The Betty Jean Kerr People’s Health Centers (PHC) is committed to providing comprehensive primary health care to the residents of St. Louis metropolitan area – regardless of their ability to pay.

Sliding Fee Information

Betty Jean Kerr People’s Health Centers (PHC) offers discounted healthcare services on a sliding fee scale. The amount of the discount is based on your family size and income, and can be fully discounted if you fall below 100% of the federal poverty guideline. There is a nominal fee based on discount level:

Level A: $20 fee for Medical, $50 fee for Dental and Podiatry

Level B: $25 fee for Medical, $55 fee for Dental and Podiatry

Level C: $30 fee for Medical, $60 fee for Dental and Podiatry

Level D: $35 fee for Medical, $65 fee for Dental and Podiatry

Level E: Full charge of rendered services

To qualify for the sliding fee scale, one of the following documents as proof of income is required and must be dated less than 30 days prior to your date of service:

One recent check stub & picture identification

Last year’s tax return (not valid after April 15th of current year unless you are self employed. Schedule C section of tax return is needed, if you are self employed)

A letter from the Division of Employment (unemployment statement)

Current W-2 forms (Self Employed patients only or schedule C section of tax returns)

Document reflecting child support or alimony

Food Stamps award letter

Social Security/Disability award letter

Current 12 credit hour schedule for full time students or 9 credit hour for graduate students.

If you qualify for the sliding fee scale, you will pay the nominal $ fees listed above at the time of the visit.

*The fee increases to $75.00 if you do not bring proof of income. After the visit, you will receive a bill for the remaining balance (if applicable).

Sliding Fee Discounts at a Glance

Federal Poverty Guidelines
Sliding Fee Scale
Effective April 1, 2024

Size of Family Unit	100%	101-133%	134-166%	167-200%	201%
	100% Discount	75% Discount	50% Discount	25% Discount	0% Discount
Minimum Fee	$20 Medical $50 Dental & Podiatry	$25 Medical $55 Dental & Podiatry	$30 Medical $60 Dental & Podiatry	$35 Medical $65 Dental & Podiatry	100% Pay

1	0 – 15,060	15,061 – 20,030	20,031 – 25,000	25,001 – 30,120	Over 30,121
2	0 – 20,440	20,441 – 27,185	27,186 – 33,930	33,931 – 40,880	Over 40,881
3	0 – 25,820	25,821 – 34,341	34,342 – 42,861	42,862 – 51,640	Over 51,641
4	0 – 31,200	31,201 – 41,496	41,497 – 51,792	51,793 – 62,400	Over 62,401
5	0 – 36,580	36,581 – 48,651	48,652 – 60,723	60,724 – 73,160	Over 73,161
6	0 – 41,960	41,961 – 55,807	55,808 – 69,654	69,655 – 83,920	Over 83,921
7	0 – 47,340	47,341 – 62,962	62,963 – 78,584	78,585- 94,680	Over 94,681
8	0 – 52,720	52,721 – 70,118	70,119 – 87,515	87,516 – 105,440	Over 105,441
Each add’l member, add:	$5,380	$5,380	$5,380	$5,380	$5,380

** Minimum fee is paid by all self pay patients regardless of where your income falls on this scale

Fees to Pay

	Medical Office Visit (Including In-house labs & x-rays)	Dental & Podiatry Office Visit
A: <100%	$20	$50
B: 101%-133%	$25	$55
C: 134%-166%	$30	$60
D: 167%-200%	$35	$65
E: >201%	100% of bill	100% of bill

**Sliding fee discounts are applied based on family size and total annual income. See sliding fee scale. In-house labs & x-rays performed on separate date of medical visit will be charged the minimum fee.