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CHC Sliding Fee Scale: Monthly Income
Household size
15%
25%
50%
75%
If monthly gross income is equal to or less than:
1
$1,300.00
$1,604.00
$1,734.00
$2,168.00
2
1,750.00
2,159.00
2,334.00
2,918.00
3
2,200.00
2,741.00
2,934.00
3,668.00
4
2,650.00
3,269.00
3,534.00
4,418.00
5
3,100.00
3,824.00
4,134.00
5,168.00
6
3,550.00
4,379.00
4,734.00
5,918.00
7
4,000.00
4,937.00
5,334.00
6,668.00
8
4,450.00
5,489.00
5,934.00
7,418.00
9
4,900.00
6,044.00
6,534.00
8,168.00
10
5,350.00
6,599.00
7,134.00
8,918.00
11
5,800.00
7,154.00
7,734.00
9,968.00
12
6,250.00
7,709.00
8,334.00
10,418.00
Each additional
450.00
555.00
600.00
750.00

 

CHC Sliding Fee Scale: Annual Income
Household size
15%
25%
50%
75%
If annual gross income is equal to or less than:
1
$15,591.00
$19,249.00
$20,804.00
$26,005.00
2
20,991.00
25,327.00
28,004.00
35,005.00
3
26,391.00
32,893.00
35,204.00
44,005.00
4
31,791.00
38,203.00
42,404.00
53,005.00
5
37,191.00
45,889.00
49,604.00
62,005.00
6
42,591.00
51,079.00
56,804.00
71,005.00
7
47,991.00
59,245.00
64,004.00
80,005.00
8
53,391.00
63,955.00
71,204.00
89,005.00
9
58,791.00
72,529.00
78,404.00
98,005.00
10
64,191.00
76,831.00
85,604.00
107,005.00
11
69,591.00
85,849.00
92,804.00
119,605.00
12
74,991.00
89,707.00
100,004.00
125,005.00
Each additional
5,400.00
6,438.00
9,960.00
8,700.00