56
SAMPLE SLIDING FEE SCHEDULE
Maximum Annual Income Amounts for each Sliding Fee Percentage Category (except for 0
percent discount)
Poverty
Level
100% 110% 120% 130% 140% 150% 160% 170% 180% 190% 200% >200%
Discount
100%
Discount
90%
Discount
80%
Discount
70%
Discount
60%
Discount
50%
Discount
40%
Discount
30%
Discount
20%
Discount
15%
Discount
10%
Discount
0%
1
$15,060 $16,566 $18,072 $19,578 $21,084 $22,590 $24,096 $25,602 $27,108 $28,614 $30,120 >$30,120
2 $20,440 $22,484 $24,528 $26,572 $28,616 $30,660 $32,704 $34,748 $36,792 $38,836 $40,880 >$40,880
3
$25,820 $28,402 $30,984 $33,566 $36,148 $38,730 $41,312 $43,894 $46,476 $49,058 $51,640 >$51,640
4
$31,200 $34,320 $37,440 $40,560 $43,680 $46,800 $49,920 $53,040 $56,160 $59,280 $62,400 >$62,400
5 $36,580 $40,238 $43,896 $47,554 $51,212 $54,870 $58,528 $62,186 $65,844 $69,502 $73,160 >$73,160
6 $41,960 $46,156 $50,352 $54,548 $58,744 $62,940 $67,136 $71,332 $75,528 $79,724 $83,920 >$83,920
7
$47,340 $52,074 $56,808 $61,542 $66,276 $71,010 $75,744 $80,478 $85,212 $89,946 $94,680 >$94,680
8
$52,720 $57,992 $63,264 $68,536 $73,808 $79,080 $84,352 $89,624 $94,896 $100,168 $105,440 >$105,440
addit ional
$5,380 $5,918 $6,456 $6,994 $7,532 $8,070 $8,608 $9,146 $9,684 $10,222 $10,760 >$10,760
*
Based on the 2024 Federal Poverty Guidelines for the 48 contiguous states and the District of
Columbia. Please note that there are separate guidelines for Alaska and Hawaii, and that the thresholds
would differ for sites in those two states. Sites in Puerto Rico and other outlying jurisdictions would use
the above guidelines.