Fee Schedule

Fee Schedule

To keep pace with the Wisconsin market and increasing costs, KCHC medical fees have increased as of May 1, 2009. For uninsured medical and dental patients who qualify for sliding fee, instead of a percentage of total charges, you will be asked to pay a flat co-payment as follows:

 

Private Pay Plan

Federal Poverty Level %

Co-Pay

Plan A

0 – 100%

$25

Plan B

101 – 125%

$40

Plan C

126 – 150%

$50

Plan D

151 – 175%

$60

Plan E

176 – 200%

$70

Plan F

> 200%

Full Fee

 

There are services that we provide that fall outside of the fee scale.  Patients will be responsible for any costs not covered.  Upon request, treatment plan with cost estimate will be provided.  In order to be eligible for the sliding fee, patients MUST comply with all required forms, including a household assessment.

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Quality Logo KCHC

KENOSHA COMMUNITY HEALTH CENTER, INC is a Deemed facility by The Health Resources and Services Administration (HRSA), in accordance with the Federally Supported Health Centers Assistance Act (FSHCAA), as amended, sections 224(g)-(n) of the Public Health Service (PHS) Act, U.S.C. §§ 233(g)-(n). As such, KCHC is an employee of the PHS, for the purposes of section 224.

Kenosha Community Health Center, Admin Bldg, 625 57th Street, Ste. 700, Kenosha, WI 53140
(262) 656-0044