Orchid Health SFD Schedule
Effective 1.1.25
Updated: 07.25.2025
SLIDING FEE DISCOUNT SCHEDULE
Orchid Health's policy is to provide essential services regardless of the patient’s ability to pay. Discounts are offered based on family size and annual income.
FPL | <=100% | 100-125% | 125-150% | 150-175% | 175-200% | 200-250% |
Immunization Admin. | $0 | $5 | $5 | $5 | $5 | $5 |
Blood draw | $0 | $5 | $5 | $5 | $5 | $5 |
Urine preg--Urinalysis Blood Glucose Test | $0 | $5 | $5 | $5 | $5 | $5 |
Rapid mono / Rapid Strep / TB Test / Rapid A1C | $0 | $5 | $5 | $5 | $5 | $5 |
Electrocardiogram (ECG) | $0 | $5 | $5 | $5 | $5 | $5 |
Influenza test | $0 | $15 | $15 | $15 | $15 | $15 |
Drug test | $0 | $15 | $15 | $15 | $15 | $15 |
MA/Nurse visit | $0 | $15 | $15 | $15 | $15 | $15 |
Sports Physical | $0 | $25 | $25 | $25 | $25 | $25 |
Behavioral health visit = 30 mi | $0 | $20 | $25 | $30 | $30 | $30 |
Behavioral health visit = 60 min | $0 | $40 | $50 | $60 | $60 | $60 |
Provider visit = 15 min | $0 | $20 | $25 | $30 | $35 | $40 |
Provider visit = 30 min | $0 | $40 | $50 | $60 | $70 | $80 |
Provider visit = 60 min | $0 | $80 | $100 | $120 | $140 | $160 |
Telephone visit | $0 | $10 | $10 | $10 | $10 | $10 |
Family Size | 0-100% | 101-125% | 126-150% | 151-175% | 176-200% | 201-250% |
1 | $1304 | $1630 | $1956 | $2282 | $2608 | $3260 |
2 | $1762 | $2203 | $2643 | $3084 | $3525 | $4406 |
3 | $2220 | $2776 | $3331 | $3886 | $4441 | $5552 |
4 | $2679 | $3348 | $4018 | $4688 | $5358 | $6697 |
5 | $3137 | $3921 | $4706 | $5490 | $6275 | $7843 |
6 | $3595 | $4494 | $5393 | $6292 | $7191 | $8989 |
7 | $4054 | $5067 | $6081 | $7094 | $8108 | $10135 |
8 | $4512 | $5640 | $6768 | $7896 | $9025 | $11281 |
Each additional | $458 | $573 | $687 | $802 | $917 | $1146 |
SBHC student | $0 | $0 | $0 | $0 | $0 | $0 |