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Care you can afford,
 no matter your income.

Our Sliding Fee Scale makes healthcare affordable for uninsured and underinsured patients.
Fees are based on your household income and size.
📲 Phone Number
714-503-6550 →
📲 Phone Number
📝 Apply Now
Sliding Fee Scale Application →
📝 Apply Now

Overview

What is the Sliding Fee Scale?

The Sliding Fee Scale is a discount program that lowers the cost of your care based on your household income and family size. It is designed for patients who are uninsured or underinsured. Whether you need a checkup, dental care, counseling, or any of our services, the sliding fee scale.

Eligibility

Who qualifies?

Eligibility is based on your household income and the number of people in your household, measured against the Federal Poverty Guidelines. The lower your income relative to your household size, the larger your discount.

Sliding Fee Scale — 2026

Effective March 1, 2026  ·  BOD Approved February 2026  ·  Based on 2026 Federal Poverty Guidelines (published Jan 15, 2026)

A — Nominal
≤ 100% FPL
B — Flat Fee
>100–138% FPL
C — Flat Fee
>138–150% FPL
D — Flat Fee
>150–200% FPL
E — Full Fee
>200% FPL
Annual Household Income by Family Size
Swipe to see all tiers →
HouseholdA ≤100%B 100–138%C 138–150%D 150–200%E >200%
1 person≤ $15,960$15,961–$22,025$22,026–$23,940$23,941–$31,920$31,921+
2 people≤ $21,640$21,641–$29,863$29,864–$32,460$32,461–$43,280$43,281+
3 people≤ $27,320$27,321–$37,702$37,703–$40,980$40,981–$54,640$54,641+
4 people≤ $33,000$33,001–$45,540$45,541–$49,500$49,501–$66,000$66,001+
5 people≤ $38,680$38,681–$53,378$53,379–$58,020$58,021–$77,360$77,361+
6 people≤ $44,360$44,361–$61,217$61,218–$66,540$66,541–$88,720$88,721+
7 people≤ $50,040$50,041–$69,055$69,056–$75,060$75,061–$100,080$100,081+
8 people *≤ $55,720$55,721–$76,894$76,895–$83,580$83,581–$111,440$111,441+
Fee Schedule by Service Type
Swipe to see all tiers →
ServiceA — NominalB — Flat FeeC — Flat FeeD — Flat FeeE — Full Fee
Medical Visit **In-house labs, flu shot, TD/PPD, EKG, immunizations$30$50$70$90Full Charges
Behavioral HealthSubstance Use Disorder$75$95$115$135Full Charges
Behavioral HealthMental Health$30$50$70$90Full Charges
SpecialtyPsychiatric Visit$30$50$70$90Full Charges
Complementary & Alternative MedicineAcupuncture & Chiropractic$30$50$70$90Full Charges
Dental Visit ***Preventative & additional, incl. in-house x-ray$40$60$80$100Full Charges
Vision VisitDoes not include glasses, lenses, or contacts$30$50$70$90Full Charges

* For households with more than 8 persons, add $5,680 for each additional person.

** Includes send-out labs on KCS's Lab Send-Out Inclusion List; samples and medications provided during the visit; and CDC-recommended child and adolescent immunizations (age 18 or younger) and any vaccines KCS receives at no cost.

*** Includes dental x-rays performed in-house.

Patients will be notified in advance of any costs not included above prior to receiving services (e.g., treatment plan, ABN), if applicable.

No one is turned away based on ability to pay. If you're unable to pay in accordance with the sliding fee scale, we'll connect you with a staff member to arrange for services.

See our Minor Consent Services policy for services covered under Title 22, CCR § 51473.2, where applicable.

Application Requirements

What to bring with your application

🪪

Photo ID
A government-issued ID for the head of household.

💰

Proof of Income
Recent pay stubs, tax returns, or other documentation of household income.

👨‍👩‍👧

Household Information
The number of people living in your household.

🏠

Proof of Address
A utility bill, lease, or piece of mail with your current address.
Don’t have everything? Come anyway. Our team will help you figure out what you need.

Apply Online

Sliding Fee Assessment Application

Complete your application online. The form is secure and confidential.

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Sliding Scale Fee FAQs

Common questions about the sliding fee scale

How do I apply for the sliding fee scale?
  1. Complete the application. Fill out the Sliding Fee Assessment Application online in your preferred language, or pick up a paper copy at any KCS location.
  2. Provide your documents. Bring or submit your proof of income, ID, and household information so we can determine your discount level.
  3. Get your discount. Once approved, your discount applies to your KCS services. Our team will explain your fee level and answer any questions.
  4. Renew annually. Your sliding fee status is reviewed once a year. We will help you update your information when it is time to renew.
How much will I pay?
Your fee depends on your household income and size. After you apply, our team will assign you a discount level and explain your costs. Many patients pay a significantly reduced rate.
Does the sliding fee scale cover all services?
The sliding fee scale covers all our KCS services, medical, dental, counseling, and more. It generally doesn’t cover outside referrals. Ask our specifics.

Need help applying?

Our team can walk you through the application in your language.

📲 Phone Number
714-503-6550 →
📲 Phone Number

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Other Patient Resources

Call to Get Started

Our sliding fee scale lowers what you pay for a visit based on your income and family size. Call our main clinic line at 714-503-6550 and our team will help you find out if you qualify.
📲 Phone Number
714-503-6550 →
📲 Phone Number
📝 Apply Now
Sliding Fee Scale Application →
📝 Apply Now