Free sliding fee scale calculator
Enter three details to compare your household income with the federal guidelines used by many health centers. The result helps you know what to ask about possible clinic discounts.
This calculator runs in your browser. The Health Question does not receive or store the numbers you enter.
Estimate your income level
Use gross income before taxes unless the health center tells you to use a different definition.
What is a sliding fee scale calculator?
It compares your household income and family size with federal guidelines. Many health centers use those guidelines when creating discounts for people who may have difficulty paying the full price.
What the estimate means
HRSA-funded health centers use the current Federal Poverty Guidelines to create their sliding fee discount schedules. At or below 100%, the schedule provides a full discount or a small nominal charge. Above 100% and through 200%, it provides partial discounts. Above 200%, the federal schedule does not require a discount.
What to do with your result
- Use HRSA's official directory to find a nearby health center.
- Ask for the current sliding fee policy and application.
- Confirm how the center defines family size and income.
- Ask what documents are accepted and which services may have separate charges.
Find a health center on HRSA.gov →
Sliding fee scale calculator questions
Does this calculator tell me what a clinic will charge?
No. It estimates your income level only. The clinic decides eligibility, discounts, covered services, required documents, and the final price.
Can I ask for a sliding fee if I have insurance?
Yes, you can ask. At HRSA-funded health centers, eligibility is based on income and family size, although insurance rules may affect how a discount is applied.
What income should I enter?
Start with gross household income before taxes. The clinic may define income or family size differently, so confirm its written policy before applying.
What does 100% or 200% mean?
It shows how your annual household income compares with the federal guideline for your household size and location. It is not a percentage discount.
Does The Health Question save my income?
No. The calculation happens in your browser. We do not receive or store the household size, location, or income you enter.
About the 2026 numbers
The calculator uses the 2026 HHS Poverty Guidelines: $15,960 for one person in the 48 contiguous states and Washington, D.C., with $5,680 for each additional person. Alaska and Hawaii use separate figures. Values are annualized when monthly income is selected.
Official references: 2026 HHS Poverty Guidelines and HRSA Sliding Fee Discount Program. Sources checked September 27, 2026.