Sliding Fee Calculator

Sliding Fee Calculator

Using the form below you can calculate the fee you would need to pay for your medical visits. Different fee structure applies to dentist visits. Therefore, if you need to see a dentist please call and make an appointment. An income-based sliding fee program is available for those individuals/families without insurance coverage.

There is a $20 minimum on the medical fee and $55 minimum on the dental fee (Patients are responsible for all Lab charges at 100%)

  Enter your household and income information   Result
Select household size:
Household gross income:
  Is the income you entered monthly or annually?
Monthly:
Annually:
 

* Note: Sliding fee is subject to change

Sliding fee is based on the federal poverty guidelines (01/24/2007)

CBCHC also accepts the following insurance plans:
  • Medicaid - Iowa/Nebraska
  • Medicare
  • Hawk-I (Iowa Children's Insurance)
  • Blue Cross and Blue Shield
  • Coventry Health Care
  • Midlands Choice
  • Mutual/United of Omaha
  • Principal Health Care
  • Tricare
  • United Healthcare
  • Wellmark Blue Cross and Blue Shield
  • many others