Clinic Fees

At the Ryan White Early Care Clinic, fees charged to clients for services rendered are based on the client’s level of income.*

The chart below lists fees by income level and type of service.

Limits on fees for clients receiving services funded under The Ryan White HIV/AIDS Treatment Extension (CARE) Act of 2009

Individual/Family Annual Gross IncomeTotal allowable Annual Charges
Equal to or below the official poverty lineNo charges permitted
101%-200% of the official poverty line5% or less of gross annual income
201%-300% of the official poverty line7% or less of gross annual income
Greater than 300% of the official poverty line10% of gross annual income
Family SizeA
<100%
B
101-150%
C
151-200%
D
201-250%
E
251-300%
1<=$11,770$11,888
to $17,655
$17,773
to $23,540
$23,657
to $29,425
$29,543
to $35,310
2<= $15,930$16,089
to $23,895
$24,054
to $31,860
$32,018
to $39,825
$39,984
to $47,790
3<= $20,090$20,291
to $30,135
$30,336
to $40,180
$40,380
to $50,225
$50,426
to $60,270
4<= $24,250$24,493
to $36,375
$36,618
to $48,500
$48,742
to $60,625
$60,868
to 72,750
5<= $28,410$28,694
to $42,615
$42,889
to $56,820
$57,103
to $71,025
$71,309
to $85,230
6<= $32,570$32,896
to $48,855
$49,181
to $65,140
$65,465
to $81,425
$81,751
to $97,710
7<= $36,730$37,097
to $55,095
$55,462
to $73,460
$73,826
to $91,825
$92,192
to $110,190
8<= $40,890$41,299
to $61,335
$61,744
to $81,780
$82,188
to $102,225
$102,634
to $122,670
9<= $45,050$45,501
to $67,575
$68,026
to $90,100
$90,550
to $112,625
$113,076
to $135,150
10<= $49,210$49,702
to $73,815
$74,307
to $98,420
$98,911
to $123,025
$123,517
to $147,630
+1$4,160$6,240$8,320$10,400$12,480

*Mental health and chemical abuse and dependency counseling and support services are available at no cost to patients of the Ryan White Early Care Clinic regardless of income.

Other Fees
  • Maximum charge of $15.00 for a total of five prescriptions.
  • HIV Test (Results back in two weeks) – $66
  • STD Test – $52
  • Rapid HIV Test referrals are provided.