Schedule Of Discounts (Fee Schedule)
The Bell County Public Health District operates on a sliding scale and details of the sliding scale are included below. Fees may be changed. For information on determining your Federal Poverty Limit (FPL) CLICK HERE.
Family Planning / STD Sliding Fee Schedule
Family Planning / STD Sliding Fee Schedule
| VISIT TYPE | 0-100% No Cost |
101-133% 10% |
134-150% 15% |
151-185% 25% |
186-225% 50% |
226-250% 75% |
Greater than 251% Full Fee |
| New Well Woman Exam |
$0 | $30.00 | $45.00 | $75.00 | $150.00 | $225.00 | $300.00 |
| Established Well Woman Exam |
$0 | $25.00 | $37.50 | $45.00 | $125.00 | $187.50 | $250.00 |
| New Family Planning/ STD Clinic Visit |
$0 | $8.00 | $12.00 | $20.00 | $40.00 | $60.00 | $80.00 |
| Established Family Planning/ STD Clinic Visit |
$0 | $6.00 | $9.00 | $15.00 | $30.00 | $45.00 | $60.00 |
| SCALE OF FEES | 10% | 15% | 25% | 50% | 75% | Full Fee | |
| CONTRACEPTIVES | |||||||
| Condoms | 1 dozen | $0.70 | $1.05 | $1.75 | $3.50 | $5.25 | $7.00 |
| Depo | per injection | $7.00 | $10.50 | $17.50 | $35.00 | $52.50 | $70.00 |
| Diaphragm | per unit | $3.60 | $5.40 | $9.00 | $18.00 | $27.00 | $36.00 |
| Diaphragm Gel | 1 tube | $1.50 | $2.25 | $3.75 | $7.50 | $11.25 | $15.00 |
| ECP's | 1 package | $2.20 | $3.30 | $5.50 | $11.00 | $16.50 | $22.00 |
| Plan B | 1 package | $2.20 | $3.30 | $5.50 | $11.00 | $16.50 | $22.00 |
| Female Condoms | 1 condom | $0.30 | $0.45 | $0.75 | $1.50 | $2.25 | $3.00 |
| Film | 6 packs | $1.50 | $2.25 | $3.75 | $7.50 | $11.25 | $15.00 |
| Foam | 1 can | $1.50 | $2.25 | $3.75 | $7.50 | $11.25 | $15.00 |
| IUD Liletta w/insertion | $20.00 | $30.00 | $50.00 | $100.00 | $150.00 | $200.00 | |
| IUD Mirena w/insertion | $47.50 | $71.25 | $118.75 | $238.50 | $356.25 | $475.00 | |
| IUD ParaGard w/insertion | $43.50 | $65.25 | $108.75 | $217.50 | $326.25 | $435.00 | |
| IUD Skyla w/insertion | $60.00 | $90.00 | $150.00 | $300.00 | $450.00 | $600.00 | |
| IUD Removal | $10.00 | $15.00 | $25.00 | $50.00 | $75.00 | $100.00 | |
| IUD Ultrasound | $6.00 | $9.00 | $15.00 | $30.00 | $45.00 | $60.00 | |
| Nexplanon w/insertion | $90.00 | $135.00 | $225.00 | $450.00 | $675.00 | $900.00 | |
| Implant Removal | $13.00 | $19.50 | $32.50 | $65.00 | $97.50 | $130.00 | |
| Nuvaring | 1 cycle | $11.50 | $17.25 | $28.75 | $57.50 | $86.25 | $115.00 |
| OCP | per package | $2.20 | $3.30 | $5.50 | $11.00 | $16.50 | $22.00 |
| Patch | 1 cycle | $4.00 | $6.00 | $10.00 | $20.00 | $30.00 | $40.00 |
| MEDICATIONS | |||||||
| Bactrim | #6 | $1.00 | $1.50 | $2.50 | $5.00 | $7.50 | $10.00 |
| Cipro | #6 | $1.00 | $1.50 | $2.50 | $5.00 | $7.50 | $10.00 |
| Diflucan | 1 tablet | $1.00 | $1.50 | $2.50 | $5.00 | $7.50 | $10.00 |
| Macrobid | per bottle of 10 | $1.00 | $1.50 | $2.50 | $5.00 | $7.50 | $10.00 |
| Metrogel | $2.50 | $3.75 | $6.25 | $12.50 | $18.75 | $25.00 | |
| Metronidazole | #4 | $1.00 | $1.50 | $2.50 | $5.00 | $7.50 | $10.00 |
| Metronidazole | #14 | $1.00 | $1.50 | $2.50 | $5.00 | $7.50 | $10.00 |
| Terazol | 1 tube | $2.50 | $3.75 | $6.25 | $12.50 | $18.75 | $25.00 |
| TESTS | |||||||
| Affirm: trich/gard/candida | $40.00 | $40.00 | $40.00 | $40.00 | $40.00 | $40.00 | |
| Endometrial Biopsy/Pathology | Polypectomy/pathology | $100.00 | $100.00 | $100.00 | $100.00 | $100.00 | $100.00 |
| FBS | $1.00 | $1.50 | $2.50 | $5.00 | $7.50 | $10.00 | |
| HGB | $1.00 | $1.50 | $2.50 | $5.00 | $7.50 | $10.00 | |
| HIV | $1.50 | $2.25 | $3.75 | $7.50 | $11.25 | $15.00 | |
| Human papillomavirus(HPV) | $4.00 | $6.00 | $10.00 | $20.00 | $30.00 | $40.00 | |
| Herpes simplex virus(HSV) | $4.00 | $6.00 | $10.00 | $20.00 | $30.00 | $40.00 | |
| Lipid Profile | $1.50 | $2.25 | $3.75 | $7.50 | $11.25 | $15.00 | |
| Pregnancy Test | $1.50 | $2.25 | $3.75 | $7.50 | $11.25 | $15.00 | |
| Pap Smear | With or without GC/CT | $1.50 | $2.25 | $3.75 | $7.50 | $11.25 | $15.00 |
| STD (Chlamydia or Gonorrhea) | STD treatment only | $1.00 | $1.50 | $2.50 | $5.00 | $7.50 | $10.00 |
| TSH | $1.50 | $2.25 | $3.75 | $7.50 | $11.25 | $15.00 | |
| Urine Dip | $1.50 | $2.25 | $3.75 | $7.50 | $11.25 | $15.00 | |
| Wet Mount | $1.50 | $2.25 | $3.75 | $7.50 | $11.25 | $15.00 |