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.

Title X Client Fee Schedule
VISIT TYPE   0-100%
 No Cost  
101-125%
    10% 
126-150%
     15% 
 151-185%
     25%
186-200% 
     50%
 201-250%
      75%
Greater than 250%
          Full Fee   
 
New
Annual Exam
$0  $30.00   $45.00  $75.00  $150.00  $225.00  $300.00
Established
Annual 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
Diaphram  per unit  $3.60  $5.40  $9.00  $18.00  $27.00  $36.00
Diaphram 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 14    $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 
PPD (Tuberculosis skin test)   $2.00  $3.00  $5.00  $10.00  $15.00  $20.00 
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