| Guilford Center Sliding Reimbursement Billing Scale FY 2006-07 | ||||||||||||
| PATIENT RESPONSIBILITY | 0% | 5% | 10% | 20% | 30% | 40% | ||||||
| FAMILY SIZE | FROM | THRU | FROM | THRU | FROM | THRU | FROM | THRU | FROM | THRU | FROM | THRU |
| 1 | 0 | 9,800 | 9,801 | 12,740 | 12,741 | 14,210 | 14,211 | 15,680 | 15,681 | 17,150 | 17,151 | 18,620 |
| 2 | 0 | 13,200 | 13,201 | 17,160 | 17,161 | 19,140 | 19,141 | 21,120 | 21,121 | 23,100 | 23,101 | 25,080 |
| 3 | 0 | 16,600 | 16,601 | 21,580 | 21,581 | 24,070 | 24,071 | 26,560 | 26,561 | 29,050 | 29,051 | 31,540 |
| 4 | 0 | 20,000 | 20,001 | 26,000 | 26,001 | 29,000 | 29,001 | 32,000 | 32,001 | 35,000 | 35,001 | 38,000 |
| 5 | 0 | 23,400 | 23,401 | 30,420 | 30,421 | 33,930 | 33,931 | 37,440 | 37,441 | 40,950 | 40,951 | 44,460 |
| 6 | 0 | 26,800 | 26,801 | 34,840 | 34,841 | 38,860 | 38,861 | 42,880 | 42,881 | 46,900 | 46,901 | 50,920 |
| 7 | 0 | 30,200 | 30,201 | 39,260 | 39,261 | 43,790 | 43,791 | 48,320 | 48,321 | 52,850 | 52,851 | 57,380 |
| 8 | 0 | 33,600 | 33,601 | 43,680 | 43,681 | 48,720 | 48,721 | 53,760 | 53,761 | 58,800 | 58,801 | 63,840 |
| 9 | 0 | 37,000 | 37,001 | 48,100 | 48,101 | 53,650 | 53,651 | 59,200 | 59,201 | 64,750 | 64,751 | 70,300 |
| 10 | 0 | 40,400 | 40,401 | 52,520 | 52,521 | 58,580 | 58,581 | 64,640 | 64,641 | 70,700 | 70,701 | 76,760 |
| 11 | 0 | 43,800 | 43,801 | 56,940 | 56,941 | 63,510 | 63,511 | 70,080 | 70,081 | 76,650 | 76,651 | 83,220 |
| 12+add $3,400 per family member | ||||||||||||
| PATIENT RESPONSIBILITY | 50% | 60% | 70% | 80% | 90% | 100% | ||||||
| FAMILY SIZE | FROM | THRU | FROM | THRU | FROM | THRU | FROM | THRU | FROM | THRU | FROM | THRU |
| 1 | 18,621 | 20,090 | 20,091 | 21,560 | 21,561 | 23,030 | 23,031 | 24,500 | 24,501 | 25,970 | 25,971 | and over |
| 2 | 25,081 | 27,060 | 27,061 | 29,040 | 29,041 | 31,020 | 31,021 | 33,000 | 33,001 | 34,980 | 34,981 | and over |
| 3 | 31,541 | 34,030 | 34,031 | 36,520 | 36,521 | 39,010 | 39,011 | 41,500 | 41,501 | 43,990 | 43,991 | and over |
| 4 | 38,001 | 41,000 | 41,001 | 44,000 | 44,001 | 47,000 | 47,001 | 50,000 | 50,001 | 53,000 | 53,001 | and over |
| 5 | 44,461 | 47,970 | 47,971 | 51,480 | 51,481 | 54,990 | 54,991 | 58,500 | 58,501 | 62,010 | 62,011 | and over |
| 6 | 50,921 | 54,940 | 54,941 | 58,960 | 58,961 | 62,980 | 62,981 | 67,000 | 67,001 | 71,020 | 71,021 | and over |
| 7 | 57,381 | 61,910 | 61,911 | 66,440 | 66,441 | 70,970 | 70,971 | 75,500 | 75,501 | 80,030 | 80,031 | and over |
| 8 | 63,841 | 68,880 | 68,881 | 73,920 | 73,921 | 78,960 | 78,961 | 84,000 | 84,001 | 89,040 | 89,041 | and over |
| 9 | 70,301 | 75,850 | 75,851 | 81,400 | 81,401 | 86,950 | 86,951 | 92,500 | 92,501 | 98,050 | 98,051 | and over |
| 10 | 76,761 | 82,820 | 82,821 | 88,880 | 88,881 | 94,940 | 94,941 | 101,000 | 101,001 | 107,060 | 107,061 | and over |
| 11 | 83,221 | 89,790 | 89,791 | 96,360 | 96,361 | 102,930 | 102,931 | 109,500 | 109,501 | 116,070 | 116,071 | and over |
| 12+add $3,400 per family member | ||||||||||||
| 6,460 | 6,970 | 6,970 | 7,480 | 7,480 | 7,990 | 7,990 | 8,500 | 8,500 | 9,010 | 9,010 | ||
| 6,460 | 6,970 | 6,970 | 7,480 | 7,480 | 7,990 | 7,990 | 8,500 | 8,500 | 9,010 | 9,010 | ||