Clinic Financial Assistance and Dicounts

St. Anthony Family Clinic understands that paying for emergency and/or medically necessary medical care can be difficult, particularly for patients who lack health insurance. As part of our ongoing commitment to our patients, we work hard to help our patients address their financial responsibilities in a way that’s fair and sensitive to their circumstances. We’ve instituted a program designed specifically to help those who find themselves in financial distress.

Financial Assistance Program

The St. Anthony Hospital Financial Assistance Policy applies to uninsured/underinsured patients who come to all of their facilities (including The Family Clinic) for treatment.

This policy provides financial relief to patients who qualify based on a comparison of their financial resources and/or income to Federal Poverty Guidelines.

The program is designed specifically for emergent, urgent, and/or medically necessary care patients whose household financial resources and income are at or below 400 percent of the Federal Poverty Level. Use the chart below to determine percentage of poverty level: 

Family Size

Annual Income

100% FPL

Annual Income

200% of FPL

Annual Income

300% FPL

Annual Income

400% FPL

1 $ 14,580.00 $ 29,160.00 $ 43,740.00 $ 58,320.00
2 $ 19,720.00 $ 39,440.00 $ 59,160.00 $ 78,880.00
3 $ 24,860.00 $ 49,720.00 $ 74,580.00 $ 99,440.00
4 $ 30,000.00 $ 60,000.00 $ 90,000.00 $ 120,000.00
5 $ 35,140.00 $ 70,280.00 $ 105,420.00 $ 140,560.00
6 $ 40,280.00 $ 80,560.00 $ 120,840.00 $ 161,120.00
7 $ 45,420.00 $ 90,840.00 $ 136,260.00 $ 181,680.00
8 $ 50,560.00 $ 101,120.00 $ 151,680.00 $ 202,240.00

To qualify for any assistance, uninsured/underinsured patients will be asked to complete a Financial Assistance Application. The amount of assistance you receive can range from 47% to 100% of your total bill based on household income, assets and family size.

Poverty Level Amount of Assistance
0% to 200% 100%
201% to 300% 75%
301% to 350% 50%
351% to 400% 47%


We’re committed to working with our patients to establish an appropriate payment plan based on the amount due and the patient’s financial status.


Self-pay Patient Discount—CHI St. Anthony Family Clinic

To ensure community-wide access to its services, St. Anthony Family Clinic provides the same average price discount to self-pay patients as it gives to commercial insurance companies. “Self-pay” refers to patients who have the ability to pay for hospital services but lack medical insurance and don’t qualify for financial assistance.


This discount doesn’t apply to established prices for self-pay services that aren’t covered by copays or deductibles for patients with medical insurance.


Self-pay Discount


Patients without health insurance are eligible for a 47 percent discount on certain medically necessary hospital and/or clinic services. This policy doesn’t apply to established prices for self-pay services that aren’t covered by co-payments,

co-insurance, deductible, pre-payment or packaged services, which already reflect any required discount. If you have questions about this uninsured self-pay discount, please contact us.

If you’re unable to pay the entire amount due, please contact us to discuss payment options.

For a coup of our policies, which are available in multiple languages, please go to