Want to Know How Much You’ll Pay for Your Visit to FHCB Health System?

Please enter your family size and income range into the form provided, then select the services you’ll receive.  Your out-of-pocket costs for each service will be automatically calculated.

FHCB Health System does not store any of the information you provide on this page. The information is present only on the current page, and is not accessible outside of your browser session. The information provided on this form is accurate to the best of our knowledge, but it is just an estimate and does not guarantee an exact cost to you. This cost may vary depending on the accuracy of the information you provide and the services you receive.

1 Service Needed
2 Family Size

Please Enter Your Desired Service First

3 Income Level

Please Enter Your Family Size Above First

Please Contact Us

You will pay

Please Call Us!

You will pay for OB services

You will pay for GYN services

You will pay for other services (Depo, nurse visit, etc.)

You will pay 100% of the cost of the services you receive