| Enrolled | Double Appointment Or 1st Appt enrolled new patient | CSC Card | CSC Double Appointment Or 1st Appt enrolled new patient | ACC | ACC CSC |
|
| 0-13 | Free | Free | Free | Free | Free | Free |
| 14-17 | $52.00 | $80.00 | $13.50 | $30.00 | $42.00 | $13.50 |
| 18-24 | $62.00 | $120.00 | $20.00 | $40.00 | $52.00 | $20.00 |
| 25-64 | $72.00 | $130.00 | $20.00 | $40.00 | $52.00 | $20.00 |
| 65+ | $62.00 | $120.00 | $20.00 | $40.00 | $52.00 | $20.00 |