Black River Health Services Inc
Health center with 3 sites in Atkinson, NC.
The federal rule for health centers
Black River Health Services Inc charges a lower, sliding fee based on income to patients whose household has a yearly income up to $31,920 for 1 person, $43,280 for 2, $54,640 for 3, $66,000 for 4, $77,360 for 5 or $88,720 for 6. Federal health center rules require this sliding fee at or below 200% of the federal poverty level. Ask the front desk for the sliding fee application.
The hospital makes the final decision.
| People in household | Free care up to | Discount up to |
|---|---|---|
| 1 | not found | $31,920 |
| 2 | not found | $43,280 |
| 3 | not found | $54,640 |
| 4 | not found | $66,000 |
| 5 | not found | $77,360 |
| 6 | not found | $88,720 |
How to apply
- Call (910) 283-7783 and ask for financial assistance or the sliding fee.
- Health center website
Sites
- Black River Health Center
109 W Church St, Atkinson, NC 28421
(910) 283-7783 - Black River Family Practice
301 S Campbell St, Burgaw, NC 28425
(910) 259-5721 - Maple Hill Medical Center
4811 NC Hwy 50, Maple Hill, NC 28454
(910) 259-6444
What is covered
Ask which services the sliding fee covers, such as dental, lab work or medicines.
State program in North Carolina
North Carolina Medical Debt Mitigation Program (NCDHHS, through the Medicaid HASP program)
North Carolina's acute care hospitals agreed with the state health department (NCDHHS) to follow set charity care rules in return for higher Medicaid payments. Every eligible hospital signed on. For North Carolina residents, hospital bills are 100% discounted below 200% of the federal poverty level. Between 200% and 250% the discount is at least 75%. Between 250% and 300% it is at least 50%. The discounts apply to insured and uninsured patients, but hospitals do not have to discount insurance copays. For emergency room care, a hospital may still charge a small fee of up to $35. Since January 1, 2026, hospitals must screen patients and give these discounts without an application when household income looks to be at or below 300% of the poverty level. You may also apply yourself. The rules cover the hospital's own bill, not separate doctor or pharmacy bills. This is a state program agreement, not a state law.
Income levels in the program are free up to 200%, discount up to 300% of poverty level.
Applies to the acute care and critical access hospitals on NCDHHS's list of participating hospitals; North Carolina residents (hospitals may choose to help non-residents).
Most patients should be screened automatically. You can also ask the hospital's financial assistance office to apply under its Medical Debt Mitigation Policy. Each hospital's policy is linked from NCDHHS at https://www.ncdhhs.gov/hospital-financial-assistance-policies/open. Questions: NCDHHS Customer Service Center, 1-800-662-7030.
Discount of 100% for individuals with incomes below 200% FPL.
Program source, checked 2026-11-11
Sources
We have no source for this health center's own policy yet. The facts above come from the federal rule. How we research.
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