# Total Health Care, Inc.

Health center organization in Baltimore, MD. The federal rule for health centers.

Total Health Care, 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.

| Household size | Free care if yearly income is up to | Discount if yearly income is 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 |

Dollar amounts use the 2026 federal poverty guidelines.

## How to apply

- Call (410) 383-8300 and ask for financial assistance.
- [Health center website](http://www.totalhealthcare.org)

## Sites

- Division Health Center, 1501 Division St, Baltimore, MD 21217, (410) 383-8300
- Kirk Health Center, 2400 Kirk Ave, Baltimore, MD 21218, (410) 383-8300
- Open Gates Health Center, 1111 Washington Blvd, Baltimore, MD 21230, (410) 383-8300
- Saratoga Health Center, 1501 W Saratoga St, Baltimore, MD 21223, (410) 383-8300
- Westside Health Center, 2449 Frederick Ave, Baltimore, MD 21223, (410) 383-8300
- South Baltimore Health Center, 3540 S Hanover St, Brooklyn, MD 21225, (410) 383-8300
- Odenton Health Center, 2288 Blue Water Blvd, Ste 440, Odenton, MD 21113, (410) 383-8300

## State program in Maryland

### Maryland hospital financial assistance law (Health-General 19-214.1 and COMAR 10.37.13.06)

Maryland law requires every acute care hospital and chronic care hospital regulated by the Health Services Cost Review Commission (HSCRC) to give free medically necessary care when family income is at or below 200% of the federal poverty level. Between 200% and 300%, the hospital must lower your out-of-pocket costs, by 75% up to 250% and by 60% up to 300%. Hospitals may set more generous levels. People who get SNAP, WIC, energy assistance, or have a child in free or reduced lunch are treated as eligible for free care unless they qualify for Medicaid or CHIP. You can apply up to 240 days after your first bill.

Income levels in the program are free up to 200%, discount up to 300% of poverty level.

Applies to each acute care hospital and each chronic care hospital in Maryland under the jurisdiction of the Health Services Cost Review Commission.

How to apply. Ask the hospital's financial assistance or patient financial services office for an application. Every Maryland hospital must give you an information sheet that explains its policy and who to call. If you think a hospital wrongly denied help, you can file a complaint with the HSCRC, alone or together with the Attorney General's Health Education and Advocacy Unit.

> Free medically necessary care to patients with family income at or below 200% of the federal poverty level

Source https://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=ghg&section=19-214.1&enactments=false, checked 2026-11-11

### Financial hardship reduced-cost care (Health-General 19-214.1(b)(4))

If your medical debt at a Maryland hospital over 12 months is more than 25% of your family income, and your family income is below 500% of the federal poverty level, the hospital must lower your out-of-pocket costs. The cut gets smaller as income rises, from 75% near 200% of poverty down to 35% between 450% and 500%. Once approved, the help lasts 12 months. This depends on the size of your bills, so the screener does not use it as an income level.

Income levels in the program are discount up to 500% of poverty level.

Applies to acute care and chronic care hospitals under HSCRC jurisdiction, for patients whose medical debt is a financial hardship.

How to apply. Ask the hospital's financial assistance office to review your bills for financial hardship. Bring proof of income and copies of your hospital bills from the last 12 months.

> family income below 500 percent of the federal poverty level who have a financial hardship

Source https://regs.maryland.gov/us/md/exec/comar/10.37.13.06, checked 2026-11-11

## Sources

No source yet beyond the federal rule. The hospital's own policy is the final word.

Not checked yet.

HTML page https://hospitalaid.org/health-centers/total-health-care-inc-md/
Report an error corrections@hospitalaid.org