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Hospital Details

Policy Effective Date (Date Posted):

General Information

Hospital:

POMONA VALLEY HOSPITAL MEDICAL CENTER
1798 NORTH GAREY AVENUE
POMONA, CA 91767
http://www.pvhmc.org/

License:

General Acute Care Hospital
Total Beds: 453
Emergency Room: Yes
more...

Contact:

Juli Hester
(909) 865-9881

OSHPD ID:

106190630

Fair Pricing Policy Information Click for FPL Chart

Policy Effective Date: 12/31/2009

Download: Policy File

Federal Poverty Level for Free Care: 200%

Discount Payment Effective Date: 12/31/2009

Discount Payment 1
Federal Poverty Level Range: 201%-300%
Payment Basis:
Other: IP 50% CMAC like rate OP 50% ave MCare OP rate
Discount Payment 2
Federal Poverty Level Range: 301%-400%
Payment Basis:
Other: IP 75% CMAC like rate OP 100% ave MCare OP rate
Discount Payment 3
Federal Poverty Level Range: 401%-500%
Payment Basis:
Other: IP 100% CMAC like rate OP 150% ave MCare OP rate

Other Charity Care Discount Payment Information:

Application Form Information

Application Form Eff Date: 12/31/2007

Download: Application File

Income Type Used:

Salary Received
Interest Received
Pension Received

Language Information

Available Languages:

English
Spanish

Additional Information

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Hospital Details