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Hospital Details

Policy Effective Date (Date Posted):

General Information

Hospital:

ST. JUDE MEDICAL CENTER
101 EAST VALENCIA MESA DRIVE
FULLERTON, CA 92835
http://www.stjudemedicalcenter.org

License:

General Acute Care Hospital
Total Beds: 329
Emergency Room: Yes
more...

Contact:

Dorothy Leadbetter
(714) 870-3518

OSHPD ID:

106301342

Fair Pricing Policy Information Click for FPL Chart

Policy Effective Date: 7/1/2011

Download: Policy File

Federal Poverty Level for Free Care: 200%

Discount Payment Effective Date: 7/1/2011

Discount Payment 1
Federal Poverty Level Range: 201%-350%
Payment Basis:
Medicare Other: Sliding scale Medicare discount
Discount Payment 2
Federal Poverty Level Range: 351%-500%
Payment Basis:
Other: Commercial PPO/HMO Rates
Discount Payment 3
Federal Poverty Level Range: 0%-0%
Payment Basis:

Other Charity Care Discount Payment Information:

Application Form Information

Application Form Eff Date: 7/1/2011

Download: Application File

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: Income from IRS Form 1040 if applicable

Language Information

Available Languages:

English
Spanish

Additional Information

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Hospital Details