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Hospital Details

Policy Effective Date (Date Posted):

General Information

Hospital:

SCRIPPS MERCY HOSPITAL
4077 FIFTH AVENUE
SAN DIEGO, CA 92103-2180
http://www.scripps.org

License:

General Acute Care Hospital
Total Beds: 501
Emergency Room: Yes
more...

Contact:

Patient Financial Services
(800) 690-9070

OSHPD ID:

106370744

Fair Pricing Policy Information Click for FPL Chart

Policy Effective Date: 5/1/2001

Download: Policy File

Federal Poverty Level for Free Care: 200%

Discount Payment Effective Date: 5/1/2001

Discount Payment 1
Federal Poverty Level Range: 201%-400%
Payment Basis:
Medicare Other: 30% of charges, if no Medicare rate
Discount Payment 2
Federal Poverty Level Range: 0%-0%
Payment Basis:

Discount Payment 3
Federal Poverty Level Range: 0%-0%
Payment Basis:

Other Charity Care Discount Payment Information:

Application Form Information

Application Form Eff Date: 5/1/2001

Download: Application File

Income Type Used:

Salary Received
Interest Received

Language Information

Available Languages:

English
Spanish

Additional Information

Policy is revised as the new 2012 FPL criteria has been released. Financial assistance is granted on an “all or partial” basis; according to a Discount Schedule. Patient Financial Assistance Discount Schedule. The schedule has been revised based on the new 2012 FPL levels.

Note: To view downloaded .pdf files you will need to install the free Adobe Acrobat Reader. To download the program, please click the image below.

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