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Hospital Details
Policy Effective Date (Date Posted):
Most Recent (5/5/2015)
Download:
Policy File
Download:
Application File
General Information
Hospital:
ST. ROSE HOSPITAL
27200 CALAROGA AVENUE
HAYWARD
,
CA
94545
http://www.StRoseHospital.org
License:
General Acute Care Hospital
Total Beds:
217
Emergency Room:
Yes
more...
Contact:
Financial Counselor
(510) 780-4342
OSHPD ID:
106010967
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
4/1/2009
Download:
Policy File
Federal Poverty Level for Free Care:
100
%
Discount Payment Effective Date:
4/1/2009
Discount Payments:
Discount Payment
1
FPL Range:
101
%-
200
%
Payment Basis:
Medicare
Other: Discount charges down to 25% of Medicare rate
Discount Payment
2
FPL Range:
201
%-
350
%
Payment Basis:
Medicare
Other: Discount charges down to 75% of Medicare rate
Discount Payment
3
FPL Range:
351
%-
500
%
Payment Basis:
Medicare
Other: Discount charges down to 90% of Medicare rate
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:
12/28/2007
Download:
Application File
Income Type Used:
Salary Received
Other: Public Assistance,Social Security,Alimony,etc.
Language Information
Available Languages:
English
Spanish
Other: Policy in English;Application in Spanish & Eng
Additional Information
This facility offers additional discounts to uninsured patients that familial income up to 900% of the FPL (see hospital policies for more information).
This page was last updated on Wednesday, October 26, 2016.