SyFPHR
Login
About
Search
>
Results
>
Details
Hospital Details
Policy Effective Date (Date Posted):
Most Recent (3/20/2014)
Download:
Policy File
Download:
Application File
General Information
Hospital:
COLUSA MEDICAL CENTER
199 E WEBSTER STREET
COLUSA
,
CA
95932
http://colusamedicalcenter.org
License:
General Acute Care Hospital
Total Beds:
48
Emergency Room:
Yes
more...
Contact:
Terry Deak
(530) 458-5821
OSHPD ID:
106060870
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
1/1/2011
Download:
Policy File
Federal Poverty Level for Free Care:
125
%
Discount Payment Effective Date:
1/1/2011
Discount Payments:
Discount Payment
1
FPL Range:
125
%-
150
%
Payment Basis:
Medicare
Other: 50% charity care adjustment
Discount Payment
2
FPL Range:
151
%-
175
%
Payment Basis:
Medicare
Other: 25% charity care adjustment
Discount Payment
3
FPL Range:
176
%-
200
%
Payment Basis:
Medicare
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:
1/1/2009
Download:
Application File
Income Type Used:
Salary Received
Interest Received
Pension Received
Other: alimony, capital gains
Language Information
Available Languages:
English
Spanish
Additional Information
This page was last updated on Wednesday, October 26, 2016.