HCAI Syfphr

Search > Results > Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

CONTRA COSTA REGIONAL MEDICAL CENTER

2500 ALHAMBRA AVENUE
MARTINEZ, CA 94553
http://www.cchealth.org

License:

General Acute Care Hospital
Total Beds: 167
Emergency Room: Yes
more... Link to Atlas

Contact:

Financial Counseling
(800) 771-4270

OSHPD ID:

106070924

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/1/2015

Download:

Federal Poverty Level for Free Care:

150%

Discount Payment Effective Date:

1/1/2015

Discount Payments

FPL Range: 151%-350%
Payment Basis:
Medi-Cal

FPL Range: 0%-0%
Payment Basis:

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

3/28/2011

Download:

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: unemployment, SDI, Workers Comp, self-employment

Language Information

Available Languages:

English
Spanish

Additional Information

Family Size	100%	150%	200%	250%	300%	350%	400%