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Hospital Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

MAD RIVER COMMUNITY HOSPITAL

3800 JANES ROAD
ARCATA, CA 95521
http://www.madriverhospital.com

License:

General Acute Care Hospital
Total Beds: 78
Emergency Room: Yes
more... Link to Atlas

Contact:

Jon Hansard
(707) 826-8249

OSHPD ID:

106121002

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/1/2008

Download:

Policy File

Federal Poverty Level for Free Care:

100%

Discount Payment Effective Date:

1/1/2008

Discount Payments

Discount Payment 1

FPL Range: 101%-350%
Payment Basis:
Other: Discount is on a sliding scale

Discount Payment 2

FPL Range: 0%-0%
Payment Basis:

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

All self-pay patients will automatically receive a 65 percent discount on services provided with the exception of inpatients who will receive a 43 percent discount.

Application Form Information

Application Form Eff Date:

1/3/2008

Download:

Application File

Income Type Used:

Salary Received
Pension Received

Language Information

Available Languages:

English
Spanish

Additional Information

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