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Hospital Details
Policy Effective Date (Date Posted):
2014-2015 (Most Recent)
2014-2015 (11/5/2014)
2012-2013 (5/7/2014)
2010-2011 (4/30/2010)
2008-2009 (6/18/2008)
2008-2009 (6/18/2008)
Go
Download:
Policy File
Download:
Application File
General Information
Hospital:
GOOD SAMARITAN HOSPITAL-BAKERSFIELD
901 OLIVE DRIVE
BAKERSFIELD, CA 93308
http://www.goodsamhospital.com
License:
General Acute Care Hospital
Total Beds:
64
Emergency Room:
Yes
more...
Contact:
Administrator
(661) 215-7500
OSHPD ID:
106150775
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
1/1/2007
Download:
Policy File
Federal Poverty Level for Free Care:
100%
Discount Payment Effective Date:
1/6/2008
Discount Payments
Discount Payment
1
FPL Range:
250
%-
300
%
Payment Basis:
Medicare
Other: Sliding Scale of Medicare Reimbursement
Discount Payment
2
FPL Range:
200
%-
250
%
Payment Basis:
Other: 25% Discount of Charge or 200% of Medicare Payment
Discount Payment
3
FPL Range:
150
%-
200
%
Payment Basis:
Other: 50% Discount of Charge
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:
1/6/2008
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%
