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Hospital Details
Policy Effective Date (Date Posted):
2014-2015 (Most Recent)
2012-2013 (6/1/2012)
2012-2013 (6/1/2012)
2010-2011 (4/21/2010)
2010-2011 (4/21/2010)
2008-2009 (6/11/2008)
2008-2009 (6/11/2008)
Go
Download:
Policy File
Download:
Application File
General Information
Hospital:
CATALINA ISLAND MEDICAL CENTER
100 FALLS CANYON ROAD
AVALON, CA 90704
http://CIMedicalCenter.org
License:
General Acute Care Hospital
Total Beds:
12
Emergency Room:
Yes
more...
Contact:
Dawn Sampson
(310) 510-0520
OSHPD ID:
106190045
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
2/1/2001
Download:
Policy File
Federal Poverty Level for Free Care:
133%
Discount Payment Effective Date:
2/1/2001
Discount Payments
Discount Payment
1
FPL Range:
133
%-
250
%
Payment Basis:
Other: 30% discount off regular charges
Discount Payment
2
FPL Range:
250
%-
350
%
Payment Basis:
Medicare
Other: or 20% discount, whichever charge is higher
Discount Payment
3
FPL Range:
0
%-
0
%
Payment Basis:
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:
2/1/2001
Download:
Application File
Income Type Used:
Other: all sources of income, incl. unemployment, etc.
Language Information
Available Languages:
English
Spanish
Additional Information
Family
Size
100%
150%
200%
250%
300%
350%
400%
