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Hospital Details


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General Information
CASA COLINA HOSPITAL
255 EAST BONITA AVENUE
POMONA, CA  91767
http://CasaColina.Org
General Acute Care Hospital
Total Beds:  99
Emergency Room:  Yes
more... Link to Atlas
Lisa Sousamain
(909) 596-7733 Ext. 2166
106190137
Fair Pricing Policy Information   Show FPL Chart
1/1/2016
200%
1/1/2016
Discount Payments:

Discount Payment 1

FPL Range: 201%-250%
Payment Basis:
Other: Patient is responsible for 25% of total bill.

Discount Payment 2

FPL Range: 251%-300%
Payment Basis:
Other: Patient is responsible for 50% of total bill.

Discount Payment 3

FPL Range: 301%-350%
Payment Basis:
Other: Patient is responsible for 75% of total bill.
Application Form Information
1/1/2016
Salary Received
Interest Received
Pension Received
Language Information
English
Spanish
Additional Information
No significant changes since last update for 2015-2016 in accordance with SB1276 updates.

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