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Hospital Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

HOLLYWOOD PRESBYTERIAN MEDICAL CENTER

1300 NORTH VERMONT AVENUE
LOS ANGELES, CA 90027
http://www.hollywoodpresbyterian.com

License:

General Acute Care Hospital
Total Beds: 434
Emergency Room: Yes
more... Link to Atlas

Contact:

Petra Rodriguez
(323) 644-4571

OSHPD ID:

106190382

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/1/2008

Download:

Policy File

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:

1/1/2008

Discount Payments

Discount Payment 1

FPL Range: 201%-350%
Payment Basis:
Medicare

Discount Payment 2

FPL Range: 0%-0%
Payment Basis:

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Self-Pay patients that have family income greater than 350% of FPL may be eligible to receive a flat rate discount that is based upon the Medicare rate (see policy for additional information).

Application Form Information

Application Form Eff Date:

1/1/2009

Download:

Application File

Income Type Used:

Salary Received
Other: Open lines of credit.

Language Information

Available Languages:

English
Spanish

Additional Information

Attached is the Jan-2015 CA Fair Pricing Policy

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