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Hospital Details


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General Information
GOOD SAMARITAN HOSPITAL-LOS ANGELES
1225 WILSHIRE BOULEVARD
LOS ANGELES, CA  90017
http://www.goodsam.org
General Acute Care Hospital
Total Beds:  408
Emergency Room:  Yes
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Rewa Cooper
(562) 698-0811 Ext. 12310
Fair Pricing Policy Information  
11/1/2014
200%
11/1/2014
Discount Payments:

Discount Payment 1

FPL Range: 201%-350%
Payment Basis:
Other: Partial charity care discount on services

Discount Payment 2

FPL Range: 0%-0%
Payment Basis:

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:
Self Pay Patients whose family income is less than 200% of the FPL will be eligible for a full, 100% charity care discount on services rendered. Self Pay Patients whose family income is between 200% and 350% of the FPL will be eligible for a partial charity care discount on services rendered equal to 60% of applicable cash price -- see Cash Price Policy. A High Medical Cost Insured Patient is eligible for a 100% Discount on outstanding patient liability amounts if his or her family income is at or below 350% of the FPL, and his or her out-of-pocket medical expenses in the prior twelve (12) months (whether incurred in or out of any hospital) has exceeded 10% of his or her family income
Application Form Information
12/13/2014
Salary Received
Language Information
English
Spanish
Korean
Additional Information
The attached policy,which was originally written in 1999, was revised in August 2006 to comply with AB 774, effective 1/1/2007. It was again reviewed/revised in August 2007 and Board approved on 9/27/2007. Last revised on 11/14 and last approved by the board in November 2017,.