General Acute Care Hospital
Total Beds: 619
Emergency Room: Yes
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Patient Accounting Department
(626) 397-5000
Fair Pricing Policy Information
1/1/2019
200%
1/1/2019
Discount Payment 1
FPL Range:
201%-350%
Payment Basis:
Other: 50% of the self-pay price
Discount Payment 2
FPL Range:
0%-0%
Payment Basis:
Discount Payment 3
FPL Range:
0%-0%
Payment Basis:
Application Form Information
1/1/2019
Salary Received
Interest Received
Pension Received
Other: Tax Return, Proof of public aid
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