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Hospital Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

PACIFICA HOSPITAL OF THE VALLEY

9449 SAN FERNANDO ROAD
SUN VALLEY, CA 91352
http://www.pacificahospital.com

License:

General Acute Care Hospital
Total Beds: 231
Emergency Room: Yes
more... Link to Atlas

Contact:

ayman mousa
(818) 252-2490

OSHPD ID:

106190696

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/1/2008

Download:

Policy File

Federal Poverty Level for Free Care:

350%

Discount Payment Effective Date:

1/1/2008

Discount Payments

Discount Payment 1

FPL Range: 350%-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:

Patients with familial income levels that are at or below 350% of the FPL guidelines may be eligible to receive either charity care or discounted payments based upon an evaluation of the patient's cirmcumstances by hospital management. See policy for additional information.

Application Form Information

Application Form Eff Date:

1/1/2008

Download:

Application File

Income Type Used:

Salary Received

Language Information

Available Languages:

English
Spanish

Additional Information

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