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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

ST. VINCENT MEDICAL CENTER

2131 WEST 3RD STREET
LOS ANGELES, CA 90057
http://www.stvincentmedicalcenter.com

License:

General Acute Care Hospital
Total Beds: 366
Emergency Room: Yes
more... Link to Atlas

Contact:

Noel Coppinger
(213) 484-7700

OSHPD ID:

106190762

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

12/30/2007

Download:

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:

12/30/2007

Discount Payments

FPL Range: 201%-350%
Payment Basis:
Other: Sliding scale discount % of Medicare rate

FPL Range: 0%-0%
Payment Basis:

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

6/6/2017

Download:

Income Type Used:

Salary Received
Interest Received
Other: Business or other income

Language Information

Available Languages:

English
Spanish
Vietnamese
Tagalog

Additional Information

Updated policy and application

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