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Hospital Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

HENRY MAYO NEWHALL HOSPITAL

23845 MCBEAN PARKWAY
VALENCIA, CA 91355
http://www.henrymayo.com

License:

General Acute Care Hospital
Total Beds: 357
Emergency Room: Yes
more... Link to Atlas

Contact:

Patrick Moody
(661) 200-1302

OSHPD ID:

106190949

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

12/6/2019

Download:

Policy File

Federal Poverty Level for Free Care:

100%

Discount Payment Effective Date:

12/6/2019

Discount Payments

Discount Payment 1

FPL Range: 100%-200%
Payment Basis:
Other: See attached policy

Discount Payment 2

FPL Range: 201%-300%
Payment Basis:
Other: See attached policy

Discount Payment 3

FPL Range: 301%-350%
Payment Basis:
Other: See attached policy

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

12/4/2019

Download:

Application File

Income Type Used:

Salary Received
Other: General Relief, disability, unemployment, child su

Language Information

Available Languages:

English
Spanish

Additional Information

Financial Assistance Program Discount is based on FPL 0-350%, net assets and total charges. Discount is based on Medicare payment (DRG/APC,Fee schedule) vs % of FPL, Net Assets and Total Charges

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