CHILDREN'S HOSPITAL AT MISSION
27700 MEDICAL CTR. RD., 5TH FL
MISSION VIEJO,
CA 92691
http://www.choc.org
General Acute Care Hospital
Total Beds: 54
Emergency Room: Yes
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Financial Assistance Liason
(714) 532-7860
Fair Pricing Policy Information
1/30/2020
200%
1/30/2020
Discount Payment 1
FPL Range:
201%-300%
Payment Basis:
Other: Equivalent to 75% discount on billed charges.
Discount Payment 2
FPL Range:
301%-400%
Payment Basis:
Other: Equivalent to 50% discount on billed charges.
Discount Payment 3
FPL Range:
0%-0%
Payment Basis:
Application Form Information
1/30/2020
Salary Received
Other: Most current tax return
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