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Hospital Details
Policy Effective Date (Date Posted):
2022-2023 (Most Recent)
2020-2021 (4/28/2020)
2014-2015 (2/18/2015)
2014-2015 (2/13/2015)
2014-2015 (12/30/2014)
2012-2013 (6/1/2012)
2012-2013 (6/1/2012)
2010-2011 (3/14/2012)
2010-2011 (3/8/2012)
2010-2011 (5/24/2011)
2010-2011 (5/24/2011)
2008-2009 (6/12/2008)
2008-2009 (6/12/2008)
Go
Download:
Policy File
Download:
Application File
General Information
Hospital:
CHINO VALLEY MEDICAL CENTER
5451 WALNUT AVENUE
CHINO, CA 91710
http://www.cvmc.com
License:
General Acute Care Hospital
Total Beds:
112
Emergency Room:
Yes
more...
Contact:
Monique Padilla
(909) 292-9451
OSHPD ID:
106361144
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
12/31/2021
Download:
Policy File
Federal Poverty Level for Free Care:
400%
Discount Payment Effective Date:
12/31/2021
Discount Payments
Discount Payment
1
FPL Range:
400
%-
450
%
Payment Basis:
Medicare
Medi-Cal
Discount Payment
2
FPL Range:
0
%-
0
%
Payment Basis:
Discount Payment
3
FPL Range:
0
%-
0
%
Payment Basis:
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:
12/31/2021
Download:
Application File
Income Type Used:
Salary Received
Interest Received
Pension Received
Language Information
Available Languages:
English
Spanish
Additional Information
Family
Size
100%
150%
200%
250%
300%
350%
400%
