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Hospital Details
Policy Effective Date (Date Posted):
2022-2023 (Most Recent)
2018-2019 (10/23/2019)
2014-2015 (5/5/2015)
2012-2013 (6/6/2012)
2012-2013 (6/6/2012)
2010-2011 (3/14/2012)
2010-2011 (3/8/2012)
2010-2011 (5/20/2010)
2010-2011 (5/20/2010)
2008-2009 (4/1/2009)
2008-2009 (4/1/2009)
Go
Download:
Policy File
Download:
Application File
General Information
Hospital:
SAN ANTONIO REGIONAL HOSPITAL
999 SAN BERNARDINO ROAD
UPLAND, CA 91786
http://www.sarh.org
License:
General Acute Care Hospital
Total Beds:
363
Emergency Room:
Yes
more...
Contact:
Michelle Moore
(909) 920-6272
OSHPD ID:
106361318
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
12/1/2016
Download:
Policy File
Federal Poverty Level for Free Care:
300%
Discount Payment Effective Date:
12/1/2016
Discount Payments
Discount Payment
1
FPL Range:
301
%-
400
%
Payment Basis:
Medicare
Medi-Cal
Other Government Insurance
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:
1/1/2007
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%
