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Hospital Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

LUCILE PACKARD CHILDREN'S HOSPITAL STANFORD

725 WELCH ROAD
PALO ALTO, CA 94304
http://www.stanfordchildrens.org

License:

General Acute Care Hospital
Total Beds: 396
Emergency Room: Yes
more... Link to Atlas

Contact:

Maricar Madrigal, Patient Advocacy Manager
(650) 725-4433

OSHPD ID:

106434040

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

9/1/2021

Download:

Policy File

Federal Poverty Level for Free Care:

400%

Discount Payment Effective Date:

9/1/2021

Discount Payments

Discount Payment 1

FPL Range: 400%-400%
Payment Basis:
Medicare
Medi-Cal
Healthy Families
Other Government Insurance
Other: Avg reimbursement of LPCH's govt payers

Discount Payment 2

FPL Range: 0%-0%
Payment Basis:

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Uninsured Discount

Application Form Information

Application Form Eff Date:

9/1/2018

Download:

Application File

Income Type Used:

Salary Received
Pension Received

Language Information

Available Languages:

English
Spanish
Vietnamese
Tagalog
Chinese

Additional Information

Patient eligiblity for free care is determined by management evaluation of a several of factors including patient familial income at or below 400% of the current FPL and type of care received (see Financial Assistance/Charity Care policy for more information).

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