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Hospital Details
Policy Effective Date (Date Posted):
2022-2023 (Most Recent)
2022-2023 (11/8/2022)
2014-2015 (5/5/2015)
2012-2013 (6/6/2012)
2012-2013 (6/6/2012)
2010-2011 (12/17/2009)
2008-2009 (6/18/2008)
2008-2009 (6/18/2008)
Go
Download:
Policy File
Download:
Application File
General Information
Hospital:
SONOMA VALLEY HOSPITAL
347 ANDRIEUX STREET
SONOMA, CA 95476
https://www.sonomavalleyhospital.org/
License:
General Acute Care Hospital
Total Beds:
51
Emergency Room:
Yes
more...
Contact:
Celia Kruse De La Rosa
(707) 935-5257
OSHPD ID:
106491076
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
5/1/2012
Download:
Policy File
Federal Poverty Level for Free Care:
200%
Discount Payment Effective Date:
5/1/2012
Discount Payments
Discount Payment
1
FPL Range:
201
%-
350
%
Payment Basis:
Other: 75% discounted rate
Discount Payment
2
FPL Range:
351
%-
450
%
Payment Basis:
Other: 50% discounted rate
Discount Payment
3
FPL Range:
0
%-
0
%
Payment Basis:
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:
1/1/2015
Download:
Application File
Income Type Used:
Salary Received
Interest Received
Pension Received
Other: Rental Income
Language Information
Available Languages:
English
Spanish
Additional Information
all attached
Family
Size
100%
150%
200%
250%
300%
350%
400%
