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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

CENTRAL VALLEY SPECIALTY HOSPITAL

730 17TH STREET
MODESTO, CA 95354
http://www.khmodesto.com

License:

General Acute Care Hospital
Total Beds: 100
Emergency Room: Yes
more... Link to Atlas

Contact:

Sandra Yule
(209) 523-9006

OSHPD ID:

106500954

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/23/2008

Download:

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:

1/23/2008

Discount Payments

FPL Range: 201%-350%
Payment Basis:
Medi-Cal
Other: 75% discount if Medi-Cal rate cannot be determined

FPL Range: 0%-0%
Payment Basis:

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

1/23/2008

Download:

Income Type Used:

Salary Received
Interest Received
Pension Received

Language Information

Available Languages:

English

Additional Information

Self-Pay patients may be eligible for a 25% prompt payment discount if the entire bill is paid immediately.

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