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ST. JOHN'S PLEASANT VALLEY HOSPITAL
2309 ANTONIO AVENUE
CAMARILLO, CA  93010
http://www.dignityhealth.org/pleasantvalley/
General Acute Care Hospital
View License Information... Link to Atlas
Financial Counseling
(213) 742-5530
106560508
7/1/2021
250%
1/1/2017

Discount Payment 1

FPL Range: 251%-350%
Payment Basis:
Medicare

Discount Payment 2

FPL Range: 351%-500%
Payment Basis:
Medicare
Other: Amount Generally Billed

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:
Patients whose income exceeds 500% of the FPL may be eligible to receive discounted rates on a case-bay-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the Dignity Health Facility.
7/1/2022
Salary Received
Interest Received
Other: Business or Rental Income
English
Spanish
Vietnamese
Hmong
Tagalog
Cambodian
Korean
Chinese
Armenian
Russian
Other: Japanese, Arabic, French, Hindi, Portuguese
The attached word document contains the Financial Assistance Policy. This policy outlines the discounts for both 100% Charity Care and other payment discounts.

 

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