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5176 HILL ROAD EAST
LAKEPORT, CA  95453
https://www.sutterhealth.org/lakeside

General Acute Care Hospital
Total Beds:  30
Emergency Room:  Yes
more...

Scott Abram
(916) 503-6978

106171395

Fair Pricing Policy Information Show FPL Chart

3/1/2006

Policy File

400%

1/1/2016

Medi-Cal patient Share of Cost is excluded. Insured Patient with a Family Income at or below 400% of the most recent FPL AND Medical expenses for themselves or their family (incurred at the Hospital or paid to other providers in the past 12 months) exceed 10% of the patient's Family Income.

1/1/2016

Application File

Salary Received
Interest Received
Pension Received
Other: real estate, personal property, alimony & support

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Other: Japanese, Arabic, Hindu, Portuguese, and 11 others

In addition to the income-based Financial Assistance set forth below, this Sutter Hospital offers financial assistance to insured patients with high medical costs, and patients who are not otherwise covered by health insurance, regardless of income. The guidelines for this assistance are outlined in the attached policy.