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Hospital Details
Policy Effective Date (Date Posted):
2022-2023 (Most Recent)
2022-2023 (12/23/2022)
2014-2015 (5/5/2015)
2014-2015 (5/5/2015)
2012-2013 (2/21/2012)
2010-2011 (5/9/2011)
2010-2011 (5/9/2011)
2010-2011 (1/21/2010)
2008-2009 (6/18/2008)
2008-2009 (6/18/2008)
Go
Download:
Policy File
Download:
Application File
General Information
Hospital:
SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD
6245 DE LONGPRE AVENUE
HOLLYWOOD, CA 90028
http://www.altacorp.com
License:
General Acute Care Hospital
Total Beds:
100
Emergency Room:
Yes
more...
Contact:
Customer Service
(562) 293-3200
OSHPD ID:
106190380
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
1/1/2022
Download:
Policy File
Federal Poverty Level for Free Care:
250%
Discount Payment Effective Date:
1/1/2022
Discount Payments
Discount Payment
1
FPL Range:
251
%-
400
%
Payment Basis:
Medicare
Other: Discount based upon mgmt. evaluation
Discount Payment
2
FPL Range:
0
%-
0
%
Payment Basis:
Discount Payment
3
FPL Range:
0
%-
0
%
Payment Basis:
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:
1/1/2022
Download:
Application File
Income Type Used:
Salary Received
Pension Received
Other: Unemployment; Social Security
Language Information
Available Languages:
English
Spanish
Additional Information
Family
Size
100%
150%
200%
250%
300%
350%
400%
