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Hospital Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

KECK HOSPITAL OF USC

1500 SAN PABLO STREET
LOS ANGELES, CA 90033
https://www.keckmedicine.org/

License:

General Acute Care Hospital
Total Beds: 401
Emergency Room: Yes
more... Link to Atlas

Contact:

Customer Care unit
855-532-5729

OSHPD ID:

106194219

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

7/1/2016

Download:

Policy File

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:

7/1/2016

Discount Payments

Discount Payment 1

FPL Range: 201%-400%
Payment Basis:
Worker's Compensation
Other: Sliding scale discount

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:

7/1/2016

Download:

Application File

Income Type Used:

Salary Received
Interest Received
Pension Received

Language Information

Available Languages:

English
Spanish

Additional Information

This Policy and application also applies to USC Verdugo Hills Hospital. Thank you. Per AB1020 moved patient statement days from 150 to 180 and added FPG to include people up to 400% And added ECA requirements to policy about prior letters and what to include

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