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Hospital Details
Policy Effective Date (Date Posted):
2022-2023 (Most Recent)
2022-2023 (6/1/2023)
2018-2019 (1/4/2018)
2016-2017 (12/1/2016)
2014-2015 (1/5/2015)
2014-2015 (12/31/2014)
2014-2015 (12/31/2014)
2014-2015 (12/30/2014)
2014-2015 (10/6/2014)
2014-2015 (9/4/2014)
2012-2013 (6/5/2012)
2012-2013 (6/5/2012)
2010-2011 (1/27/2011)
2010-2011 (1/27/2011)
2010-2011 (2/10/2010)
2008-2009 (6/17/2008)
2008-2009 (6/17/2008)
Go
Download:
Policy File
Download:
Application File
General Information
Hospital:
MAMMOTH HOSPITAL
85 SIERRA PARK ROAD
MAMMOTH LAKES, CA 93546
http://mammothhospital.com
License:
General Acute Care Hospital
Total Beds:
17
Emergency Room:
Yes
more...
Contact:
Dawn Van Winkle
(760) 924-4148
OSHPD ID:
106260011
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
2/5/2008
Download:
Policy File
Federal Poverty Level for Free Care:
200%
Discount Payment Effective Date:
2/5/2008
Discount Payments
Discount Payment
1
FPL Range:
201
%-
250
%
Payment Basis:
Other: 90% off charges
Discount Payment
2
FPL Range:
251
%-
300
%
Payment Basis:
Other: 80% off charges
Discount Payment
3
FPL Range:
301
%-
350
%
Payment Basis:
Other: 65% off charges
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:
11/1/2010
Download:
Application File
Income Type Used:
Salary Received
Language Information
Available Languages:
English
Spanish
Additional Information
Family
Size
100%
150%
200%
250%
300%
350%
400%
