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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

UNIVERSITY OF CALIFORNIA DAVIS MEDICAL CENTER

2315 STOCKTON BOULEVARD
SACRAMENTO, CA 95817
http://www.ucdmc.ucdavis.edu

License:

General Acute Care Hospital
Total Beds: 625
Emergency Room: Yes
more... Link to Atlas

Contact:

UC Davis Billing Customer Service
(916) 734-9266

OSHPD ID:

106341006

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

3/15/2020

Download:

Federal Poverty Level for Free Care:

400%

Discount Payment Effective Date:

3/15/2020

Discount Payments

FPL Range: 400%-1000%
Payment Basis:
Other: Discounts based on percentage of charges

FPL Range: 0%-0%
Payment Basis:

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

3/15/2020

Download:

Income Type Used:

Salary Received

Language Information

Available Languages:

English
Spanish
Vietnamese
Hmong
Chinese
Russian

Additional Information

Changes submitted with updated policy. Thank you.

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