General Acute Care Hospital
Total Beds: 37
Emergency Room: Yes
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Yvonne Waggener
(909) 436-3202
Fair Pricing Policy Information
Show FPL Chart
1/1/2015
200%
1/1/2015
Discount Payment 1
FPL Range:
201%-225%
Payment Basis:
Other: Patient pays 20% of Medicare interim rates
Discount Payment 2
FPL Range:
226%-250%
Payment Basis:
Other: Patient pays 40% of Medicare interim rates
Discount Payment 3
FPL Range:
251%-275%
Payment Basis:
Other: Patient pays 60% of Medicare interim rates
FPL 276%-300%. Patient pays 80% of Medicare interim rates
Note - The above is the sliding scale payment schedule for uninsured patients. There is a separate table in the policy for Insured patients.
Application Form Information
2/17/2011
Other: Patient family income
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