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Hospital Details
Policy Effective Date (Date Posted):
2022-2023 (Most Recent)
2022-2023 (7/14/2022)
2014-2015 (3/20/2014)
2012-2013 (4/18/2012)
2010-2011 (2/23/2012)
2010-2011 (2/23/2012)
2008-2009 (6/12/2008)
2008-2009 (6/12/2008)
Go
Download:
Policy File
Download:
Application File
General Information
Hospital:
CHINESE HOSPITAL
845 JACKSON STREET
SAN FRANCISCO, CA 94133
https://chinesehospital-sf.org
License:
General Acute Care Hospital
Total Beds:
65
Emergency Room:
Yes
more...
Contact:
Patient Financial Services Department
(415) 677-2314
OSHPD ID:
106382715
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
3/29/2022
Download:
Policy File
Federal Poverty Level for Free Care:
400%
Discount Payment Effective Date:
3/29/2022
Discount Payments
Discount Payment
1
FPL Range:
400
%-
400
%
Payment Basis:
Medicare
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:
3/29/2022
Download:
Application File
Income Type Used:
Salary Received
Language Information
Available Languages:
English
Spanish
Chinese
Additional Information
Family
Size
100%
150%
200%
250%
300%
350%
400%
