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3555 CESAR CHAVEZ STREET
SAN FRANCISCO, CA  94110
https://www.sutterhealth.org/cpmc

General Acute Care Hospital
Total Beds:  120
Emergency Room:  Yes
more...

Scott Abram
(916) 503-6978

106384202

Fair Pricing Policy Information Show FPL Chart

10/1/1990

Policy File

400%

1/1/2016

Medi-Cal patient Share of Cost is excluded. Insured Patient with a Family Income at or below 400% of the most recent FPL AND Medical expenses for themselves or their family (incurred at the Hospital or paid to other providers in the past 12 months) exceed 10% of the patient's Family Income.

1/1/2016

Application File

Salary Received
Interest Received
Pension Received
Other: real estate, personal property, alimony and suppor

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In addition to the income-based Financial Assistance set forth below, this Sutter Hospital offers financial assistance to insured patients with high medical costs, and patients who are not otherwise covered by health insurance, regardless of income. The guidelines for this assistance are outlined in the attached policy.