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Hospital Details


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General Information
MERCY MEDICAL CENTER MT. SHASTA
914 PINE STREET
MOUNT SHASTA, CA  96067
http://www.dignityhealth.org/mercy-mtshasta/
General Acute Care Hospital
Total Beds:  33
Emergency Room:  Yes
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Financial Counseling
(530) 926-9348
Fair Pricing Policy Information  
1/1/2017
200%
1/1/2017
Discount Payments:

Discount Payment 1

FPL Range: 201%-350%
Payment Basis:
Medicare

Discount Payment 2

FPL Range: 351%-500%
Payment Basis:
Medicare
Other: Amount Generally Billed

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:
Patients whose income exceeds 500% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the Dignity Health facility.
Application Form Information
1/1/2016
Salary Received
Interest Received
Other: Business or Rental Income
Language Information
English
Spanish
Vietnamese
Hmong
Tagalog
Cambodian
Korean
Chinese
Armenian
Russian
Other: Japanese
Additional Information
The attached word document contains the Payment Assistance Policy and Procedures. This policy outlines the discounts for both 100% Charity Care and other payment discounts.