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Hospital Details
Policy Effective Date (Date Posted):
2022-2023 (1/10/2024)
2022-2023 (Most Recent)
2020-2021 (6/5/2020)
2014-2015 (5/5/2015)
2012-2013 (6/5/2012)
2012-2013 (6/5/2012)
2010-2011 (2/10/2010)
2008-2009 (6/17/2008)
2008-2009 (6/17/2008)
Go
Download:
Policy File
Download:
Application File
General Information
Hospital:
NORTHBAY VACAVALLEY HOSPITAL
1000 NUT TREE ROAD
VACAVILLE, CA 95687
http://www.northbay.org
License:
General Acute Care Hospital
Total Beds:
50
Emergency Room:
Yes
more...
Contact:
Financial Assistance Line
(707) 646-5637
OSHPD ID:
106484001
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
1/1/2005
Download:
Policy File
Federal Poverty Level for Free Care:
138%
Discount Payment Effective Date:
4/1/2007
Discount Payments
Discount Payment
1
FPL Range:
139
%-
400
%
Payment Basis:
Medicare
Discount Payment
2
FPL Range:
401
%-
500
%
Payment Basis:
Other: Discount % based on total charges.
Discount Payment
3
FPL Range:
0
%-
0
%
Payment Basis:
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:
1/1/2005
Download:
Application File
Income Type Used:
Salary Received
Interest Received
Pension Received
Other: Assets
Language Information
Available Languages:
English
Spanish
Additional Information
Family
Size
100%
150%
200%
250%
300%
350%
400%
