CHILDREN’S HOSPITAL OF ORANGE COUNTY

CHILDREN’S HOSPITAL OF ORANGE COUNTY
1201 WEST LA VETA AVENUE
ORANGE, CA  92868
http://www.choc.com

Contact:

Financial Assistance Liason
(714) 532-7860

License:

General Acute Care Hospital
Total Beds:  334
Emergency Room:  Yes

OSHPD ID:

106300032

Fair Pricing Policy Information  

Policy Effective Date:1/30/2020

Download:

Policy File

PDF Document Icon

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:1/30/2020

Discount Payments:

Discount Payment 1

FPL Range: 201%-300%
Payment Basis:
Other: Equivalent to 75% discount on billed charges.

Discount Payment 2

FPL Range: 301%-400%
Payment Basis:
Other: Equivalent to 50% discount on billed charges.

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:1/30/2020

Download:

Application File

PDF Document Icon

Income Type Used:

Salary Received
Other: Most current tax return

Language Information

Available Languages:

English
Spanish

Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106300032

Was this article helpful?

Related Articles