HUNTINGTON MEMORIAL HOSPITAL

HUNTINGTON MEMORIAL HOSPITAL
100 W. CALIFORNIA BOULEVARD
PASADENA, CA  91105
http://www.huntingtonhospital.com

Contact:

Patient Accounting Department
(626) 397-5000

License:

General Acute Care Hospital
Total Beds:  619
Emergency Room:  Yes

OSHPD ID:

106190400

Fair Pricing Policy Information  

Policy Effective Date:1/1/2019

Download:

Policy File

PDF Document Icon

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:1/1/2019

Discount Payments:

Discount Payment 1

FPL Range: 201%-350%
Payment Basis:
Other: 50% of the self-pay price

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:1/1/2019

Download:

Application File

PDF Document Icon

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: Tax Return, Proof of public aid

Language Information

Available Languages:

English

Additional Information

Both Policy and Application was updated

Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106190400

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