UCSF MEDICAL CENTER AT MISSION BAY

UCSF MEDICAL CENTER AT MISSION BAY
1975 4TH STREET
SAN FRANCISCO, CA  94158
http://www.ucsfhealth.com

Contact:

Financial Counseling Dept.
(415) 353-1966

License:

General Acute Care Hospital
Total Beds:  289
Emergency Room:  Yes

OSHPD ID:

106384200

Fair Pricing Policy Information  

Policy Effective Date:1/1/2016

Download:

Policy File

PDF Document Icon

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:1/1/2016

Discount Payments:

Discount Payment 1

FPL Range: 201%-400%
Payment Basis:
Medicare
Medi-Cal
Healthy Families
Other Government Insurance

Discount Payment 2

FPL Range: 0%-0%
Payment Basis:

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Regardless of income, patients with no third party coverage are given a self-pay discount comparable to Medicare DRG rates for inpatient services and Medicare APC rates for outpatient services. Please refer to the Patient Financial Assistance Policy.

Application Form Information

Application Form Eff Date:7/1/2016

Download:

Application File

PDF Document Icon

Income Type Used:

Salary Received
Interest Received
Pension Received

Language Information

Available Languages:

English
Spanish
Chinese
Russian

Additional Information

Policy updated.

Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106384200

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