SANTA ROSA MEMORIAL HOSPITAL-MONTGOMERY
1165 MONTGOMERY DRIVE
SANTA ROSA, CA 95405
http://stjosephhealth.com
Contact:
Melinda Medeiros
(707) 525-5300 Ext. 3410
License:
General Acute Care Hospital
Total Beds: 283
Emergency Room: Yes
OSHPD ID:
106491064
Fair Pricing Policy Information
Policy Effective Date:3/1/2020
Download:
Federal Poverty Level for Free Care:
200%
Discount Payment Effective Date:1/1/2015
Discount Payments:
Discount Payment 1
FPL Range: 201%-350%
Payment Basis:
Medicare
Other: Sliding scale Medicare discount
Discount Payment 2
FPL Range: 351%-500%
Payment Basis:
Other: Average PPO/HMO Rates
Discount Payment 3
FPL Range: 0%-0%
Payment Basis:
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:5/1/2019
Download:
Income Type Used:
Salary Received
Interest Received
Pension Received
Other: See application for details
Language Information
Available Languages:
English
Spanish
Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106491064