SONOMA SPECIALTY HOSPITAL

SONOMA SPECIALTY HOSPITAL
501 PETALUMA AVENUE
SEBASTOPOL, CA  95472
http://www.palmdrivehospital.com

Contact:

Palm Drive Business Office
(707) 823-8511

License:

General Acute Care Hospital
Total Beds:  37
Emergency Room:  Yes

OSHPD ID:

106491338

Fair Pricing Policy Information  

Policy Effective Date:9/1/2005

Download:

Policy File

PDF Document Icon

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:9/1/2005

Discount Payments:

Discount Payment 1

FPL Range: 201%-350%
Payment Basis:
Medicare

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:7/1/2011

Download:

Application File

PDF Document Icon

Income Type Used:

Salary Received
Interest Received
Pension Received

Language Information

Available Languages:

English
Spanish

Additional Information

Updated application to 2012 poverty guidelines

Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106491338

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