ANTELOPE VALLEY HOSPITAL
1600 WEST AVENUE J
LANCASTER, CA 93534
https://www.avhospital.com/
Contact:
Tracy Davis
(661) 949-5261O
License:
General Acute Care Hospital
Total Beds: 420
Emergency Room: Yes
SHPD ID:
106190034
Fair Pricing Policy Information
Policy Effective Date:9/19/2014
Download:
Policy File
Federal Poverty Level for Free Care:
200%
Discount Payment Effective Date:9/23/2014
Discount Payments:
Discount Payment 1
FPL Range: 201%-350%
Payment Basis:
Medicare
Medi-Cal
Discount Payment 2
FPL Range: 200%-350%
Payment Basis:
Other: Third Party Payer
Discount Payment 3
FPL Range: 0%-0%
Payment Basis:
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:12/31/2014
Download:
Application File
Income Type Used:
Salary Received
Interest Received
Other: Alimony, Child Support
Language Information
Available Languages:
English
Spanish
Additional Information
The facility also offers additional prompt payment discounts of 5% and 1
Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106190034