BANNER LASSEN MEDICAL CENTER

BANNER LASSEN MEDICAL CENTER
1800 SPRING RIDGE DRIVE
SUSANVILLE, CA  96130
http://www.BannerHealth.com

Contact:

Diane Newell
(866) 640-3600 Ext. 2

License:

General Acute Care Hospital
Total Beds:  25
Emergency Room:  Yes

OSHPD ID:

106184008

Fair Pricing Policy Information  

Policy Effective Date:1/1/2015

Download:

Policy File

PDF Document Icon

Federal Poverty Level for Free Care:

100%

Discount Payment Effective Date:1/1/2015

Discount Payments:

Discount Payment 1

FPL Range: 100%-350%
Payment Basis:
Medicare
Other: 50% of the billed rate

Discount Payment 2

FPL Range: 100%-200%
Payment Basis:
Other: EFA.

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:1/1/2015

Download:

Application File

PDF Document Icon

Income Type Used:

Salary Received
Other: income tax return

Language Information

Available Languages:

English
Spanish

Additional Information

Banner Lassen Medical Center has one policy for both charity and discounts for the uninsured.

Source” :https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106184008

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