CHILDREN’S HEALTHCARE ORGANIZATION OF NORTHERN CA – PEDIATRIC HOSPITAL
3777 SOUTH BASCOM AVENUE
CAMPBELL, CA 95008
http://www.pedisubacute.com
Contact:
Marla Diamond
(408) 558-3640
License:
General Acute Care Hospital
Total Beds: 31
Emergency Room: Yes
OSHPD ID:
106434051
Fair Pricing Policy Information
Policy Effective Date:1/1/2008
Download:
Federal Poverty Level for Free Care:
200%
Discount Payment Effective Date:1/1/2008
Discount Payments:
Discount Payment 1
FPL Range: 201%-250%
Payment Basis:
Medi-Cal
Other: 75% discount
Discount Payment 2
FPL Range: 251%-300%
Payment Basis:
Medi-Cal
Other: 50% discount
Discount Payment 3
FPL Range: 301%-350%
Payment Basis:
Medi-Cal
Other: 25% discount
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:1/1/2008
Download:
Income Type Used:Salary Received
Language Information
Available Languages:
English
Spanish
Additional Information
This policy is under review by our legal counsel. Any required changes will be made as soon as possible.
Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106434051