CHILDREN’S HOSPITAL AT MISSION
27700 MEDICAL CTR. RD., 5TH FL
MISSION VIEJO, CA 92691
http://www.choc.com
Contact:
Financial Assistance Liason
(714) 532-7860
License:
General Acute Care Hospital
Total Beds: 54
Emergency Room: Yes
OSHPD ID:
106304113
Fair Pricing Policy Information
Policy Effective Date:1/30/2020
Download:
Federal Poverty Level for Free Care:
200%
Discount Payment Effective Date:1/30/2020
Discount Payments:
Discount Payment 1
FPL Range: 201%-300%
Payment Basis:
Other: Equivalent to 75% discount on billed charges.
Discount Payment 2
FPL Range: 301%-400%
Payment Basis:
Other: Equivalent to 50% discount on billed charges.
Discount Payment 3
FPL Range: 0%-0%
Payment Basis:
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:1/30/2020
Download:
Income Type Used:
Salary Received
Other: Most current tax return
Language Information
Available Languages:
English
Spanish
Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106304113