PRISCILLA CHAN & MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL & TRAUMA CE

PRISCILLA CHAN & MARK ZUCKERBERG SAN FRANCISCO GENERAL HOSPITAL & TRAUMA CE
1001 POTRERO AVENUE
SAN FRANCISCO, CA  94110
http://www.dph.sf.ca.us/chn/sfgh

Contact:

Eligibility Department
(415) 206-1146

License:

General Acute Care Hospital
Total Beds:  397
Emergency Room:  Yes

OSHPD ID:

106380939

Fair Pricing Policy Information  

Policy Effective Date:1/1/2007

Download:

Policy File

PDF Document Icon

Federal Poverty Level for Free Care:

133%

Discount Payment Effective Date:1/1/2007

Discount Payments:

Discount Payment 1

FPL Range: 139%-350%
Payment Basis:
Other: Sliding scale discount depending on care received

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:1/1/2007

Download:

Application File

PDF Document Icon

Income Type Used:

Salary Received
Interest Received
Pension Received

Language Information

Available Languages:

English
Spanish
Chinese

Additional Information

Charity patients 0-133% FPL are charged the following patient liability: Outpatient : No patient liability Outpatient ER: No patient liability Inpatient: $50.00 per day up to a max of 3 days Come & Go: $50 liability

Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106380939

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