ST. AGNES MEDICAL CENTER

ST. AGNES MEDICAL CENTER
1303 EAST HERNDON AVENUE
FRESNO, CA  93720
http://www.samc.com

Contact:

Max Hernandez
(559) 448-4668

License:

General Acute Care Hospital
Total Beds:  436
Emergency Room:  Yes

OSHPD ID:

106100899

Fair Pricing Policy Information  

Policy Effective Date:11/1/2016

Download:

Policy File

PDF Document Icon

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:11/1/2016

Discount Payments:

Discount Payment 1

FPL Range: 201%-400%
Payment Basis:
Medicare
Medi-Cal
Other Government Insurance

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:11/1/2016

Download:

Application File

PDF Document Icon

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: social security, child support

Language Information

Available Languages:

English
Spanish
Other: Language interpreters are listed in policy

Source” :https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106100899

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