SURPRISE VALLEY COMMUNITY HOSPITAL
741 N. MAIN STREET
CEDARVILLE, CA  96104
http://www.svhospital.com

Contact:

Wanda Grove
(530) 279-6111

License:

General Acute Care Hospital
Total Beds:  26
Emergency Room:  Yes

OSHPD ID:

106250955

Fair Pricing Policy Information  

Policy Effective Date:12/28/2007

Download:

Policy File

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:12/28/2007

Discount Payments:

Discount Payment 1

FPL Range: 201%-250%
Payment Basis:
Other: 75% of billed charges

Discount Payment 2

FPL Range: 251%-300%
Payment Basis:
Other: 25% of billed charges

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:12/28/2007

Download:

Application File

Income Type Used:

Salary Received
Interest Received
Pension Received
Other: Assets

Language Information

Available Languages:

English

Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106250955