UCSF MEDICAL CENTER AT MOUNT ZION
1600 DIVISADERO STREET
SAN FRANCISCO, CA 94115
http://www.ucsfhealth.com
Contact:
Financial Counseling Dept.
(415) 353-1966
License:
General Acute Care Hospital
Total Beds: 140
Emergency Room: Yes
OSHPD ID:
106380895
Fair Pricing Policy Information
Policy Effective Date:1/1/2016
Download:
Federal Poverty Level for Free Care:
200%
Discount Payment Effective Date:1/1/2016
Discount Payments:
Discount Payment 1
FPL Range: 201%-400%
Payment Basis:
Medicare
Medi-Cal
Healthy Families
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:
Regardless of income, patients with no third party coverage are given a self-pay discount comparable to Medicare DRG rates for inpatient services and Medicare APC rates for outpatient services. Please refer to the Patient Financial Assistance Policy.
Application Form Information
Application Form Eff Date:7/1/2016
Download:
Income Type Used:
Salary Received
Interest Received
Pension Received
Language Information
Available Languages:
English
Spanish
Chinese
Russian
Additional Information
Policy updated.
Source” : https://syfphr.oshpd.ca.gov/SearchDetail.aspx?oshpdid=106380895