Home
Sign In
SyFPHR
Search
>
Results
>
Details
Hospital Details
Policy Effective Date (Date Posted):
2022-2023 (Most Recent)
2014-2015 (4/3/2015)
2014-2015 (3/25/2015)
2014-2015 (3/25/2015)
2014-2015 (3/25/2015)
2014-2015 (3/25/2015)
2014-2015 (2/5/2015)
2012-2013 (6/1/2012)
2012-2013 (6/1/2012)
2010-2011 (5/11/2011)
2010-2011 (5/11/2011)
2008-2009 (6/10/2008)
2008-2009 (6/10/2008)
Go
Download:
Policy File
Download:
Application File
General Information
Hospital:
ALHAMBRA HOSPITAL MEDICAL CENTER
100 SOUTH RAYMOND AVENUE
ALHAMBRA, CA 91801
http://www.alhambrahospital.com
License:
General Acute Care Hospital
Total Beds:
144
Emergency Room:
Yes
more...
Contact:
Herry Korompis
(626) 570-1606
OSHPD ID:
106190017
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
1/1/2019
Download:
Policy File
Federal Poverty Level for Free Care:
200%
Discount Payment Effective Date:
1/1/2019
Discount Payments
Discount Payment
1
FPL Range:
201
%-
500
%
Payment Basis:
Medicare
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:
1/1/2019
Download:
Application File
Income Type Used:
Other: income tax return
Language Information
Available Languages:
English
Additional Information
Family
Size
100%
150%
200%
250%
300%
350%
400%
