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Hospital Details
Policy Effective Date (Date Posted):
2022-2023 (Most Recent)
2022-2023 (11/17/2022)
2014-2015 (5/5/2015)
2012-2013 (6/1/2012)
2012-2013 (6/1/2012)
2010-2011 (4/21/2010)
2010-2011 (4/21/2010)
2008-2009 (6/11/2008)
2008-2009 (6/11/2008)
Go
Download:
Policy File
Download:
Application File
General Information
Hospital:
CATALINA ISLAND MEDICAL CENTER
100 FALLS CANYON ROAD
AVALON, CA 90704
https://cimedicalcenter.org
License:
General Acute Care Hospital
Total Beds:
12
Emergency Room:
Yes
more...
Contact:
John Lovrich
310-510-0700
OSHPD ID:
106190045
Fair Pricing Policy Information
Show FPL Chart
Policy Effective Date:
2/1/2001
Download:
Policy File
Federal Poverty Level for Free Care:
133%
Discount Payment Effective Date:
2/1/2001
Discount Payments
Discount Payment
1
FPL Range:
133
%-
400
%
Payment Basis:
Other: 30% discount off regular charges
Discount Payment
2
FPL Range:
250
%-
400
%
Payment Basis:
Medicare
Other: or 20% discount, whichever charge is higher
Discount Payment
3
FPL Range:
0
%-
0
%
Payment Basis:
Other Discount Payment Information:
Application Form Information
Application Form Eff Date:
2/1/2001
Download:
Application File
Income Type Used:
Other: all sources of income, incl. unemployment, etc.
Language Information
Available Languages:
English
Spanish
Additional Information
Family
Size
100%
150%
200%
250%
300%
350%
400%
