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Hospital Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

PALMDALE REGIONAL MEDICAL CENTER

38600 MEDICAL CENTER DRIVE
PALMDALE, CA 93551
http://www.palmdaleregional.com/

License:

General Acute Care Hospital
Total Beds: 184
Emergency Room: Yes
more... Link to Atlas

Contact:

Audrey Bitolas
(661) 382-5802

OSHPD ID:

106196405

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

1/1/2022

Download:

Policy File

Federal Poverty Level for Free Care:

400%

Discount Payment Effective Date:

1/1/2022

Discount Payments

Discount Payment 1

FPL Range: 400%-400%
Payment Basis:
Medicare
Medi-Cal
Healthy Families

Discount Payment 2

FPL Range: 0%-0%
Payment Basis:

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Patients with familial income levels that are at or below 400% of the FPL guidelines may be eligible to receive either charity care or discounted payments based upon an evaluation of the patient's cirmcumstances by hospital management. See policy for additional information.

Application Form Information

Application Form Eff Date:

1/1/2022

Download:

Application File

Income Type Used:

Salary Received
Other: child support, other supplemental income
Interest Received
Pension Received

Language Information

Available Languages:

English
Spanish

Additional Information

Family Size	100%	150%	200%	250%	300%	350%	400%