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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

SCRIPPS MERCY HOSPITAL

4077 FIFTH AVENUE
SAN DIEGO, CA 92103-2180
http://www.scripps.org

License:

General Acute Care Hospital
Total Beds: 482
Emergency Room: Yes
more... Link to Atlas

Contact:

Patient Financial Services
(800) 690-9070

OSHPD ID:

106370744

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

5/1/2001

Download:

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:

5/1/2001

Discount Payments

FPL Range: 201%-400%
Payment Basis:
Medicare
Other: Limit amounts charged to not more than AGB

FPL Range: 0%-0%
Payment Basis:

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Application Form Information

Application Form Eff Date:

5/1/2001

Download:

Income Type Used:

Salary Received
Interest Received

Language Information

Available Languages:

English
Spanish

Additional Information

Policy complies with the final 501(r) Regulations and Assembly Bill 1020 and Senate Bill 532.

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