Policy Effective Date (Date Posted): 2022-2023 (Most Recent) 2022-2023 (7/19/2022) 2020-2021 (7/20/2021) 2018-2019 (10/23/2019) 2016-2017 (2/9/2017) 2016-2017 (1/30/2017) 2016-2017 (2/4/2016) 2014-2015 (2/4/2016) 2014-2015 (1/4/2016) 2014-2015 (1/27/2015) 2014-2015 (1/5/2015) 2014-2015 (12/30/2014) 2012-2013 (6/5/2012) 2012-2013 (6/5/2012) 2010-2011 (5/20/2011) 2010-2011 (5/20/2011) 2010-2011 (5/20/2010) 2010-2011 (5/20/2010) 2008-2009 (3/19/2009) 2008-2009 (3/19/2009) 2008-2009 (1/8/2008) Go

914 PINE STREET
MOUNT SHASTA, CA  96067
http://www.dignityhealth.org/mercy-mtshasta/

General Acute Care Hospital
Total Beds:  33
Emergency Room:  Yes
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Financial Counseling
(530) 926-9348

106470871

Fair Pricing Policy Information Show FPL Chart

7/1/2021

Policy File

250%

1/1/2017

Patients whose income exceeds 500% of the FPL may be eligible to receive discounted rates on a case-by-case basis based on their specific circumstances, such as catastrophic illness or medical indigence, at the discretion of the Dignity Health facility.

7/1/2022

Application File

Salary Received
Interest Received
Other: Business or Rental Income

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The attached word document contains the Payment Assistance Policy and Procedures. This policy outlines the discounts for both 100% Charity Care and other payment discounts.