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Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

SONOMA SPECIALTY HOSPITAL

501 PETALUMA AVENUE
SEBASTOPOL, CA 95472
http://www.sonomaspecialtyhospital.org

License:

General Acute Care Hospital
Total Beds: 37
Emergency Room: Yes
more... Link to Atlas

Contact:

Debbie Martin
209-488-4820 xt 1020

OSHPD ID:

106491338

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

8/1/2022

Download:

Federal Poverty Level for Free Care:

400%

Discount Payment Effective Date:

8/1/2022

Discount Payments

Other Discount Payment Information:

We offer a 40% discount off of billed charges

Application Form Information

Application Form Eff Date:

8/1/2022

Download:

Income Type Used:

Salary Received
Other: last years income tax return

Language Information

Available Languages:

English
Spanish

Additional Information

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