HCAI Syfphr

Search > Results > Details

Hospital Details

Policy Effective Date (Date Posted):

Download: Policy File

Download: Application File

General Information

Hospital:

SUTTER SURGICAL HOSPITAL-NORTH VALLEY

455 PLUMAS BOULEVARD
YUBA CITY, CA 95991
https://www.sutterhealth.org/sshnv

License:

General Acute Care Hospital
Total Beds: 14
Emergency Room: Yes
more... Link to Atlas

Contact:

Conchi Diaz
(530) 749-5713

OSHPD ID:

106514030

Fair Pricing Policy Information Show FPL Chart

Policy Effective Date:

3/30/2010

Download:

Policy File

Federal Poverty Level for Free Care:

200%

Discount Payment Effective Date:

3/30/2010

Discount Payments

Discount Payment 1

FPL Range: 201%-400%
Payment Basis:
Other: 120% of Medicare Rate

Discount Payment 2

FPL Range: 0%-0%
Payment Basis:

Discount Payment 3

FPL Range: 0%-0%
Payment Basis:

Other Discount Payment Information:

Sutter Surgical Hospital – North Valley (SSH-NV) may extend cash discounts to uninsured patients in accordance with our policy. An individual will not qualify for a cash discount if they are eligible for charity care. The discount is available to all patients that do not have medical coverage with a third party including but not limited to health insurance, workers compensation insurance, government entitlements, auto and/or liability insurance

Application Form Information

Application Form Eff Date:

1/27/2023

Download:

Application File

Income Type Used:

Salary Received

Language Information

Available Languages:

English

Additional Information

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