Alhambra Hospital Medical Center
Acute care hospital in Alhambra, CA.
Verified from the hospital's own policy and the state program
Alhambra Hospital Medical Center likely gives free care to households with a yearly income up to $39,900 for 1 person, $54,100 for 2, $68,300 for 3, $82,500 for 4, $96,700 for 5 or $110,900 for 6. It likely gives a discount to households with a yearly income up to $63,840 for 1 person, $86,560 for 2, $109,280 for 3, $132,000 for 4, $154,720 for 5 or $177,440 for 6.
The hospital makes the final decision.
| People in household | Free care up to | Discount up to |
|---|---|---|
| 1 | $39,900 | $63,840 |
| 2 | $54,100 | $86,560 |
| 3 | $68,300 | $109,280 |
| 4 | $82,500 | $132,000 |
| 5 | $96,700 | $154,720 |
| 6 | $110,900 | $177,440 |
Discount steps
- 0% to 250% of poverty level, you pay $0 (charity care)
- 251% to 400% of poverty level, you pay the Medicare or Medi-Cal rate, whichever is greater
- 401% to % of poverty level, you pay 40% of total charges
How to apply
- Call (626) 458-4779 and ask for financial assistance.
- Application form
- Charity and Cash Discount Policy (Policy 11.30, revised 4/25 and 3/26)
- Bring completed financial assistance application, three recent pay stubs (within 6 months of first bill), or most recent tax return if no current pay stub, signed statement if you have no income.
- We do not have the deadline yet. Apply as soon as you get a bill, and ask the billing office to pause collections while you apply.
- Very large bills
- Between 251% and 400% of the poverty level, the discount requires high medical costs, meaning yearly out-of-pocket medical costs over 10% of family income.
- Languages
- English, Spanish
If you have insurance
Insured patients can also apply for help with deductibles and copays. Keep your insurance. Financial assistance covers bills from this one place only.
What is covered
- Covered
- Medically necessary hospital services, including copays, coinsurance, and deductibles for insured patients.
State program in California
Hospital Fair Pricing Act (Health and Safety Code 127400 et seq.)
Every licensed general acute care, acute psychiatric, and special hospital in California must have a charity care policy and a discount payment policy. A patient can ask for help if they are uninsured (self-pay) or have high medical costs, and their family income is not more than 400% of the federal poverty level. Hospitals may choose to help people with higher incomes. With a discount, the bill is capped at about what Medicare or Medi-Cal would pay, whichever is greater. You can apply at any time, even after a bill goes to collections. Immigration status does not affect eligibility.
Income levels in the program are discount up to 400% of poverty level.
Applies to each licensed general acute care hospital, acute psychiatric hospital, and special hospital in California.
Apply to the hospital's financial assistance office. Each hospital's policies and applications are posted on its website and on HCAI's Hospital Fair Pricing Policy Lookup (https://hcai.ca.gov/affordability/hospital-fair-billing-program/hospital-fair-pricing-policy-lookup/).
Is a self-pay patient OR a patient with high medical costs; AND Patient's family income is not more than 400 percent of the federal poverty
Program source, checked 2026-11-10
Hospital Bill Complaint Program (HCAI)
A free state program at HCAI. If a hospital wrongly denied you financial assistance, did not tell you about its programs, or sent you to collections the wrong way, you can file a complaint online (English and Spanish) or by mail (many languages). You must have applied to the hospital first for HCAI to review an eligibility decision. If HCAI finds you paid too much, the hospital must refund you within 30 days. It covers problems on or after January 1, 2022. It does not handle general billing disputes, price transparency, Good Faith Estimates, or bills from emergency room doctors.
Applies to complaints about any hospital covered by the Hospital Fair Pricing Act.
File online through the Patient Complaint Portal (https://hcai.ca.gov/affordability/hospital-fair-billing-program/hospital-bill-complaint-program/should-i-file-a-complaint/) or mail the Patient Complaint Form to Department of Health Care Access and Information, Hospital Bill Complaint Program, 2020 West El Camino Avenue, Suite 1101, Sacramento, CA 95833.
If you believe you were wrongly denied financial assistance, you may file a complaint with the Hospital Bill Complaint Program.
Program source, checked 2026-11-10
Emergency physician discount rule
Most hospital policies cover only the hospital's own bill. Emergency room doctors often bill separately. California law also requires an emergency physician to give discounts to uninsured patients and patients with high medical costs whose family income is at or below 400% of the federal poverty level. Ask the doctor group's billing office for its discount policy. HCAI's complaint program does not handle emergency doctor bills.
Income levels in the program are discount up to 400% of poverty level.
Applies to emergency physicians who provide emergency medical services in a California hospital that provides emergency care.
Ask the emergency physician group named on the bill for its discount payment policy.
an emergency physician who provides emergency medical services in a hospital that provides emergency care is also required by law to provide discounted care
Program source, checked 2026-11-10
Notes
Free care at or below 250% of the poverty level. From 251% to 400% you pay the Medicare or Medi-Cal rate. Above 401% with no insurance you pay 40% of total charges, and the policy sets no upper income limit for that discount. Insured patients can get help with copays, coinsurance, and deductibles. The policy does not say whether savings count. It does not set a deadline. If your application is missing papers, you get 15 days to send them before it may be canceled. A decision letter comes within 45 days of a complete application. Disputes get a written answer within 30 days. One section lists Patient Financial Services at (626) 457-7997, which differs from the (626) 458-4779 used elsewhere. For discharged patients the policy also names a contact at (626) 458-4735. Whether outside doctors bill separately was not stated, except that emergency doctors must give their own discounts. The application form is in English and Spanish. The policy does not name a parent health system.
Sources
- Free care level
equal to or less than 250% of the Federal Poverty (FPL)
- Discount level
A patient whose family income is above 401% of the FPL qualifies for partial pay for services provided.
- Discount steps
Qualifying patients above 401% of the FPL without insurance are responsible for 40% of the total charges.
- Insured patients
Financial Assistance is available to uninsured and underinsured patients, as well as the patient responsibility for patients with insurance
- Very large bills
High Medical Costs is defined as Annual out-of-pocket medical expenses that exceed the lesser of 10% of the patient's current family income
- Deadline
Charity Care eligibility can be determined, or revoked, at any point in the preadmission, billing or collection process
- Documents
Three recent pay stubs (must be within 6 months before or after the patient is first billed by the hospital
- Languages
DISCOUNT PAYMENT AND CHARITY CARE APPLICATION SOLICITUD DE CARIDAD O PAGO CON DESCUENTO
- Financial counseling phone
or by calling Patient Financial Services at 626-458-4779.
Last checked. 2026-11-10
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