Saint Agnes Medical Center
Nonprofit acute care hospital in Fresno, CA.
Verified from the hospital's own policy
Saint Agnes Medical Center likely gives free care to households with a yearly income up to $31,920 for 1 person, $43,280 for 2, $54,640 for 3, $66,000 for 4, $77,360 for 5 or $88,720 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 | $31,920 | $63,840 |
| 2 | $43,280 | $86,560 |
| 3 | $54,640 | $109,280 |
| 4 | $66,000 | $132,000 |
| 5 | $77,360 | $154,720 |
| 6 | $88,720 | $177,440 |
Discount steps
- 0% to 200% of poverty level, you pay $0 (uninsured patients)
- 201% to 400% of poverty level, you pay 76.8% off charges in the Fresno guideline table, and no more than Medicare or Medi-Cal would pay
How to apply
- Call (800) 494-5797 and ask for financial assistance.
- Application form
- Financial Assistance and Discount Payment to Patients (Trinity Health mirror policy, effective 7/9/25)
- Bring pay stubs from within 6 months before or after the first bill, or a federal tax return (Form 1040), if you have no proof of income, a page explaining why.
- 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
- Insured patients whose medical costs are more than 20% of family income can get help with the copays, coinsurance, and deductibles above that amount (or a lower percentage if state law requires).
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
- Emergency care and medically necessary care provided and billed by Saint Agnes.
- Not covered
- Independent doctors, private duty nursing, and ambulance rides bill separately and are not covered. The policy lists the doctors who bill separately. Cosmetic and elective care is not covered.
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 for uninsured patients at or below 200% of the poverty level. From 201% to 400%, the Fresno guideline table writes off 76.8% of charges, which matches what Medicare pays on average. The table shows no write-off above 400%. The table has no separate column for 351% to 400%, but the policy text says discounts go up to 400%. Every uninsured patient gets at least 35% off. Insured patients at or below 400% can get help with copays, deductibles, and coinsurance. You do not have to apply for Medi-Cal first. The policy says it weighs financial resources but does not say savings or other assets are counted. No deadline to apply is stated. If the hospital asks for more papers, you have 30 days to send them. Approval lasts six months. You can appeal a denial in writing within 30 days. The phone number is the Trinity Health Patient Business Services Center. The application lists a Customer Service Center at 1-866-626-7272. The hospital's main line is (559) 450-3000.
Sources
- Free care level
Uninsured Patients whose Family Income is at or below 200% of the Federal Poverty Level (FPL) will be eligible for a 100% discount
- Discount level
Patients whose Family Income is above 200% of the FPL and does not exceed 400% of the FPL
- Discount steps
Charity Write-off Fresno 100% 100% 76.80% 76.80% 0%
- Insured patients
Patients whose Family Income is at or below 400% of the FPL will be eligible for Financial Assistance for co-pay, deductible, and co-insurance amounts.
- Very large bills
A medically indigent patient is an insured patient who applies for Financial Assistance, and due to catastrophic circumstances medical expense exceeds 20% of Family Income.
- What is covered
All Medically Necessary Care and Emergency Medical Care for
- What is not covered
Services not provided and billed by Saint Agnes (e.g., independent physician services, private duty nursing, ambulance transport, etc.).
- Documents
You may submit other forms of proof of income if you wish, but no additional proof of income is required by the hospital.
- Financial counseling phone
Call the Patient Business Services Center at 800-494-5797 or the current phone number posted on the website.
- Facility named in policy
It is the policy of Saint Agnes to address the need for Financial Assistance and support of patients
Last checked. 2026-11-10
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