# Hollywood Presbyterian Medical Center

Hospital in Los Angeles, CA. Verified from the hospital's own policy and the state program.

Hollywood Presbyterian 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.

| Household size | Free care if yearly income is up to | Discount if yearly income is 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 |

Dollar amounts use the 2026 federal poverty guidelines.

## Discount steps

- 0% to 200% of poverty level, patient pays $0
- 201% to 245% of poverty level, patient pays 20% of undiscounted charges
- 246% to 305% of poverty level, patient pays 55% of undiscounted charges (Exhibit A table; the policy text says 45%)
- 306% to 349% of poverty level, patient pays 85% of undiscounted charges
- 350% to null% of poverty level, patient pays 95% of undiscounted charges (Exhibit A table; the policy text says 5%)

## How to apply

- Call (213) 413-3000 and ask for financial assistance.
- [Application form](https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=9ee22e1b-02a7-4284-a0ee-b066d801130a)
- [Charity Care/Discount Payment- Review and Evaluation Process (date approved May 30, 2024)](https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=0caece89-24d7-49be-9f2f-44deb2407b83)
- 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.
- Bring recent pay stubs or income tax returns, the application form asks for a copy of your pay stub and bank statement.
- Very large bills. Insured patients with family income under 500% of the poverty level whose medical bills in the past 12 months are over 10% of family income pay 20% of the hospital's undiscounted charges.

## 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. Hospital services from Hollywood Presbyterian Medical Center. Full charity care covers services a Knox-Keene health plan must cover.

Not covered. Doctors and other providers who bill separately, such as anesthesiologists, radiologists, emergency room doctors, and pathologists. Complex or high-cost services that need prior approval, such as experimental procedures and transplants, unless leadership makes an exception.

## 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.

How to apply. 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

Source https://hcai.ca.gov/affordability/hospital-fair-billing-program/hospital-bill-complaint-program/frequently-asked-questions/, 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.

How to apply. 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.

Source https://hcai.ca.gov/affordability/hospital-fair-billing-program/hospital-bill-complaint-program/, 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.

How to apply. 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

Source https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=c7bdd7eb-bcc0-4a84-bcab-a21b5e578d9c, checked 2026-11-10

## Notes

Free care at or below 200% of the poverty level, but only if you have no insurance or other way to pay. Uninsured patients above 200% get a sliding discount with no upper income limit. The policy text and its own table disagree on two tiers. The table says you pay 55% of charges at 246% to 305% and 95% at 350% and above. The text says 45% and 5%. Ask the hospital which applies to you. If you have insurance and your medical bills in the past 12 months are over 10% of family income, and your income is under 500% of the poverty level, you pay 20% of charges. The policy does not set an application deadline. Disputes go in writing to the Chief Financial Officer within 30 days. The policy was approved in May 2024 and HCAI shows it effective 02/17/2026. The policy's phone numbers are left blank, so no financial assistance number is listed here. The application form asks about your home, cars, and bank balances. The policy itself does not say whether assets count. One line on the application names UC Irvine Health, which looks like a leftover from another hospital's form. The policy mentions a separate discount policy for uninsured patients who do not qualify, which was not on file.

## Sources

- Free care level https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=0caece89-24d7-49be-9f2f-44deb2407b83
  > Whose Family Incomes are at or below 200% of the most recent Federal Poverty Income Guidelines (Exhibit A)
- Discount steps https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=0caece89-24d7-49be-9f2f-44deb2407b83
  > Required P 0% 20% 55% 85% 95%
- Insured patients https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=0caece89-24d7-49be-9f2f-44deb2407b83
  > This discount is available to insured patients who meet the following criteria
- Very large bills https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=0caece89-24d7-49be-9f2f-44deb2407b83
  > written evidence of payment to HPMC) exceed 10% of the patient’s Family Income
- What is not covered https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=0caece89-24d7-49be-9f2f-44deb2407b83
  > does not create an obligation to pay for charges of physicians or other medical providers including anesthesiologists, radiologists, emergency department physicians, pathologists
- Documents https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=9ee22e1b-02a7-4284-a0ee-b066d801130a
  > return with copy(s) of your pay‐check stub and bank statement.
- Deadline https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=0caece89-24d7-49be-9f2f-44deb2407b83
  > there is no rigid limit on the time when the determination is made

Last checked 2026-11-10.

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