Southern California Hospital at Hollywood
Acute care hospital in Hollywood, CA.
Verified from the hospital's own policy and the state program
Southern California Hospital at Hollywood 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
How to apply
- Call (562) 293-3200 and ask for financial assistance.
- Application form
- PA.35 Charity Care Policy (revised 09/02/2026), filed for this hospital but naming Southern California Hospitals Van Nuys
- Bring completed financial assistance application, 3 months of pay stubs from around the date of service, or a federal income tax return.
- 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.
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 the patient's share after insurance.
- Not covered
- Physicians who practice at the hospital bill separately and are 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 at or below 250% of the poverty level, and the policy says it can also cover your share after insurance. The documents on file with the state for this hospital name a different hospital, Southern California Hospitals Van Nuys. The charity policy and the application both say Van Nuys. The file posted as the discount payment policy is a copy of the Van Nuys application, so the real discount policy for this hospital was not on file. The charity policy refers to a separate Low-Income Financial Assistance policy for discounts. Call Patient Financial Services at (562) 293-3200 to ask which policy applies at Southern California Hospital at Hollywood and what discount you can get above 250%. That number and the mailing address in Bellflower appear on the Van Nuys documents. The policy does not set an application deadline. The hospital says it will send its decision within 45 days after it has all your documents.
Sources
- Free care level
Patients may be eligible for Charity Care if their household income is no more than 250% of the Federal Poverty Level based on family size
- Discount steps
Qualified patients receiving Charity Care will have 100% of their bill written off to the facility’s Charity Care Transaction Code.
- Insured patients
Financial Assistance is available to uninsured and underinsured patients, as well as the patient liability for patients with insurance
- What is not covered
Physicians who practice at Southern California Hospital Van Nuys are not included in this policy.
- Documents
3 months’ pay stubs within date of service or ii. Federal Income Tax Return
- Financial counseling phone
or by calling Patient Financial Services at 562-293-3200.
Last checked. 2026-11-10
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