# Fresno Surgical Hospital

Hospital in Fresno, CA. Verified from the hospital's own policy.

Fresno Surgical Hospital 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 (100% discount on all patient balances)
- 201% to 400% of poverty level, patient pays the current Medicare rate for the same or similar procedure

## How to apply

- Call (559) 447-7735 and ask for financial assistance.
- [Application form](https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=7bb23505-032f-4178-93d2-f619b5a93ff5)
- [Financial Assistance to Patients (FN 13.074, last approved 5/24/2024)](https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=7bb23505-032f-4178-93d2-f619b5a93ff5)
- The policy gives 240 days to apply. Ask the billing office which date the count starts from.
- Bring three months of complete bank statements for all checking, savings, and investment accounts (required), three recent pay stubs, or your most recent federal tax return, or a statement from family or friends on how living costs are met, other income papers that apply, such as unemployment, Social Security, or public assistance letters.
- Savings and property. The policy counts savings or property, not only income.
- Very large bills. At or below 400% of the poverty level, yearly out-of-pocket costs at the hospital over 10% of family income get more help. At any income, insured patients whose costs for one episode of care are over 20% of income can have copays, deductibles, and coinsurance treated as charity care.

## 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 care billed by Fresno Surgical Hospital, including emergency care.

Not covered. Cosmetic services, infertility treatment, and other elective care are not covered. Services not billed by the hospital are not covered, such as independent doctors, ambulance, pathology, and lab. Medi-Cal share of cost cannot be waived.

## 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. From 201% to 400% you pay what Medicare would pay. This is an old policy, last approved in May 2024. It still counts savings above $10,000 and asks for bank statements, and it sets a 240-day window to apply. California law since 2025 bars hospitals from counting savings or setting time limits, so ask the hospital to follow state rules. The state's page lists a charity care policy dated 01/29/2026, but that file would not open. The application filed on the same date holds this full 2024 policy, so we used it. Mail applications to Fresno Surgical Hospital Business Office, 6121 N Thesta Suite 101, Fresno, CA 93710. Allow about 30 days for a decision. Self-pay patients who do not qualify still get a standard uninsured discount. The hospital calls itself physician owned. The policy offers free language help but does not name languages beyond a notice in many languages.

## Sources

- Free care level https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=7bb23505-032f-4178-93d2-f619b5a93ff5
  > A 100% discount for all patient balances will be provided for patients whose family income is at or below 200% of the most recent FPL.
- Discount level https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=7bb23505-032f-4178-93d2-f619b5a93ff5
  > Family Income between 201% and 400% of the Federal Poverty Level Guideline
- Discount steps https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=7bb23505-032f-4178-93d2-f619b5a93ff5
  > A discount off of total charges equal to the then-current Medicare reimbursement for the same/similar procedure.
- Insured patients https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=7bb23505-032f-4178-93d2-f619b5a93ff5
  > an insured patient with co-pay, deductible, and co-insurance amounts.
- Asset test https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=7bb23505-032f-4178-93d2-f619b5a93ff5
  > The first $10,000 of monetary assets shall not be counted in determining eligibility, nor shall 50% of monetary assets over the first $10,000 be counted
- Very large bills https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=7bb23505-032f-4178-93d2-f619b5a93ff5
  > annual out of pocket costs at the hospital in excess of 10% of their current family income
- Very large bills https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=7bb23505-032f-4178-93d2-f619b5a93ff5
  > medical expenses for an episode of care that exceed 20% of income will qualify the insured patient's co-pays, deductibles, and co-insurance payments
- What is not covered https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=7bb23505-032f-4178-93d2-f619b5a93ff5
  > Services not provided and billed by FSH (e.g. independent physician services, private duty nursing, ambulance transport, retail medical supplies, surrogacy services, pathology, laboratory, etc.)
- Deadline https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=7bb23505-032f-4178-93d2-f619b5a93ff5
  > ends the later of 240 days after the first post-discharge billing statement to the patient
- Documents https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=7bb23505-032f-4178-93d2-f619b5a93ff5
  > Three (3) months complete, itemized bank statements for all checking, savings, and/or investment accounts showing deposits and withdrawals.
- Financial counseling phone https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=7bb23505-032f-4178-93d2-f619b5a93ff5
  > If you have any questions or require information in another language, please contact our office at the number listed below.
- Financial counseling phone https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=7bb23505-032f-4178-93d2-f619b5a93ff5
  > Fresno Surgical Hospital Customer Service (559) 447-7735

Last checked 2026-11-10.

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