# Marshall Medical Center

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

Marshall Medical Center likely gives free care to households with a yearly income up to $23,780 for 1 person, $32,244 for 2, $40,707 for 3, $49,170 for 4, $57,633 for 5 or $66,096 for 6. It likely gives a discount to households with a yearly income up to $71,820 for 1 person, $97,380 for 2, $122,940 for 3, $148,500 for 4, $174,060 for 5 or $199,620 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 | $23,780 | $71,820 |
| 2 | $32,244 | $97,380 |
| 3 | $40,707 | $122,940 |
| 4 | $49,170 | $148,500 |
| 5 | $57,633 | $174,060 |
| 6 | $66,096 | $199,620 |

Dollar amounts use the 2026 federal poverty guidelines.

## Discount steps

- 0% to 149% of poverty level, patient pays $0 (insured and uninsured)
- 150% to 249% of poverty level, patient pays 25% of the AGB (amount generally billed)
- 250% to 349% of poverty level, patient pays 50% of the AGB
- 350% to 450% of poverty level, patient pays 100% of the AGB

## How to apply

- Call (530) 626-2618 and ask for financial assistance.
- [Application form](https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=ebec7e52-ba57-4ff7-82f7-ae81a34af9fd)
- [Discounted Payment and Charity Care Program (effective 01.01.25, next review 01.01.27)](https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=6c5fe953-c343-4def-a135-055e4dc3fe24)
- 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 three most recent pay stubs from within 6 months before or after the first bill, or federal and state tax returns.
- Very large bills. Out-of-pocket costs at Marshall over 10% of family income, for insured patients up to 450% of the poverty level

## 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 care, care from Marshall Medical Foundation providers, and Marshall Home Care services.

Not covered. Many outside doctors and groups bill separately and are not covered, including the emergency, anesthesia, pathology, and radiology groups listed in the policy. Gift shop and cafeteria purchases and care that was not medically necessary are also excluded.

## 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 149% of the poverty level, with or without insurance. From 150% to 450% you pay a share of the amount generally billed. Uninsured patients under 450% never pay more than the amount generally billed. Insured patients with high medical costs get help with copays, coinsurance, and deductibles. Patients with Medi-Cal get full help without applying. Approval lasts 12 months, or 6 months for homeless patients. Appeals go to the financial counselors within 30 days of the decision letter. The policy gives no deadline to apply and does not say whether savings or other assets are counted. The policy and application end with help lines in many languages, but they do not name the languages served. You can apply on paper at any Marshall registration desk, by mail to P.O. Box 872, Placerville, CA 95667, or online at marshallmedical.org.

## Sources

- Free care level https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=6c5fe953-c343-4def-a135-055e4dc3fe24
  > Charity Care 149% FPL and below patient has zero liability
- Discount level https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=6c5fe953-c343-4def-a135-055e4dc3fe24
  > Level 4 Discounted Payment Insured and Uninsured 350% - 450% FPL responsible for 100% of AGB
- Discount steps https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=6c5fe953-c343-4def-a135-055e4dc3fe24
  > and Uninsured 150% - 249% FPL responsible for 25% of AGB
- Insured patients https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=6c5fe953-c343-4def-a135-055e4dc3fe24
  > Level 1 Discounted Payment (Insured) 149% FPL and below patient has zero liability
- Very large bills https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=6c5fe953-c343-4def-a135-055e4dc3fe24
  > Annual Out-Of-Pocket costs that exceed ten (10) % of the patient's family income
- What is not covered https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=6c5fe953-c343-4def-a135-055e4dc3fe24
  > will bill and make discounts based on their services separately and do not qualify under Marshall's Discounted Payment and Charity Care policy.
- Documents https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=ebec7e52-ba57-4ff7-82f7-ae81a34af9fd
  > Three most recent paycheck stubs within a 6-month period before or after the patient
- Financial counseling phone https://api.hdc.hcai.ca.gov/Public/Extract/Attachment?id=6c5fe953-c343-4def-a135-055e4dc3fe24
  > a patient may seek review of their eligibility by contacting the financial counselors at (530) 626-2618

Last checked 2026-11-10.

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