San Antonio Regional Hospital
Nonprofit acute care hospital in Upland, CA.
Verified from the hospital's own policy
San Antonio Regional Hospital likely gives free care to households with a yearly income up to $47,880 for 1 person, $64,920 for 2, $81,960 for 3, $99,000 for 4, $116,040 for 5 or $133,080 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 | $47,880 | $63,840 |
| 2 | $64,920 | $86,560 |
| 3 | $81,960 | $109,280 |
| 4 | $99,000 | $132,000 |
| 5 | $116,040 | $154,720 |
| 6 | $133,080 | $177,440 |
Discount steps
- 0% to 300% of poverty level, you pay $0 (100% discount)
- 301% to 325% of poverty level, you pay 75% discount
- 326% to 350% of poverty level, you pay 50% discount
- 351% to 375% of poverty level, you pay 25% discount
- 376% to 400% of poverty level, you pay 10% discount
How to apply
- Call (909) 980-9511 and ask for financial assistance.
- Application form
- Financial Assistance/Charity (Policy 8610.03040, latest Finance Committee approval 1/26)
- Bring tax return for the year you were first billed or the 12 months before, or pay stubs from within 6 months before or after the first bill, self-employed: tax return with Schedule C, Social Security, retirement, disability, or unemployment: tax return or award letter.
- 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.
- Languages
- English, Spanish
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 and other medically necessary care billed by the hospital. Purely elective services for comfort or convenience are not covered.
- Not covered
- Physicians bill separately as independent contractors and are not covered. The hospital posts a list of these providers on its billing page.
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 300% of the poverty level. From 301% to 400% you get a sliding discount, from 75% down to 10%. Your bill can never be more than Medicare or Medi-Cal would pay, whichever is greater. The policy says it helps underinsured patients, but it does not explain how high medical costs are counted. People who are homeless, on General Relief, CalWORKs, or CalFresh, or on Medi-Cal with no share of cost may not need to fill out an application. Approval covers your open balances and may need renewal every 180 days. Appeals go in writing to the Patient Financial Services Director, then to the Chief Financial Officer. The policy gives no deadline to apply and does not say whether savings are counted. Mail applications to Patient Financial Services, 999 San Bernardino Road, Upland, CA 91786. Emergency doctors bill through Mountain View Physicians at (877) 484-3035.
Sources
- Free care level
Families with income up to 300% of the Federal Poverty Guideline (FPG) receive hospital services at no cost to the patient.
- Discount level
Patients with income between 301% and 400% of FPG qualify for discounted care based on a sliding scale.
- Discount steps
301% – 325% 75% 326% – 350% 50% 351% – 375% 25% 376% – 400% 10%
- Insured patients
who have healthcare needs and are uninsured, underinsured, ineligible for a government program, or otherwise unable to pay
- What is not covered
Physicians bill their services separately as independent contractors.
- Documents
provide one of the following documents to show your income. We only ask for recent documents that reflect your current financial situation
- Languages
These notices shall be posted in English and Spanish and any other languages
- Financial counseling phone
Need Help with the application? CALL SARH Financial Assistance Department at (909) 980-9511
Last checked. 2026-11-10
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