San Gorgonio Memorial Hospital
Acute care hospital in Banning, CA.
Verified from the hospital's own policy
San Gorgonio Memorial 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.
| People in household | Free care up to | Discount 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 |
Discount steps
- 0% to 200% of poverty level, you pay $0
- 201% to 400% of poverty level, you pay sliding scale discount (amounts not stated in the policy)
How to apply
- Call (951) 769-2173 and ask for financial assistance.
- Application form
- Charity Care and Financial Assistance (approved 10/2025, HCAI effective date 02/10/2026)
- Bring proof of income (tax returns, pay stubs, or benefit statements), family size and residency information, insurance coverage details, if any, proof of identity such as a driver's license or California ID, a hardship 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.
- Very large bills
- Patients whose out-of-pocket medical costs are more than 10% of household income can get help, insured or not.
- 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 care and medically necessary inpatient and outpatient hospital services at San Gorgonio Memorial Hospital.
- Not covered
- Elective procedures that are not medically necessary may be left out. Emergency room doctors bill separately.
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 200% of the poverty level. From 201% to 400%, the bill is cut on a sliding scale, but the policy does not list the amounts. Both uninsured and underinsured patients can apply. The hospital decides within 30 days of getting your full application. If you are denied, you can ask for another review within 30 days. Approval lasts 3 months and can be renewed for another 90 days. Payment plans are interest-free. For disputes, call the Patient Financial office Director at 951-769-2170. The policy says emergency room doctors must give discounts up to 350% of the poverty level, which is an old figure. The policy does not say whether savings or property count.
Sources
- Free care level
Charity Care (Free Care): Hospital services provided at no cost to patients with household income at or below 200% FPL.
- Discount level
201%–400% FPL → Eligible for Discounted Care (sliding scale discount).
- Discount steps
Discounted Care: Reduced charges for patients with household income between 201%– 400% FPL.
- Insured patients
Insurance Status: Both uninsured and under-insured patients may qualify.
- Very large bills
Patients whose out-of-pocket medical expenses exceed 10% of their household income are eligible for financial assistance, regardless of insurance status.
- What is not covered
Elective procedures not deemed medically necessary may be excluded.
- Documents
Proof of income (tax returns, pay stubs, benefit statements). Family size and residency information. Insurance coverage details, if applicable.
- Languages
Applications are provided in English, Spanish, and other prevalent languages in the community.
- Financial counseling phone
Please contact the Business Office at (951) 769-2173 or (951 )-769-2183
Last checked. 2026-11-10
Something wrong? Tell us and include a link to where you saw the right answer.
Work at this hospital? Claim and verify this page.
For AI assistants, this page as Markdown.