UCLA West Valley Medical Center
Acute care hospital in West Hills, CA.
Verified from the hospital's own policy
UCLA West Valley Medical Center likely gives free care 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. 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.
| People in household | Free care up to | Discount up to |
|---|---|---|
| 1 | $63,840 | $71,820 |
| 2 | $86,560 | $97,380 |
| 3 | $109,280 | $122,940 |
| 4 | $132,000 | $148,500 |
| 5 | $154,720 | $174,060 |
| 6 | $177,440 | $199,620 |
Discount steps
- 0% to 400% of poverty level, you pay $0 (100% Charity Care discount)
- 401% to 450% of poverty level, you pay Discounted payment, no more than the amount Medicare would allow
How to apply
- Call (310) 825-8021 and ask for financial assistance.
- Application form
- Financial Assistance Policy, HS 5310 (effective 07/01/2025, revised 05/2026)
- Bring most recent filed federal tax return or recent pay stubs (within 6 months of the first bill), receipts for out-of-pocket medical costs at other providers, if applying as a high medical cost patient.
- 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
- Out-of-pocket costs at the hospital over 10% of family income (current or prior 12 months, whichever is lower), with family income at or below 400% of the poverty level
- 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 medically necessary care billed by the hospital, including its licensed hospital-based outpatient clinics
- Not covered
- Doctors and other clinicians in the UCLA Faculty Practice Group bill separately and are not covered. Care that is not medically necessary is 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 if your family income is at or below 400% of the poverty level. This is for uninsured patients, and for insured patients whose out-of-pocket costs at the hospital are over 10% of family income. Between 400% and 450% of the poverty level you may get a discount, and you will not be charged more than Medicare would allow. The policy does not say it counts savings or other assets. It says eligibility is based on family income. You can apply any time after the first bill, even during collections. There is no stated deadline. Doctors in the UCLA Faculty Practice Group bill separately and have their own financial assistance policy. Emergency doctors must by law give discounts to uninsured or high-cost patients at or below 400% of the poverty level. Approval for an inpatient stay covers that stay and other balances you owe at the time. Outpatient approval lasts three months. Ask for a review by the Patient Business Services Sr. Customer Service Manager if you are denied. UCLA Health says it does not use extraordinary collection actions such as lawsuits, liens, or credit reporting. The phone number is UCLA Health's hospital customer service line for all four UCLA hospitals. HCAI files this policy on its page for West Hills Hospital and Medical Center. The policy names this hospital as West Valley Medical Center at UCLAHealth. CMS lists the hospital as proprietary, while the policy treats it as a UCLA Health hospital.
Sources
- Free care level
Self-Pay Patients with Patient's Family incomes not exceeding 400% of the FPL will be eligible for a 100% Charity Care discount
- Discount level
Self-Pay Patients with Patient's Family incomes between 400% to 450% of FPL may be eligible for a Discounted payment
- Discount steps
the amount charged to patients eligible for Financial Assistance shall be limited to the amounts generally billed to individuals who have insurance covering such care
- Insured patients
High Medical Cost Patients with Patient's Family incomes not exceeding 400% of the FPL, may be extended a 100% Charity Care discount
- Very large bills
Annual out-of-pocket costs incurred by the individual at the hospital that exceed the lesser of 10 percent of the patient’s current family income
- What is not covered
The policy does not apply to the Departments, faculty and other clinicians within the UCLA Faculty Practice Group.
- Documents
Patient's Family income is verified with the most recent filed Federal tax return
- Languages
The Financial Assistance Policy, application, and plain language summary shall be available in English, Spanish and any other language spoken by a Significant LEP Population.
- Financial counseling phone
Questions about Financial Assistance eligibility should be directed to the UCLA Patient Business Services, Hospital Customer Service Call Center at (310) 825-8021.
- Facility named in policy
Resnick Neuropsychiatric Hospital and West Valley Medical Center at UCLAHealth
Last checked. 2026-11-10
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