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Hospital · Auburn, NY

Auburn Community Hospital

Free care to 200% of the federal poverty level.

policy verified on Oct 10, 2026 · version 2 · price file checked on Oct 22, 2026 · CCN 330235

2026 ACH Financial Assistance Summary - English 4871-3020-5931 · read by Waiveauburnhospital.org · policy verified on Oct 10, 2026

Patients that qualify at or below 200% of the federal poverty level (FPL) will not be charged.

What the policy says

Quoted from the hospital’s own documents · read by Waive
Documents to includeMatchedPhoto id; proof of income; pay stubs; social security letter; other“We ask that you supply (1) a form of picture ID, and (2) pay stubs for the most recent one-month period, or proof of unemployment or other income (e.g., Social Security, pension, other compensation).”2026 ACH Financial Assistance Summary - English 4871-3020-5931 · read by Waive · auburnhospital.org · retrieved Oct 10, 2026
How to applyMatchedMail: Send your completed FA application to: Auburn Community Hospital, Attn, PFS Department, 17 Lansing Street, Auburn, New York 13021; in person: bring it in to our PFS Department“Send your completed FA application to: Auburn Community Hospital, Attn, PFS Department, 17 Lansing Street, Auburn, New York 13021, or bring it in to our PFS Department.”2026 ACH Financial Assistance Summary - English 4871-3020-5931 · read by Waive · auburnhospital.org · retrieved Oct 10, 2026
DecisionMatched30 days“Applications will be processed within 30 days from the date of receipt from patient.”ACH Financial Assistance Policy (Sept 2021 revision) ... · read by Waive · auburnhospital.org · retrieved Oct 10, 2026
Before collectionsMatched240 days after the first bill“Applications by patients for financial assistance will be accepted for at least 240 days after the date of the first post-discharge bill.”ACH Financial Assistance Policy (Sept 2021 revision) ... · read by Waive · auburnhospital.org · retrieved Oct 10, 2026
Presumptive eligibilityMatchedMedicaid“The financial Counselor will assist them in seeing if they qualify for free or low-cost insurance, such as Medicaid, Child Health Plus and Family Health Plus.”ACH Financial Assistance Policy (Sept 2021 revision) ... · read by Waive · auburnhospital.org · retrieved Oct 10, 2026

What Tender found

Cayuga County · CMS · Tender’s own checks
WebsiteVerifiedauburnhospital.orgVerified against Waive’s atlas or set by Tender’s admin · auburnhospital.org
Price fileFoundMachine-readable file foundTender’s own check · checked Oct 22, 2026 · logged, not quoted · auburnhospital.org
CMS actionNoneNo CMS penalty on fileCMS price transparency enforcement list · no notice names this hospital
Financial assistance policyMatchedFree care to 200% FPL“Patients that qualify at or below 200% of the federal poverty level (FPL) will not be charged.”Auburn Community Hospital · 2026 ACH Financial Assistance Summary - English 4871-3020-5931 · read by Waive · auburnhospital.org · retrieved Oct 10, 2026
Price transparency fileObservedMachine-readable file foundTender’s own check · Oct 22, 2026 03:13 UTC · 5 URLs tried · machine-readable file at https://www.auburnhospital.org/wp-content/uploads/2026/03/150532054_auburn-community-hospital_shoppable.csv · logged, not quoted

What changed

Since the previous version
  • Apply.documents required: — → Photo id; proof of income; pay stubs; social security letter; other
  • Apply.submit methods: — → Mail: Send your completed FA application to: Auburn Community Hospital, Attn, PFS Department, 17 Lansing Street, Auburn, New York 13021; in person: bring it in to our PFS Department
  • Apply.window days from first bill: 240 → —
  • Contacts.phone: (315) 255-7210 → 315-255-7210
  • Programs.presumptive: Medicaid; child Health Plus; family Health Plus → Medicaid
  • Status: Held → Published

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