{"hospital":{"ccn":"330197","name":"CANTON-POTSDAM HOSPITAL","city":"POTSDAM","state":"NY","zip":"13676","phone":"315-265-3300","ownership":"Voluntary non-profit - Private","website_domain":"rochesterregional.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"400","layer":"documented","quote":"> Household Income Percentage of Federal Poverty Guidelines\n> 0-100% 101-125% 126-150% 151-175% 176-200% 201-225% 226-250% 251-300% 301-350% 351-400% RRH Medically Necessary Services, except Dental\n> (for Uninsured)\n> 100% discount off of charges 100% discount off of charges 100% discount off of charges 100% discount off of charges 100% discount off of charges 100% discount off of charges 100% discount off of charges 100% discount off of charges 100% discount off of charges 100% discount off of charges","source_id":"billing-e49ebb7a9a323126","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"discount_tiers":null,"asset_test":null,"residency":null,"insured_patients_covered":{"value":true,"layer":"documented","quote":"RRH Medically Necessary Services, except Dental\n> (for Insured)\n> 100% discount off of Patient Liability 100% discount off of Patient Liability 100% discount off of Patient Liability 100% discount off of Patient Liability 100% discount off of Patient Liability 90% discount off of the Patient Liability 90% discount off of the Patient Liability 90% discount off of patient liability 80% discount off of patient liability 80% discount off of patient liability","source_id":"billing-e49ebb7a9a323126","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"min_balance":null,"services_excluded":null},"programs":{"presumptive":null,"state_programs":null},"apply":{"form_url":null,"form_version":null,"documents_required":{"value":["proof_of_income","tax_return","pay_stubs"],"layer":"documented","quote":"The hospital may request you submit documentation as proof of income; examples of documentation might include a pay stub, a letter from your employer if applicable, or Form 1040.\n\nHealth Insurance Status\nDo you have any form of health insurance, including Medicaid, Medicare, or private insurance through your employer or purchased on your own?","source_id":"application-6bdaefe8ec940f91","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"mail","detail":"Rochester Regional Health 100 Kings Highway South Rochester, NY 14617 Attn: PFS, Financial Counseling Department"},{"kind":"email","detail":"email: Financialaid@rochesterregional.org"},{"kind":"fax","detail":"Fax: 585-922-1341"}],"layer":"documented","quote":"Please submit your application by mail, email or fax: Rochester Regional Health 100 Kings Highway South Rochester, NY 14617 Attn: PFS, Financial Counseling Department email: Financialaid@rochesterregional.org Fax: 585-922-1341","source_id":"application-6bdaefe8ec940f91","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"window_days_from_first_bill":null,"decision_days":{"value":30,"layer":"documented","quote":"Once a completed application is received, the patient will be notified of approval determination within 30 days.","source_id":"billing-e49ebb7a9a323126","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"decision_days_reported":null},"collections":{"eca_wait_days":null,"collection_agencies":null},"contacts":{"phone":{"value":"(585) 922-1900","layer":"documented","quote":"**Phone:**(585) 922-1900   **Toll-free:**(866) 209-0949   **Hours:** Monday - Friday, 8:30am - 5:00pm","source_id":"billing-c751ae443d704121","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"hours":{"value":"Monday - Friday, 8:30am - 5:00pm","layer":"documented","quote":"**Phone:**(585) 922-1900   **Toll-free:**(866) 209-0949   **Hours:** Monday - Friday, 8:30am - 5:00pm","source_id":"billing-c751ae443d704121","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"languages":null},"coverage":{"facilities":{"value":["Canton-Potsdam Hospital"],"layer":"documented","quote":"[Canton-Potsdam Hospital](/locations/hospitals/potsdam)","source_id":"billing-c751ae443d704121","checked_on":"2026-10-10","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"application-4d491907924021c3","kind":"hospital_web","url":"https://www.rochesterregional.org/billing-and-insurance/financial-assistance/form","title":"Financial Assistance Program Application | Rochester Regional Health","fetched_on":"2026-10-10","sha256":"4d491907924021c331cbced57ee9d3277fcf3e38d6bcb5050cd98b74566d54d5","effective_date":null},{"id":"billing-c751ae443d704121","kind":"hospital_web","url":"https://www.rochesterregional.org/billing-and-insurance/financial-assistance","title":"Financial Assistance | Rochester Regional Health","fetched_on":"2026-10-10","sha256":"c751ae443d7041217d501121dbcb8a4c8ba7f2f3173abb2fc9b06f290c599660","effective_date":null},{"id":"billing-4dab44de912d6b4e","kind":"hospital_web","url":"https://www.rochesterregional.org/billing-and-insurance","title":"Billing & Insurance | Rochester Regional Health","fetched_on":"2026-10-10","sha256":"4dab44de912d6b4e94a9a6a31bb580dd68ea57e8bf55f6cf1ce9421c0845ee5a","effective_date":null},{"id":"billing-4ddc041b004e92da","kind":"hospital_web","url":"https://www.rochesterregional.org/billing-and-insurance/pay-your-bill","title":"Pay Your Bill | Rochester Regional Health","fetched_on":"2026-10-10","sha256":"4ddc041b004e92da39f47c22f1ac3c585a02c2905fc55f196f8245e193fb24b0","effective_date":null},{"id":"application-6bdaefe8ec940f91","kind":"hospital_web","url":"https://edge.sitecorecloud.io/rochesterred189-rrh4822-prodb67b-4284/media/project/rrh/rrh/files/billing-and-insurance/uniform-financial-aid-doc---english-updated-2025.pdf","title":"Download the Financial Assistance Application - 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