{"hospital":{"ccn":"330214","name":"NYU LANGONE HOSPITALS","city":"NEW YORK","state":"NY","zip":"10016","phone":"212-263-7300","ownership":"Voluntary non-profit - Private","website_domain":"nyulangone.org","system":null},"version":1,"status":"published","eligibility":{"free_care_max_fpl":{"value":"600","layer":"documented","quote":"The Hospital provides 100% discounts for eligible patients up to 600% FPL and lower discounts for eligible patients up to 800% FPL.","source_id":"fap-5aad16a459e827a5","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"discount_tiers":{"value":[{"min_fpl_exclusive":"600","max_fpl_inclusive":"650","discount_percent":75},{"min_fpl_exclusive":"650","max_fpl_inclusive":"700","discount_percent":50},{"min_fpl_exclusive":"700","max_fpl_inclusive":"800","discount_percent":25}],"layer":"documented","quote":"100% Discount\n100% Discount\n100% Discount\n100% Discount\n75% Discount\n50% Discount\n25% Discount\nFamily Size\n0% - 150% FPL\n151% - 300% FPL\n301% - 400% FPL\n401% - 600% FPL\n601% - 650% FPL\n651% - 700% FPL\n701% - 800% FPL","source_id":"fap-5aad16a459e827a5","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"assistance_ceiling_fpl":null,"asset_test":null,"residency":null,"insured_patients_covered":null,"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","social_security_letter","tax_return","pay_stubs"],"layer":"documented","quote":"Acceptable documentation of income may include any of the following: \n• Most Recent 1040 Tax Return\n• Recent and consecutive pay stubs (Requires 3-4)\n• W2 Forms\n• 1099 forms for self-employed applicants\n• Employer income letter\n• Unemployment benefit documentation, notarized letter attesting to unemployment income, or furlough or employment termination letters\n• Current school transcript for full-time students\n• Documentation of pension income, or 401(k) or IRA distributions\n• Income verification from public assistance, income verification from disability, or Social Security benefit verification letters\n• Income verification from alimony, or income verification from child support\n• Other supporting documentation may be considered on a case-by-case basis","source_id":"fap-223a8bfa912dbdc8","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"documents_reported":null,"submit_methods":{"value":[{"kind":"in_person","detail":"by visiting a Financial Counselor between the hours of 8am-5pm at any of the following locations: (a) NYU Langone Hospital Tisch: 550 First Avenue, MSB 2-100A, New York, NY 10016; (b) NYU Langone Hospital – Brooklyn 150 55th Street, Suite 2840, Brooklyn, NY 11220; (c) NYU Langone Hospital – Long Island 131 Mineola Boulevard, Suite 105, Mineola, NY 11501 or Admitting Office 259 First Street Mineola, NY 11501; or (d) NYU Langone Hospital – Suffolk 101 Hospital Road, Room NW 1011, Patchogue, NY 11772."}],"layer":"documented","quote":"If you have questions or need help completing the application, please call Financial Counseling Services at (888) 279-1364.","source_id":"application-370813be735cdc11","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"window_days_from_first_bill":{"value":240,"layer":"documented","quote":"Patients will have at least two hundred and forty (240) days from the date of service or discharge to apply for financial assistance.","source_id":"summary-a7eb8e941efbceac","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"decision_days":null,"decision_days_reported":null},"collections":{"eca_wait_days":{"value":180,"layer":"documented","quote":"The Hospital reserves the right to turn over to collections or bring a legal action with respect to the accounts of patients who have an unpaid balance and who do not have a financial assistance application in process upon written notice to the patient not less than thirty (30) days prior to referral of debt for collection and not less than one hundred eighty (180) days after the first post-service bill has been issued and reasonable efforts have been made to determine whether a patient qualifies for financial assistance provided, however, that the Hospital will not:","source_id":"fap-5aad16a459e827a5","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"collection_agencies":null},"contacts":{"phone":{"value":"888-279-1364","layer":"documented","quote":"Speak with a financial counselor for free and confidential assistance by calling [888-279-1364](tel:888-279-1364), available Monday through Friday, 8:00AM to 5:00PM.","source_id":"billing-922e5b325265270e","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"hours":{"value":"8 am-5 pm","layer":"documented","quote":"Applications are available on the NYU Langone Health website (see https://nyulangone.org/insurance-billing-financial-assistance; go to “Patient Financial Counselors and Financial Assistance for Hospital Bills” and click on “financial assistance application”) or by visiting a Financial Counselor at NYU Langone Hospitals (Tisch): Skirball lobby (560 First Avenue, Rm SK, tel: 866-486-9847) or NYU Langone Hospital- Brooklyn (150 55th Street, Suite 2-40, tel: 718-630-6252) between the hours of 8 am to 5 pm.","source_id":"fap-2064e78dd084e6ee","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"languages":{"value":["English","Chinese (Cantonese and Mandarin)","Spanish","Russian","Polish","Arabic","Bengali","Italian","Korean","Farsi","Haitian - Creole","Portuguese","Greek"],"layer":"documented","quote":"Applications for financial assistance will be available in multiple languages (English, Chinese (Cantonese and Mandarin), Spanish, Russian, Polish, Arabic, Bengali, Italian, Korean, Farsi, Haitian - Creole, Portuguese, and Greek) and translation services will be made available.","source_id":"fap-5aad16a459e827a5","checked_on":"2026-10-14","confidence":1.0,"support_count":0}},"coverage":{"facilities":{"value":["NYU Langone Hospital Tisch","NYU Langone Hospital - Brooklyn","NYU Langone Hospital – Long Island","NYU Langone Hospital – Suffolk"],"layer":"documented","quote":"(a) NYU Langone Hospital Tisch: (560 First Avenue, MSB G-200, New York, NY 10016, Tel: 866-486-9847); (b) NYU Langone Hospital - Brooklyn (150 55th Street, Suite 2840, Brooklyn, NY 11220 Tel: 718-630-6252); (c) NYU Langone Hospital – Long Island (131 Mineola Boulevard, Suite 105, Mineola, NY 11501 Tel: 516-663-8373); (d) NYU Langone Hospital – Suffolk (101 Hospital Road, Room NW 1011, Patchogue, NY 11772 Tel: 631-687-4563).","source_id":"fap-5aad16a459e827a5","checked_on":"2026-10-14","confidence":1.0,"support_count":0},"provider_list_url":null},"sources":[{"id":"fap-5aad16a459e827a5","kind":"hospital_web","url":"https://nyulangone.org/files/charity-care-financial-assistance.pdf","title":"Reissue Dates: 06/2006 01/2025 NYU Langone Hospitals ...","fetched_on":"2026-10-14","sha256":"5aad16a459e827a53a5e9ae831876d2fb885e77734284b2c6724db2b2acd3582","effective_date":null},{"id":"summary-a7eb8e941efbceac","kind":"hospital_web","url":"https://nyulangone.org/files/financial-assistance-brochure-english-aug-2022.pdf","title":"Financial Assistance Summary","fetched_on":"2026-10-14","sha256":"a7eb8e941efbceacb4e57a21d782aa9315c20bf9cea7d11e856f9697b25b4a72","effective_date":null},{"id":"billing-922e5b325265270e","kind":"hospital_web","url":"https://nyulangone.org/insurance-billing-financial-assistance","title":"Insurance, Billing & Financial Assistance | NYU Langone Health","fetched_on":"2026-10-14","sha256":"922e5b325265270e336b308f0a07d139cffc8afffeb8672b207cbee5b6be145a","effective_date":null},{"id":"fap-2064e78dd084e6ee","kind":"hospital_web","url":"https://nyulangone.org/files/charity-care-financial-assistance-feb-2021.pdf","title":"Charity Care and Financial Assistance","fetched_on":"2026-10-14","sha256":"2064e78dd084e6ee0c4815df58c0e0b8b292b054489ae3411cecc33df088aa9a","effective_date":null},{"id":"fap-223a8bfa912dbdc8","kind":"hospital_web","url":"https://www.nyulangone.org/files/nyulh-charity-care-and-financial-assistance-policy.pdf","title":"Financial Assistance Policy","fetched_on":"2026-10-14","sha256":"223a8bfa912dbdc8d5be5e1c1f532ce41c00c29c8d9de6e8d11775cac0563fe7","effective_date":null},{"id":"application-370813be735cdc11","kind":"hospital_web","url":"https://www.nyulangone.org/files/cover-letter-uniform-financial-assistance-application-english-fillable.pdf","title":"Financial Assistance Program","fetched_on":"2026-10-14","sha256":"370813be735cdc116fe5b80d0c8ca9c7b7c5363592735a999b919aaeb2fe519c","effective_date":null},{"id":"application-755657ead43c7fbe","kind":"hospital_web","url":"https://www.nyulangone.org/files/uniform-financial-assistance-application-english-fillable.pdf","title":"English","fetched_on":"2026-10-14","sha256":"755657ead43c7fbe3a1ece107688a786cb7f7bf029d65b9a560fcd86156fa133","effective_date":null},{"id":"application-b5bcce33d493cbbb","kind":"hospital_web","url":"https://www.nyulangone.org/files/uniform-financial-assistance-application-arabic-fillable.pdf","title":"Arabic (العربية)","fetched_on":"2026-10-14","sha256":"b5bcce33d493cbbb8d78e53a91239797d09b997fee1814d404cace8351dd43b3","effective_date":null}],"accuracy":null}