Forms
As part of our commitment to transparency and financial assistance, this resource page makes our hospital's financial forms easily accessible.
If you need to speak with a financial counselor during your stay please call extension 5635, from your room phone. If you need assistance or have any questions once you have been discharged you can contact the business office directly at 661‑949‑5781 or 800‑403‑1857.
Financial Documents
Financial Assistance Application
You can download the financial assistance application in English or Spanish.
Plain Language Summary
AVMC will provide financial assistance to patients that may not have sufficient financial resources to pay for services. To view our Plain Language Summary, in English or Spanish.
Charge Master
AVMC provides a comprehensive Hospital Pricing List known as chargemaster. This chargemaster provides a list of standard charges for the items and services that we provide.
Shoppable Services
This service provides a list of hundreds of shoppable services as well as discounted cash prices.
Hospital Average Charges by DRG
While supporting healthcare price transparency, we provide our patients with the Hospital Average Charges by DRG
