CCN: 140034 NPI: 1083617245 Organization

SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA

400 N PLEASANT AVE
CENTRALIA, IL 62801

Contact Information

Phone 6184368000
Enumeration Date 2005-05-23
Last Updated 2023-11-27

Taxonomies

Code: 273R00000X License State: IL License: 0002642
Code: 282N00000X (Primary) License State: IL License: 0002642

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 14

providerType 07

caseMixIndex 0.935

operatingCostToChargeRatio 0.352

medicaidRatio 0.1289

uncompensatedCareAmount 478.98

vbpAdjustment 0.9982744254

hhrAdjustment 0.9903

censusDivision 4

cbsaActualGeographicLocation 14

providerType 07

caseMixIndex 0.935

operatingCostToChargeRatio 0.352

medicaidRatio 0.1289

uncompensatedCareAmount 478.98

vbpAdjustment 0.9982744254

hhrAdjustment 0.9903

censusDivision 4

cbsaActualGeographicLocation 14

providerType 07

caseMixIndex 0.935

operatingCostToChargeRatio 0.372

medicaidRatio 0.1289

uncompensatedCareAmount 478.98

vbpAdjustment 0.9982744254

hhrAdjustment 0.9903

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.372

medicaidRatio 0.1289

uncompensatedCareAmount 478.98

vbpAdjustment 0.9982744254

hhrAdjustment 0.9903

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.372

medicaidRatio 0.1289

uncompensatedCareAmount 343.9

vbpAdjustment 1.0068491639

hhrAdjustment 0.9908

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.383

medicaidRatio 0.1525

uncompensatedCareAmount 343.9

vbpAdjustment 1.0068491639

hhrAdjustment 0.9908

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.383

medicaidRatio 0.1525

uncompensatedCareAmount 343.9

vbpAdjustment 1.0068491639

hhrAdjustment 0.9908

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.383

medicaidRatio 0.1525

uncompensatedCareAmount 292.64

vbpAdjustment 1.0021446006

hhrAdjustment 0.9947

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.371

medicaidRatio 0.1569

uncompensatedCareAmount 292.64

vbpAdjustment 1.0021446006

hhrAdjustment 0.9947

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.371

medicaidRatio 0.1569

uncompensatedCareAmount 292.64

vbpAdjustment 1.0021446006

hhrAdjustment 0.9947

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.371

medicaidRatio 0.1569

uncompensatedCareAmount 259.17

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.397

medicaidRatio 0.1954

uncompensatedCareAmount 259.17

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.397

medicaidRatio 0.1954

uncompensatedCareAmount 259.17

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.397

medicaidRatio 0.1954

uncompensatedCareAmount 259.17

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.397

medicaidRatio 0.1954

uncompensatedCareAmount 259.17

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.397

medicaidRatio 0.1954

uncompensatedCareAmount 259.17

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.397

medicaidRatio 0.1954

uncompensatedCareAmount 223.51

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.33

medicaidRatio 0.2185

uncompensatedCareAmount 223.51

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.33

medicaidRatio 0.2185

uncompensatedCareAmount 223.51

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.33

medicaidRatio 0.2185

uncompensatedCareAmount 223.51

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.349

medicaidRatio 0.1878

uncompensatedCareAmount 338.16

vbpAdjustment 1.0091899972

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.333

medicaidRatio 0.1887

uncompensatedCareAmount 338.16

vbpAdjustment 1.0091899972

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.333

medicaidRatio 0.1887

uncompensatedCareAmount 253.1

vbpAdjustment 1.0080619968

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.333

medicaidRatio 0.1887

uncompensatedCareAmount 253.1

vbpAdjustment 1.0080619968

hhrAdjustment 0.9994

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.333

medicaidRatio 0.1887

uncompensatedCareAmount 326.5

vbpAdjustment 1.0126144634

hhrAdjustment 0.9898

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.333

medicaidRatio 0.1887

uncompensatedCareAmount 326.5

vbpAdjustment 1.0126144634

hhrAdjustment 0.9898

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.334

medicaidRatio 0.1881

uncompensatedCareAmount 326.5

vbpAdjustment 1.0126144634

hhrAdjustment 0.9898

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.334

medicaidRatio 0.1881

uncompensatedCareAmount 326.5

vbpAdjustment 1.0126144634

hhrAdjustment 0.9898

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.334

medicaidRatio 0.1881

uncompensatedCareAmount 336.2

vbpAdjustment 1.0141365359

hhrAdjustment 0.9796

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.381

medicaidRatio 0.2175

uncompensatedCareAmount 336.2

vbpAdjustment 1.0141365359

hhrAdjustment 0.9796

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.381

medicaidRatio 0.2175

uncompensatedCareAmount 336.2

vbpAdjustment 1.0141365359

hhrAdjustment 0.9796

censusDivision 4

cbsaActualGeographicLocation 14

providerType 15

caseMixIndex 0.935

operatingCostToChargeRatio 0.381

medicaidRatio 0.2175

uncompensatedCareAmount 336.2

vbpAdjustment 1.0141365359

hhrAdjustment 0.9796

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 14

providerType 07

operatingCostToChargeRatio 0.129

deviceCostToChargeRatio 0.749

specialPaymentIndicator Y

costOfLivingAdjustment 0.863

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 07

operatingCostToChargeRatio 0.141

deviceCostToChargeRatio 0.741

specialPaymentIndicator Y

costOfLivingAdjustment 0.863

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 07

operatingCostToChargeRatio 0.141

deviceCostToChargeRatio 0.741

specialPaymentIndicator Y

costOfLivingAdjustment 0.863

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.141

deviceCostToChargeRatio 0.741

specialPaymentIndicator Y

costOfLivingAdjustment 0.863

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.141

deviceCostToChargeRatio 0.741

specialPaymentIndicator Y

costOfLivingAdjustment 0.863

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.151

deviceCostToChargeRatio 0.651

specialPaymentIndicator Y

costOfLivingAdjustment 0.863

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.151

deviceCostToChargeRatio 0.651

specialPaymentIndicator Y

costOfLivingAdjustment 0.863

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.155

deviceCostToChargeRatio 0.536

specialPaymentIndicator Y

costOfLivingAdjustment 0.863

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.155

deviceCostToChargeRatio 0.536

specialPaymentIndicator Y

costOfLivingAdjustment 0.863

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.17

deviceCostToChargeRatio 0.525

specialPaymentIndicator Y

costOfLivingAdjustment 0.863

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.17

deviceCostToChargeRatio 0.525

specialPaymentIndicator Y

costOfLivingAdjustment 0.863

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.172

deviceCostToChargeRatio 0.386

specialPaymentIndicator Y

costOfLivingAdjustment 0.863

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.172

deviceCostToChargeRatio 0.386

specialPaymentIndicator Y

costOfLivingAdjustment 0.863

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.176

deviceCostToChargeRatio 0.497

specialPaymentIndicator Y

costOfLivingAdjustment 0.863

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.179

deviceCostToChargeRatio 0.596

specialPaymentIndicator Y

costOfLivingAdjustment 0.863

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.179

deviceCostToChargeRatio 0.596

specialPaymentIndicator Y

costOfLivingAdjustment 0.863

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.205

deviceCostToChargeRatio 0.52

specialPaymentIndicator Y

costOfLivingAdjustment 0.863

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.205

deviceCostToChargeRatio 0.52

specialPaymentIndicator Y

costOfLivingAdjustment 0.863

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 14

providerType 15

operatingCostToChargeRatio 0.217

deviceCostToChargeRatio 0.796

specialPaymentIndicator Y

costOfLivingAdjustment 0.863

carrierCode 06102

localityCode 99

SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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