CCN: 140059 NPI: 1184630519 Organization

JERSEY COMMUNITY HOSPITAL

400 MAPLE SUMMIT RD
JERSEYVILLE, IL 620522028

Contact Information

Phone 6184986402
Fax 6184988492
Enumeration Date 2006-07-31
Last Updated 2025-03-05

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 0.9643

operatingCostToChargeRatio 0.327

medicaidRatio 0.0874

vbpAdjustment 1.0032165656

hhrAdjustment 0.9957

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 0.9643

operatingCostToChargeRatio 0.327

medicaidRatio 0.0874

vbpAdjustment 1.0032165656

hhrAdjustment 0.9957

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 00

caseMixIndex 0.9643

operatingCostToChargeRatio 0.408

medicaidRatio 0.1037

vbpAdjustment 1.0032165656

hhrAdjustment 0.9957

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.408

medicaidRatio 0.1037

vbpAdjustment 1.0032165656

hhrAdjustment 0.9957

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.408

medicaidRatio 0.1037

vbpAdjustment 0.9916346377

hhrAdjustment 0.9975

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.408

medicaidRatio 0.1037

vbpAdjustment 0.9916346377

hhrAdjustment 0.9975

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.425

medicaidRatio 0.0902

vbpAdjustment 0.9916346377

hhrAdjustment 0.9975

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.425

medicaidRatio 0.0902

vbpAdjustment 1.0072062236

hhrAdjustment 0.9952

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.425

medicaidRatio 0.0902

vbpAdjustment 1.0072062236

hhrAdjustment 0.9952

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.389

medicaidRatio 0.0847

vbpAdjustment 1.0072062236

hhrAdjustment 0.9952

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.389

medicaidRatio 0.0847

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.389

medicaidRatio 0.0847

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.422

medicaidRatio 0.0587

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.422

medicaidRatio 0.0587

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.422

medicaidRatio 0.0587

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.422

medicaidRatio 0.0587

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.469

medicaidRatio 0.0658

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.469

medicaidRatio 0.0658

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.469

medicaidRatio 0.0658

vbpAdjustment 1.0015984595

hhrAdjustment 0.9992

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.454

medicaidRatio 0.0333

vbpAdjustment 1.0015984595

hhrAdjustment 0.9992

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.454

medicaidRatio 0.0333

vbpAdjustment 1.001969025

hhrAdjustment 0.9977

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.454

medicaidRatio 0.0333

vbpAdjustment 1.001969025

hhrAdjustment 0.9977

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.487

medicaidRatio 0.047

vbpAdjustment 1.001969025

hhrAdjustment 0.9977

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.487

medicaidRatio 0.047

vbpAdjustment 1.0009528966

hhrAdjustment 0.9955

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.487

medicaidRatio 0.047

vbpAdjustment 1.0009528966

hhrAdjustment 0.9955

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.487

medicaidRatio 0.047

vbpAdjustment 1.0009528966

hhrAdjustment 0.9955

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.476

medicaidRatio 0.0765

vbpAdjustment 1.0009528966

hhrAdjustment 0.9955

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.476

medicaidRatio 0.0765

vbpAdjustment 0.9987586328

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.476

medicaidRatio 0.0765

vbpAdjustment 0.9987586328

hhrAdjustment 1.0

censusDivision 6

cbsaActualGeographicLocation 41180

providerType 14

caseMixIndex 0.9643

operatingCostToChargeRatio 0.479

medicaidRatio 0.0944

vbpAdjustment 0.9987586328

hhrAdjustment 1.0

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.237

deviceCostToChargeRatio 0.576

specialPaymentIndicator Y

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 00

operatingCostToChargeRatio 0.225

deviceCostToChargeRatio 0.634

specialPaymentIndicator Y

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 14

operatingCostToChargeRatio 0.225

deviceCostToChargeRatio 0.634

specialPaymentIndicator Y

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 14

operatingCostToChargeRatio 0.225

deviceCostToChargeRatio 0.634

specialPaymentIndicator Y

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 14

operatingCostToChargeRatio 0.217

deviceCostToChargeRatio 0.818

specialPaymentIndicator Y

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 14

operatingCostToChargeRatio 0.217

deviceCostToChargeRatio 0.818

specialPaymentIndicator Y

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 14

operatingCostToChargeRatio 0.226

deviceCostToChargeRatio 0.881

specialPaymentIndicator Y

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 14

operatingCostToChargeRatio 0.226

deviceCostToChargeRatio 0.881

specialPaymentIndicator Y

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 14

operatingCostToChargeRatio 0.237

deviceCostToChargeRatio 0.889

specialPaymentIndicator Y

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 14

operatingCostToChargeRatio 0.237

deviceCostToChargeRatio 0.889

specialPaymentIndicator Y

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 14

operatingCostToChargeRatio 0.267

deviceCostToChargeRatio 1.083

specialPaymentIndicator Y

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 14

operatingCostToChargeRatio 0.267

deviceCostToChargeRatio 1.083

specialPaymentIndicator Y

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 14

operatingCostToChargeRatio 0.24

deviceCostToChargeRatio 0.918

specialPaymentIndicator Y

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 14

operatingCostToChargeRatio 0.24

deviceCostToChargeRatio 0.918

specialPaymentIndicator Y

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 14

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 1.208

specialPaymentIndicator Y

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 14

operatingCostToChargeRatio 0.243

deviceCostToChargeRatio 1.208

specialPaymentIndicator Y

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 14

operatingCostToChargeRatio 0.247

deviceCostToChargeRatio 1.823

specialPaymentIndicator Y

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 14

operatingCostToChargeRatio 0.247

deviceCostToChargeRatio 1.823

specialPaymentIndicator Y

carrierCode 06102

localityCode 12

cbsaActualGeographicLocation 41180

providerType 14

operatingCostToChargeRatio 0.29

deviceCostToChargeRatio 1.8

specialPaymentIndicator Y

carrierCode 06102

localityCode 12

JERSEY COMMUNITY HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

Supercharge Your Revenue Cycle Analytics