CCN: 140288 NPI: 1578670543 Organization

ADVOCATE GOOD SAMARITAN HOSPITAL

3815 HIGHLAND AVE
DOWNERS GROVE, IL 605151500

Contact Information

Phone 6302755900
Enumeration Date 2006-08-24
Last Updated 2026-01-28

Taxonomies

Code: 273R00000X License State: IL License: 273R00000X
Code: 291U00000X
Code: 282N00000X (Primary) License State: IL License: 282N00000X

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0559

operatingCostToChargeRatio 0.227

medicaidRatio 0.1555

uncompensatedCareAmount 438.71

vbpAdjustment 1.0012626963

hhrAdjustment 0.9952

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 07

caseMixIndex 1.0559

operatingCostToChargeRatio 0.227

medicaidRatio 0.1555

uncompensatedCareAmount 438.71

vbpAdjustment 1.0012626963

hhrAdjustment 0.9952

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.227

medicaidRatio 0.1555

uncompensatedCareAmount 438.71

vbpAdjustment 1.0012626963

hhrAdjustment 0.9952

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.227

medicaidRatio 0.1555

uncompensatedCareAmount 438.71

vbpAdjustment 1.0012626963

hhrAdjustment 0.9952

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.227

medicaidRatio 0.1555

uncompensatedCareAmount 380.91

vbpAdjustment 1.0050592196

hhrAdjustment 0.9956

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.225

medicaidRatio 0.1618

uncompensatedCareAmount 380.91

vbpAdjustment 1.0050592196

hhrAdjustment 0.9956

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.225

medicaidRatio 0.1618

uncompensatedCareAmount 380.91

vbpAdjustment 1.0050592196

hhrAdjustment 0.9956

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.225

medicaidRatio 0.1618

uncompensatedCareAmount 426.51

vbpAdjustment 0.9950266932

hhrAdjustment 0.9935

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.216

medicaidRatio 0.1775

uncompensatedCareAmount 426.51

vbpAdjustment 0.9950266932

hhrAdjustment 0.9935

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.216

medicaidRatio 0.1775

uncompensatedCareAmount 426.51

vbpAdjustment 0.9950266932

hhrAdjustment 0.9935

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.216

medicaidRatio 0.1775

uncompensatedCareAmount 434.36

hhrAdjustment 0.9913

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.219

medicaidRatio 0.171

uncompensatedCareAmount 434.36

hhrAdjustment 0.9913

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.219

medicaidRatio 0.1748

uncompensatedCareAmount 434.36

hhrAdjustment 0.9913

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.219

medicaidRatio 0.1748

uncompensatedCareAmount 434.36

hhrAdjustment 0.9913

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.219

medicaidRatio 0.1748

uncompensatedCareAmount 434.36

hhrAdjustment 0.9913

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.219

medicaidRatio 0.1748

uncompensatedCareAmount 417.39

hhrAdjustment 0.9876

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.251

medicaidRatio 0.1681

uncompensatedCareAmount 417.39

hhrAdjustment 0.9876

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.251

medicaidRatio 0.1681

uncompensatedCareAmount 417.39

hhrAdjustment 0.9876

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.251

medicaidRatio 0.1681

uncompensatedCareAmount 417.39

hhrAdjustment 0.9876

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.255

medicaidRatio 0.1619

uncompensatedCareAmount 417.39

hhrAdjustment 0.9876

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.255

medicaidRatio 0.1619

uncompensatedCareAmount 379.04

vbpAdjustment 1.0077465358

hhrAdjustment 0.9969

censusDivision 4

cbsaActualGeographicLocation 16984

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.255

medicaidRatio 0.1782

uncompensatedCareAmount 379.04

vbpAdjustment 1.0077465358

hhrAdjustment 0.9969

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.255

medicaidRatio 0.1782

uncompensatedCareAmount 477.03

vbpAdjustment 1.0030534336

hhrAdjustment 0.9938

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.237

medicaidRatio 0.1609

uncompensatedCareAmount 477.03

vbpAdjustment 1.0030534336

hhrAdjustment 0.9938

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.237

medicaidRatio 0.1609

uncompensatedCareAmount 477.03

vbpAdjustment 1.0030534336

hhrAdjustment 0.9938

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.237

medicaidRatio 0.1609

uncompensatedCareAmount 421.55

vbpAdjustment 1.0030387053

hhrAdjustment 0.994

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.237

medicaidRatio 0.1609

uncompensatedCareAmount 421.55

vbpAdjustment 1.0030387053

hhrAdjustment 0.994

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.259

medicaidRatio 0.1515

uncompensatedCareAmount 421.55

vbpAdjustment 1.0030387053

hhrAdjustment 0.994

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.259

medicaidRatio 0.1515

uncompensatedCareAmount 421.55

vbpAdjustment 1.0030387053

hhrAdjustment 0.994

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.259

medicaidRatio 0.1515

uncompensatedCareAmount 332.62

vbpAdjustment 1.0051919995

hhrAdjustment 0.9909

censusDivision 4

cbsaActualGeographicLocation 16974

providerType 00

caseMixIndex 1.0559

operatingCostToChargeRatio 0.254

medicaidRatio 0.146

uncompensatedCareAmount 332.62

vbpAdjustment 1.0051919995

hhrAdjustment 0.9909

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 16984

providerType 07

operatingCostToChargeRatio 0.177

deviceCostToChargeRatio 0.4

specialPaymentIndicator Y

carrierCode 06102

localityCode 15

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.177

deviceCostToChargeRatio 0.4

specialPaymentIndicator Y

carrierCode 06102

localityCode 15

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.177

deviceCostToChargeRatio 0.4

specialPaymentIndicator

carrierCode 06102

localityCode 15

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.169

deviceCostToChargeRatio 0.322

specialPaymentIndicator

carrierCode 06102

localityCode 15

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.169

deviceCostToChargeRatio 0.322

specialPaymentIndicator

carrierCode 06102

localityCode 15

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.179

deviceCostToChargeRatio 0.322

specialPaymentIndicator

carrierCode 06102

localityCode 15

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.179

deviceCostToChargeRatio 0.322

specialPaymentIndicator

carrierCode 06102

localityCode 15

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.202

deviceCostToChargeRatio 0.253

specialPaymentIndicator

carrierCode 06102

localityCode 15

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.202

deviceCostToChargeRatio 0.253

specialPaymentIndicator

carrierCode 06102

localityCode 15

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.232

deviceCostToChargeRatio 0.312

specialPaymentIndicator

carrierCode 06102

localityCode 15

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.232

deviceCostToChargeRatio 0.312

specialPaymentIndicator

carrierCode 06102

localityCode 15

cbsaActualGeographicLocation 16984

providerType 00

operatingCostToChargeRatio 0.194

deviceCostToChargeRatio 0.335

specialPaymentIndicator

carrierCode 06102

localityCode 15

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.194

deviceCostToChargeRatio 0.335

specialPaymentIndicator

carrierCode 06102

localityCode 15

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.177

deviceCostToChargeRatio 0.283

specialPaymentIndicator

carrierCode 06102

localityCode 15

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.177

deviceCostToChargeRatio 0.283

specialPaymentIndicator

carrierCode 06102

localityCode 15

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.186

deviceCostToChargeRatio 0.333

specialPaymentIndicator

carrierCode 06102

localityCode 15

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.186

deviceCostToChargeRatio 0.333

specialPaymentIndicator

carrierCode 06102

localityCode 15

cbsaActualGeographicLocation 16974

providerType 00

operatingCostToChargeRatio 0.175

deviceCostToChargeRatio 0.326

specialPaymentIndicator

carrierCode 06102

localityCode 15

ADVOCATE GOOD SAMARITAN HOSPITAL

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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