CCN: 460051 NPI: 1801591391 Organization

HOLY CROSS HOSPITAL-JORDAN VALLEY

3580 W 9000 S
WEST JORDAN, UT 840888812

Contact Information

Phone 8015618888
Enumeration Date 2023-04-03
Last Updated 2026-01-22

Taxonomies

Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.237

medicaidRatio 0.2246

uncompensatedCareAmount 2725.87

vbpAdjustment 0.997929625

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.317

medicaidRatio 0.2302

uncompensatedCareAmount 2725.87

vbpAdjustment 0.997929625

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.317

medicaidRatio 0.2302

uncompensatedCareAmount 2222.34

vbpAdjustment 1.000808102

hhrAdjustment 0.9998

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.317

medicaidRatio 0.2302

uncompensatedCareAmount 2222.34

vbpAdjustment 1.000808102

hhrAdjustment 0.9998

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.237

medicaidRatio 0.2621

uncompensatedCareAmount 2222.34

vbpAdjustment 1.000808102

hhrAdjustment 0.9998

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.237

medicaidRatio 0.2621

uncompensatedCareAmount 2146.09

vbpAdjustment 0.9975575047

hhrAdjustment 0.9999

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.237

medicaidRatio 0.2621

uncompensatedCareAmount 2146.09

vbpAdjustment 0.9975575047

hhrAdjustment 0.9999

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.234

medicaidRatio 0.2378

uncompensatedCareAmount 2146.09

vbpAdjustment 0.9975575047

hhrAdjustment 0.9999

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.234

medicaidRatio 0.2378

uncompensatedCareAmount 2341.8

hhrAdjustment 0.9955

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.234

medicaidRatio 0.2378

uncompensatedCareAmount 2341.8

hhrAdjustment 0.9955

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.296

medicaidRatio 0.2409

uncompensatedCareAmount 2341.8

hhrAdjustment 0.9955

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.296

medicaidRatio 0.2409

uncompensatedCareAmount 2341.8

hhrAdjustment 0.9955

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.296

medicaidRatio 0.2409

uncompensatedCareAmount 2363.83

hhrAdjustment 0.9852

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.273

medicaidRatio 0.2433

uncompensatedCareAmount 2363.83

hhrAdjustment 0.9852

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.273

medicaidRatio 0.2433

uncompensatedCareAmount 2363.83

hhrAdjustment 0.9852

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.273

medicaidRatio 0.2433

uncompensatedCareAmount 2363.83

hhrAdjustment 0.9852

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 07

caseMixIndex 1.0825

operatingCostToChargeRatio 0.273

medicaidRatio 0.2433

uncompensatedCareAmount 2520.64

vbpAdjustment 0.9957176908

hhrAdjustment 0.9782

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.273

medicaidRatio 0.2433

uncompensatedCareAmount 2520.64

vbpAdjustment 0.9957176908

hhrAdjustment 0.9782

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.251

medicaidRatio 0.242

uncompensatedCareAmount 2520.64

vbpAdjustment 0.9957176908

hhrAdjustment 0.9782

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.251

medicaidRatio 0.242

uncompensatedCareAmount 2520.64

vbpAdjustment 0.9957176908

hhrAdjustment 0.9782

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.251

medicaidRatio 0.242

uncompensatedCareAmount 2010.75

vbpAdjustment 1.0001980844

hhrAdjustment 0.9894

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.251

medicaidRatio 0.242

uncompensatedCareAmount 2010.75

vbpAdjustment 1.0001980844

hhrAdjustment 0.9894

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.346

medicaidRatio 0.212

uncompensatedCareAmount 2010.75

vbpAdjustment 1.0001980844

hhrAdjustment 0.9894

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.346

medicaidRatio 0.212

uncompensatedCareAmount 1716.39

vbpAdjustment 0.9980612072

hhrAdjustment 0.9927

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.346

medicaidRatio 0.212

uncompensatedCareAmount 1716.39

vbpAdjustment 0.9980612072

hhrAdjustment 0.9927

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.264

medicaidRatio 0.2118

uncompensatedCareAmount 1716.39

vbpAdjustment 0.9980612072

hhrAdjustment 0.9927

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.264

medicaidRatio 0.2118

uncompensatedCareAmount 1716.39

vbpAdjustment 0.9980612072

hhrAdjustment 0.9927

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.273

medicaidRatio 0.2308

uncompensatedCareAmount 1716.39

vbpAdjustment 0.9980612072

hhrAdjustment 0.9927

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.273

medicaidRatio 0.2308

uncompensatedCareAmount 1326.32

vbpAdjustment 0.9929470358

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.273

medicaidRatio 0.2308

uncompensatedCareAmount 1326.32

vbpAdjustment 0.9929470358

hhrAdjustment 1.0

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.603

medicaidRatio 0.2413

uncompensatedCareAmount 1139.01

vbpAdjustment 0.9990694347

hhrAdjustment 0.997

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.603

medicaidRatio 0.2413

uncompensatedCareAmount 1366.17

vbpAdjustment 0.9996678963

hhrAdjustment 0.9936

censusDivision 8

cbsaActualGeographicLocation 41620

providerType 00

caseMixIndex 1.0825

operatingCostToChargeRatio 0.603

medicaidRatio 0.2413

uncompensatedCareAmount 1366.17

vbpAdjustment 0.9996678963

hhrAdjustment 0.9936

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.218

deviceCostToChargeRatio 0.279

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.27

deviceCostToChargeRatio 0.502

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.27

deviceCostToChargeRatio 0.502

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.194

deviceCostToChargeRatio 0.251

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.194

deviceCostToChargeRatio 0.251

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.189

deviceCostToChargeRatio 0.221

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.189

deviceCostToChargeRatio 0.221

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.451

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.451

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.438

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.438

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 07

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.438

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.227

deviceCostToChargeRatio 0.438

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.193

deviceCostToChargeRatio 0.463

specialPaymentIndicator Y

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.193

deviceCostToChargeRatio 0.463

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.193

deviceCostToChargeRatio 0.463

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.206

deviceCostToChargeRatio 0.43

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.206

deviceCostToChargeRatio 0.43

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.205

deviceCostToChargeRatio 0.418

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.214

deviceCostToChargeRatio 0.447

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.214

deviceCostToChargeRatio 0.447

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

cbsaActualGeographicLocation 41620

providerType 00

operatingCostToChargeRatio 0.212

deviceCostToChargeRatio 0.446

specialPaymentIndicator

costOfLivingAdjustment 0.001

carrierCode 03502

localityCode 09

HOLY CROSS HOSPITAL-JORDAN VALLEY

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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