CCN: 520208 NPI: 1194004408 Organization

SSM HEALTH ST MARY'S HOSPITAL - JANESVILLE

3400 E RACINE ST
JANESVILLE, WI 535462344

Contact Information

Phone 6083738000
Fax 6083148878
Enumeration Date 2011-08-04
Last Updated 2025-01-21

Taxonomies

Code: 275N00000X
Code: 282N00000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.252

medicaidRatio 0.1714

uncompensatedCareAmount 471.54

vbpAdjustment 1.0072392379

hhrAdjustment 0.9992

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.252

medicaidRatio 0.1714

uncompensatedCareAmount 471.54

vbpAdjustment 1.0072392379

hhrAdjustment 0.9992

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.252

medicaidRatio 0.1714

uncompensatedCareAmount 315.49

vbpAdjustment 0.9942076825

hhrAdjustment 0.9979

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.246

medicaidRatio 0.1884

uncompensatedCareAmount 315.49

vbpAdjustment 0.9942076825

hhrAdjustment 0.9979

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.246

medicaidRatio 0.1884

uncompensatedCareAmount 315.49

vbpAdjustment 0.9942076825

hhrAdjustment 0.9979

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.246

medicaidRatio 0.1884

uncompensatedCareAmount 344.98

vbpAdjustment 1.0065735207

hhrAdjustment 0.9974

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.257

medicaidRatio 0.1718

uncompensatedCareAmount 344.98

vbpAdjustment 1.0065735207

hhrAdjustment 0.9974

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.257

medicaidRatio 0.1718

uncompensatedCareAmount 344.98

vbpAdjustment 1.0065735207

hhrAdjustment 0.9974

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.257

medicaidRatio 0.1718

uncompensatedCareAmount 305.26

hhrAdjustment 0.9984

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.255

medicaidRatio 0.1808

uncompensatedCareAmount 305.26

hhrAdjustment 0.9984

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.255

medicaidRatio 0.1808

uncompensatedCareAmount 305.26

hhrAdjustment 0.9984

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.255

medicaidRatio 0.1808

uncompensatedCareAmount 305.26

hhrAdjustment 0.9984

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.255

medicaidRatio 0.1808

uncompensatedCareAmount 349.15

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.26

medicaidRatio 0.1793

uncompensatedCareAmount 349.15

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.26

medicaidRatio 0.1793

uncompensatedCareAmount 349.15

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.26

medicaidRatio 0.1793

uncompensatedCareAmount 349.15

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.252

medicaidRatio 0.1479

uncompensatedCareAmount 485.78

vbpAdjustment 1.0053407668

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.245

medicaidRatio 0.1798

uncompensatedCareAmount 485.78

vbpAdjustment 1.0053407668

hhrAdjustment 1.0

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.245

medicaidRatio 0.1798

uncompensatedCareAmount 991.22

vbpAdjustment 1.0086003003

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.245

medicaidRatio 0.1798

uncompensatedCareAmount 991.22

vbpAdjustment 1.0086003003

hhrAdjustment 0.9983

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.245

medicaidRatio 0.1798

uncompensatedCareAmount 518.29

vbpAdjustment 1.0009528966

hhrAdjustment 0.9939

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.245

medicaidRatio 0.1798

uncompensatedCareAmount 518.29

vbpAdjustment 1.0009528966

hhrAdjustment 0.9939

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.272

medicaidRatio 0.1699

uncompensatedCareAmount 518.29

vbpAdjustment 1.0009528966

hhrAdjustment 0.9939

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.272

medicaidRatio 0.1699

uncompensatedCareAmount 518.29

vbpAdjustment 1.0009528966

hhrAdjustment 0.9939

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.272

medicaidRatio 0.1699

uncompensatedCareAmount 242.44

vbpAdjustment 1.0102097502

hhrAdjustment 0.9935

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.282

medicaidRatio 0.1668

uncompensatedCareAmount 242.44

vbpAdjustment 1.0102097502

hhrAdjustment 0.9935

censusDivision 4

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.282

medicaidRatio 0.1668

uncompensatedCareAmount 242.44

vbpAdjustment 1.0102097502

hhrAdjustment 0.9935

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.36

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.191

deviceCostToChargeRatio 0.36

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.168

deviceCostToChargeRatio 0.373

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.168

deviceCostToChargeRatio 0.373

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.204

deviceCostToChargeRatio 0.331

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.204

deviceCostToChargeRatio 0.331

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.206

deviceCostToChargeRatio 0.34

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.206

deviceCostToChargeRatio 0.34

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.221

deviceCostToChargeRatio 0.455

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.221

deviceCostToChargeRatio 0.455

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.229

deviceCostToChargeRatio 0.441

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.229

deviceCostToChargeRatio 0.441

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.217

deviceCostToChargeRatio 0.342

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.217

deviceCostToChargeRatio 0.342

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.276

deviceCostToChargeRatio 0.3

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.276

deviceCostToChargeRatio 0.3

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

cbsaActualGeographicLocation 27500

providerType 00

operatingCostToChargeRatio 0.3

deviceCostToChargeRatio 0.306

specialPaymentIndicator Y

carrierCode 06302

localityCode 00

SSM HEALTH ST MARY'S HOSPITAL - JANESVILLE

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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