American Hospital Directory - Spanish Fork Hospital (460062)

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Financial data for hospital cost report period ending 12/31/2022 (HCRIS 745185 - 2010).
Medicare IPPS claims data are for federal fiscal year ending 09/30/2022 (Final rule MedPAR).
Medicare OPPS claims data are for calendar year ending 12/31/2022 (Final rule OPPS).
Data from other sources and their effective periods are identified within report headers.
Errata: Please notify us by email of any corrections or updates.

Spanish Fork, UT 84660

CMS Certification Number: 460062

Name and Address:	Spanish Fork Hospital 765 East Market Place Drive Spanish Fork, UT 84660
Telephone Number:	(385) 344-5000
Hospital Website:	intermountainhealthcare.org/lo...
CMS Certification Number:	460062

Type of Facility:	Short Term Acute Care
Type of Control:	Voluntary Nonprofit, Other
Total Staffed Beds:	16

Total Patient Revenue:	$176,571,298
Total Discharges:	1,458
Total Patient Days:	4,070
TPS Quality Score:	0.00
Patient Experience Rating:

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This facility opened April 5, 2021

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Radiology / Nuclear Medicine / Imaging: Computed Tomography (CT); Computed Tomography-Angiography (CTA); Magnetic Resonance Imaging (MRI)
Rehabilitation Services: Physical Therapy
Surgery: Inpatient Surgery

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	Number Medicare Inpatients	Average Length of Stay	Average Charges	Medicare Case Mix Index (CMI)
Medicine	74	2.70	$22,102	1.4035
Orthopedic Surgery	22	2.73	$48,261	4.0720
Orthopedics	12	3.00	$23,570	1.1604
Pulmonology	59	2.58	$22,589	1.5336
Urology	12	2.75	$20,760	1.1755
Total	202	2.70	$25,443	1.7108

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Medicare Hospital Market Service Area File for calendar year ending 12/31/2022 / Definitions

ZIP Code of Residence	Discharges	Days of Care	Charges	Discharges Inc/(Dec)	Market Share
84660	138	369	$3,281,073	84.0%	18.6%
84663	78	216	$1,919,539	59.2%	12.7%
84651	35	85	$863,590	84.2%	6.2%

APC Number	APC Description	Number Patient Claims	Average Charge	Average Cost
5115	Level 5 Musculoskeletal Procedures	15	$5,279	$2,614
5114	Level 4 Musculoskeletal Procedures	30	$6,283	$3,111
5025	Level 5 Type A ED Visits	312	$2,791	$460
5693	Level 3 Drug Administration	472	$451	$191
5024	Level 4 Type A ED Visits	392	$1,792	$296
5491	Level 1 Intraocular Procedures	69	$3,106	$1,538
5572	Level 2 Imaging with Contrast	240	$3,632	$264
5312	Level 2 Lower GI Procedures	69	$1,708	$423
8011	Comprehensive Observation Services	30	$2,651	$437
5361	Level 1 Laparoscopy and Related Services	14	$5,165	$2,558
5523	Level 3 Imaging without Contrast	276	$2,605	$245
5165	Level 5 ENT Procedures	11	$12,578	$6,229
5023	Level 3 Type A ED Visits	219	$994	$164
8006	CT and CTA with Contrast Composite	111	$5,864	$367
5302	Level 2 Upper GI Procedures	28	$1,282	$318
5113	Level 3 Musculoskeletal Procedures	15	$4,321	$2,140
5301	Level 1 Upper GI Procedures	59	$1,198	$314
5691	Level 1 Drug Administration	284	$276	$117
5522	Level 2 Imaging without Contrast	352	$1,028	$181
5311	Level 1 Lower GI Procedures	43	$1,675	$415

	Available Beds	Inpatient Days
HOSPITAL (including swing beds)
Routine Services	16	3,084
Special Care	0	0
Nursery		986
Total Hospital	16	4,070

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