American Hospital Directory - Intermountain Sevier Valley Hospital (460026)

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Financial data for hospital cost report period ending 12/31/2022 (HCRIS 762856 - 2010).
Medicare IPPS claims data are for federal fiscal year ending 09/30/2023 (Proposed 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.

Richfield, UT 84701

CMS Certification Number: 460026

Name and Address:	Intermountain Sevier Valley Hospital 1000 North Main Street Richfield, UT 84701
Telephone Number:	(435) 893-4100
Hospital Website:	intermountainhealthcare.org/lo...
CMS Certification Number:	460026

Type of Facility:	Short Term Acute Care
Type of Control:	Voluntary Nonprofit, Other
Total Staffed Beds:	24

Total Patient Revenue:	$125,814,108
Total Discharges:	791
Total Patient Days:	2,236
TPS Quality Score:	0.00
Patient Experience Rating:

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Other Services: Obstetrics
Radiology / Nuclear Medicine / Imaging: Computed Tomography (CT); Computed Tomography-Angiography (CTA); Digital Mammography; Magnetic Resonance Imaging (MRI); Single Photon Emission Computerized Tomography (SPECT)
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)
Cardiology	14	2.86	$19,813	1.1230
Medicine	67	2.72	$19,098	1.1613
Orthopedic Surgery	38	3.16	$49,017	2.2649
Pulmonology	48	2.33	$18,045	1.1932
Surgery	22	3.18	$34,251	2.1665
Urology	24	3.08	$20,337	0.9515
Total	225	2.76	$25,475	1.4198

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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
84701	129	371	$2,793,340	7.5%	54.9%
84754	55	163	$1,247,679	-5.2%	49.1%
84724	19	58	$467,529	0.0%	52.8%

APC Number	APC Description	Number Patient Claims	Average Charge	Average Cost
5115	Level 5 Musculoskeletal Procedures	109	$12,496	$4,662
5491	Level 1 Intraocular Procedures	172	$2,877	$1,073
5114	Level 4 Musculoskeletal Procedures	43	$5,479	$2,044
5025	Level 5 Type A ED Visits	427	$2,517	$589
5693	Level 3 Drug Administration	700	$384	$111
5361	Level 1 Laparoscopy and Related Services	34	$6,271	$2,340
5024	Level 4 Type A ED Visits	436	$1,610	$377
5522	Level 2 Imaging without Contrast	1,124	$734	$143
5523	Level 3 Imaging without Contrast	500	$2,353	$440
5572	Level 2 Imaging with Contrast	302	$3,227	$618
5521	Level 1 Imaging without Contrast	1,357	$342	$67
5593	Level 3 Nuclear Medicine and Related Services	77	$3,209	$625
5312	Level 2 Lower GI Procedures	87	$2,376	$685
8011	Comprehensive Observation Services	40	$2,501	$586
5023	Level 3 Type A ED Visits	382	$892	$209
5694	Level 4 Drug Administration	141	$655	$189
5301	Level 1 Upper GI Procedures	89	$1,202	$373
5113	Level 3 Musculoskeletal Procedures	27	$4,402	$1,642
5302	Level 2 Upper GI Procedures	46	$1,392	$401
5524	Level 4 Imaging without Contrast	138	$1,410	$406

	Available Beds	Inpatient Days
HOSPITAL (including swing beds)
Routine Services	24	1,907
Special Care	0	0
Nursery		329
Total Hospital	24	2,236

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