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Ex. 48,52-61 Provider Panels CKD Exhibit 61 Other Plans Hospitals and Freestanding Ambulatory Surgical Centers Network Health Utah Hospital Molina Healthcare Hospital Pacificsource- First Great Western Healthcare Hospital Network Network Network Health Hospital Network PPO/Consumer Facility System County POS Advantage Open Access Medicaid Chip (Urban and Rural) PPO Alta View Hospital IHC Salt Lake American Fork Hospital IHC Utah Cottonwood Hospital Medical Center IHC Salt Lake Dixie Regional Medical Center IHC Washington X X X X X LDS Hospital IHC Salt Lake XX Logan Regional Hospital IHC Cache X X X X X McKay-Dee Hospital IHC Weber Orem Community Hospital IHC Utah Primary Children’s Medical Center IHC Salt Lake X X X X X X X The Orthopedic Specialty Hospital IHC Salt Lake Utah Valley Regional Medical Center IHC Utah * * * X X Bear River Valley Hospital IHC Box Elder X X X X X Delta Community Medical Center IHC Millard X X X X X Fillmore Community Medical Center IHC Millard X X X X X Garfield Memorial Hospital IHC Garfield X X X X X X Heber Valley Medical Center IHC Wasatch X X X X X Sanpete Valley Hospital IHC Sanpete X X X X X Sevier Valley Hospital IHC Sevier X X X X X Valley View Medical Center IHC Iron X X X X X Lakeview Hospital MountainStar Davis X X X X X X X Mountain View Hospital MountainStar Utah X X X X X X X Ogden Regional Medical Center MountainStar Weber X X X X X X X St. Mark’s Hospital MountainStar Salt Lake X X X X X X X Timpanogos Regional Hospital MountainStar Utah X X X X X X X Brigham City Community Hospital MountainStar Box Elder X X X X X X X Davis Hospital And Medical Center IASIS Davis X X X X X X X Jordan Valley Hospital IASIS Salt Lake X X X X X X X Pioneer Valley Hospital IASIS Salt Lake X X X X X X X Salt Lake Regional Medical Center IASIS Salt Lake X X X X X X X Central Valley Medical Center RHM Juab X X X X X X X Allen Memorial Hospital RHM Grand XX X X Gunnison Valley Hospital RHM Sanpete X X X X X Milford Valley Memorial Hospital RHM Beaver XX X Huntsman Cancer Hospital University Health Salt Lake X X X X X X X University of Utah Hospital University Health Salt Lake X X X X X X X Ashley Valley Medical Center LifePoint Uintah X X X X 0 XX Castleview Hospital LifePoint Carbon X X X X 0 XX Beaver Valley Hospital Independent Beaver X X X X X X X Cache Valley Specialty Hospital National Surgical Cache X X X X X X X Kane County Hospital Independent Kane X X X X X X X Mountain West Hospital Community Health Tooele X X X X X X X San Juan Hospital Independent San Juan XX X X Uintah Basin Medical Center Independent Duchesne X X X X X Benchmark Behav. Health Sys North Psych Solutions Davis X Benchmark Hospital South Psych Solutions Salt Lake Healthsouth Rehab Hospital of Utah HealthSouth Salt Lake X Highland Ridge Hospital Pioneer Behavioral Health Salt Lake X Promise Specialty Hospital Promise Healthcare Salt Lake South Davis Community Hospital Independent Davis XX University of Utah Neuropsych Inst University Health Salt Lake X X X X Economists Incorporated Page 1 of 6 Exhibit 61 Other Plans Hospitals and Freestanding Ambulatory Surgical Centers Network Health Utah Molina Healthcare Freestanding Great Western Healthcare Freestanding Freestanding Ambulatory Surgery Center Pacificsource- First Ambulatory Surgery Center Network ASC Network Network Health ASC Network PPO/Consumer Facility System County POS Advantage Open Access Medicaid Chip (Urban and Rural) PPO Intermountain Surgical Center IHC Salt Lake McKay-Dee Surgical Center IHC Weber St. Mark's Outpatient Surgical Center MountainStar Salt Lake X X X X Wasatch Endoscopy Center MountainStar Salt Lake X X X X Healthsouth Park City Surgical Center Healthsouth Summit XX Healthsouth Provo Surgical Center Healthsouth Utah XX Healthsouth Salt Lake Surgical Center Healthsouth Salt Lake X Coral Desert Surgical Center Nueterra Washington X X X X Mount Ogden Surgical Center Nueterra Weber XXX Northern Utah Endoscopy Center Nueterra Cache X Utah Surgical Center Nueterra Salt Lake X X X X X Madsen Surgery Center University Health Salt Lake X X X Moran Eye Center University Health Salt Lake X X X X X X University Orthopedic Center University Health Salt Lake X X X X X X Uuhc Redwood Endoscopy Center University Health Salt Lake X X X X Arlington Park Surgery Center Foot & Ankle Inst Salt Lake South Main Surgery Center Foot & Ankle Inst Washington X X X X Mountain West Endoscopy Center Mountain West Salt Lake XX Mountain West Gastroent & Endo Center Mountain West Washington Mountain West Gastroenterology Center Mountain West Davis Mountain West Gastroenterology Center Mountain West Salt Lake Central Utah Surgical Center Independent Utah X X X X X X Davis Surgical Center IASIS/Independent Davis XXX Ridgeline Endoscopy Center Independent Weber Salt Lake Endoscopy Center Independent Salt Lake X X X X X X South Towne Surgery Center Independent Salt Lake XXX St. George Surgical Center Independent Washington X X X X X Surgicare Center of Utah Independent Salt Lake X X X X Zion Eye Institute/Red Cliffs Independent Washington Alpine Surgical Center Independent Weber X X X X X Cataract Center of Utah Independent Utah X Chase Plastic Surgery Center Independent Washington Dixie Eye Surgi-Center Independent Washington X X X X Eye Surg of Utah Independent Salt Lake X Institute of Facial And Cosmetic Surgery Independent Salt Lake Intermountain Spine And Pain Center Independent Cache X Physician'S Surgical Center Independent Salt Lake X Riverwoods Cardiovascular Center Independent Utah Cedar Orthopaedic Surgery Center Independent Iron X Cedar Surgical Associates Independent Iron XX Eastern Utah Surgical Center Independent Carbon X X X X Notes: X indicates facility is "in-network" provider for insurer. *General hospital services are not provided under contract but individual specialty services are provided under contract. Hospital availability for EMTALA Services is not designated on this table. Sources: Plans and "in-network" hospitals were taken from insurers' websites and data requested from hospitals and insurance providers. Data is as of 2005. Economists Incorporated Page 2 of 6 Exhibit 61 Other Plans Hospitals and Freestanding Ambulatory Surgical Centers Network Beech Street First Choice Of The Hospital Midwest Hospital Health Management Healthsmart Preferred Integrated Health Plan Planvista Solutions Unicare Hospital Network Network Network Network Hospital Network Care Hospital Network Hospital Network Hospital Network UNICARE PPO - CCN Facility System County Utah Traveling Access Alta View Hospital IHC Salt Lake X X American Fork Hospital IHC Utah X X Cottonwood Hospital Medical Center IHC Salt Lake X X Dixie Regional Medical Center IHC Washington X X LDS Hospital IHC Salt Lake X X Logan Regional Hospital IHC Cache X X McKay-Dee Hospital IHC Weber X X Orem Community Hospital IHC Utah X X Primary Children’s Medical Center IHC Salt Lake XX X X The Orthopedic Specialty Hospital IHC Salt Lake 0 Utah Valley Regional Medical Center IHC Utah X X Bear River Valley Hospital IHC Box Elder X X Delta Community Medical Center IHC Millard X X Fillmore Community Medical Center IHC Millard X X Garfield Memorial Hospital IHC Garfield XX X X Heber Valley Medical Center IHC Wasatch X X Sanpete Valley Hospital IHC Sanpete X X Sevier Valley Hospital IHC Sevier X X Valley View Medical Center IHC Iron X X Lakeview Hospital MountainStar Davis 0 Mountain View Hospital MountainStar Utah 0 Ogden Regional Medical Center MountainStar Weber 0 St. Mark’s Hospital MountainStar Salt Lake 0 Timpanogos Regional Hospital MountainStar Utah 0 Brigham City Community Hospital MountainStar Box Elder 0 Davis Hospital And Medical Center IASIS Davis X X Jordan Valley Hospital IASIS Salt Lake X 0 XX Pioneer Valley Hospital IASIS Salt Lake 0 XX Salt Lake Regional Medical Center IASIS Salt Lake 0 X Central Valley Medical Center RHM Juab XX X X Allen Memorial Hospital RHM Grand XX X X Gunnison Valley Hospital RHM Sanpete XX X X Milford Valley Memorial Hospital RHM Beaver XX XX Huntsman Cancer Hospital University Health Salt Lake XX X University of Utah Hospital University Health Salt Lake XX X 0 XX Ashley Valley Medical Center LifePoint Uintah XX X X Castleview Hospital LifePoint Carbon XX X X Beaver Valley Hospital Independent Beaver XX X XXX Cache Valley Specialty Hospital National Surgical Cache XX 0 Kane County Hospital Independent Kane 0 XX X X X X Mountain West Hospital Community Health Tooele XX X XX San Juan Hospital Independent San Juan X 0 XX Uintah Basin Medical Center Independent Duchesne X X Benchmark Behav. Health Sys North Psych Solutions Davis 0 Benchmark Hospital South Psych Solutions Salt Lake Healthsouth Rehab Hospital of Utah HealthSouth Salt Lake XXX Highland Ridge Hospital Pioneer Behavioral Health Salt Lake XX 0 X Promise Specialty Hospital Promise Healthcare Salt Lake 0 South Davis Community Hospital Independent Davis 0 University of Utah Neuropsych Inst University Health Salt Lake 0 Economists Incorporated Page 3 of 6 Exhibit 61 Other Plans Hospitals and Freestanding Ambulatory Surgical Centers Network Beech Street First Choice Of The Health Management Healthsmart Preferred Integrated Health Plan Planvista Solutions Unicare ASC Network ASC Network Midwest ASC Network Network ASC Network Care ASC Network ASC Network ASC Network UNICARE PPO - CCN Facility System County Utah Traveling Access Intermountain Surgical Center IHC Salt Lake X McKay-Dee Surgical Center IHC Weber X X St. Mark's Outpatient Surgical Center MountainStar Salt Lake XX Wasatch Endoscopy Center MountainStar Salt Lake XX Healthsouth Park City Surgical Center
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