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HEALTH_CENTER

CASTANER GENERAL HOSPITAL

Bartolo, PR

64.2 Carr 135, Bartolo, PR 00631787-829-5010 x250

2

In-network payers

About this hospital

CASTANER GENERAL HOSPITAL is a hospital in Bartolo, PR. Below you'll find publicly disclosed negotiated rates and facility details, including 2 in-network payers and 13 disclosed rate categories.

CCN
400010
NPI
1760486344
County
Lares Municipio
Metro area
Lares, PR MicroSA
Medicare contractor
Jurisdiction N, First Coast Service Options (09001)
In Medicare since
1966
Last CMS survey
2015

Negotiated Rates

The data below comes from CMS-mandated price transparency data. Learn more.

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PayerCategoryCode Type & GroupContract Typevs. State Average

BCBS

Outpatient

CPT Anesthesia

Range: 00100 - 01999

Negotiated

Very Low

BCBS

Outpatient

CPT Category III Codes

Range: 0042T - 0810T

Negotiated

Very Low

BCBS

Outpatient

CPT Evaluation and Management

Range: 99091 - 99499

Negotiated

Very Low

BCBS

Outpatient

CPT Medicine Services and Procedures

Range: 90281 - 99607

Negotiated

Very Low

BCBS

Outpatient

CPT Pathology and Laboratory Procedures

Range: 80047 - 89398

Negotiated

Very Low

BCBS

Outpatient

CPT Proprietary Laboratory Analyses

Range: 0001U - 0401U

Negotiated

Very Low

BCBS

Outpatient

CPT Radiology Procedures

Range: 70010 - 79999

Negotiated

Very Low

BCBS

Outpatient

CPT Surgery

Range: 10004 - 69990

Negotiated

Very Low

BCBS

Facility

RC Clinic

Range: 0510 - 0519

Per Diem

Very High

BCBS

Facility

RC Medical/Surgical Supplies and Devices (Also see 062X, an extension of 027X)

Range: 0270 - 0279

Per Diem

Very Low

Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
BCBS
Triple-S Salud

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for CASTANER GENERAL HOSPITAL in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
66-0352014Hospital General De Castaner INC7Triple-S Salud, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Asuris Northwest Health, BCBS, Oscar and 2 more1760486344 Hospital General De Castaner Inc1023311479 Hospital General De Castaner Inc.1073040689 Hospital General De Castaner Inc.and 4 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

64.2 Carr 135, Bartolo, PR 00631

787-829-5010 x250

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Frequently asked questions

About CASTANER GENERAL HOSPITAL's rates and hospital price transparency.

Who is the CEO of CASTANER GENERAL HOSPITAL?

CASTANER GENERAL HOSPITAL's Medicare enrollment lists Robin J Russell as CEO since 2021.

What is CASTANER GENERAL HOSPITAL's tax ID (EIN)?

Insurers' price transparency files list CASTANER GENERAL HOSPITAL under employer identification number 66-0352014 (Hospital General De Castaner INC). 7 health plans and networks list 66-0352014 for it.

How many doctors are affiliated with CASTANER GENERAL HOSPITAL?

1 clinicians who bill Medicare list CASTANER GENERAL HOSPITAL as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are general practice physician (1).

Is CASTANER GENERAL HOSPITAL accredited?

CMS's Provider of Services file lists no accrediting organization for CASTANER GENERAL HOSPITAL; it is certified for Medicare through state survey.

Where is CASTANER GENERAL HOSPITAL and what is its phone number?

CASTANER GENERAL HOSPITAL is located at 64.2 Carr 135, Bartolo, PR 00631. Its main phone number is 787-829-5010 x250.

What is CASTANER GENERAL HOSPITAL's CCN (Medicare provider number)?

CASTANER GENERAL HOSPITAL's CMS Certification Number (CCN), also called its Medicare provider number, is 400010.

What is CASTANER GENERAL HOSPITAL's NPI number?

The National Provider Identifier (NPI) on file for CASTANER GENERAL HOSPITAL is 1760486344.

Which insurance plans are in network at CASTANER GENERAL HOSPITAL?

CASTANER GENERAL HOSPITAL lists 2 in-network payers, including BCBS, Triple-S Salud, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for CASTANER GENERAL HOSPITAL?

13 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.

What is a hospital price transparency MRF?

Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster