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HOSPITALProprietary

CENTRO MEDICO DEL NORESTE

Fajardo, PR

404 AVE GENERAL VALERO, Fajardo, PR 00738(787) 863-0505

Not rated by CMS

CMS star rating

83

Beds

929

Inpatient discharges a year

$4.9M

Net patient revenue a year

2

In-network payers

About this hospital

CENTRO MEDICO DEL NORESTE is an 83-bed proprietary hospital in Fajardo, PR. Below you'll find publicly disclosed negotiated rates and facility details, including 2 in-network payers and 10 disclosed rate categories.

CCN
400141
NPI
1962280131
Teaching
No Medicare-funded residents
County
Fajardo Municipio
Metro area
San Juan-Bayamon-Caguas, PR MSA
Medicare contractor
Jurisdiction N, First Coast Service Options (09001)
In Medicare since
2025
Last CMS survey
2025

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 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 Radiology Procedures

Range: 70010 - 79999

Negotiated

Very Low

BCBS

Outpatient

CPT Surgery

Range: 10004 - 69990

Negotiated

Very Low

BCBS

Facility

RC Coronary Care Unit

Range: 0210 - 0219

Per Diem

Very Low

BCBS

Facility

RC Intensive Care Unit

Range: 0200 - 0209

Per Diem

Very Low

BCBS

Facility

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

Range: 0270 - 0279

Per Diem

Very Low

BCBS

Facility

RC Other Room and Board

Range: 0160 - 0169

Per Diem

Very Low

BCBS

Facility

RC Room and Board Semi-private (two beds)

Range: 0120 - 0129

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

Location

404 AVE GENERAL VALERO, Fajardo, PR 00738

(787) 863-0505

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Frequently asked questions

About CENTRO MEDICO DEL NORESTE's rates and hospital price transparency.

Is CENTRO MEDICO DEL NORESTE a teaching hospital?

CMS reports no Medicare-funded interns or residents at CENTRO MEDICO DEL NORESTE for fiscal year 2027.

What is CENTRO MEDICO DEL NORESTE's case mix index?

CENTRO MEDICO DEL NORESTE's Medicare case mix index is 1.35 for fiscal year 2027, higher than 14% of hospitals paid under the inpatient prospective payment system.

How many patients does CENTRO MEDICO DEL NORESTE admit?

CENTRO MEDICO DEL NORESTE reported 929 inpatient discharges and 6,157 inpatient days from Aug 7, 2025 to Dec 31, 2025.

How many employees does CENTRO MEDICO DEL NORESTE have?

CENTRO MEDICO DEL NORESTE reported 138 full-time-equivalent employees on payroll from Aug 7, 2025 to Dec 31, 2025.

How much revenue does CENTRO MEDICO DEL NORESTE make?

CENTRO MEDICO DEL NORESTE reported $4.9M in net patient revenue on $12M of gross charges for Aug 7, 2025 to Dec 31, 2025, an operating margin of -45.1%, and net income of -$1.9M.

How much charity and uncompensated care does CENTRO MEDICO DEL NORESTE provide?

CENTRO MEDICO DEL NORESTE reported $241,352 of unreimbursed and uncompensated care for Aug 7, 2025 to Dec 31, 2025.

How many doctors are affiliated with CENTRO MEDICO DEL NORESTE?

25 clinicians who bill Medicare list CENTRO MEDICO DEL NORESTE as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are general practice physician (8), internal medicine physician (5), nephrology physician (3).

Is CENTRO MEDICO DEL NORESTE accredited?

CMS's Provider of Services file lists no accrediting organization for CENTRO MEDICO DEL NORESTE; it is certified for Medicare through state survey.

Who owns CENTRO MEDICO DEL NORESTE?

In its Medicare enrollment, CENTRO MEDICO DEL NORESTE reports Caribe Physicians Plaza Corporation as 5% or greater direct ownership interest (33.3%).

Where do CENTRO MEDICO DEL NORESTE's patients come from?

In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at CENTRO MEDICO DEL NORESTE came from ZIP codes 00738 (67), 00773 (28), 00735 (22).

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.

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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
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
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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.

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  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
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