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HOSPITALProprietary

Doctors Center Hospital Carolina Llc

Carolina, PR

EDIF JESUS T PINEIRO AVE FERNANDEZ JUNCOS BO PUEBL, Carolina, PR 00979(787) 725-6038

Not rated by CMS

CMS star rating

109

Beds

6,841

Inpatient discharges a year

$44.5M

Net patient revenue a year

3

In-network payers

About this hospital

Doctors Center Hospital Carolina Llc is a 109-bed proprietary hospital in Carolina, PR. Below you'll find publicly disclosed negotiated rates and facility details, including 3 in-network payers and 22 disclosed rate categories.

  • Disproportionate share hospital
CCN
400132
NPI
1255736187
Teaching
No Medicare-funded residents
County
San Juan Municipio
Metro area
San Juan-Bayamon-Caguas, PR MSA
Medicare contractor
Jurisdiction N, First Coast Service Options (09001)
In Medicare since
2016
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 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 All-inclusive Rate

Range: 0100 - 0109

Per Diem

Very Low

BCBS

Facility

RC Cardiology

Range: 0480 - 0489

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
Kaiser PermanenteTriple-S Salud

More about this hospital

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Doctors Center Hospital Carolina Llc in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
66-0782101Doctors Center Hospital Carolina LLC23Triple-S Salud, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Aspirus Health Plan, Asuris Northwest Health, BCBS and 18 more1255736187 Doctors Center Hospital Carolina Llc1952897472 Doctors Center Hospital Carolina Llc

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

EDIF JESUS T PINEIRO AVE FERNANDEZ JUNCOS BO PUEBL, Carolina, PR 00979

(787) 725-6038

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Frequently asked questions

About Doctors Center Hospital Carolina Llc's rates and hospital price transparency.

Is Doctors Center Hospital Carolina Llc a teaching hospital?

CMS reports no Medicare-funded interns or residents at Doctors Center Hospital Carolina Llc for fiscal year 2027.

What is Doctors Center Hospital Carolina Llc's case mix index?

Doctors Center Hospital Carolina Llc's Medicare case mix index is 1.49 for fiscal year 2027, higher than 26% of hospitals paid under the inpatient prospective payment system.

How many patients does Doctors Center Hospital Carolina Llc admit?

Doctors Center Hospital Carolina Llc reported 6,841 inpatient discharges and 35,861 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Doctors Center Hospital Carolina Llc have?

Doctors Center Hospital Carolina Llc reported 373 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Doctors Center Hospital Carolina Llc make?

Doctors Center Hospital Carolina Llc reported $44.5M in net patient revenue on $73.8M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 2.5%, and net income of $1.5M.

How much charity and uncompensated care does Doctors Center Hospital Carolina Llc provide?

Doctors Center Hospital Carolina Llc reported $2.7M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025.

What is Doctors Center Hospital Carolina Llc's tax ID (EIN)?

Insurers' price transparency files list Doctors Center Hospital Carolina Llc under employer identification number 66-0782101 (Doctors Center Hospital Carolina LLC). 23 health plans and networks list 66-0782101 for it.

How many doctors are affiliated with Doctors Center Hospital Carolina Llc?

42 clinicians who bill Medicare list Doctors Center Hospital Carolina Llc as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are general practice physician (6), vascular & interventional radiology physician (5), diagnostic radiology physician (4).

Is Doctors Center Hospital Carolina Llc accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Doctors Center Hospital Carolina Llc, effective 2016.

Who owns Doctors Center Hospital Carolina Llc?

In its Medicare enrollment, Doctors Center Hospital Carolina Llc reports Dch Holding Llc as 5% or greater direct ownership interest (100%).

For hospital finance and compliance teams

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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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  • 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

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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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  • 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
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