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Hospital De La Concepcion Inc

San German, PR

ROAD # 2 KM 173.4, San German, PR 6830000

226

Beds

8,232

Inpatient discharges a year

$127.7M

Net patient revenue a year

4

In-network payers

About this hospital

Hospital De La Concepcion Inc is a 226-bed hospital in San German, PR. Below you'll find publicly disclosed negotiated rates and facility details, including 4 in-network payers and 44 disclosed rate categories.

  • Disproportionate share hospital
CCN
400021
NPI
1366484594
Teaching
Teaching hospital
County
San Germán Municipio
Metro area
Mayaguez, PR MSA
Medicare contractor
Jurisdiction N, First Coast Service Options (09001)
In Medicare since
1966
Last CMS survey
2024

Negotiated Rates

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

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PayerCategoryCode Type & GroupContract Typevs. State Average

Aetna

Facility

RC All-inclusive Rate

Range: 0100 - 0109

Percentage of Bill Charged

-

Aetna

Facility

RC Alternative Therapy Services

Range: 2100 - 2109

Percentage of Bill Charged

-

Aetna

Facility

RC Behavioral Health Accommodations

Range: 1000 - 1009

Percentage of Bill Charged

-

Aetna

Facility

RC Coronary Care Unit

Range: 0210 - 0219

Percentage of Bill Charged

-

Aetna

Facility

RC Intensive Care Unit

Range: 0200 - 0209

Percentage of Bill Charged

-

Aetna

Facility

RC Leave of Absence

Range: 0180 - 0189

Percentage of Bill Charged

-

Aetna

Facility

RC Nursery

Range: 0170 - 0179

Percentage of Bill Charged

-

Aetna

Facility

RC Other Room and Board

Range: 0160 - 0169

Percentage of Bill Charged

-

Aetna

Facility

RC Room and Board (3 and 4 beds)

Range: 0130 - 0139

Percentage of Bill Charged

-

Aetna

Facility

RC Room and Board Deluxe Private

Range: 0140 - 0149

Percentage of Bill Charged

-

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
Aetna
BCBS
Kaiser PermanenteTriple-S Salud

More about this hospital

  • Doctors and services

    Accredited by The Joint Commission

    • Teaching hospital
    • 84 affiliated clinicians
    See doctors and services
  • Finances

    $127.7M net patient revenue

    • Operating margin on patient care 2.0%
    • $773,207 unreimbursed and uncompensated care
    • $8.3M net income
    See finances
  • Ownership and leadership

    Owned by Hospital De La Concepcion Inc

    • Private (not for profit)
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Hospital De La Concepcion Inc in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
66-0227304Hospital De La Concepcion INC9Aetna, Triple-S Salud, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Asuris Northwest Health, BCBS and 4 more1366484594 Hospital De La Concepcion Inc1760362792 Hospital De La Concepcion Inc1023232055 Hospital De La Concepcion Farmaciaand 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

ROAD # 2 KM 173.4, San German, PR 6830000

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Frequently asked questions

About Hospital De La Concepcion Inc's rates and hospital price transparency.

Is Hospital De La Concepcion Inc a teaching hospital?

Yes. CMS counts 0.07 Medicare-funded residents per bed at Hospital De La Concepcion Inc for fiscal year 2027, so it is a teaching hospital.

What is Hospital De La Concepcion Inc's case mix index?

Hospital De La Concepcion Inc's Medicare case mix index is 1.78 for fiscal year 2027, higher than 60% of hospitals paid under the inpatient prospective payment system.

How many patients does Hospital De La Concepcion Inc admit?

Hospital De La Concepcion Inc reported 8,232 inpatient discharges and 50,077 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Hospital De La Concepcion Inc have?

Hospital De La Concepcion Inc reported 917 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Hospital De La Concepcion Inc make?

Hospital De La Concepcion Inc reported $127.7M in net patient revenue on $316.6M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of 2.0%, and net income of $8.3M.

How much charity and uncompensated care does Hospital De La Concepcion Inc provide?

Hospital De La Concepcion Inc reported $773,207 of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025.

What is Hospital De La Concepcion Inc's tax ID (EIN)?

Insurers' price transparency files list Hospital De La Concepcion Inc under employer identification number 66-0227304 (Hospital De La Concepcion INC). 9 health plans and networks list 66-0227304 for it.

How many doctors are affiliated with Hospital De La Concepcion Inc?

84 clinicians who bill Medicare list Hospital De La Concepcion Inc as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (23), nephrology physician (12), gastroenterology physician (5).

Is Hospital De La Concepcion Inc accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Hospital De La Concepcion Inc, effective 2009.

Who owns Hospital De La Concepcion Inc?

In its Medicare enrollment, Hospital De La Concepcion Inc reports Hospital De La Concepcion Inc as 5% or greater direct ownership interest (100%).

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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  • 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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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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