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HOSPITALVoluntary non-profit - Private

HOSPITAL EPISCOPAL SAN LUCAS METRO

San Juan, PR

CARR 844 KM 0 5 CUPEY, San Juan, PR 00928(787) 761-8383

Not rated by CMS

CMS star rating

3

In-network payers

About this hospital

HOSPITAL EPISCOPAL SAN LUCAS METRO is a voluntary non-profit - private hospital in San Juan, PR. Below you'll find publicly disclosed negotiated rates and facility details, including 3 in-network payers and 11 disclosed rate categories.

CCN
400139
NPI
1841919974
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
2024
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

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 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 Other Room and Board

Range: 0160 - 0169

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

Location

CARR 844 KM 0 5 CUPEY, San Juan, PR 00928

(787) 761-8383

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Frequently asked questions

About HOSPITAL EPISCOPAL SAN LUCAS METRO's rates and hospital price transparency.

Is HOSPITAL EPISCOPAL SAN LUCAS METRO a teaching hospital?

CMS reports no Medicare-funded interns or residents at HOSPITAL EPISCOPAL SAN LUCAS METRO for fiscal year 2027.

What is HOSPITAL EPISCOPAL SAN LUCAS METRO's case mix index?

HOSPITAL EPISCOPAL SAN LUCAS METRO's Medicare case mix index is 0.90 for fiscal year 2027, higher than 1% of hospitals paid under the inpatient prospective payment system.

How many doctors are affiliated with HOSPITAL EPISCOPAL SAN LUCAS METRO?

13 clinicians who bill Medicare list HOSPITAL EPISCOPAL SAN LUCAS METRO as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are general practice physician (4), nephrology physician (2), cardiovascular disease physician (1).

Is HOSPITAL EPISCOPAL SAN LUCAS METRO accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for HOSPITAL EPISCOPAL SAN LUCAS METRO, effective 2024.

Who owns HOSPITAL EPISCOPAL SAN LUCAS METRO?

In its Medicare enrollment, HOSPITAL EPISCOPAL SAN LUCAS METRO reports Iglesia Episcopal Puertorriquena, Inc as 5% or greater indirect ownership interest (100%).

Where do HOSPITAL EPISCOPAL SAN LUCAS METRO's patients come from?

In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at HOSPITAL EPISCOPAL SAN LUCAS METRO came from ZIP codes 00926 (19).

Where is HOSPITAL EPISCOPAL SAN LUCAS METRO and what is its phone number?

HOSPITAL EPISCOPAL SAN LUCAS METRO is located at CARR 844 KM 0 5 CUPEY, San Juan, PR 00928. Its main phone number is (787) 761-8383.

What is HOSPITAL EPISCOPAL SAN LUCAS METRO's CCN (Medicare provider number)?

HOSPITAL EPISCOPAL SAN LUCAS METRO's CMS Certification Number (CCN), also called its Medicare provider number, is 400139.

What is HOSPITAL EPISCOPAL SAN LUCAS METRO's NPI number?

The National Provider Identifier (NPI) on file for HOSPITAL EPISCOPAL SAN LUCAS METRO is 1841919974.

Which insurance plans are in network at HOSPITAL EPISCOPAL SAN LUCAS METRO?

HOSPITAL EPISCOPAL SAN LUCAS METRO lists 3 in-network payers, including BCBS, Kaiser Permanente, 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.

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
  • 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.

What a review covers

CodingPricingPayer contractsCompliance
  • 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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