Hospital San Carlos Incorporado is a 108-bed hospital in Moca, PR. Below you'll find publicly disclosed negotiated rates and facility details, including 3 in-network payers and 23 disclosed rate categories.
Disproportionate share hospital
CCN
400111
NPI
1104856889
Teaching
No Medicare-funded residents
County
Moca Municipio
Metro area
Aguadilla, PR MSA
Medicare contractor
Jurisdiction N, First Coast Service Options (09001)
In Medicare since
1982
Last CMS survey
2025
Negotiated Rates
The data below comes from CMS-mandated price transparency data. Learn more.
Rates shown are negotiated amounts between this hospital and insurance providers. Actual patient costs depend on your insurance plan and coverage details.
The employer identification numbers (EINs) health plans and networks list for Hospital San Carlos Incorporado in the in-network rate files they publish, with the organization NPIs billed under each.
Tax ID (EIN)
Plans and networks listing it
Organization NPIs
66-0371418Hospital San Carlos Borro
9Triple-S Salud, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Asuris Northwest Health, BCBS, Kaiser Permanente and 4 more
1104856889 Hospital San Carlos Incorporado1780286542 Servicios De Anestesia Hospital San Carlos Borromeo
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.
What Hospital San Carlos Incorporado reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.
3,397
Inpatient discharges
Medicare 9%, Medicaid 27%
19,805
Inpatient days
50% of available bed days used
288
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 839196). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Utilization by payer and unit
Inpatient days and discharges Hospital San Carlos Incorporado reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
Medicare
Medicaid
Other
Total
Inpatient days
2,072
4,862
12,871
19,805
Discharges
305
909
2,183
3,397
Average length of stay
6.8 days
5.3 days
5.9 days
5.8 days
Average daily census
5.7
13.3
35.3
54.3
8,609
Medicare Advantage days
1,521 discharges
Beds and days by unit
Unit
Beds
Inpatient days
Medicare days
Occupancy
Adults & pediatrics
100
18,556
1,752
51%
Intensive care unit
8
1,249
320
43%
Source: CMS cost report (HCRIS, Form 2552-10), report 839196, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
Where patients come from
ZIP codes with the most Medicare inpatient stays at Hospital San Carlos Incorporado in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 753 in 2020 to 1,724 in 2025.
ZIP code
Stays
Of this hospital's stays
Days
Charges
Market share
Share in 2020
00676
516
30%
2,768
$3.6M
44%
37%
00685
508
29%
3,056
$4.4M
30%
22%
00602
245
14%
1,586
$2.2M
19%
13%
00603
206
12%
1,220
$1.6M
18%
13%
00662
120
7%
738
$1.1M
11%
8%
00678
35
2%
176
$246,689
4%
2%
00610
33
2%
182
$219,838
3%
2%
00605
28
2%
121
$151,832
13%
18%
00690
17
1%
98
$119,757
10%
11%
00677
16
1%
117
$147,226
3%
Source: CMS Hospital Service Area file. Shares are of the 1,724 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Staff and facilities
Staff by profession and the rooms and units Hospital San Carlos Incorporado reported at its latest Medicare certification survey (2025). Counts are people, not full-time equivalents.
39 clinicians who bill Medicare list Hospital San Carlos Incorporado as a hospital affiliation. Showing 24 of them. Book a demo to see the commercial rates insurers publish for them, or start a free trial.
Source: CMS Doctors and Clinicians facility affiliations, released 2026-10-15, with names and specialties from NPPES. Affiliation means the clinician bills Medicare for care at this hospital; it is not employment.
Income statement
Revenue, expenses and income Hospital San Carlos Incorporado reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.
Line
Amount
Share
Gross patient revenue (charges)
$48.2M
168.3%
Inpatient
$25.2M
88.0%
Outpatient
$23M
80.3%
Contractual allowances and discounts
-$19.5M
-68.3%
Net patient revenue
$28.6M
100.0%
Operating expenses
-$30.9M
-108.2%
Operating income from patient care
-$2.3M
-8.2%
Other income
$4.6M
16.1%
Investment income
$49,124
0.2%
Other
$4.6M
16.0%
Net income
$2.3M
8.0%
Gross revenue by payer
Line
Amount
Share
Traditional Medicare
$2.7M
5.9%
Other payers and self-pay
$43.3M
94.1%
Total charges
$46M
100.0%
Source: CMS cost report (HCRIS, Form 2552-10), report 839196, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Financial ratios
Computed from Hospital San Carlos Incorporado's latest cost report.
-8.2%
Operating margin
Operating income from patient care / net patient revenue
6.9%
Total margin
Net income / net patient revenue plus other income
10.2%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
Adjusted salaries / paid hours (Worksheet S-3 Part II)
11.2%
Return on assets
Net income for a year / total assets
16.9%
Return on equity
Net income for a year / fund balance
0.02
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.96
Current ratio
Current assets / current liabilities
1.50
Quick ratio
Cash, temporary investments and net receivables / current liabilities
147 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
-28 days
Days in patient receivables
Net patient receivables / daily net patient revenue
80 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.63
Asset turnover
Total revenue for a year / total assets
25.8 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 839196, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Balance sheet
What Hospital San Carlos Incorporado owned and owed at the end of its reporting period (Dec 2025), across all fund types: $20.4M in total assets and a $13.6M fund balance.
Show the balance sheetHide the balance sheet
Line
Amount
Of total assets
Cash and temporary investments
$12M
59.0%
Patient receivables, net
-$2.2M
-10.9%
Inventory
$1M
5.0%
Total current assets
$12.8M
63.0%
Property and equipment, net of depreciation
$7M
34.4%
Investments and other assets
$523,130
2.6%
Total assets
$20.4M
100.0%
Current liabilities
$6.6M
32.2%
Long-term debt
$260,643
1.3%
Total liabilities
$6.8M
33.4%
Fund balance (net assets)
$13.6M
66.6%
Source: CMS cost report (HCRIS, Form 2552-10), report 839196, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Charity care and uncompensated care
Care Hospital San Carlos Incorporado provided without full payment, as reported on Worksheet S-10 of its cost report.
$1.2M
Bad debt
Patient bills written off as uncollectible, at charges
$713,667
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$1.3M
Total unreimbursed and uncompensated care
4.3% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
Source: CMS cost report (HCRIS, Form 2552-10), report 839196, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Financial trend
Hospital San Carlos Incorporado's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
Show 6 yearsHide 6 years
Fiscal year ending
Dec 2020
Dec 2021
Dec 2022
Dec 2023
Dec 2024
Dec 2025
Net patient revenue
$16.5M
$20.1M
$21.4M
$24.2M
$25M
$28.6M
Operating expenses
$22.4M
$24.6M
$26.3M
$27.7M
$27.9M
$30.9M
Operating margin
-35.9%
-22.7%
-23.2%
-14.5%
-11.6%
-8.2%
Net income
-$2.4M
-$110,608
-$3.1M
-$1.8M
-$633,794
$2.3M
Total assets
$17.5M
$16.8M
$17.2M
$16.5M
$16.6M
$20.4M
Discharges
2,755
2,868
2,933
3,202
3,042
3,397
Inpatient days
13,097
14,340
14,968
17,229
17,247
19,805
Medicare Advantage days
5,566
6,891
7,050
8,499
7,734
8,609
Beds
106
106
106
95
108
108
Employees (FTE)
258
272
265
274
270
288
Source: CMS cost report (HCRIS, Form 2552-10), report 839196, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Departments
Each cost center Hospital San Carlos Incorporado reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
Show all 19 departmentsHide all 19 departments
Ancillary and outpatient departments
Department
Salaries
Total cost
Charges
Cost-to-charge
Square feet
Medical supplies charged to patient
$26,098
$6.6M
$5.4M
1.21
1,715
Operating room
$1.6M
$3.5M
$2.8M
1.25
10,258
Emergency
$1.7M
$3.4M
$2.9M
1.15
10,912
Drugs charged to patients
$133,265
$1.2M
$9.5M
0.12
1,188
Radiology-diagnostic
$321,457
$1.1M
$7.8M
0.14
3,096
Respiratory therapy
$248,711
$948,364
$4.3M
0.22
944
Laboratory
$509,684
$468,757
$8.6M
0.05
2,560
Impl. dev. charged to patients
$404,008
$602,682
0.67
Inpatient units
Department
Salaries
Total cost
Charges
Cost-to-charge
Square feet
Adults & pediatrics
$1.3M
$7M
$3.6M
1.94
35,815
Intensive care unit
$679,771
$1.7M
$604,248
2.79
5,426
Overhead (general service) departments
Department
Salaries
Direct cost
Paid hours
Average hourly wage
Square feet
Administrative & general
$2.2M
$5.3M
147,708
$14.56
23,163
Operation of plant
$145,759
$2.7M
10,823
$13.47
2,678
Dietary
$338,336
$759,876
26,762
$12.64
3,117
Cap rel costs-mvble equip
$664,982
Housekeeping
$537,055
418
Nursing administration
$410,743
$526,136
21,620
$19.00
Medical records & library
$473,174
$518,894
33,544
$14.11
1,736
Cap rel costs-bldg & fixt
$434,637
105,656
Laundry & linen service
$21,094
116
Source: CMS cost report (HCRIS, Form 2552-10), report 839196, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
Medicare payment profile
The factors Medicare uses to set what it pays Hospital San Carlos Incorporado for an inpatient stay.
1.60
Case mix index
Higher than 40% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2027); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2027).
27.3%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
277
Medicare inpatient stays
Medicare claims CMS based FY 2027 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2027).
Show FY 2021 to FY 2027Hide FY 2021 to FY 2027
IPPS fiscal year
FY 2021
FY 2022
FY 2023
FY 2024
FY 2025
FY 2026
FY 2027
Case mix index
1.28
1.27
1.39
1.44
1.51
1.53
1.60
Wage index
0.609
0.604
0.601
0.601
0.571
0.543
0.515
Medicare inpatient stays
339
339
220
189
214
229
277
Source: CMS IPPS final rule Impact File (FY 2027).
Ownership
Organizations Hospital San Carlos Incorporado reports to Medicare as owners or with operational control.
Hospital San Carlos Incorporado
5% or greater direct ownership interest, 100%, since 1981
About Hospital San Carlos Incorporado's rates and hospital price transparency.
Is Hospital San Carlos Incorporado a teaching hospital?
CMS reports no Medicare-funded interns or residents at Hospital San Carlos Incorporado for fiscal year 2027.
What is Hospital San Carlos Incorporado's case mix index?
Hospital San Carlos Incorporado's Medicare case mix index is 1.60 for fiscal year 2027, higher than 40% of hospitals paid under the inpatient prospective payment system.
How many patients does Hospital San Carlos Incorporado admit?
Hospital San Carlos Incorporado reported 3,397 inpatient discharges and 19,805 inpatient days from Jan 1, 2025 to Dec 31, 2025.
How many employees does Hospital San Carlos Incorporado have?
Hospital San Carlos Incorporado reported 288 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.
How much revenue does Hospital San Carlos Incorporado make?
Hospital San Carlos Incorporado reported $28.6M in net patient revenue on $48.2M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -8.2%, and net income of $2.3M.
How much charity and uncompensated care does Hospital San Carlos Incorporado provide?
Hospital San Carlos Incorporado reported $1.3M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025.
What is Hospital San Carlos Incorporado's tax ID (EIN)?
Insurers' price transparency files list Hospital San Carlos Incorporado under employer identification number 66-0371418 (Hospital San Carlos Borro). 9 health plans and networks list 66-0371418 for it.
How many doctors are affiliated with Hospital San Carlos Incorporado?
39 clinicians who bill Medicare list Hospital San Carlos Incorporado as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are internal medicine physician (11), diagnostic radiology physician (10), general practice physician (4).
Is Hospital San Carlos Incorporado accredited?
CMS's Provider of Services file lists no accrediting organization for Hospital San Carlos Incorporado; it is certified for Medicare through state survey.
Who owns Hospital San Carlos Incorporado?
In its Medicare enrollment, Hospital San Carlos Incorporado reports Hospital San Carlos Incorporado as 5% or greater direct ownership interest (100%).
Where do Hospital San Carlos Incorporado's patients come from?
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Hospital San Carlos Incorporado came from ZIP codes 00676 (516), 00685 (508), 00602 (245).
How many beds does Hospital San Carlos Incorporado have?
Hospital San Carlos Incorporado has 108 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report.
Where is Hospital San Carlos Incorporado and what is its phone number?
Hospital San Carlos Incorporado is located at Moca, PR.
What is Hospital San Carlos Incorporado's CCN (Medicare provider number)?
Hospital San Carlos Incorporado's CMS Certification Number (CCN), also called its Medicare provider number, is 400111.
What is Hospital San Carlos Incorporado's NPI number?
The National Provider Identifier (NPI) on file for Hospital San Carlos Incorporado is 1104856889.
Which insurance plans are in network at Hospital San Carlos Incorporado?
Hospital San Carlos Incorporado 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.
What price transparency data is available for Hospital San Carlos Incorporado?
23 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.
What is a chargemaster review?
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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