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Instituto Medico Del Norte Inc

Vega Baja, PR

Vega Baja, PR

125

Beds

3,805

Inpatient discharges a year

$42.4M

Net patient revenue a year

3

In-network payers

About this hospital

Instituto Medico Del Norte Inc is a 125-bed hospital in Vega Baja, PR. Below you'll find publicly disclosed negotiated rates and facility details, including 3 in-network payers and 20 disclosed rate categories.

  • Disproportionate share hospital
CCN
400115
NPI
1154309169
Teaching
No Medicare-funded residents
County
Vega Baja Municipio
Metro area
San Juan-Bayamon-Caguas, PR MSA
Medicare contractor
Jurisdiction N, First Coast Service Options (09001)
In Medicare since
1986
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 Clinic

Range: 0510 - 0519

Per Diem

Very High

BCBS

Facility

RC Coronary Care Unit

Range: 0210 - 0219

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

Vega Baja, PR

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Frequently asked questions

About Instituto Medico Del Norte Inc's rates and hospital price transparency.

Is Instituto Medico Del Norte Inc a teaching hospital?

CMS reports no Medicare-funded interns or residents at Instituto Medico Del Norte Inc for fiscal year 2027.

What is Instituto Medico Del Norte Inc's case mix index?

Instituto Medico Del Norte Inc's Medicare case mix index is 1.27 for fiscal year 2027, higher than 10% of hospitals paid under the inpatient prospective payment system.

How many patients does Instituto Medico Del Norte Inc admit?

Instituto Medico Del Norte Inc reported 3,805 inpatient discharges and 20,399 inpatient days from Jan 1, 2024 to Dec 31, 2024.

How many employees does Instituto Medico Del Norte Inc have?

Instituto Medico Del Norte Inc reported 339 full-time-equivalent employees on payroll from Jan 1, 2024 to Dec 31, 2024.

How much revenue does Instituto Medico Del Norte Inc make?

Instituto Medico Del Norte Inc reported $42.4M in net patient revenue on $107.2M of gross charges for Jan 1, 2024 to Dec 31, 2024, an operating margin of 6.7%, and net income of $4.7M.

How much charity and uncompensated care does Instituto Medico Del Norte Inc provide?

Instituto Medico Del Norte Inc reported $1.4M of unreimbursed and uncompensated care for Jan 1, 2024 to Dec 31, 2024.

How many doctors are affiliated with Instituto Medico Del Norte Inc?

24 clinicians who bill Medicare list Instituto Medico Del Norte Inc as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are general practice physician (7), family medicine physician (4), internal medicine physician (2).

Is Instituto Medico Del Norte Inc accredited?

CMS's Provider of Services file lists no accrediting organization for Instituto Medico Del Norte Inc; it is certified for Medicare through state survey.

Where do Instituto Medico Del Norte Inc's patients come from?

In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Instituto Medico Del Norte Inc came from ZIP codes 00693 (363), 00692 (147), 00694 (74).

How many beds does Instituto Medico Del Norte Inc have?

Instituto Medico Del Norte Inc has 125 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 130 are Medicare-certified beds in CMS's Provider of Services file.

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.

Compliance MRF

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
  • Charges set below payer allowables caught before lesser-of clauses cut payment
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