Metro Hato Rey Inc

San Juan, PR

Beds

1,556

Inpatient discharges a year

$32.6M

Net patient revenue a year

In-network payers

About this hospital

Metro Hato Rey Inc is an 88-bed hospital in San Juan, PR. Below you'll find publicly disclosed negotiated rates and facility details, including 12 in-network payers and 128 disclosed rate categories.

Disproportionate share hospital

CCN: 400128
NPI: 1750346151
Teaching: No Medicare-funded residents
Medicare contractor: Jurisdiction N, First Coast Service Options (09001)

Negotiated Rates

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

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Payer	Category	Code Type & Group	Contract Type	vs. 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 Behavioral Health Treatments/Services (also see 091X, and extension of 090X) Range: 0900 - 0909	Per Diem	Very Low
BCBS	Facility	RC Behavioral Health Treatments/Services - Extension of 090X Range: 0910 - 0919	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.

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Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Avera Health PlansHarvard Pilgrim Health Care (Point32Health)Kaiser PermanenteMass General Brigham (formerly AllWays Health Partners)MedicaNeighborhood Health Plan of Rhode Island

More about this hospital

Doctors and services
No Medicare-funded residents
See doctors and services
Finances
$32.6M net patient revenue
- Operating margin on patient care -22.8%
- $193,333 unreimbursed and uncompensated care
- -$7.3M net income
See finances

Location

San Juan, PR

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Size and patient volume

What Metro Hato Rey Inc reported to Medicare in its latest cost report, covering Jan 1, 2024 to Jan 30, 2025.

1,556
Inpatient discharges
Medicare 6%, Medicaid 31%
9,855
Inpatient days
59% of available bed days used
184
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 844712). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

Inpatient days and discharges Metro Hato Rey Inc reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.

	Medicare	Medicaid	Other	Total
Inpatient days	869	3,336	5,650	9,855
Discharges	94	485	977	1,556
Average length of stay	9.2 days	6.9 days	5.8 days	6.3 days
Average daily census	2.2	8.4	14.3	24.9

3,068
Medicare Advantage days
455 discharges

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	36	8,519	814	60%
Intensive care unit	6	1,336	55	56%
Subprovider - ipf	46	14,079	808	77%

Source: CMS cost report (HCRIS, Form 2552-10), report 844712, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.

Income statement

Revenue, expenses and income Metro Hato Rey Inc reported to Medicare for Jan 1, 2024 to Jan 30, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$61.7M	189.1%
Inpatient	$31.4M	96.1%
Outpatient	$30.4M	93.0%
Contractual allowances and discounts	-$29.1M	-89.1%
Net patient revenue	$32.6M	100.0%
Operating expenses	-$40.1M	-122.8%
Operating income from patient care	-$7.4M	-22.8%
Other income	$121,625	0.4%
Investment income	$50,906	0.2%
Other	$70,719	0.2%
Net income	-$7.3M	-22.4%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$865,635	1.5%
Other payers and self-pay	$56.3M	98.5%
Total charges	$57.1M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 844712, 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 Metro Hato Rey Inc's latest cost report.

-22.8%
Operating margin
Operating income from patient care / net patient revenue
-22.3%
Total margin
Net income / net patient revenue plus other income
-17.3%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
30% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$16.58
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
-9.3%
Return on assets
Net income for a year / total assets
0.23
Current ratio
Current assets / current liabilities
0.15
Quick ratio
Cash, temporary investments and net receivables / current liabilities
10 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
45 days
Days in patient receivables
Net patient receivables / daily net patient revenue
360 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.41
Asset turnover
Total revenue for a year / total assets
4.0 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 844712, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Metro Hato Rey Inc owned and owed at the end of its reporting period (Jan 2025), across all fund types: $72.8M in total assets and a -$17M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$913,911	1.3%
Patient receivables, net	$3.7M	5.0%
Inventory	$480,094	0.7%
Total current assets	$7.1M	9.8%
Property and equipment, net of depreciation	$1.3M	1.7%
Investments and other assets	$64.4M	88.5%
Total assets	$72.8M	100.0%
Current liabilities	$31.6M	43.4%
Long-term debt	$615,512	0.8%
Total liabilities	$89.8M	123.4%
Fund balance (net assets)	-$17M	-23.4%

Source: CMS cost report (HCRIS, Form 2552-10), report 844712, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

Care Metro Hato Rey Inc provided without full payment, as reported on Worksheet S-10 of its cost report.

$424,600
Bad debt
Patient bills written off as uncollectible, at charges
-$91,737
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$193,333
Total unreimbursed and uncompensated care
0.5% 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 844712, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Metro Hato Rey Inc's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.

Show 6 years

Fiscal year ending	Dec 2019	Dec 2020	Dec 2021	Dec 2022	Dec 2023	Jan 2025
Net patient revenue	$42M	$34.3M	$37.7M	$34.2M	$29.6M	$32.6M
Operating expenses	$44.3M	$41.1M	$41.8M	$40.6M	$39.9M	$40.1M
Operating margin	-5.5%	-20.0%	-10.8%	-18.8%	-34.8%	-22.8%
Net income	-$1.2M	-$274,544	$1.4M	-$3.9M	-$9.2M	-$7.3M
Total assets	$50.7M	$32.5M	$33.5M	$94.3M	$90.6M	$72.8M
Discharges	3,738	2,827	2,425	1,949	1,484	1,556
Inpatient days	19,307	14,792	12,522	10,383	9,157	9,855
Medicare Advantage days	6,172	5,217	4,795	4,497	2,958	3,068
Beds	160	160	160	133	94	88
Employees (FTE)	306	308	333	245	207	184

Source: CMS cost report (HCRIS, Form 2552-10), report 844712, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

Each cost center Metro Hato Rey Inc reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.

Show all 25 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Operating room	$649,862	$4.3M	$5.2M	0.81	9,394
Emergency	$841,944	$3.5M	$1.7M	2.04	4,270
Medical supplies charged to patient		$2.3M	$7.2M	0.32	404
Drugs charged to patients	$368,726	$2M	$3.3M	0.62	1,830
Laboratory	$346,656	$1.5M	$7.9M	0.19	1,060
Radiology-diagnostic	$277,820	$1.5M	$3.5M	0.41	3,082
Respiratory therapy		$784,741	$810,922	0.97	832
Ct scan	$73,126	$766,613	$11.2M	0.07	832
Blood storing processing & trans.		$225,425	$629,560	0.36	100
Radioisotope	$29,582	$171,468	$449,926	0.38	1,150
Impl. dev. charged to patients		$31,793	$72,198	0.44
Electrocardiology		$28,676	$825,473	0.03	200

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Subprovider - ipf	$2.3M	$9M	$2.1M	4.36	19,311
Adults & pediatrics	$992,873	$4.1M	$10.1M	0.40	25,776
Intensive care unit	$356,881	$950,247	$2M	0.47	3,120

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Administrative & general	$1.4M	$8M	100,041	$12.21	1,429
Operation of plant		$2.2M			400
Cap rel costs-mvble equip		$1.3M
Dietary	$350,957	$1.1M	39,962	$8.94	7,227
Housekeeping		$831,750			457
Nursing administration	$379,008	$639,836	27,232	$14.17	405
Medical records & library	$447,647	$579,510	27,160	$16.79	5,385
Cap rel costs-bldg & fixt		$302,492			114,461
Social service	$96,027	$128,645	2,582	$37.88	301
Laundry & linen service		$52,685			263

Source: CMS cost report (HCRIS, Form 2552-10), report 844712, 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 Metro Hato Rey Inc for an inpatient stay.

1.11
Case mix index
Higher than 4% 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).
23.1%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
20
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 2027

IPPS fiscal year	FY 2021	FY 2022	FY 2023	FY 2024	FY 2025	FY 2026	FY 2027
Case mix index	0.93	0.93	1.34	1.13	1.20	1.27	1.11
Wage index	0.624	0.616	0.614	0.613	0.583	0.554	0.526
Medicare inpatient stays	104	104	73	61	82	81	20

Source: CMS IPPS final rule Impact File (FY 2027).

Frequently asked questions

About Metro Hato Rey Inc's rates and hospital price transparency.

Is Metro Hato Rey Inc a teaching hospital?

CMS reports no Medicare-funded interns or residents at Metro Hato Rey Inc for fiscal year 2027.

What is Metro Hato Rey Inc's case mix index?

Metro Hato Rey Inc's Medicare case mix index is 1.11 for fiscal year 2027, higher than 4% of hospitals paid under the inpatient prospective payment system.

How many patients does Metro Hato Rey Inc admit?

Metro Hato Rey Inc reported 1,556 inpatient discharges and 9,855 inpatient days from Jan 1, 2024 to Jan 30, 2025.

How many employees does Metro Hato Rey Inc have?

Metro Hato Rey Inc reported 184 full-time-equivalent employees on payroll from Jan 1, 2024 to Jan 30, 2025.

How much revenue does Metro Hato Rey Inc make?

Metro Hato Rey Inc reported $32.6M in net patient revenue on $61.7M of gross charges for Jan 1, 2024 to Jan 30, 2025, an operating margin of -22.8%, and net income of -$7.3M.

How much charity and uncompensated care does Metro Hato Rey Inc provide?

Metro Hato Rey Inc reported $193,333 of unreimbursed and uncompensated care for Jan 1, 2024 to Jan 30, 2025.

How many beds does Metro Hato Rey Inc have?

Metro Hato Rey Inc has 88 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report.

Where is Metro Hato Rey Inc and what is its phone number?

Metro Hato Rey Inc is located at San Juan, PR.

What is Metro Hato Rey Inc's CCN (Medicare provider number)?

Metro Hato Rey Inc's CMS Certification Number (CCN), also called its Medicare provider number, is 400128.

What is Metro Hato Rey Inc's NPI number?

The National Provider Identifier (NPI) on file for Metro Hato Rey Inc is 1750346151.

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{
  "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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Metro Hato Rey Inc

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Hospital-based units

Hospital-based units with their own Medicare certification

Frequently asked questions

Running price transparency at a hospital like this one?

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Get your chargemaster right for billing and payer contracts

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Income statement

Gross revenue by payer

Financial ratios

Balance sheet

Charity care and uncompensated care

Financial trend

Departments

Ancillary and outpatient departments

Inpatient units

Overhead (general service) departments

Medicare payment profile

Hospital-based units

Hospital-based units with their own Medicare certification

Nearby hospitals

Frequently asked questions

Running price transparency at a hospital like this one?

Publish a CMS-compliant machine-readable file

Get your chargemaster right for billing and payer contracts