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Metro Ponce Inc

Ponce, PR

Ponce, PR

115

Beds

3,584

Inpatient discharges a year

$37.8M

Net patient revenue a year

7

In-network payers

About this hospital

Metro Ponce Inc is a 115-bed hospital in Ponce, PR. Below you'll find publicly disclosed negotiated rates and facility details, including 7 in-network payers and 41 disclosed rate categories.

  • Disproportionate share hospital
CCN
400003
NPI
1720306343
Teaching
No Medicare-funded residents
County
Ponce Municipio
Metro area
Ponce, PR MSA
Medicare contractor
Jurisdiction N, First Coast Service Options (09001)
In Medicare since
1966
Last CMS survey
2026

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 Cardiology

Range: 0480 - 0489

Per Diem

Low

BCBS

Facility

RC Clinic

Range: 0510 - 0519

Per Diem

Very High

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
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Avera Health PlansHarvard Pilgrim Health Care (Point32Health)Mass General Brigham (formerly AllWays Health Partners)MedicaTriple-S Salud

More about this hospital

Location

Frequently asked questions

About Metro Ponce Inc's rates and hospital price transparency.

Is Metro Ponce Inc a teaching hospital?

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

What is Metro Ponce Inc's case mix index?

Metro Ponce Inc's Medicare case mix index is 1.36 for fiscal year 2027, higher than 14% of hospitals paid under the inpatient prospective payment system.

How many patients does Metro Ponce Inc admit?

Metro Ponce Inc reported 3,584 inpatient discharges and 18,131 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Metro Ponce Inc have?

Metro Ponce Inc reported 252 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Metro Ponce Inc make?

Metro Ponce Inc reported $37.8M in net patient revenue on $64.9M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -5.4%, and net income of -$1.4M.

How much charity and uncompensated care does Metro Ponce Inc provide?

Metro Ponce Inc reported $1.2M of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025.

How many doctors are affiliated with Metro Ponce Inc?

37 clinicians who bill Medicare list Metro Ponce Inc as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are cardiovascular disease physician (5), general practice physician (4), internal medicine physician (4).

Is Metro Ponce Inc accredited?

CMS's Provider of Services file lists no accrediting organization for Metro Ponce Inc; it is certified for Medicare through state survey.

Who owns Metro Ponce Inc?

In its Medicare enrollment, Metro Ponce Inc reports Artau Holdings II LLC as 5% or greater direct ownership interest (100%).

Where do Metro Ponce Inc's patients come from?

In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Metro Ponce Inc came from ZIP codes 00728 (200), 00730 (179), 00716 (174).

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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • 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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Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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