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Metrohealth Central Corporation

Utuado, PR

Utuado, PR

40

Beds

$6.4M

Net patient revenue a year

8

In-network payers

About this hospital

Metrohealth Central Corporation is a 40-bed hospital in Utuado, PR. Below you'll find publicly disclosed negotiated rates and facility details, including 8 in-network payers and 34 disclosed rate categories.

CCN
400130
NPI
1255461935
County
Utuado Municipio
Metro area
Utuado, PR MicroSA
Medicare contractor
Jurisdiction N, First Coast Service Options (09001)
In Medicare since
2009
Last CMS survey
2009

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 Behavioral Health Treatments/Services (also see 091X, and extension of 090X)

Range: 0900 - 0909

Per Diem

Very Low

BCBS

Facility

RC Operating Room Services

Range: 0360 - 0369

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
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)MedicaSanford Health PlanTriple-S Salud

More about this hospital

  • Finances

    $6.4M net patient revenue

    • Operating margin on patient care -31.7%
    • $135,877 unreimbursed and uncompensated care
    • -$1.9M net income
    See finances
  • Ownership and leadership

    Owned by Artau Holdings II LLC

    • Private (for profit)
    See ownership and leadership

Location

Utuado, PR

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Frequently asked questions

About Metrohealth Central Corporation's rates and hospital price transparency.

How many employees does Metrohealth Central Corporation have?

Metrohealth Central Corporation reported 60 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Metrohealth Central Corporation make?

Metrohealth Central Corporation reported $6.4M in net patient revenue on $7.7M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -31.7%, and net income of -$1.9M.

How much charity and uncompensated care does Metrohealth Central Corporation provide?

Metrohealth Central Corporation reported $135,877 of unreimbursed and uncompensated care for Jan 1, 2025 to Dec 31, 2025.

Is Metrohealth Central Corporation accredited?

CMS's Provider of Services file lists no accrediting organization for Metrohealth Central Corporation; it is certified for Medicare through state survey.

Who owns Metrohealth Central Corporation?

In its Medicare enrollment, Metrohealth Central Corporation reports Artau Holdings II LLC as 5% or greater direct ownership interest (100%).

How many beds does Metrohealth Central Corporation have?

Metrohealth Central Corporation has 40 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. 26 are Medicare-certified beds in CMS's Provider of Services file.

Where is Metrohealth Central Corporation and what is its phone number?

Metrohealth Central Corporation is located at Utuado, PR.

What is Metrohealth Central Corporation's CCN (Medicare provider number)?

Metrohealth Central Corporation's CMS Certification Number (CCN), also called its Medicare provider number, is 400130.

What is Metrohealth Central Corporation's NPI number?

The National Provider Identifier (NPI) on file for Metrohealth Central Corporation is 1255461935.

Which insurance plans are in network at Metrohealth Central Corporation?

Metrohealth Central Corporation lists 8 in-network payers, including Avera Health Plans, BCBS, Harvard Pilgrim Health Care (Point32Health), Mass General Brigham (formerly AllWays Health Partners), 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.

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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