Metrohealth Inc

San Juan, PR

114

Beds

3,928

Inpatient discharges a year

$49.3M

Net patient revenue a year

In-network payers

About this hospital

Metrohealth Inc is a 114-bed hospital in San Juan, PR. Below you'll find publicly disclosed negotiated rates and facility details, including 8 in-network payers and 40 disclosed rate categories.

Disproportionate share hospital

CCN: 400106
NPI: 1275580763
Teaching: No Medicare-funded residents
County: San Juan Municipio
Metro area: San Juan-Bayamon-Caguas, PR MSA
Medicare contractor: Jurisdiction N, First Coast Service Options (09001)
In Medicare since: 1972
Last CMS survey: 2021

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 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.

Showing 1 - 10 of 40

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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)MedicaTriple-S Salud

More about this hospital

Doctors and services
Accredited by The Joint Commission
- No Medicare-funded residents
- 51 affiliated clinicians
See doctors and services
Finances
$49.3M net patient revenue
- Operating margin on patient care -1.5%
- $1.2M unreimbursed and uncompensated care
- $1.2M net income
See finances
Ownership and leadership
Owned by Artau Holdings LLC
- Private (for profit)
- Deborah Acevedo Santos, chief executive
See ownership and leadership

Location

San Juan, PR

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Accreditation and services

The Joint Commission (since 2012)
Accreditation
Limited
Medical school affiliation
Private (for profit)
Ownership type
134
Medicare-certified beds
130
Registered nurses (full-time equivalent)
1972
In Medicare since

Source: CMS Provider of Services file, as reported by the hospital and state surveyors.

Size and patient volume

What Metrohealth Inc reported to Medicare in its latest cost report, covering Jan 1, 2025 to Dec 31, 2025.

3,928
Inpatient discharges
Medicare 5%, Medicaid 29%
24,075
Inpatient days
58% of available bed days used
307
Employees (full-time equivalent)

Source: CMS cost report (HCRIS) (report 836278). Figures cover the reporting period, which is not always 12 months, and are self-reported.

Utilization by payer and unit

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

	Medicare	Medicaid	Other	Total
Inpatient days	1,727	5,180	17,168	24,075
Discharges	189	1,150	2,589	3,928
Average length of stay	9.1 days	4.5 days	6.6 days	6.1 days
Average daily census	4.7	14.2	47.0	66.0

4,995
Medicare Advantage days
693 discharges

Beds and days by unit

Unit	Beds	Inpatient days	Medicare days	Occupancy
Adults & pediatrics	109	22,541	1,250	57%
Intensive care unit	5	1,534	477	84%

Source: CMS cost report (HCRIS, Form 2552-10), report 836278, 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 Metrohealth Inc 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 1,337 in 2020 to 695 in 2025.

ZIP code	Stays	Of this hospital's stays	Days	Charges	Market share	Share in 2020
00921	225	32%	1,656	$2M	29%	39%
00926	112	16%	890	$1.2M	4%	7%
00971	70	10%	466	$557,940	16%	53%
00969	62	9%	498	$552,323	7%	25%
00970	57	8%	468	$591,880	17%	48%
00920	56	8%	405	$506,052	14%	17%
00966	44	6%	260	$319,494	11%	23%
00927	26	4%	161	$206,411	8%	10%
00936	17	2%	142	$222,547	6%	9%
00917	14	2%	187	$230,361	2%
00725	12	2%	75	$86,985	1%	2%

Source: CMS Hospital Service Area file. Shares are of the 695 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 Metrohealth Inc reported at its latest Medicare certification survey (2021). Counts are people, not full-time equivalents.

4
Operating rooms
1
Endoscopy rooms

130
Registered nurses
18
Licensed practical nurses
9
Nurse anesthetists (CRNAs)
4
Pharmacists
1
Respiratory therapists
5
Physical therapists
2
Radiology technicians
2
Nuclear medicine technicians
6
Medical technologists
4
Dietitians
4
Social workers

Source: CMS Provider of Services file.

Doctors and clinicians

51 clinicians who bill Medicare list Metrohealth Inc 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.

Diagnostic Radiology Physician 8
Internal Medicine Physician 6
General Practice Physician 5
Nephrology Physician 4
Infectious Disease Physician 3
Cardiovascular Disease Physician 2
Gastroenterology Physician 2
Orthopaedic Surgery Physician 2
Pulmonary Disease Physician 2
Specialist 2

Jan Rodriguez Ferrer, MD
Internal Medicine Physician
NPI 1407969215
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Jose Padilla, MD
Cardiovascular Disease Physician
NPI 1134235187
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Rodolfo Troche, MD
Nephrology Physician
NPI 1639195597
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Jose Santiago-Santiago, MD
Nephrology Physician
NPI 1619071859
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Jose Reyes-Pena, MD
Cardiovascular Disease Physician
NPI 1720071483
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Rosangela Fernandez Medero, MD
Pulmonary Disease Physician
NPI 1568565893
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Antonio De Thomas-Cabrera, M.D.
Diagnostic Ultrasound Physician
NPI 1255318986
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Luis Ambert, MD
Urology Physician
NPI 1295794014
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Oscar Crespo, MD
Radiologic Technologist
NPI 1477552255
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Jorge Pelet Mejias, MD
Surgery Physician
NPI 1801980966
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Alexis Gonzalez Rivera, M.D.
Gastroenterology Physician
NPI 1609214618
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Damaris Acosta-Miranda, MD
Pulmonary Disease Physician
NPI 1952536237
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Beatriz Bartolomei Aguilera, M.D.
Physical Medicine & Rehabilitation Physician
NPI 1184607509
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Francisco Lopez-Gonzalez, M.D.
Orthopaedic Surgery Physician
NPI 1487622916
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Ricardo Canals, MD
Orthopaedic Surgery Physician
NPI 1194788000
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Luis Rivera, M.D.
Specialist
NPI 1376608984
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Sergio Perez-Acosta, MD
Infectious Disease Physician
NPI 1346423720
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Julio Vazquez Galliano, M.D.
Sports Medicine (Physical Medicine & Rehabilitation) Physician
NPI 1972899458
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Carmelo Santana-Lopez, M.D.
Infectious Disease Physician
NPI 1215130687
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Luis Diaz Cruz, M. D.
Nephrology Physician
NPI 1790133718
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Fernando Abreu Gonzalez
Internal Medicine Physician
NPI 1437100930
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Glenn Garayalde, M.D.
Neurology Physician
NPI 1619946035
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Antonio Otero Lopez, M.D.
Adult Reconstructive Orthopaedic Surgery Physician
NPI 1891802450
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Alexis Rivera Gonzalez, MD
Nephrology Physician
NPI 1184147506
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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 Metrohealth Inc reported to Medicare for Jan 1, 2025 to Dec 31, 2025. Percentages are of net patient revenue.

Line	Amount	Share
Gross patient revenue (charges)	$85.6M	173.5%
Inpatient	$31M	62.8%
Outpatient	$54.6M	110.7%
Contractual allowances and discounts	-$36.2M	-73.5%
Net patient revenue	$49.3M	100.0%
Operating expenses	-$50M	-101.5%
Operating income from patient care	-$717,519	-1.5%
Other income	$1.9M	3.8%
Investment income	$187,486	0.4%
Other	$1.7M	3.4%
Net income	$1.2M	2.4%

Gross revenue by payer

Line	Amount	Share
Traditional Medicare	$1.4M	2.1%
Other payers and self-pay	$65.7M	97.9%
Total charges	$67.1M	100.0%

Source: CMS cost report (HCRIS, Form 2552-10), report 836278, 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 Metrohealth Inc's latest cost report.

-1.5%
Operating margin
Operating income from patient care / net patient revenue
2.3%
Total margin
Net income / net patient revenue plus other income
4.2%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
32% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$17.35
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
1.4%
Return on assets
Net income for a year / total assets
3.7%
Return on equity
Net income for a year / fund balance
0.02
Long-term debt to fund balance
Mortgages, notes and loans / fund balance
1.68
Current ratio
Current assets / current liabilities
1.40
Quick ratio
Cash, temporary investments and net receivables / current liabilities
8 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
115 days
Days in patient receivables
Net patient receivables / daily net patient revenue
88 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
0.63
Asset turnover
Total revenue for a year / total assets
21.0 years
Average age of plant
Accumulated depreciation / depreciation for a year

Source: CMS cost report (HCRIS, Form 2552-10), report 836278, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Balance sheet

What Metrohealth Inc owned and owed at the end of its reporting period (Dec 2025), across all fund types: $81.1M in total assets and a $31.2M fund balance.

Show the balance sheet

Line	Amount	Of total assets
Cash and temporary investments	$1M	1.3%
Patient receivables, net	$15.5M	19.2%
Inventory	$926,015	1.1%
Total current assets	$19.9M	24.5%
Property and equipment, net of depreciation	$3.2M	4.0%
Investments and other assets	$58M	71.5%
Total assets	$81.1M	100.0%
Current liabilities	$11.8M	14.6%
Long-term debt	$560,821	0.7%
Total liabilities	$49.9M	61.5%
Fund balance (net assets)	$31.2M	38.5%

Source: CMS cost report (HCRIS, Form 2552-10), report 836278, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Charity care and uncompensated care

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

$680,850
Bad debt
Patient bills written off as uncollectible, at charges
$932,736
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$1.2M
Total unreimbursed and uncompensated care
2.5% 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 836278, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Financial trend

Metrohealth 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 2020	Dec 2021	Dec 2022	Dec 2023	Dec 2024	Dec 2025
Net patient revenue	$41.1M	$45.5M	$48.1M	$49.8M	$49.8M	$49.3M
Operating expenses	$46.1M	$48.1M	$50.2M	$52.4M	$51.6M	$50M
Operating margin	-12.2%	-5.6%	-4.4%	-5.2%	-3.5%	-1.5%
Net income	$2.3M	$278,691	$2.3M	$941,520	-$181,874	$1.2M
Total assets	$36.6M	$36.6M	$81.8M	$81.1M	$81.2M	$81.1M
Discharges	3,244	3,274	4,055	4,353	4,038	3,928
Inpatient days	18,522	18,522	21,553	21,853	24,745	24,075
Medicare Advantage days	8,270	6,450	6,936	6,220	2,142	4,995
Beds	132	132	132	132	132	114
Employees (FTE)	400	371	337	355	334	307

Source: CMS cost report (HCRIS, Form 2552-10), report 836278, as submitted. Hospitals report these figures themselves; they are not audited financial statements.

Departments

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

Show all 24 departments

Ancillary and outpatient departments

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Emergency	$1.6M	$4.8M	$3.9M	1.21	12,500
Medical supplies charged to patient	$19,929	$4.6M	$4.2M	1.09
Radiology-diagnostic	$889,056	$3.7M	$16.6M	0.22	11,541
Drugs charged to patients	$395,210	$3.4M	$6M	0.56	1,290
Operating room	$821,849	$2.8M	$1.7M	1.58	10,685
Laboratory	$604,830	$2.2M	$11.1M	0.20	4,009
Renal dialysis	$485,436	$1.2M	$4.5M	0.28	8,390
Respiratory therapy		$915,353	$5.7M	0.16	726
Impl. dev. charged to patients		$651,589	$705,606	0.92
Electrocardiology	$47,276	$193,903	$3.1M	0.06
Clinic	$21,192	$56,770	$322,669	0.18	707
Recovery room	$39,853	$55,541	$524,580	0.11

Inpatient units

Department	Salaries	Total cost	Charges	Cost-to-charge	Square feet
Adults & pediatrics	$2.1M	$6.6M	$8M	0.82	27,366
Intensive care unit	$470,600	$951,661	$767,000	1.24	1,786

Overhead (general service) departments

Department	Salaries	Direct cost	Paid hours	Average hourly wage	Square feet
Administrative & general	$2M	$4.6M	109,776	$17.65	350,826
Operation of plant		$2.9M			3,173
Cap rel costs-mvble equip		$1.2M
Medical records & library	$757,372	$926,096	47,272	$16.02	16,295
Housekeeping	$8,277	$861,875	768	$10.78	624
Dietary	$408,978	$483,506	24,087	$14.81	3,795
Nursing administration	$364,717	$483,034	14,522	$25.11	598
Social service	$140,958	$130,579	5,920	$18.43	580
Laundry & linen service		$104,977			255
Cap rel costs-bldg & fixt		-$255,134			467,883

Source: CMS cost report (HCRIS, Form 2552-10), report 836278, 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 Metrohealth Inc for an inpatient stay.

1.26
Case mix index
Higher than 9% 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).
20.3%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2027).
178
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	1.16	1.17	1.30	1.37	1.34	1.19	1.26
Wage index	0.624	0.616	0.614	0.613	0.583	0.554	0.526
Medicare inpatient stays	297	297	222	258	197	158	178

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

Frequently asked questions

About Metrohealth Inc's rates and hospital price transparency.

Is Metrohealth Inc a teaching hospital?

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

What is Metrohealth Inc's case mix index?

Metrohealth Inc's Medicare case mix index is 1.26 for fiscal year 2027, higher than 9% of hospitals paid under the inpatient prospective payment system.

How many patients does Metrohealth Inc admit?

Metrohealth Inc reported 3,928 inpatient discharges and 24,075 inpatient days from Jan 1, 2025 to Dec 31, 2025.

How many employees does Metrohealth Inc have?

Metrohealth Inc reported 307 full-time-equivalent employees on payroll from Jan 1, 2025 to Dec 31, 2025.

How much revenue does Metrohealth Inc make?

Metrohealth Inc reported $49.3M in net patient revenue on $85.6M of gross charges for Jan 1, 2025 to Dec 31, 2025, an operating margin of -1.5%, and net income of $1.2M.

How much charity and uncompensated care does Metrohealth Inc provide?

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

Who is the CEO of Metrohealth Inc?

Metrohealth Inc's Medicare enrollment lists Deborah Acevedo Santos as CEO since 2023.

How many doctors are affiliated with Metrohealth Inc?

51 clinicians who bill Medicare list Metrohealth Inc as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are diagnostic radiology physician (8), internal medicine physician (6), general practice physician (5).

Is Metrohealth Inc accredited?

Yes. CMS's Provider of Services file lists The Joint Commission as the accrediting organization for Metrohealth Inc, effective 2012.

Who owns Metrohealth Inc?

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

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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",
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        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
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      }
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  }]
}

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Metrohealth Inc

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Accreditation and services

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Where patients come from

Staff and facilities

Doctors and clinicians

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

Ownership

Leadership

Officers and directors on the Medicare enrollment

Hospital-based units

Hospital-based units with their own Medicare certification

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

About this hospital

Negotiated Rates

Insurance Accepted

More about this hospital

Location

Accreditation and services

Size and patient volume

Utilization by payer and unit

Beds and days by unit

Where patients come from

Staff and facilities

Doctors and clinicians

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

Ownership

Leadership

Officers and directors on the Medicare enrollment

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?

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