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HOSPITALProprietary

Professional Hospital Guaynabo Inc

Guaynabo, PR

8 AVE LAS CUMBRES, Guaynabo, PR 00970(787) 740-8787

Not rated by CMS

CMS star rating

49

Beds

2,065

Inpatient discharges a year

$26.3M

Net patient revenue a year

3

In-network payers

About this hospital

Professional Hospital Guaynabo Inc is a 49-bed proprietary hospital in Guaynabo, PR. Below you'll find publicly disclosed negotiated rates and facility details, including 3 in-network payers and 24 disclosed rate categories.

CCN
400122
NPI
1922254952
Teaching
No Medicare-funded residents
County
Guaynabo Municipio
Metro area
San Juan-Bayamon-Caguas, PR MSA
Medicare contractor
Jurisdiction N, First Coast Service Options (09001)
In Medicare since
1992
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 All-inclusive Rate

Range: 0100 - 0109

Per Diem

Very High

BCBS

Facility

RC Blood and Blood Products

Range: 0380 - 0389

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

8 AVE LAS CUMBRES, Guaynabo, PR 00970

(787) 740-8787

Get directions

Frequently asked questions

About Professional Hospital Guaynabo Inc's rates and hospital price transparency.

Is Professional Hospital Guaynabo Inc a teaching hospital?

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

What is Professional Hospital Guaynabo Inc's case mix index?

Professional Hospital Guaynabo Inc's Medicare case mix index is 1.52 for fiscal year 2027, higher than 30% of hospitals paid under the inpatient prospective payment system.

How many patients does Professional Hospital Guaynabo Inc admit?

Professional Hospital Guaynabo Inc reported 2,065 inpatient discharges and 10,863 inpatient days from Jul 1, 2024 to Jun 30, 2025.

How many employees does Professional Hospital Guaynabo Inc have?

Professional Hospital Guaynabo Inc reported 215 full-time-equivalent employees on payroll from Jul 1, 2024 to Jun 30, 2025.

How much revenue does Professional Hospital Guaynabo Inc make?

Professional Hospital Guaynabo Inc reported $26.3M in net patient revenue on $49.2M of gross charges for Jul 1, 2024 to Jun 30, 2025, an operating margin of -2.5%, and net income of -$1.9M.

How much charity and uncompensated care does Professional Hospital Guaynabo Inc provide?

Professional Hospital Guaynabo Inc reported $13,167 of unreimbursed and uncompensated care for Jul 1, 2024 to Jun 30, 2025.

How many doctors are affiliated with Professional Hospital Guaynabo Inc?

30 clinicians who bill Medicare list Professional Hospital Guaynabo Inc as a hospital affiliation in CMS's Doctors and Clinicians data. The largest groups are general practice physician (4), pulmonary disease physician (3), anesthesiology physician (2).

Is Professional Hospital Guaynabo Inc accredited?

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

Who owns Professional Hospital Guaynabo Inc?

In its Medicare enrollment, Professional Hospital Guaynabo Inc reports Professional Hospital, Inc as 5% or greater direct ownership interest (100%).

Where do Professional Hospital Guaynabo Inc's patients come from?

In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Professional Hospital Guaynabo Inc came from ZIP codes 00926 (224), 00969 (198), 00971 (144).

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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