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Southwest General Hospital Lp

San Antonio, TX

San Antonio, TX

209

Beds

4,534

Inpatient discharges a year

$66.1M

Net patient revenue a year

15

In-network payers

About this hospital

Southwest General Hospital Lp is a 209-bed hospital in San Antonio, TX. Below you'll find publicly disclosed negotiated rates and facility details, including 15 in-network payers and 4 disclosed rate categories.

CCN
450697
NPI
1912906298
Medicare contractor
Jurisdiction F, Noridian Healthcare Solutions (02001)

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

Inpatient

MS-DRG Alcohol/Drug Use & Alcohol/Drug Induced Organic Mental Disorders

Range: 894 - 897

Per Diem

Very Low

BCBS

Inpatient

MS-DRG Mental Diseases & Disorders

Range: 876 - 887

Per Diem

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.

Insurance Accepted

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

Medicare
BCBS
Ameri HealthCenteneHealth SmartKaiser PermanenteLuminare HealthMagnaCare

More about this hospital

  • Finances

    $66.1M net patient revenue

    • Operating margin on patient care -23.2%
    • $8.5M unreimbursed and uncompensated care
    • -$9.3M net income
    See finances

Location

San Antonio, TX

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Frequently asked questions

About Southwest General Hospital Lp's rates and hospital price transparency.

How many patients does Southwest General Hospital Lp admit?

Southwest General Hospital Lp reported 4,534 inpatient discharges and 24,539 inpatient days from Oct 1, 2022 to Apr 30, 2023.

How many employees does Southwest General Hospital Lp have?

Southwest General Hospital Lp reported 632 full-time-equivalent employees on payroll from Oct 1, 2022 to Apr 30, 2023.

How much revenue does Southwest General Hospital Lp make?

Southwest General Hospital Lp reported $66.1M in net patient revenue on $366.6M of gross charges for Oct 1, 2022 to Apr 30, 2023, an operating margin of -23.2%, and net income of -$9.3M.

How much charity and uncompensated care does Southwest General Hospital Lp provide?

Southwest General Hospital Lp reported $8.5M of unreimbursed and uncompensated care for Oct 1, 2022 to Apr 30, 2023, including $7.3M of charity care at cost.

How many beds does Southwest General Hospital Lp have?

Southwest General Hospital Lp has 209 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report.

Where is Southwest General Hospital Lp and what is its phone number?

Southwest General Hospital Lp is located at San Antonio, TX.

What is Southwest General Hospital Lp's CCN (Medicare provider number)?

Southwest General Hospital Lp's CMS Certification Number (CCN), also called its Medicare provider number, is 450697.

What is Southwest General Hospital Lp's NPI number?

The National Provider Identifier (NPI) on file for Southwest General Hospital Lp is 1912906298.

Which insurance plans are in network at Southwest General Hospital Lp?

Southwest General Hospital Lp lists 15 in-network payers, including Ameri Health, BCBS, Centene, Health Smart, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for Southwest General Hospital Lp?

4 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.

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.

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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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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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