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Southwest Health Corp

San German, PR

San German, PR

63

Beds

1,564

Inpatient discharges a year

$15.5M

Net patient revenue a year

8

In-network payers

About this hospital

Southwest Health Corp is a 63-bed hospital in San German, PR. Below you'll find publicly disclosed negotiated rates and facility details, including 8 in-network payers and 36 disclosed rate categories.

  • Disproportionate share hospital
CCN
400126
NPI
1063435782
Teaching
No Medicare-funded residents
Medicare contractor
Jurisdiction N, First Coast Service Options (09001)

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 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.

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)Kaiser PermanenteMass General Brigham (formerly AllWays Health Partners)MedicaTriple-S Salud

More about this hospital

  • Doctors and services

    No Medicare-funded residents

    See doctors and services
  • Finances

    $15.5M net patient revenue

    • Operating margin on patient care -4.7%
    • $622,709 unreimbursed and uncompensated care
    • -$535,710 net income
    See finances

Location

San German, PR

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Frequently asked questions

About Southwest Health Corp's rates and hospital price transparency.

Is Southwest Health Corp a teaching hospital?

CMS reports no Medicare-funded interns or residents at Southwest Health Corp for fiscal year 2027.

What is Southwest Health Corp's case mix index?

Southwest Health Corp's Medicare case mix index is 1.42 for fiscal year 2027, higher than 19% of hospitals paid under the inpatient prospective payment system.

How many patients does Southwest Health Corp admit?

Southwest Health Corp reported 1,564 inpatient discharges and 7,756 inpatient days from Jan 1, 2025 to Sep 29, 2025.

How many employees does Southwest Health Corp have?

Southwest Health Corp reported 140 full-time-equivalent employees on payroll from Jan 1, 2025 to Sep 29, 2025.

How much revenue does Southwest Health Corp make?

Southwest Health Corp reported $15.5M in net patient revenue on $22.2M of gross charges for Jan 1, 2025 to Sep 29, 2025, an operating margin of -4.7%, and net income of -$535,710.

How much charity and uncompensated care does Southwest Health Corp provide?

Southwest Health Corp reported $622,709 of unreimbursed and uncompensated care for Jan 1, 2025 to Sep 29, 2025.

Where do Southwest Health Corp's patients come from?

In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Southwest Health Corp came from ZIP codes 00683 (183), 00667 (119), 00637 (95).

How many beds does Southwest Health Corp have?

Southwest Health Corp has 63 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report.

Where is Southwest Health Corp and what is its phone number?

Southwest Health Corp is located at San German, PR.

What is Southwest Health Corp's CCN (Medicare provider number)?

Southwest Health Corp's CMS Certification Number (CCN), also called its Medicare provider number, is 400126.

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

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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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