Hospital Episcopal San Lucas Ponce
Hospital Episcopal San Lucas Ponce in Ponce, PR publishes cash prices for 123 common procedures listed here, from its own machine-readable price file updated Mar 30, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Puerto Rico median for 68 of 117 procedures and above it for 32. By typical cash price it ranks #5 of 7 Puerto Rico hospitals, cheapest first. Select a procedure to compare it with other hospitals nearby.
917 Ave. Tito Castro, Ponce, PR 00717 Collected Sep 22, 2026 Source price file Check a bill from this hospital (787) 844-2080
Acute care hospital Nonprofit hospital Emergency department CCN 400044 · CMS hospital register NPI 1841295557
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Hospital Episcopal San Lucas Ponce is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Puerto Rico | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views CPT 73610 ANKLE COMPLETE | $52.50 | $75.00 | $11.50–$44.50 | 3% below | 30% |
| CT angiography (CTA) of the neck CPT 70498 CT ANGIOGRAPHY NECK W/CM | $542.50 | $775.00 | $91.00–$350.00 | 2% above | 30% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT ANGIOGRAPHY/CHEST W/CM | $682.50 | $975.00 | $89.25–$2,080.00 | 30% above | 30% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT MAXILLOFACIAL W/O CONT.MAT. | $350.00 | $500.00 | $68.51–$483.60 | at median | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan, head or brain, without contrast | $210.00 | $300.00 | $51.60–$498.11 | 35% below | 30% |
| CT scan of the head with contrast CPT 70460 CT HEAD/BRAIN W/CM | $210.00 | $300.00 | $74.06–$350.00 | 46% below | 30% |
| CT scan of the head without and with contrast CPT 70470 CT HEAD/BRAIN WO/CM FCM | $210.00 | $300.00 | $81.81–$265.00 | 55% below | 30% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT LUMBAR SPINE WO/CM | $210.00 | $300.00 | $70.97–$227.00 | 35% below | 30% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT CERVICAL SPINE WO/CM | $210.00 | $300.00 | $70.97–$227.00 | 35% below | 30% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan, pelvis, with contrast | $210.00 | $300.00 | $89.25–$246.00 | 46% below | 30% |
| Chest CT scan without and with contrast CPT 71270 CT THORAX WO/CM F BY CM | $210.00 | $300.00 | $119.01–$300.00 | 56% below | 30% |
| Collarbone (clavicle) X-ray, complete CPT 73000 CLAVICLE COMPLETE | $49.00 | $70.00 | $6.00–$44.50 | 2% below | 30% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DENSITOMETRIA OSEA | $140.00 | $200.00 | $15.27–$114.00 | 12% above | 30% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT THORAX WO/CM | $210.00 | $300.00 | $70.97–$498.11 | 35% below | 30% |
| Diagnostic mammogram, both breasts CPT 77066 Mammography of both breasts | $100.00 | $121.21 | $36.64–$349.10 | 71% below | 17% |
| Diagnostic mammogram, one breast CPT 77065 Mammography of one breast | $105.00 | $150.00 | $15.00–$45.00 | at median | 30% |
| Elbow X-ray, complete, 3 or more views CPT 73080 ELBOW COMPLETE OBLIQUOS | $56.00 | $80.00 | $11.50–$44.50 | at median | 30% |
| Eye socket (orbit) CT scan without contrast CPT 70480 CT SCAN ORBIT/EAR/FOSSA WO/DYE | $210.00 | $300.00 | $70.97–$300.00 | 35% below | 30% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 FOREARM | $49.00 | $70.00 | $8.50–$67.32 | 7% above | 30% |
| Hand X-ray, 2 views CPT 73120 HAND | $49.00 | $70.00 | $8.50–$94.52 | 2% below | 30% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 OS CALCIS (HEEL) | $49.00 | $70.00 | $10.15–$44.50 | 4% above | 30% |
| Knee X-ray, complete, 4 or more views CPT 73564 KNEE COMPLETE OBLIQUOS | $63.00 | $90.00 | $10.50–$74.00 | 2% above | 30% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 LEG | $52.50 | $75.00 | $8.50–$44.50 | 4% above | 30% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRA HEAD WO/CONTRAST | $525.00 | $750.00 | $145.43–$883.74 | 25% below | 30% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint | $525.00 | $750.00 | $118.59–$650.00 | 28% below | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast | $980.00 | $1,400.00 | $110.16–$650.00 | 15% above | 30% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal | $630.00 | $900.00 | $60.35–$650.00 | 13% below | 30% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI LUMBAR WO/FOLL W/CONTRAST | $1,120.00 | $1,600.00 | $185.99–$650.00 | 14% above | 30% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI SPIN CANL&CONT/THOR WO/CON | $630.00 | $900.00 | $105.36–$650.00 | 13% below | 30% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI CERV.SPINE W/O FOLL W/CONT | $1,120.00 | $1,600.00 | $186.50–$650.00 | 14% above | 30% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI CERVICAL SPINE W/O CONTRAS | $595.00 | $850.00 | $105.36–$650.00 | 18% below | 30% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI PELVIS WO/CONTRAST | $560.00 | $800.00 | $145.43–$650.00 | 20% below | 30% |
| Neck soft tissue CT scan with contrast CPT 70491 CT SOFT TISSUE N/W/CM | $210.00 | $300.00 | $95.91–$350.00 | 46% below | 30% |
| Neck soft tissue CT scan without contrast CPT 70490 CT SOFT TISSUE N WO/CM | $210.00 | $300.00 | $70.97–$483.60 | 35% below | 30% |
| Pelvic CT scan without contrast CPT 72192 CT PELVIS WO/CONT MATER | $210.00 | $300.00 | $64.22–$227.00 | 35% below | 30% |
| Rib X-ray, one side, 2 views one side CPT 71100 RIBS UNILATERAL | $56.00 | $80.00 | $11.50–$44.19 | at median | 30% |
| Rib X-ray, one side, with a chest view, 3 or more views one side CPT 71101 RIBS UNILATERAL W/PA CHEST | $70.00 | $100.00 | $11.50–$74.00 | 67% below | 30% |
| Screening mammogram, both breasts both sides CPT 77067 Mammography, screening, bilateral | $80.50 | $115.00 | $14.92–$102.22 | — | 30% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 SHOULDER COMPLETE | $56.00 | $80.00 | $10.00–$67.32 | at median | 30% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT THORACIC SPINE WO/CM | $210.00 | $300.00 | $70.97–$300.00 | 35% below | 30% |
| Toe X-ray, 2 or more views CPT 73660 TOES | $42.00 | $60.00 | $6.00–$67.32 | 7% above | 30% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 KIDNEY URETER BLADDER | $140.00 | $200.00 | $30.00–$140.50 | 6% above | 30% |
| Upper arm X-ray (humerus), 2 views CPT 73060 HUMERUS | $56.00 | $80.00 | $8.50–$67.32 | 40% above | 30% |
| Wrist X-ray, 2 views CPT 73100 WRIST | $49.00 | $70.00 | $8.50–$67.32 | 8% above | 30% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HIP & FROG POS. UNILATERAL | $56.00 | $80.00 | $11.50–$44.19 | at median | 30% |
| X-ray of the abdomen, 1 view CPT 74018 FETAL BONE AGE ABDOM | $49.00 | $70.00 | $6.00–$44.50 | 6% below | 30% |
| X-ray of the ankle, 2 views CPT 73600 ANKLE 2 VIEWS | $49.00 | $70.00 | $8.50–$67.32 | 4% above | 30% |
| X-ray of the finger(s), 2 or more views CPT 73140 FINGERS | $42.00 | $60.00 | $6.00–$44.50 | at median | 30% |
| X-ray of the foot, 2 views CPT 73620 FOOT AP & OBLIQUOS | $49.00 | $70.00 | $8.50–$67.32 | 4% above | 30% |
| X-ray of the foot, complete, 3 or more views CPT 73630 FOOT COMPLETE | $52.50 | $75.00 | $11.50–$67.32 | 26% below | 30% |
| X-ray of the hand, 3 or more views CPT 73130 HAND 3 VIEWS | $30.00 | $40.00 | $8.50–$44.50 | 41% below | 25% |
| X-ray of the knee, 1 or 2 views CPT 73560 KNEE AP & LATERAL | $49.00 | $70.00 | $8.50–$67.32 | 32% below | 30% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 LUMBAR AP & LATERAL | $63.00 | $90.00 | $11.50–$94.52 | 23% below | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 X-Ray, lower back, minimum four views | $87.50 | $125.00 | $17.50–$74.00 | at median | 30% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 THORACI AP & LATERAL | $59.50 | $85.00 | $8.50–$94.52 | 4% below | 30% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 CERVICAL AP &LATERAL | $59.50 | $85.00 | $8.50–$67.32 | 21% below | 30% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 PELVIS A P | $38.50 | $55.00 | $7.00–$74.00 | 23% below | 30% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 SACRUM - COCCYX | $42.00 | $60.00 | $8.50–$44.50 | 17% below | 30% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Puerto Rico | Off list |
|---|---|---|---|---|---|
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HEPATITIS PRIFILE 7 | $70.80 | $88.50 | $41.17–$80.00 | 41% below | 20% |
| Albumin blood test CPT 82040 ALBUMIN | $16.00 | $20.00 | $1.20–$8.00 | 12% below | 20% |
| Aldosterone blood test CPT 82088 RENIN & ALDOSTERONE | $125.60 | $157.00 | $35.22–$146.00 | 28% below | 20% |
| Allergy blood test, specific IgE, per allergen CPT 86003 ASPERGILLOS FOMIGATUS | $13.80 | $17.25 | $4.51–$40.00 | 29% below | 20% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 ALPHA FETOPROTEIN XTRA | $54.40 | $68.00 | $14.50–$56.00 | 37% below | 20% |
| Ammonia blood test CPT 82140 BLOOD AMMONIA | $24.00 | $30.00 | $7.00–$40.00 | 56% below | 20% |
| Amylase blood test CPT 82150 URINE AMYLASE (2 HRS) | $24.00 | $30.00 | $5.60–$14.00 | at median | 20% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 ANA IN BODY FLUID | $78.40 | $98.00 | $8.00–$90.00 | 22% above | 20% |
| Basic metabolic panel (blood test) CPT 80048 Basic metabolic panel | $60.00 | $75.00 | $7.31–$40.00 | at median | 20% |
| Bilirubin blood test, total CPT 82247 BILIRUBIN TOTAL & DIRECT | $24.00 | $30.00 | $4.33–$24.00 | 16% above | 20% |
| Blood glucose (sugar) test CPT 82947 GLUCOSE | $16.00 | $20.00 | $3.40–$8.00 | at median | 20% |
| Calcium blood test, total CPT 82310 STOOL FOR CALCIUM 24 HRS | $323.20 | $404.00 | $4.35–$10.00 | 1422% above | 20% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) | $48.00 | $60.00 | $11.57–$45.00 | 13% below | 20% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count, with differential white blood cells, automated | $20.00 | $25.00 | $6.71–$12.71 | at median | 20% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $120.00 | $150.00 | $9.13–$55.00 | 43% above | 20% |
| Cortisol blood test, total CPT 82533 CORTISOL AM/PM | $68.00 | $85.00 | $14.08–$51.00 | 1% above | 20% |
| Creatine kinase (CK) blood test, total CPT 82550 CPK TOTAL | $16.00 | $20.00 | $5.63–$45.00 | 38% below | 20% |
| Creatinine blood test CPT 82565 CREATININE | $16.00 | $20.00 | $4.00–$11.00 | 6% below | 20% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 ELECTROLYTE PANEL | $44.00 | $55.00 | $6.06–$25.00 | 22% above | 20% |
| Ferritin blood test (iron stores) CPT 82728 FERRITIN LEVEL | $40.00 | $50.00 | $11.78–$40.00 | 22% below | 20% |
| Glucose challenge test (1-hour glucose after a sugar drink) CPT 82950 GLUCOSE 1 HOURS PP | $16.00 | $20.00 | $4.10–$13.00 | 10% below | 20% |
| Glucose tolerance test, 3 samples CPT 82951 GLUCOSE (3 SAMPLES) | $48.00 | $60.00 | $7.00–$30.00 | at median | 20% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 GLYCOHEMOGLOBIN AIC | $24.00 | $30.00 | $8.39–$30.00 | 40% below | 20% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 INFLAMATORY BOWEL DISEASE | $78.40 | $98.00 | $9.28–$46.00 | 26% above | 20% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 C-REACTIVE PROTEIN CARDIAC | $16.00 | $20.00 | $11.19–$110.00 | 70% below | 20% |
| Kidney function blood test panel CPT 80069 Kidney function panel test | $96.00 | $120.00 | $7.50–$70.00 | 9% above | 20% |
| Liver function blood test panel CPT 80076 Liver function blood test panel | $56.00 | $70.00 | $7.06–$35.00 | 56% above | 20% |
| Lyme disease antibody test CPT 86618 LYME DISEASE AB | $46.00 | $57.50 | $23.24–$70.00 | 62% below | 20% |
| Obstetric blood test panel CPT 80055 Obstetric blood test panel | $136.00 | $170.00 | $41.31–$80.00 | 47% above | 20% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (prostate specific antigen) | $31.20 | $39.00 | $15.90–$58.00 | 38% below | 20% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test | $16.00 | $20.00 | $5.19–$14.00 | 20% below | 20% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $24.00 | $30.00 | $3.40–$12.00 | 48% above | 20% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 TOXICOLOGY DRUG PANEL/SERUM | $24.00 | $30.00 | $9.42–$75.00 | 62% below | 20% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 CSF VDRL | $20.00 | $25.00 | $3.69–$12.00 | 14% above | 20% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $48.00 | $60.00 | $14.53–$50.00 | 4% below | 20% |
| Total cholesterol blood test CPT 82465 CHOLESTEROL TOTAL | $16.00 | $20.00 | $3.76–$10.00 | at median | 20% |
| Urinalysis with microscope exam, manual CPT 81000 Manual urinalysis test with examination using microscope | $31.20 | $39.00 | $2.81–$8.00 | 30% above | 20% |
| Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test | $62.40 | $78.00 | $1.60–$8.00 | at median | 20% |
| Urine microalbumin (albumin) test CPT 82043 MICROALBUMIN (24HR. URINE) | $30.40 | $38.00 | $5.00–$70.00 | 57% below | 20% |
| Vitamin B12 (cobalamin) blood test CPT 82607 VITAMINA B-12 | $16.00 | $20.00 | $13.03–$45.00 | 69% below | 20% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 VITAMINA D/25 HYDROXY | $30.40 | $38.00 | $25.59–$149.74 | 75% below | 20% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 VIT D1/ 25 DIHYDROXY(CALCITRIO | $54.40 | $68.00 | $33.27–$517.50 | 96% below | 20% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Puerto Rico | Off list |
|---|---|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 Removal of cataract with insertion of lens | $1,000.00 | $1,500.00 | $288.00–$1,402.84 | — | 33% |
| Colonoscopy with endoscopic ultrasound CPT 45391 Ultrasound examination of lower large bowel using an endoscope | $378.00 | $540.00 | $110.00–$2,000.00 | — | 30% |
| Colonoscopy with polyp removal CPT 45385 Removal of polyps or growths of large bowel using an endoscope | $378.00 | $540.00 | $116.00–$1,030.00 | 86% below | 30% |
| Colonoscopy with tissue sample CPT 45380 Biopsy of large bowel using an endoscope | $378.00 | $540.00 | $55.00–$667.00 | 30% below | 30% |
| Colonoscopy, diagnostic CPT 45378 Diagnostic examination of large bowel using an endoscope | $378.00 | $540.00 | $110.00–$1,000.00 | 20% below | 30% |
| Gallbladder removal, laparoscopic CPT 47562 Removal of gallbladder using an endoscope | $1,000.00 | $1,693.00 | $510.00–$3,357.25 | 22% below | 41% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 Repair of groin hernia patient age 5 years or older | $1,000.00 | $1,089.00 | $553.00–$2,177.36 | 7% above | 8% |
| Knee arthroscopy with meniscus trim CPT 29881 Removal of one knee cartilage using an endoscope | $1,000.00 | $1,200.00 | $553.00–$1,978.46 | — | 17% |
| Left heart catheterization, diagnostic one side CPT 93452 Insertion of catheter into left heart for diagnosis | $1,225.00 | $1,750.00 | $611.37–$2,800.00 | 47% below | 30% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection of substance into spinal canal of lower back or sacrum using imaging guidance | $245.00 | $350.00 | $125.00–$650.00 | 88% below | 30% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | $650.00 | $800.00 | $177.00–$1,030.00 | 69% below | 19% |
| Prostate biopsy CPT 55700 Biopsy of prostate gland | $1,000.00 | $1,117.42 | $176.56–$1,268.27 | at median | 11% |
| Removal of a breast lump, open surgery CPT 19120 Removal of 1 or more breast growth, open procedure | $1,200.00 | $1,750.00 | $553.00–$1,875.32 | 17% below | 31% |
| Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Shaving of shoulder bone using an endoscope | $1,000.00 | $1,200.00 | $553.00–$3,290.11 | — | 17% |
| Tonsil and adenoid removal, child under 12 CPT 42820 Removal of tonsils and adenoid glands patient younger than age 12 | $1,500.00 | $1,800.00 | $553.00–$2,790.63 | — | 17% |
| Upper endoscopy (EGD) with biopsy CPT 43239 Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope | $357.00 | $510.00 | $95.00–$650.00 | 10% above | 30% |
| Upper endoscopy (EGD), diagnostic CPT 43235 Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | $357.00 | $510.00 | $95.00–$545.30 | 30% above | 30% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Puerto Rico | Off list |
|---|---|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit, typically 30 min | $103.50 | $115.00 | $225.00–$463.00 | at median | 10% |
| New patient office visit, about 45 minutes CPT 99204 New patient office of other outpatient visit, typically 45 min | $157.50 | $175.00 | $16.00–$116.06 | 66% below | 10% |
| New patient office visit, about 60 minutes CPT 99205 New patient office of other outpatient visit, typically 60 min | $193.50 | $215.00 | $16.00–$149.61 | 69% below | 10% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Physical therapy, therapeutic exercise | $16.10 | $23.00 | $10.00–$31.41 | 68% below | 30% |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 Patient office consultation, typically 40 min | $112.50 | $125.00 | $84.92–$304.59 | 85% below | 10% |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Patient office consultation, typically 60 min | $166.50 | $185.00 | $127.38 | 79% below | 10% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.