Hospital Metropolitano Dr Susoni
Calle Palma Num 55, Arecibo, PR 00612 · 46 Priced Procedures
Typical commercial prices here are +23% above the fair benchmark (1.23×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Hospital Metropolitano Dr Susoni prices routine shoppable procedures near 1.0× Medicare (p50 1.19×) while skewing captive emergency, lab, and upper-quartile codes to 1.6× Medicare (p75 1.50×, +26% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.83× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 12% of shoppable procedures (25/100 Cash Honesty)
- CMS clinical safety score (53/100 safety score) with 72% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
- Captive ER (1.4×) & laboratory (1.7×) services average 1.60× higher multiples than routine shoppable care (1.0×)
- Upper-quartile procedures (Q75 1.50×) jump +26% above the median procedure ratio (Q50 1.19×)
- Consolidated metro market (HHI 5,026) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Hospital Metropolitano Dr Susoni
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 46 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| MRI, knee or other leg joint CPT Code: 73721 | $307 | 0.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $325 | 0.6× |
| MRI, lower back (no contrast) CPT Code: 72148 | $307 | unverified |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $232 | 0.5× |
| CT scan, pelvis CPT Code: 72192 | $150 | 0.9× |
| CT scan, head (no contrast) CPT Code: 70450 | $144 | 0.9× |
| CT scan, chest (no contrast) CPT Code: 71250 | $150 | 0.9× |
| CT scan, sinuses CPT Code: 70486 | $145 | 0.9× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $144 | 0.9× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $144 | 0.9× |
| CT scan, head (with contrast) CPT Code: 70460 | $156 | 0.6× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $156 | 0.6× |
| Colonoscopy with biopsy CPT Code: 45380 | $166 | 0.1× |
| Upper endoscopy with biopsy CPT Code: 43239 | $130 | 0.1× |
| X-ray, shoulder CPT Code: 73030 | $101 | 1.1× |
| New patient office visit (30-44 min) CPT Code: 99203 | $85 | 0.8× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $105 | 0.7× |
| X-ray, chest (two views) CPT Code: 71046 | $78 | 0.8× |
| X-ray, neck (cervical spine) CPT Code: 72040 | $78 | 0.8× |
| X-ray, pelvis CPT Code: 72170 | $67 | 0.6× |
| X-ray, chest (single view) CPT Code: 71045 | $56 | 0.6× |
| Screening mammogram (both breasts) CPT Code: 77067 | $67 | 0.5× |
| X-ray, hand CPT Code: 73130 | $46 | 0.5× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $47 | 0.4× |
| Blood test, vitamin D CPT Code: 82306 | $65 | unverified |
Audit a Bill or Quote at Hospital Metropolitano Dr Susoni (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Hospital Metropolitano Dr Susoni's published 45 CFR § 180 self-pay cash rate is $552 (vs. $307 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $369 Fair BaseRate ($244 Medicare)
Your bill ($552) is $183 above the denoised Fair BaseRate ($369) and 2.3× the $244 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Hospital Metropolitano Dr Susoni as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Hospital Metropolitano Dr Susoni.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.