With the cost of health insurance set to rise , some Americans are asking a surprising question: Is it actually cheaper to get medical care without it?

The short answer: Sometimes. But not often. And it may require a little — or a lot — of homework.

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Some hospitals and clinics offer self-pay or cash only discounts for patients who pay without insurance, skipping the paperwork and administrative fees that come with having coverage. Hospitals are required by federal law to make their discounted cash prices publicly available online. An allergy test or an X-ray, for example, may be a few hundred dollars cheaper this way, especially for people with high deductible plans. Nonprofit hospitals must provide charity care,

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