Acetazolamide 500 mg solution for injection at Jacobi Medical Center

1400 Pelham Parkway South, Bronx, NY · NYC Health + Hospitals · · NPI 1679587679

Source: hospital's published price file ↗ · Published Sep 5, 2026 · Ingested Sep 10, 2026

not published by hospital

Cash price

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Discounted cash price

What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge.

Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.

Full explanation →

What you pay up front if you don't use insurance.

not published by hospital

Gross charge

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Gross charge (chargemaster price)

The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this.

Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$23.87 with Healthfirst vs $183.69 with Healthfirst — same scan, same building. Share

Negotiated rates by payer
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Negotiated rate

The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.

Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.

Full explanation →

Payer
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Payer

The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on.

Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509.

Full explanation →
Plan
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Plan

The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates.

Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible.

Full explanation →
Negotiated rate vs. cash
Healthfirst Medicare Advantage PPO $23.87
Healthfirst MEDICARE ADVANTAGE $23.87
Healthfirst MAP $23.87
EMBLEM MEDICARE ADVANTAGE $24.36
Fidelis EXCHANGE $24.36
Elderplan MAP_Medicare Advantage_MLTC $24.36
Aetna ALL PRODUCTS $24.78
ANTHEM HMO $25.82
ANTHEM Blue Access Small Group $25.82
ANTHEM Small Group EPO_PPO $25.82
ANTHEM INDEMNITY $25.82
ANTHEM EPO $25.82
ANTHEM Blue Access Large Group $25.82
ANTHEM PPO $25.82
VNSNY Medicare SNP $26.31
EMBLEM PPO_Commercial $26.31
Wellcare MEDICARE ADVANTAGE $26.31
Senior Whole Health MLTC $26.31
Senior Whole Health MAP $26.31
EMBLEM HIP_GHI_CHP $26.31
Centerlight PACE $26.31
Hamaspik MEDICARE ADVANTAGE $26.31
VNSNY MAP $26.31
VNSNY Medicare Advantage $26.31
VNSNY Medicaid SNP $26.31
Amidacare Managed Medicaid $26.31
Local 1199 ALL PRODUCTS $28.13
MetroPlus Essential Plan 3-4 $28.95
MetroPlus Essential Plan 200-250 $28.95
MetroPlus Essential Plan 1-2 $28.95
VillageCare Max MEDICARE ADVANTAGE $29.23
OSCAR ALL PRODUCTS $29.23
CIGNA ALL PRODUCTS $47.01
Healthfirst CHP $67.77
Healthfirst Managed Medicaid $67.77
Healthfirst HARP $67.77
Carelon Managed Medicaid_HARP_CHP $81.64
UNITED Managed Medicaid $81.64
UNITED BEHAVIORAL HEALTH Managed Medicaid $81.64
Fidelis CHP $81.64
Anthem HealthPlus EXCHANGE $81.64
UNITED HARP $81.64
Fidelis HARP_Managed Medicaid $81.64
MetroPlus SNP $81.65
MetroPlus Gold $81.65
MetroPlus Goldcare 1 & 2 $81.65
MetroPlus Managed Medicaid $81.65
MetroPlus HARP $81.65
MetroPlus CHP $81.65
Carelon Commercial_Essential Plans $81.65
Carelon GHI BMP $81.65
Carelon (Amida Care) Managed Medicaid $83.27
UNITED BEHAVIORAL HEALTH CHP $83.27
UNITED BEHAVIORAL HEALTH HARP $83.27
UNITED Essential Plan 1-4_200-250 $87.35
UNITED BEHAVIORAL HEALTH Essential Plan $89.80
EMBLEM Essential Plan 3-4 $102.06
UNITED CHP $102.06
EMBLEM Essential Plan 1-2 $110.23
Emblem Essential Plan 200-250 $110.23
Healthfirst EXCHANGE $130.64
Healthfirst Small Group $133.09
Fidelis Essential Plan 1-4_200-250 $183.69
Anthem HealthPlus Essential Plan 3-4 $183.69
Healthfirst Essential Plan 200-250 $183.69
Healthfirst Essential Plan 1-2 $183.69
Affinity Essential Plan 3-4 $183.69
Affinity Essential Plan 200-250 $183.69
Affinity Essential Plan 1-2 $183.69
Anthem HealthPlus Essential Plan 1-2 $183.69
Anthem HealthPlus Essential Plan 200-250 $183.69
Healthfirst Essential Plan 3-4 $183.69

Visitor-reported prices

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Acetazolamide 500 mg solution for injection at other New-york hospitals

Hospital City Cash price Negotiated range
Lincoln Medical Center Bronx not published $23.87 – $47.01
North Central Bronx Bronx not published $23.87 – $47.01
NewYork-Presbyterian Queens Flushing $92.86 $17.23 – $55.08
UPMC Chautauqua Jamestown $115.20 $19.84 – $129.60
NewYork-Presbyterian Hudson Valley Hospital Cortlandt Manor $92.86 $17.23 – $74.14
NewYork-Presbyterian Columbia University Irving Medical Center New York $92.86 $17.23 – $63.79
Bellevue Hospital Center NY 10016 not published $23.87 – $47.01
Harlem Hospital Center New York not published $23.87 – $47.01

All New-york hospitals for this procedure →