Allograft graftjacket 2x12cm-q4107-cost per sq cm 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.

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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.

$90.71 with Aetna vs $3,246.93 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
Aetna ALL PRODUCTS $90.71 —
Local 1199 ALL PRODUCTS $92.59 —
MetroPlus Essential Plan 3-4 $104.02 —
MetroPlus Essential Plan 1-2 $104.02 —
MetroPlus Essential Plan 200-250 $104.02 —
Healthfirst Medicare Advantage PPO $128.93 —
Healthfirst MAP $152.24 —
Healthfirst MEDICARE ADVANTAGE $152.24 —
Amidacare Managed Medicaid $155.34 —
Centerlight PACE $155.34 —
Senior Whole Health MLTC $155.34 —
UNITED MEDICARE ADVANTAGE $163.11 —
MetroPlus MEDICARE ADVANTAGE $175.54 —
MetroPlus EXCHANGE $175.54 —
MetroPlus MAP $175.54 —
VillageCare Max MAP $233.01 —
VillageCare Max MEDICARE ADVANTAGE $233.01 —
OSCAR ALL PRODUCTS $233.01 —
Elderplan MAP_Medicare Advantage_MLTC $310.68 —
Healthfirst HARP $1,197.76 —
Healthfirst Managed Medicaid $1,197.76 —
Healthfirst CHP $1,197.76 —
UNITED HARP $1,443.08 —
Fidelis HARP_Managed Medicaid $1,443.08 —
Carelon Managed Medicaid_HARP_CHP $1,443.08 —
Anthem HealthPlus EXCHANGE $1,443.08 —
Fidelis CHP $1,443.08 —
UNITED BEHAVIORAL HEALTH Managed Medicaid $1,443.08 —
UNITED Managed Medicaid $1,443.08 —
Carelon GHI BMP $1,443.09 —
MetroPlus Gold $1,443.09 —
MetroPlus SNP $1,443.09 —
MetroPlus Managed Medicaid $1,443.09 —
MetroPlus HARP $1,443.09 —
MetroPlus Goldcare 1 & 2 $1,443.09 —
MetroPlus CHP $1,443.09 —
Carelon Commercial_Essential Plans $1,443.09 —
VNSNY Medicaid SNP $1,471.94 —
Carelon (Amida Care) Managed Medicaid $1,471.94 —
UNITED BEHAVIORAL HEALTH CHP $1,471.94 —
UNITED BEHAVIORAL HEALTH HARP $1,471.94 —
VNSNY MAP $1,471.94 —
UNITED Essential Plan 1-4_200-250 $1,544.10 —
UNITED BEHAVIORAL HEALTH Essential Plan $1,587.39 —
UNITED CHP $1,803.86 —
EMBLEM Essential Plan 3-4 $1,803.86 —
EMBLEM Essential Plan 1-2 $1,948.17 —
Emblem Essential Plan 200-250 $1,948.17 —
Healthfirst EXCHANGE $2,308.94 —
Healthfirst Small Group $2,352.24 —
Healthfirst Essential Plan 200-250 $3,246.93 —
Affinity Essential Plan 3-4 $3,246.93 —
Affinity Essential Plan 1-2 $3,246.93 —
Fidelis Essential Plan 1-4_200-250 $3,246.93 —
Healthfirst Essential Plan 1-2 $3,246.93 —
Affinity Essential Plan 200-250 $3,246.93 —
Anthem HealthPlus Essential Plan 3-4 $3,246.93 —
Anthem HealthPlus Essential Plan 200-250 $3,246.93 —
Anthem HealthPlus Essential Plan 1-2 $3,246.93 —
Healthfirst Essential Plan 3-4 $3,246.93 —

Visitor-reported prices

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Allograft graftjacket 2x12cm-q4107-cost per sq cm at other New-york hospitals

Hospital City Cash price Negotiated range
Lincoln Medical Center Bronx not published $92.59 – $310.68
North Central Bronx Bronx not published $90.71 – $310.68
Harlem Hospital Center New York not published $92.59 – $310.68
Metropolitan Hospital Center New York not published $92.59 – $310.68
South Brooklyn Health Brooklyn not published $92.59 – $310.68
Elmhurst Hospital Center NY 11373 not published $92.59 – $310.68
Clifton Springs Hospital and Clinic Clifton Springs not published $85.96 – $107.71
Gouverneur Hospital Gouverneur not published $101.13 – $101.13

All New-york hospitals for this procedure →