Av fistula revision at Jacobi Medical Center
1400 Pelham Parkway South, Bronx, NY · NYC Health + Hospitals · · NPI 1679587679
$6,396.89
Cash price 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 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.
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The hospital's undiscounted list price — almost no one pays this.
$807.00 with Local 1199 vs $13,892.12 with Elderplan — 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 →
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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 ?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 ?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 |
|---|---|---|---|
| Local 1199 | ALL PRODUCTS | $807.00 | ↓ -87% |
| Aetna | MEDICARE ADVANTAGE | $939.58 | ↓ -85% |
| MetroPlus | Essential Plan 200-250 | $1,169.39 | ↓ -82% |
| MetroPlus | Essential Plan 1-2 | $1,169.39 | ↓ -82% |
| MetroPlus | Essential Plan 3-4 | $1,169.39 | ↓ -82% |
| Healthfirst | Managed Medicaid | $1,395.72 | ↓ -78% |
| Healthfirst | HARP | $1,395.72 | ↓ -78% |
| Healthfirst | CHP | $2,530.69 | ↓ -60% |
| Amidacare | Managed Medicaid | $2,764.00 | ↓ -57% |
| Fidelis | HARP_Managed Medicaid | $3,049.01 | ↓ -52% |
| Anthem HealthPlus | EXCHANGE | $3,049.01 | ↓ -52% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $3,049.01 | ↓ -52% |
| Fidelis | CHP | $3,049.01 | ↓ -52% |
| Carelon | Managed Medicaid_HARP_CHP | $3,049.01 | ↓ -52% |
| UNITED | Managed Medicaid | $3,049.01 | ↓ -52% |
| UNITED | HARP | $3,049.01 | ↓ -52% |
| MetroPlus | Goldcare 1 & 2 | $3,049.02 | ↓ -52% |
| MetroPlus | Managed Medicaid | $3,049.02 | ↓ -52% |
| MetroPlus | HARP | $3,049.02 | ↓ -52% |
| MetroPlus | CHP | $3,049.02 | ↓ -52% |
| Carelon | Commercial_Essential Plans | $3,049.02 | ↓ -52% |
| Carelon | GHI BMP | $3,049.02 | ↓ -52% |
| MetroPlus | SNP | $3,049.02 | ↓ -52% |
| MetroPlus | Gold | $3,049.02 | ↓ -52% |
| VNSNY | MAP | $3,109.99 | ↓ -51% |
| VNSNY | Medicaid SNP | $3,109.99 | ↓ -51% |
| UNITED BEHAVIORAL HEALTH | HARP | $3,109.99 | ↓ -51% |
| UNITED BEHAVIORAL HEALTH | CHP | $3,109.99 | ↓ -51% |
| Carelon (Amida Care) | Managed Medicaid | $3,109.99 | ↓ -51% |
| Aetna | ALL PRODUCTS | $3,245.00 | ↓ -49% |
| UNITED | Essential Plan 1-4_200-250 | $3,262.44 | ↓ -49% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $3,353.91 | ↓ -48% |
| EMBLEM | Essential Plan 3-4 | $3,811.28 | ↓ -40% |
| UNITED | CHP | $3,811.28 | ↓ -40% |
| OXFORD | Liberty | $3,964.00 | ↓ -38% |
| ANTHEM | Small Group EPO_PPO | $4,101.00 | ↓ -36% |
| ANTHEM | Blue Access Small Group | $4,101.00 | ↓ -36% |
| EMBLEM | Essential Plan 1-2 | $4,116.18 | ↓ -36% |
| Emblem | Essential Plan 200-250 | $4,116.18 | ↓ -36% |
| ANTHEM | Blue Access Large Group | $4,216.00 | ↓ -34% |
| OXFORD | Freedom | $4,493.00 | ↓ -30% |
| ANTHEM | INDEMNITY | $4,627.00 | ↓ -28% |
| ANTHEM | HMO | $4,627.00 | ↓ -28% |
| ANTHEM | EPO | $4,627.00 | ↓ -28% |
| ANTHEM | PPO | $4,627.00 | ↓ -28% |
| Healthfirst | EXCHANGE | $4,878.43 | ↓ -24% |
| Healthfirst | Small Group | $4,969.90 | ↓ -22% |
| EMBLEM | PPO_Commercial | $5,014.00 | ↓ -22% |
| EMBLEM | HIP_GHI_CHP | $5,014.00 | ↓ -22% |
| UNITED | EXCHANGE | $5,031.00 | ↓ -21% |
| Hamaspik | MEDICARE ADVANTAGE | $5,117.51 | ↓ -20% |
| UNITED | ALL PRODUCTS | $5,547.00 | ↓ -13% |
| Healthfirst | Medicare Advantage PPO | $5,765.23 | ↓ -10% |
| VNSNY | Medicare Advantage | $6,396.89 | ↑ +0% |
| Senior Whole Health | MLTC | $6,396.89 | ↑ +0% |
| Senior Whole Health | MAP | $6,396.89 | ↑ +0% |
| VACCN | All Products | $6,396.89 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $6,396.89 | ↑ +0% |
| Fidelis | MAP | $6,396.89 | ↑ +0% |
| VNSNY | Medicare SNP | $6,396.89 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $6,716.73 | ↑ +5% |
| Healthfirst | MEDICARE ADVANTAGE | $6,807.14 | ↑ +6% |
| Healthfirst | MAP | $6,807.14 | ↑ +6% |
| Affinity | Essential Plan 200-250 | $6,860.27 | ↑ +7% |
| Affinity | Essential Plan 1-2 | $6,860.27 | ↑ +7% |
| Fidelis | Essential Plan 1-4_200-250 | $6,860.27 | ↑ +7% |
| Healthfirst | Essential Plan 200-250 | $6,860.27 | ↑ +7% |
| Healthfirst | Essential Plan 1-2 | $6,860.27 | ↑ +7% |
| Affinity | Essential Plan 3-4 | $6,860.27 | ↑ +7% |
| Anthem HealthPlus | Essential Plan 3-4 | $6,860.27 | ↑ +7% |
| Anthem HealthPlus | Essential Plan 1-2 | $6,860.27 | ↑ +7% |
| Healthfirst | Essential Plan 3-4 | $6,860.27 | ↑ +7% |
| Anthem HealthPlus | Essential Plan 200-250 | $6,860.27 | ↑ +7% |
| Centerlight | PACE | $6,946.06 | ↑ +9% |
| UNITED | MEDICARE ADVANTAGE | $7,293.36 | ↑ +14% |
| MAGNACARE | Direct Plus FPP | $7,676.27 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $7,676.27 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $7,676.27 | ↑ +20% |
| MAGNACARE | PPO FPP | $7,676.27 | ↑ +20% |
| MetroPlus | EXCHANGE | $7,849.05 | ↑ +23% |
| MetroPlus | MEDICARE ADVANTAGE | $7,849.05 | ↑ +23% |
| MetroPlus | MAP | $7,849.05 | ↑ +23% |
| Fidelis | EXCHANGE | $9,083.58 | ↑ +42% |
| Wellcare | MEDICARE ADVANTAGE | $9,467.40 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $9,595.33 | ↑ +50% |
| VillageCare Max | MEDICARE ADVANTAGE | $10,419.09 | ↑ +63% |
| VillageCare Max | MAP | $10,419.09 | ↑ +63% |
| OSCAR | ALL PRODUCTS | $10,419.09 | ↑ +63% |
| Elderplan | MAP_Medicare Advantage_MLTC | $13,892.12 | ↑ +117% |
Visitor-reported prices
Comments
Av fistula revision at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Lincoln Medical Center | Bronx | $6,396.89 | $807.00 – $13,892.12 |
| North Central Bronx | Bronx | $6,396.89 | $807.00 – $13,892.12 |
| Bellevue Hospital Center | NY 10016 | $6,396.89 | $399.49 – $13,892.12 |
| Harlem Hospital Center | New York | $6,396.89 | $807.00 – $13,892.12 |
| Kings County Hospital Center | Brooklyn | $6,396.89 | $399.49 – $13,892.12 |
| Metropolitan Hospital Center | New York | $6,396.89 | $807.00 – $13,892.12 |
| Queens Hospital Center | Jamaica | $6,396.89 | $399.49 – $13,892.12 |
| Woodhull Medical Center | Brooklyn | $6,396.89 | $399.49 – $13,892.12 |