Breath hydrogen test 91065 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

$185.15

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.

$679.40

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.

$75.67 with Aetna vs $4,677.00 with OSCAR — 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 MEDICARE ADVANTAGE $75.67 ↓ -59%
EMBLEM PPO_Commercial $75.67 ↓ -59%
EMBLEM HIP_GHI_CHP $75.67 ↓ -59%
Healthfirst HARP $86.83 ↓ -53%
Healthfirst CHP $86.83 ↓ -53%
Healthfirst Managed Medicaid $86.83 ↓ -53%
UNITED BEHAVIORAL HEALTH Managed Medicaid $104.60 ↓ -44%
UNITED Managed Medicaid $104.60 ↓ -44%
Anthem HealthPlus EXCHANGE $104.60 ↓ -44%
UNITED HARP $104.60 ↓ -44%
Carelon Managed Medicaid_HARP_CHP $104.60 ↓ -44%
Fidelis CHP $104.60 ↓ -44%
Fidelis HARP_Managed Medicaid $104.60 ↓ -44%
MetroPlus SNP $104.61 ↓ -43%
MetroPlus HARP $104.61 ↓ -43%
MetroPlus Goldcare 1 & 2 $104.61 ↓ -43%
MetroPlus Gold $104.61 ↓ -43%
Carelon Commercial_Essential Plans $104.61 ↓ -43%
Carelon GHI BMP $104.61 ↓ -43%
MetroPlus CHP $104.61 ↓ -43%
MetroPlus Managed Medicaid $104.61 ↓ -43%
Carelon (Amida Care) Managed Medicaid $106.69 ↓ -42%
VNSNY MAP $106.69 ↓ -42%
UNITED BEHAVIORAL HEALTH HARP $106.69 ↓ -42%
UNITED BEHAVIORAL HEALTH CHP $106.69 ↓ -42%
VNSNY Medicaid SNP $106.69 ↓ -42%
Fidelis MAP $108.96 ↓ -41%
UNITED Essential Plan 1-4_200-250 $111.92 ↓ -40%
UNITED BEHAVIORAL HEALTH Essential Plan $115.06 ↓ -38%
UNITED CHP $130.76 ↓ -29%
EMBLEM Essential Plan 3-4 $130.76 ↓ -29%
Emblem Essential Plan 200-250 $141.22 ↓ -24%
EMBLEM Essential Plan 1-2 $141.22 ↓ -24%
Healthfirst EXCHANGE $167.38 ↓ -10%
Healthfirst Small Group $170.51 ↓ -8%
VNSNY Medicare SNP $185.15 ↑ +0%
ANTHEM MEDICARE ADVANTAGE $185.15 ↑ +0%
Senior Whole Health MAP $185.15 ↑ +0%
Senior Whole Health MLTC $185.15 ↑ +0%
VACCN All Products $185.15 ↑ +0%
VNSNY Medicare Advantage $185.15 ↑ +0%
OXFORD MEDICARE ADVANTAGE $194.41 ↑ +5%
Wellcare MEDICARE ADVANTAGE $199.96 ↑ +8%
ANTHEM Blue Access Small Group $207.53 ↑ +12%
ANTHEM Small Group EPO_PPO $207.53 ↑ +12%
ANTHEM Blue Access Large Group $213.52 ↑ +15%
Healthfirst MAP $223.71 ↑ +21%
Healthfirst MEDICARE ADVANTAGE $223.71 ↑ +21%
ANTHEM INDEMNITY $230.75 ↑ +25%
ANTHEM EPO $230.75 ↑ +25%
ANTHEM HMO $230.75 ↑ +25%
ANTHEM PPO $230.75 ↑ +25%
EMBLEM MEDICARE ADVANTAGE $231.44 ↑ +25%
Affinity Essential Plan 1-2 $235.35 ↑ +27%
Anthem HealthPlus Essential Plan 3-4 $235.35 ↑ +27%
Anthem HealthPlus Essential Plan 200-250 $235.35 ↑ +27%
Anthem HealthPlus Essential Plan 1-2 $235.35 ↑ +27%
Healthfirst Essential Plan 3-4 $235.35 ↑ +27%
MetroPlus Essential Plan 1-2 $235.35 ↑ +27%
MetroPlus Essential Plan 200-250 $235.35 ↑ +27%
MetroPlus Essential Plan 3-4 $235.35 ↑ +27%
Affinity Essential Plan 3-4 $235.35 ↑ +27%
Healthfirst Essential Plan 200-250 $235.35 ↑ +27%
Healthfirst Essential Plan 1-2 $235.35 ↑ +27%
Affinity Essential Plan 200-250 $235.35 ↑ +27%
Fidelis Essential Plan 1-4_200-250 $235.35 ↑ +27%
Fidelis EXCHANGE $262.91 ↑ +42%
Healthfirst Medicare Advantage PPO $264.14 ↑ +43%
Amidacare Managed Medicaid $269.53 ↑ +46%
Elderplan MAP_Medicare Advantage_MLTC $269.53 ↑ +46%
Centerlight PACE $269.53 ↑ +46%
UNITED MEDICARE ADVANTAGE $283.01 ↑ +53%
MetroPlus MEDICARE ADVANTAGE $304.57 ↑ +64%
MetroPlus MAP $304.57 ↑ +64%
MetroPlus EXCHANGE $304.57 ↑ +64%
VillageCare Max MEDICARE ADVANTAGE $404.30 ↑ +118%
VillageCare Max MAP $404.30 ↑ +118%
Carelon MAP_Medicare Advantage $441.61 ↑ +139%
MAGNACARE Direct Plus FPP $509.55 ↑ +175%
MAGNACARE PPO Non-FPP $509.55 ↑ +175%
MAGNACARE PPO FPP $509.55 ↑ +175%
MAGNACARE Direct Plus Non-FPP $509.55 ↑ +175%
MULTIPLAN ALL PRODUCTS $543.52 ↑ +194%
Local 1199 ALL PRODUCTS $577.49 ↑ +212%
OXFORD Liberty $1,608.00 ↑ +768%
OXFORD Freedom $1,823.00 ↑ +885%
UNITED EXCHANGE $2,042.00 ↑ +1003%
UNITED ALL PRODUCTS $2,251.00 ↑ +1116%
Aetna ALL PRODUCTS $2,626.00 ↑ +1318%
CIGNA ALL PRODUCTS $4,285.00 ↑ +2214%
OSCAR ALL PRODUCTS $4,677.00 ↑ +2426%
Affinity CHP not published by hospital —
UNITED BEHAVIORAL HEALTH All Products_Exchange not published by hospital —
Anthem HealthPlus CHP not published by hospital —
UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE not published by hospital —
Affinity HARP_Managed Medicaid not published by hospital —
Hamaspik MEDICARE ADVANTAGE not published by hospital —
Anthem HealthPlus Managed Medicaid_HARP_MLTC_MAP not published by hospital —

Visitor-reported prices

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Breath hydrogen test 91065 at other New-york hospitals

Hospital City Cash price Negotiated range
Lincoln Medical Center Bronx $185.15 $75.67 – $304.57
North Central Bronx Bronx $185.15 $75.67 – $404.30
Bellevue Hospital Center NY 10016 $220.60 $59.54 – $404.30
Harlem Hospital Center New York $185.15 $73.59 – $304.57
Kings County Hospital Center Brooklyn $220.60 $59.54 – $404.30
Metropolitan Hospital Center New York $185.15 $75.67 – $304.57
Queens Hospital Center Jamaica $220.60 $59.54 – $404.30
Woodhull Medical Center Brooklyn $220.60 $59.54 – $404.30

All New-york hospitals for this procedure →