Clsd/shoulder dislo/manip/no anest 23650 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

$283.86

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.

$1,830.10

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.

$0.01 with CIGNA vs $1,432.33 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
CIGNA ALL PRODUCTS $0.01 ↓ -100%
Healthfirst MEDICARE ADVANTAGE $220.50 ↓ -22%
Healthfirst MAP $220.50 ↓ -22%
Healthfirst Medicare Advantage PPO $225.00 ↓ -21%
Aetna ALL PRODUCTS $257.00 ↓ -9%
Hamaspik MEDICARE ADVANTAGE $283.86 ↑ +0%
VNSNY Medicare SNP $283.86 ↑ +0%
Senior Whole Health MLTC $283.86 ↑ +0%
Senior Whole Health MAP $283.86 ↑ +0%
VACCN All Products $283.86 ↑ +0%
ANTHEM MEDICARE ADVANTAGE $283.86 ↑ +0%
VNSNY Medicare Advantage $283.86 ↑ +0%
OXFORD MEDICARE ADVANTAGE $298.06 ↑ +5%
Wellcare MEDICARE ADVANTAGE $306.57 ↑ +8%
Amidacare Managed Medicaid $307.91 ↑ +8%
Elderplan MAP_Medicare Advantage_MLTC $307.91 ↑ +8%
Centerlight PACE $307.91 ↑ +8%
Local 1199 ALL PRODUCTS $313.00 ↑ +10%
UNITED MEDICARE ADVANTAGE $323.31 ↑ +14%
MAGNACARE Direct Plus FPP $330.00 ↑ +16%
MAGNACARE PPO Non-FPP $330.00 ↑ +16%
MAGNACARE PPO FPP $330.00 ↑ +16%
MAGNACARE Direct Plus Non-FPP $330.00 ↑ +16%
EMBLEM HIP_GHI_CHP $332.00 ↑ +17%
EMBLEM PPO_Commercial $332.00 ↑ +17%
MetroPlus EXCHANGE $347.94 ↑ +23%
MetroPlus MEDICARE ADVANTAGE $347.94 ↑ +23%
MetroPlus MAP $347.94 ↑ +23%
EMBLEM MEDICARE ADVANTAGE $354.83 ↑ +25%
Aetna MEDICARE ADVANTAGE $370.28 ↑ +30%
OXFORD Liberty $380.00 ↑ +34%
Fidelis EXCHANGE $403.08 ↑ +42%
OXFORD Freedom $431.00 ↑ +52%
VillageCare Max MAP $461.87 ↑ +63%
VillageCare Max MEDICARE ADVANTAGE $461.87 ↑ +63%
UNITED EXCHANGE $480.00 ↑ +69%
Healthfirst CHP $528.38 ↑ +86%
Healthfirst Managed Medicaid $528.38 ↑ +86%
Healthfirst HARP $528.38 ↑ +86%
UNITED ALL PRODUCTS $529.00 ↑ +86%
Fidelis MAP $533.20 ↑ +88%
Carelon Managed Medicaid_HARP_CHP $636.59 ↑ +124%
UNITED HARP $636.59 ↑ +124%
Fidelis HARP_Managed Medicaid $636.59 ↑ +124%
UNITED BEHAVIORAL HEALTH Managed Medicaid $636.59 ↑ +124%
Fidelis CHP $636.59 ↑ +124%
Anthem HealthPlus EXCHANGE $636.59 ↑ +124%
UNITED Managed Medicaid $636.59 ↑ +124%
MetroPlus CHP $636.60 ↑ +124%
MetroPlus SNP $636.60 ↑ +124%
MetroPlus Gold $636.60 ↑ +124%
MetroPlus Goldcare 1 & 2 $636.60 ↑ +124%
MetroPlus Managed Medicaid $636.60 ↑ +124%
MetroPlus HARP $636.60 ↑ +124%
Carelon Commercial_Essential Plans $636.60 ↑ +124%
Carelon GHI BMP $636.60 ↑ +124%
OSCAR ALL PRODUCTS $645.00 ↑ +127%
Carelon (Amida Care) Managed Medicaid $649.32 ↑ +129%
VNSNY Medicaid SNP $649.32 ↑ +129%
UNITED BEHAVIORAL HEALTH CHP $649.32 ↑ +129%
VNSNY MAP $649.32 ↑ +129%
UNITED BEHAVIORAL HEALTH HARP $649.32 ↑ +129%
UNITED Essential Plan 1-4_200-250 $681.15 ↑ +140%
UNITED BEHAVIORAL HEALTH Essential Plan $700.25 ↑ +147%
Carelon MAP_Medicare Advantage $781.00 ↑ +175%
UNITED CHP $795.75 ↑ +180%
ANTHEM Blue Access Small Group $947.51 ↑ +234%
ANTHEM Small Group EPO_PPO $947.51 ↑ +234%
EMBLEM Essential Plan 3-4 $954.90 ↑ +236%
ANTHEM Blue Access Large Group $974.87 ↑ +243%
EMBLEM Essential Plan 1-2 $1,018.56 ↑ +259%
Emblem Essential Plan 200-250 $1,018.56 ↑ +259%
Healthfirst EXCHANGE $1,018.56 ↑ +259%
Healthfirst Small Group $1,037.66 ↑ +266%
ANTHEM PPO $1,053.54 ↑ +271%
ANTHEM INDEMNITY $1,053.54 ↑ +271%
ANTHEM EPO $1,053.54 ↑ +271%
ANTHEM HMO $1,053.54 ↑ +271%
MULTIPLAN ALL PRODUCTS $1,403.07 ↑ +394%
Anthem HealthPlus Essential Plan 200-250 $1,432.33 ↑ +405%
Affinity Essential Plan 3-4 $1,432.33 ↑ +405%
Healthfirst Essential Plan 3-4 $1,432.33 ↑ +405%
Affinity Essential Plan 200-250 $1,432.33 ↑ +405%
Fidelis Essential Plan 1-4_200-250 $1,432.33 ↑ +405%
Affinity Essential Plan 1-2 $1,432.33 ↑ +405%
MetroPlus Essential Plan 3-4 $1,432.33 ↑ +405%
Anthem HealthPlus Essential Plan 3-4 $1,432.33 ↑ +405%
MetroPlus Essential Plan 200-250 $1,432.33 ↑ +405%
MetroPlus Essential Plan 1-2 $1,432.33 ↑ +405%
Anthem HealthPlus Essential Plan 1-2 $1,432.33 ↑ +405%
Healthfirst Essential Plan 1-2 $1,432.33 ↑ +405%
Healthfirst Essential Plan 200-250 $1,432.33 ↑ +405%
Affinity HARP_Managed Medicaid not published by hospital
Anthem HealthPlus CHP not published by hospital
Affinity CHP not published by hospital
UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE not published by hospital
UNITED BEHAVIORAL HEALTH All Products_Exchange not published by hospital
Anthem HealthPlus Managed Medicaid_HARP_MLTC_MAP not published by hospital

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Clsd/shoulder dislo/manip/no anest 23650 at other New-york hospitals

Hospital City Cash price Negotiated range
Lincoln Medical Center Bronx $283.86 $0.01 – $781.00
North Central Bronx Bronx $283.86 $0.01 – $781.00
NewYork-Presbyterian Queens Flushing $1,362.00 $269.66 – $715.61
Bellevue Hospital Center NY 10016 $283.86 $0.01 – $781.00
Harlem Hospital Center New York $283.86 $0.01 – $781.00
Kings County Hospital Center Brooklyn $283.86 $0.01 – $781.00
Metropolitan Hospital Center New York $283.86 $0.01 – $781.00
UPMC Chautauqua Jamestown $102.00 $102.00 – $749.45

All New-york hospitals for this procedure →