Cta upper extremity w &/or without contrast left 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

$210.66

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.

$2,492.11

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.

$1.00 with UNITED vs $2,118.29 with Local 1199 — 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
UNITED EXCHANGE $1.00 ↓ -100%
VNSNY Medicare Advantage $210.66 ↑ +0%
Senior Whole Health MLTC $210.66 ↑ +0%
Senior Whole Health MAP $210.66 ↑ +0%
VACCN All Products $210.66 ↑ +0%
EMBLEM MEDICARE ADVANTAGE $210.66 ↑ +0%
ANTHEM MEDICARE ADVANTAGE $210.66 ↑ +0%
Hamaspik MEDICARE ADVANTAGE $210.66 ↑ +0%
VNSNY Medicare SNP $210.66 ↑ +0%
Healthfirst Medicare Advantage PPO $214.57 ↑ +2%
Healthfirst MAP $214.57 ↑ +2%
Healthfirst MEDICARE ADVANTAGE $214.57 ↑ +2%
Centerlight PACE $218.95 ↑ +4%
Elderplan MAP_Medicare Advantage_MLTC $218.95 ↑ +4%
Amidacare Managed Medicaid $218.95 ↑ +4%
OXFORD MEDICARE ADVANTAGE $221.19 ↑ +5%
Wellcare MEDICARE ADVANTAGE $227.51 ↑ +8%
UNITED MEDICARE ADVANTAGE $229.90 ↑ +9%
MetroPlus MAP $247.41 ↑ +17%
MetroPlus MEDICARE ADVANTAGE $247.41 ↑ +17%
MetroPlus EXCHANGE $247.41 ↑ +17%
Fidelis EXCHANGE $299.14 ↑ +42%
VillageCare Max MEDICARE ADVANTAGE $328.43 ↑ +56%
VillageCare Max MAP $328.43 ↑ +56%
EMBLEM PPO_Commercial $346.60 ↑ +65%
EMBLEM HIP_GHI_CHP $346.60 ↑ +65%
Aetna MEDICARE ADVANTAGE $346.60 ↑ +65%
Healthfirst HARP $405.85 ↑ +93%
Healthfirst Managed Medicaid $405.85 ↑ +93%
Healthfirst CHP $405.85 ↑ +93%
Fidelis CHP $488.97 ↑ +132%
Anthem HealthPlus EXCHANGE $488.97 ↑ +132%
UNITED Managed Medicaid $488.97 ↑ +132%
UNITED BEHAVIORAL HEALTH Managed Medicaid $488.97 ↑ +132%
Carelon Managed Medicaid_HARP_CHP $488.97 ↑ +132%
Fidelis HARP_Managed Medicaid $488.97 ↑ +132%
UNITED HARP $488.97 ↑ +132%
MetroPlus CHP $488.98 ↑ +132%
MetroPlus HARP $488.98 ↑ +132%
MetroPlus Managed Medicaid $488.98 ↑ +132%
MetroPlus Goldcare 1 & 2 $488.98 ↑ +132%
MetroPlus Gold $488.98 ↑ +132%
Carelon Commercial_Essential Plans $488.98 ↑ +132%
MetroPlus SNP $488.98 ↑ +132%
Carelon GHI BMP $488.98 ↑ +132%
VNSNY MAP $498.75 ↑ +137%
UNITED BEHAVIORAL HEALTH CHP $498.75 ↑ +137%
UNITED BEHAVIORAL HEALTH HARP $498.75 ↑ +137%
Carelon (Amida Care) Managed Medicaid $498.75 ↑ +137%
VNSNY Medicaid SNP $498.75 ↑ +137%
Fidelis MAP $499.10 ↑ +137%
UNITED Essential Plan 1-4_200-250 $523.20 ↑ +148%
OXFORD Liberty $527.79 ↑ +151%
OXFORD Freedom $527.79 ↑ +151%
UNITED ALL PRODUCTS $527.79 ↑ +151%
UNITED BEHAVIORAL HEALTH Essential Plan $537.87 ↑ +155%
UNITED CHP $611.23 ↑ +190%
EMBLEM Essential Plan 3-4 $611.23 ↑ +190%
Emblem Essential Plan 200-250 $660.12 ↑ +213%
EMBLEM Essential Plan 1-2 $660.12 ↑ +213%
Healthfirst EXCHANGE $782.37 ↑ +271%
ANTHEM Small Group EPO_PPO $792.77 ↑ +276%
ANTHEM Blue Access Small Group $792.77 ↑ +276%
Healthfirst Small Group $797.04 ↑ +278%
ANTHEM Blue Access Large Group $815.67 ↑ +287%
ANTHEM HMO $881.50 ↑ +318%
ANTHEM PPO $881.50 ↑ +318%
ANTHEM INDEMNITY $881.50 ↑ +318%
ANTHEM EPO $881.50 ↑ +318%
CIGNA ALL PRODUCTS $1,056.00 ↑ +401%
Affinity Essential Plan 1-2 $1,100.18 ↑ +422%
Healthfirst Essential Plan 1-2 $1,100.18 ↑ +422%
Healthfirst Essential Plan 3-4 $1,100.18 ↑ +422%
Fidelis Essential Plan 1-4_200-250 $1,100.18 ↑ +422%
Affinity Essential Plan 3-4 $1,100.18 ↑ +422%
Affinity Essential Plan 200-250 $1,100.18 ↑ +422%
Healthfirst Essential Plan 200-250 $1,100.18 ↑ +422%
MetroPlus Essential Plan 3-4 $1,100.18 ↑ +422%
MetroPlus Essential Plan 200-250 $1,100.18 ↑ +422%
MetroPlus Essential Plan 1-2 $1,100.18 ↑ +422%
Anthem HealthPlus Essential Plan 1-2 $1,100.18 ↑ +422%
Anthem HealthPlus Essential Plan 200-250 $1,100.18 ↑ +422%
Anthem HealthPlus Essential Plan 3-4 $1,100.18 ↑ +422%
Aetna ALL PRODUCTS $1,193.00 ↑ +466%
OSCAR ALL PRODUCTS $1,290.00 ↑ +512%
Carelon MAP_Medicare Advantage $1,619.87 ↑ +669%
MAGNACARE PPO Non-FPP $1,869.08 ↑ +787%
MAGNACARE PPO FPP $1,869.08 ↑ +787%
MAGNACARE Direct Plus FPP $1,869.08 ↑ +787%
MAGNACARE Direct Plus Non-FPP $1,869.08 ↑ +787%
MULTIPLAN ALL PRODUCTS $1,993.69 ↑ +846%
Local 1199 ALL PRODUCTS $2,118.29 ↑ +906%
UNITED BEHAVIORAL HEALTH All Products_Exchange not published by hospital
Anthem HealthPlus Managed Medicaid_HARP_MLTC_MAP not published by hospital
Affinity CHP not published by hospital
UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE not published by hospital
Affinity HARP_Managed Medicaid not published by hospital
Anthem HealthPlus CHP not published by hospital

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Cta upper extremity w &/or without contrast left at other New-york hospitals

Hospital City Cash price Negotiated range
Lincoln Medical Center Bronx $210.66 $1.00 – $1,290.00
North Central Bronx Bronx $210.66 $1.00 – $1,290.00
NewYork-Presbyterian Queens Flushing $3,300.00 $200.12 – $545.53
Bellevue Hospital Center NY 10016 $210.66 $1.00 – $1,290.00
Harlem Hospital Center New York $210.66 $1.00 – $1,290.00
Kings County Hospital Center Brooklyn $210.66 $1.00 – $1,290.00
Metropolitan Hospital Center New York $210.66 $1.00 – $1,290.00
UPMC Chautauqua Jamestown $798.60 $217.51 – $1,197.90

All New-york hospitals for this procedure →