Cystogram >= 3 views supervision & interpretation 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

$422.61

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.

$1,237.45

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 $1,193.00 with Aetna — 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%
Aetna MEDICARE ADVANTAGE $47.42 ↓ -89%
EMBLEM PPO_Commercial $47.42 ↓ -89%
EMBLEM HIP_GHI_CHP $47.42 ↓ -89%
CIGNA ALL PRODUCTS $64.10 ↓ -85%
Fidelis MAP $68.28 ↓ -84%
ANTHEM Small Group EPO_PPO $73.38 ↓ -83%
ANTHEM Blue Access Small Group $73.38 ↓ -83%
ANTHEM Blue Access Large Group $75.50 ↓ -82%
ANTHEM INDEMNITY $81.59 ↓ -81%
ANTHEM PPO $81.59 ↓ -81%
ANTHEM HMO $81.59 ↓ -81%
ANTHEM EPO $81.59 ↓ -81%
UNITED ALL PRODUCTS $261.00 ↓ -38%
OXFORD Freedom $261.00 ↓ -38%
OXFORD Liberty $261.00 ↓ -38%
Healthfirst CHP $284.98 ↓ -33%
Healthfirst HARP $284.98 ↓ -33%
Healthfirst Managed Medicaid $284.98 ↓ -33%
MetroPlus Goldcare 1 & 2 $343.35 ↓ -19%
MetroPlus Managed Medicaid $343.35 ↓ -19%
Anthem HealthPlus EXCHANGE $343.35 ↓ -19%
Fidelis HARP_Managed Medicaid $343.35 ↓ -19%
MetroPlus HARP $343.35 ↓ -19%
MetroPlus CHP $343.35 ↓ -19%
UNITED BEHAVIORAL HEALTH Managed Medicaid $343.35 ↓ -19%
Carelon Commercial_Essential Plans $343.35 ↓ -19%
Carelon Managed Medicaid_HARP_CHP $343.35 ↓ -19%
Carelon GHI BMP $343.35 ↓ -19%
UNITED HARP $343.35 ↓ -19%
MetroPlus SNP $343.35 ↓ -19%
UNITED Managed Medicaid $343.35 ↓ -19%
Fidelis CHP $343.35 ↓ -19%
MetroPlus Gold $343.35 ↓ -19%
UNITED BEHAVIORAL HEALTH HARP $350.22 ↓ -17%
UNITED BEHAVIORAL HEALTH CHP $350.22 ↓ -17%
Carelon (Amida Care) Managed Medicaid $350.22 ↓ -17%
VNSNY Medicaid SNP $350.22 ↓ -17%
VNSNY MAP $350.22 ↓ -17%
UNITED Essential Plan 1-4_200-250 $367.38 ↓ -13%
UNITED BEHAVIORAL HEALTH Essential Plan $377.69 ↓ -11%
Senior Whole Health MAP $422.61 ↑ +0%
VNSNY Medicare SNP $422.61 ↑ +0%
VNSNY Medicare Advantage $422.61 ↑ +0%
ANTHEM MEDICARE ADVANTAGE $422.61 ↑ +0%
Senior Whole Health MLTC $422.61 ↑ +0%
Hamaspik MEDICARE ADVANTAGE $422.61 ↑ +0%
EMBLEM MEDICARE ADVANTAGE $422.61 ↑ +0%
VACCN All Products $422.61 ↑ +0%
Healthfirst MAP $426.78 ↑ +1%
Healthfirst Medicare Advantage PPO $426.78 ↑ +1%
Healthfirst MEDICARE ADVANTAGE $426.78 ↑ +1%
EMBLEM Essential Plan 3-4 $429.19 ↑ +2%
UNITED CHP $429.19 ↑ +2%
Amidacare Managed Medicaid $435.49 ↑ +3%
Centerlight PACE $435.49 ↑ +3%
Elderplan MAP_Medicare Advantage_MLTC $435.49 ↑ +3%
OXFORD MEDICARE ADVANTAGE $443.74 ↑ +5%
Wellcare MEDICARE ADVANTAGE $456.42 ↑ +8%
UNITED MEDICARE ADVANTAGE $457.27 ↑ +8%
Emblem Essential Plan 200-250 $463.52 ↑ +10%
EMBLEM Essential Plan 1-2 $463.52 ↑ +10%
MetroPlus MAP $492.11 ↑ +16%
MetroPlus EXCHANGE $492.11 ↑ +16%
MetroPlus MEDICARE ADVANTAGE $492.11 ↑ +16%
Healthfirst EXCHANGE $549.36 ↑ +30%
Healthfirst Small Group $559.66 ↑ +32%
Fidelis EXCHANGE $600.11 ↑ +42%
OSCAR ALL PRODUCTS $653.24 ↑ +55%
VillageCare Max MAP $653.24 ↑ +55%
VillageCare Max MEDICARE ADVANTAGE $653.24 ↑ +55%
MetroPlus Essential Plan 200-250 $772.54 ↑ +83%
Fidelis Essential Plan 1-4_200-250 $772.54 ↑ +83%
Affinity Essential Plan 1-2 $772.54 ↑ +83%
MetroPlus Essential Plan 3-4 $772.54 ↑ +83%
Healthfirst Essential Plan 3-4 $772.54 ↑ +83%
Anthem HealthPlus Essential Plan 3-4 $772.54 ↑ +83%
Healthfirst Essential Plan 200-250 $772.54 ↑ +83%
Healthfirst Essential Plan 1-2 $772.54 ↑ +83%
Affinity Essential Plan 3-4 $772.54 ↑ +83%
Anthem HealthPlus Essential Plan 1-2 $772.54 ↑ +83%
Anthem HealthPlus Essential Plan 200-250 $772.54 ↑ +83%
MetroPlus Essential Plan 1-2 $772.54 ↑ +83%
Affinity Essential Plan 200-250 $772.54 ↑ +83%
Carelon MAP_Medicare Advantage $804.34 ↑ +90%
MAGNACARE PPO Non-FPP $928.09 ↑ +120%
MAGNACARE PPO FPP $928.09 ↑ +120%
MAGNACARE Direct Plus FPP $928.09 ↑ +120%
MAGNACARE Direct Plus Non-FPP $928.09 ↑ +120%
MULTIPLAN ALL PRODUCTS $989.96 ↑ +134%
Local 1199 ALL PRODUCTS $1,051.83 ↑ +149%
Aetna ALL PRODUCTS $1,193.00 ↑ +182%
Anthem HealthPlus CHP not published by hospital
Anthem HealthPlus Managed Medicaid_HARP_MLTC_MAP not published by hospital
Affinity HARP_Managed Medicaid not published by hospital
UNITED BEHAVIORAL HEALTH All Products_Exchange not published by hospital
UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE not published by hospital
Affinity CHP not published by hospital

Visitor-reported prices

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Cystogram >= 3 views supervision & interpretation at other New-york hospitals

Hospital City Cash price Negotiated range
Lincoln Medical Center Bronx $422.61 $1.00 – $653.24
North Central Bronx Bronx $422.61 $1.00 – $653.24
NewYork-Presbyterian Queens Flushing $1,726.00 $54.00 – $443.72
Bellevue Hospital Center NY 10016 $422.61 $1.00 – $653.24
Harlem Hospital Center New York $422.61 $1.00 – $653.24
Kings County Hospital Center Brooklyn $422.61 $1.00 – $653.24
Metropolitan Hospital Center New York $422.61 $1.00 – $653.24
UPMC Chautauqua Jamestown $228.60 $42.36 – $1,094.32

All New-york hospitals for this procedure →