Dup scan/hemodialysis access 93990 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

$125.84

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.

$920.63

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.

$108.32 with Healthfirst vs $782.54 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
Healthfirst MAP $108.32 ↓ -14%
Healthfirst MEDICARE ADVANTAGE $108.32 ↓ -14%
VACCN All Products $125.84 ↑ +0%
Hamaspik MEDICARE ADVANTAGE $125.84 ↑ +0%
Senior Whole Health MLTC $125.84 ↑ +0%
Senior Whole Health MAP $125.84 ↑ +0%
VNSNY Medicare Advantage $125.84 ↑ +0%
ANTHEM MEDICARE ADVANTAGE $125.84 ↑ +0%
VNSNY Medicare SNP $125.84 ↑ +0%
Healthfirst Medicare Advantage PPO $127.89 ↑ +2%
Centerlight PACE $130.50 ↑ +4%
Elderplan MAP_Medicare Advantage_MLTC $130.50 ↑ +4%
Amidacare Managed Medicaid $130.50 ↑ +4%
OXFORD MEDICARE ADVANTAGE $132.13 ↑ +5%
Wellcare MEDICARE ADVANTAGE $135.91 ↑ +8%
UNITED MEDICARE ADVANTAGE $137.03 ↑ +9%
MetroPlus EXCHANGE $147.47 ↑ +17%
MetroPlus MAP $147.47 ↑ +17%
MetroPlus MEDICARE ADVANTAGE $147.47 ↑ +17%
EMBLEM MEDICARE ADVANTAGE $157.30 ↑ +25%
EMBLEM PPO_Commercial $168.58 ↑ +34%
EMBLEM HIP_GHI_CHP $168.58 ↑ +34%
Aetna MEDICARE ADVANTAGE $168.58 ↑ +34%
Fidelis EXCHANGE $178.69 ↑ +42%
Healthfirst CHP $179.00 ↑ +42%
Healthfirst Managed Medicaid $179.00 ↑ +42%
Healthfirst HARP $179.00 ↑ +42%
Aetna ALL PRODUCTS $180.63 ↑ +44%
OSCAR ALL PRODUCTS $195.75 ↑ +56%
VillageCare Max MAP $195.75 ↑ +56%
VillageCare Max MEDICARE ADVANTAGE $195.75 ↑ +56%
MetroPlus Gold $215.66 ↑ +71%
UNITED HARP $215.66 ↑ +71%
MetroPlus SNP $215.66 ↑ +71%
MetroPlus CHP $215.66 ↑ +71%
Carelon Commercial_Essential Plans $215.66 ↑ +71%
MetroPlus HARP $215.66 ↑ +71%
MetroPlus Managed Medicaid $215.66 ↑ +71%
MetroPlus Goldcare 1 & 2 $215.66 ↑ +71%
Carelon GHI BMP $215.66 ↑ +71%
Carelon Managed Medicaid_HARP_CHP $215.66 ↑ +71%
UNITED Managed Medicaid $215.66 ↑ +71%
Fidelis HARP_Managed Medicaid $215.66 ↑ +71%
Fidelis CHP $215.66 ↑ +71%
UNITED BEHAVIORAL HEALTH Managed Medicaid $215.66 ↑ +71%
Anthem HealthPlus EXCHANGE $215.66 ↑ +71%
UNITED EXCHANGE $219.00 ↑ +74%
VNSNY Medicaid SNP $219.97 ↑ +75%
UNITED BEHAVIORAL HEALTH CHP $219.97 ↑ +75%
Carelon (Amida Care) Managed Medicaid $219.97 ↑ +75%
UNITED BEHAVIORAL HEALTH HARP $219.97 ↑ +75%
VNSNY MAP $219.97 ↑ +75%
UNITED Essential Plan 1-4_200-250 $230.76 ↑ +83%
UNITED BEHAVIORAL HEALTH Essential Plan $237.23 ↑ +89%
OXFORD Freedom $241.00 ↑ +92%
OXFORD Liberty $241.00 ↑ +92%
UNITED ALL PRODUCTS $241.00 ↑ +92%
Fidelis MAP $242.76 ↑ +93%
UNITED CHP $269.58 ↑ +114%
EMBLEM Essential Plan 3-4 $269.58 ↑ +114%
Emblem Essential Plan 200-250 $291.14 ↑ +131%
EMBLEM Essential Plan 1-2 $291.14 ↑ +131%
CIGNA ALL PRODUCTS $296.42 ↑ +136%
Healthfirst EXCHANGE $345.06 ↑ +174%
Healthfirst Small Group $351.53 ↑ +179%
ANTHEM Blue Access Small Group $453.89 ↑ +261%
ANTHEM Small Group EPO_PPO $453.89 ↑ +261%
ANTHEM Blue Access Large Group $467.00 ↑ +271%
Healthfirst Essential Plan 3-4 $485.24 ↑ +286%
Fidelis Essential Plan 1-4_200-250 $485.24 ↑ +286%
Affinity Essential Plan 3-4 $485.24 ↑ +286%
Anthem HealthPlus Essential Plan 3-4 $485.24 ↑ +286%
Anthem HealthPlus Essential Plan 200-250 $485.24 ↑ +286%
Affinity Essential Plan 200-250 $485.24 ↑ +286%
Anthem HealthPlus Essential Plan 1-2 $485.24 ↑ +286%
Affinity Essential Plan 1-2 $485.24 ↑ +286%
Healthfirst Essential Plan 200-250 $485.24 ↑ +286%
Healthfirst Essential Plan 1-2 $485.24 ↑ +286%
MetroPlus Essential Plan 1-2 $485.24 ↑ +286%
MetroPlus Essential Plan 200-250 $485.24 ↑ +286%
MetroPlus Essential Plan 3-4 $485.24 ↑ +286%
ANTHEM INDEMNITY $504.69 ↑ +301%
ANTHEM EPO $504.69 ↑ +301%
ANTHEM HMO $504.69 ↑ +301%
ANTHEM PPO $504.69 ↑ +301%
Carelon MAP_Medicare Advantage $598.41 ↑ +376%
MAGNACARE Direct Plus Non-FPP $690.47 ↑ +449%
MAGNACARE PPO Non-FPP $690.47 ↑ +449%
MAGNACARE PPO FPP $690.47 ↑ +449%
MAGNACARE Direct Plus FPP $690.47 ↑ +449%
MULTIPLAN ALL PRODUCTS $736.50 ↑ +485%
Local 1199 ALL PRODUCTS $782.54 ↑ +522%
Affinity CHP not published by hospital
Anthem HealthPlus CHP not published by hospital
UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE 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

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Dup scan/hemodialysis access 93990 at other New-york hospitals

Hospital City Cash price Negotiated range
Lincoln Medical Center Bronx $125.84 $108.32 – $296.42
North Central Bronx Bronx $125.84 $108.32 – $296.42
NewYork-Presbyterian Queens Flushing $1,041.00 $119.54 – $230.64
Bellevue Hospital Center NY 10016 $125.84 $103.81 – $296.42
Harlem Hospital Center New York $125.84 $108.32 – $296.42
Kings County Hospital Center Brooklyn $125.84 $103.81 – $296.42
Metropolitan Hospital Center New York $125.84 $108.32 – $296.42
Queens Hospital Center Jamaica $125.84 $103.81 – $296.42

All New-york hospitals for this procedure →