Excision of gum lesion at Jacobi Medical Center
1400 Pelham Parkway South, Bronx, NY · NYC Health + Hospitals · · NPI 1679587679
$7,000.36
Cash price 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.
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What you pay up front if you don't use insurance.
$16,070.86
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$0.01 with CIGNA vs $12,856.69 with MULTIPLAN — 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 →
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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 ?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 ?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 PPO | $225.00 | ↓ -97% |
| Aetna | ALL PRODUCTS | $257.00 | ↓ -96% |
| Local 1199 | ALL PRODUCTS | $282.00 | ↓ -96% |
| MAGNACARE | Direct Plus Non-FPP | $330.00 | ↓ -95% |
| MAGNACARE | PPO Non-FPP | $330.00 | ↓ -95% |
| MAGNACARE | Direct Plus FPP | $330.00 | ↓ -95% |
| MAGNACARE | PPO FPP | $330.00 | ↓ -95% |
| EMBLEM | PPO_Commercial | $332.00 | ↓ -95% |
| EMBLEM | HIP_GHI_CHP | $332.00 | ↓ -95% |
| OXFORD | Liberty | $380.00 | ↓ -95% |
| Healthfirst | CHP | $407.92 | ↓ -94% |
| Healthfirst | HARP | $407.92 | ↓ -94% |
| Healthfirst | Managed Medicaid | $407.92 | ↓ -94% |
| OXFORD | Freedom | $431.00 | ↓ -94% |
| Aetna | MEDICARE ADVANTAGE | $436.08 | ↓ -94% |
| UNITED | EXCHANGE | $480.00 | ↓ -93% |
| Fidelis | CHP | $491.46 | ↓ -93% |
| UNITED | HARP | $491.46 | ↓ -93% |
| Anthem HealthPlus | EXCHANGE | $491.46 | ↓ -93% |
| UNITED | Managed Medicaid | $491.46 | ↓ -93% |
| Carelon | Managed Medicaid_HARP_CHP | $491.46 | ↓ -93% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $491.46 | ↓ -93% |
| Fidelis | HARP_Managed Medicaid | $491.46 | ↓ -93% |
| MetroPlus | HARP | $491.47 | ↓ -93% |
| MetroPlus | CHP | $491.47 | ↓ -93% |
| MetroPlus | SNP | $491.47 | ↓ -93% |
| MetroPlus | Gold | $491.47 | ↓ -93% |
| MetroPlus | Goldcare 1 & 2 | $491.47 | ↓ -93% |
| MetroPlus | Managed Medicaid | $491.47 | ↓ -93% |
| Carelon | Commercial_Essential Plans | $491.47 | ↓ -93% |
| Carelon | GHI BMP | $491.47 | ↓ -93% |
| UNITED BEHAVIORAL HEALTH | CHP | $501.29 | ↓ -93% |
| Carelon (Amida Care) | Managed Medicaid | $501.29 | ↓ -93% |
| UNITED BEHAVIORAL HEALTH | HARP | $501.29 | ↓ -93% |
| VNSNY | MAP | $501.29 | ↓ -93% |
| VNSNY | Medicaid SNP | $501.29 | ↓ -93% |
| UNITED | Essential Plan 1-4_200-250 | $525.86 | ↓ -92% |
| UNITED | ALL PRODUCTS | $529.00 | ↓ -92% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $540.61 | ↓ -92% |
| UNITED | CHP | $614.34 | ↓ -91% |
| Fidelis | MAP | $627.96 | ↓ -91% |
| OSCAR | ALL PRODUCTS | $645.00 | ↓ -91% |
| EMBLEM | Essential Plan 3-4 | $737.21 | ↓ -89% |
| EMBLEM | Essential Plan 1-2 | $786.35 | ↓ -89% |
| Emblem | Essential Plan 200-250 | $786.35 | ↓ -89% |
| Healthfirst | EXCHANGE | $786.35 | ↓ -89% |
| Healthfirst | Small Group | $801.10 | ↓ -89% |
| ANTHEM | Blue Access Small Group | $1,102.93 | ↓ -84% |
| ANTHEM | Small Group EPO_PPO | $1,102.93 | ↓ -84% |
| Healthfirst | Essential Plan 200-250 | $1,105.79 | ↓ -84% |
| Affinity | Essential Plan 1-2 | $1,105.79 | ↓ -84% |
| Fidelis | Essential Plan 1-4_200-250 | $1,105.79 | ↓ -84% |
| Anthem HealthPlus | Essential Plan 3-4 | $1,105.79 | ↓ -84% |
| Anthem HealthPlus | Essential Plan 200-250 | $1,105.79 | ↓ -84% |
| Anthem HealthPlus | Essential Plan 1-2 | $1,105.79 | ↓ -84% |
| Affinity | Essential Plan 200-250 | $1,105.79 | ↓ -84% |
| MetroPlus | Essential Plan 200-250 | $1,105.79 | ↓ -84% |
| MetroPlus | Essential Plan 3-4 | $1,105.79 | ↓ -84% |
| Affinity | Essential Plan 3-4 | $1,105.79 | ↓ -84% |
| Healthfirst | Essential Plan 3-4 | $1,105.79 | ↓ -84% |
| Healthfirst | Essential Plan 1-2 | $1,105.79 | ↓ -84% |
| MetroPlus | Essential Plan 1-2 | $1,105.79 | ↓ -84% |
| ANTHEM | Blue Access Large Group | $1,134.78 | ↓ -84% |
| ANTHEM | PPO | $1,226.36 | ↓ -82% |
| ANTHEM | HMO | $1,226.36 | ↓ -82% |
| ANTHEM | EPO | $1,226.36 | ↓ -82% |
| ANTHEM | INDEMNITY | $1,226.36 | ↓ -82% |
| Healthfirst | MAP | $6,133.39 | ↓ -12% |
| Healthfirst | MEDICARE ADVANTAGE | $6,133.39 | ↓ -12% |
| VACCN | All Products | $7,000.36 | ↑ +0% |
| Hamaspik | MEDICARE ADVANTAGE | $7,000.36 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $7,000.36 | ↑ +0% |
| Senior Whole Health | MAP | $7,000.36 | ↑ +0% |
| Senior Whole Health | MLTC | $7,000.36 | ↑ +0% |
| VNSNY | Medicare Advantage | $7,000.36 | ↑ +0% |
| VNSNY | Medicare SNP | $7,000.36 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $7,350.37 | ↑ +5% |
| Elderplan | MAP_Medicare Advantage_MLTC | $7,389.63 | ↑ +6% |
| Amidacare | Managed Medicaid | $7,389.63 | ↑ +6% |
| Centerlight | PACE | $7,389.63 | ↑ +6% |
| Wellcare | MEDICARE ADVANTAGE | $7,560.38 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $7,759.11 | ↑ +11% |
| MetroPlus | EXCHANGE | $8,350.28 | ↑ +19% |
| MetroPlus | MEDICARE ADVANTAGE | $8,350.28 | ↑ +19% |
| MetroPlus | MAP | $8,350.28 | ↑ +19% |
| EMBLEM | MEDICARE ADVANTAGE | $8,750.44 | ↑ +25% |
| Fidelis | EXCHANGE | $9,940.51 | ↑ +42% |
| Carelon | MAP_Medicare Advantage | $10,446.06 | ↑ +49% |
| VillageCare Max | MEDICARE ADVANTAGE | $11,084.44 | ↑ +58% |
| VillageCare Max | MAP | $11,084.44 | ↑ +58% |
| MULTIPLAN | ALL PRODUCTS | $12,856.69 | ↑ +84% |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
Visitor-reported prices
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Excision of gum lesion at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Lincoln Medical Center | Bronx | $7,000.36 | $0.01 – $8,350.28 |
| North Central Bronx | Bronx | $7,000.36 | $0.01 – $11,084.44 |
| Bellevue Hospital Center | NY 10016 | $7,000.36 | $0.01 – $11,084.44 |
| Harlem Hospital Center | New York | $7,000.36 | $0.01 – $8,350.28 |
| Kings County Hospital Center | Brooklyn | $7,000.36 | $0.01 – $11,084.44 |
| Metropolitan Hospital Center | New York | $7,000.36 | $0.01 – $8,350.28 |
| Queens Hospital Center | Jamaica | $7,000.36 | $0.01 – $11,084.44 |
| Woodhull Medical Center | Brooklyn | $7,000.36 | $0.01 – $11,084.44 |