Formoterol fumarate, inh 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

not published by hospital

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.

not published by hospital

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.

$1.55 with Local 1199 vs $7.82 with MetroPlus — 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
Local 1199 ALL PRODUCTS $1.55
Healthfirst MEDICARE ADVANTAGE $1.75
Healthfirst MAP $1.75
Healthfirst Medicare Advantage PPO $1.75
Fidelis EXCHANGE $1.78
EMBLEM MEDICARE ADVANTAGE $1.78
Elderplan MAP_Medicare Advantage_MLTC $1.78
ANTHEM HMO $1.89
ANTHEM EPO $1.89
ANTHEM Blue Access Large Group $1.89
ANTHEM INDEMNITY $1.89
ANTHEM PPO $1.89
ANTHEM Small Group EPO_PPO $1.89
ANTHEM Blue Access Small Group $1.89
EMBLEM PPO_Commercial $1.93
Senior Whole Health MLTC $1.93
Senior Whole Health MAP $1.93
Centerlight PACE $1.93
Hamaspik MEDICARE ADVANTAGE $1.93
Amidacare Managed Medicaid $1.93
VNSNY Medicare SNP $1.93
VNSNY Medicaid SNP $1.93
VNSNY Medicare Advantage $1.93
VNSNY MAP $1.93
EMBLEM HIP_GHI_CHP $1.93
Wellcare MEDICARE ADVANTAGE $1.93
OSCAR ALL PRODUCTS $2.14
VillageCare Max MEDICARE ADVANTAGE $2.14
Aetna ALL PRODUCTS $2.21
CIGNA ALL PRODUCTS $3.44
MetroPlus Essential Plan 3-4 $7.82
MetroPlus Essential Plan 200-250 $7.82
MetroPlus Essential Plan 1-2 $7.82

Visitor-reported prices

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Formoterol fumarate, inh at other New-york hospitals

Hospital City Cash price Negotiated range
Lincoln Medical Center Bronx not published $1.55 – $7.82
North Central Bronx Bronx not published $1.55 – $7.82
NewYork-Presbyterian Queens Flushing $8.07 $1.97 – $15.88
NewYork-Presbyterian Hudson Valley Hospital Cortlandt Manor $8.07 $1.97 – $4.95
NewYork-Presbyterian Columbia University Irving Medical Center New York $8.07 $1.97 – $15.88
Bellevue Hospital Center NY 10016 not published $1.55 – $7.82
Harlem Hospital Center New York not published $1.55 – $7.82
Kings County Hospital Center Brooklyn not published $1.55 – $7.82

All New-york hospitals for this procedure →