Ghs simple repair 20.1 - 30.0 cm - 12017 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

$472.79

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.

$1,414.20

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.

$180.08 with EMBLEM vs $1,707.00 with ANTHEM — 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
EMBLEM PPO_Commercial $180.08 ↓ -62%
EMBLEM HIP_GHI_CHP $180.08 ↓ -62%
Aetna MEDICARE ADVANTAGE $180.08 ↓ -62%
Healthfirst MAP $220.50 ↓ -53%
Healthfirst MEDICARE ADVANTAGE $220.50 ↓ -53%
Fidelis MAP $259.32 ↓ -45%
Healthfirst Medicare Advantage PPO $421.18 ↓ -11%
Senior Whole Health MLTC $472.79 ↑ +0%
Senior Whole Health MAP $472.79 ↑ +0%
VNSNY Medicare Advantage $472.79 ↑ +0%
VNSNY Medicare SNP $472.79 ↑ +0%
ANTHEM MEDICARE ADVANTAGE $472.79 ↑ +0%
Hamaspik MEDICARE ADVANTAGE $472.79 ↑ +0%
VACCN All Products $472.79 ↑ +0%
Healthfirst CHP $484.42 ↑ +2%
Healthfirst HARP $484.42 ↑ +2%
Healthfirst Managed Medicaid $484.42 ↑ +2%
Amidacare Managed Medicaid $493.00 ↑ +4%
OXFORD MEDICARE ADVANTAGE $496.43 ↑ +5%
Centerlight PACE $507.45 ↑ +7%
Elderplan MAP_Medicare Advantage_MLTC $507.45 ↑ +7%
Wellcare MEDICARE ADVANTAGE $510.61 ↑ +8%
UNITED MEDICARE ADVANTAGE $532.82 ↑ +13%
MetroPlus MEDICARE ADVANTAGE $573.41 ↑ +21%
MetroPlus EXCHANGE $573.41 ↑ +21%
MetroPlus MAP $573.41 ↑ +21%
UNITED Managed Medicaid $583.64 ↑ +23%
Fidelis CHP $583.64 ↑ +23%
UNITED HARP $583.64 ↑ +23%
Carelon Commercial_Essential Plans $583.64 ↑ +23%
Anthem HealthPlus EXCHANGE $583.64 ↑ +23%
MetroPlus Gold $583.64 ↑ +23%
MetroPlus Goldcare 1 & 2 $583.64 ↑ +23%
MetroPlus Managed Medicaid $583.64 ↑ +23%
Carelon GHI BMP $583.64 ↑ +23%
MetroPlus HARP $583.64 ↑ +23%
MetroPlus CHP $583.64 ↑ +23%
Carelon Managed Medicaid_HARP_CHP $583.64 ↑ +23%
MetroPlus SNP $583.64 ↑ +23%
Fidelis HARP_Managed Medicaid $583.64 ↑ +23%
UNITED BEHAVIORAL HEALTH Managed Medicaid $583.64 ↑ +23%
EMBLEM MEDICARE ADVANTAGE $590.98 ↑ +25%
UNITED BEHAVIORAL HEALTH CHP $595.31 ↑ +26%
VNSNY Medicaid SNP $595.31 ↑ +26%
Carelon (Amida Care) Managed Medicaid $595.31 ↑ +26%
VNSNY MAP $595.31 ↑ +26%
UNITED BEHAVIORAL HEALTH HARP $595.31 ↑ +26%
UNITED Essential Plan 1-4_200-250 $624.49 ↑ +32%
UNITED BEHAVIORAL HEALTH Essential Plan $642.00 ↑ +36%
Fidelis EXCHANGE $671.36 ↑ +42%
UNITED CHP $729.55 ↑ +54%
EMBLEM Essential Plan 3-4 $729.55 ↑ +54%
VillageCare Max MAP $761.17 ↑ +61%
VillageCare Max MEDICARE ADVANTAGE $761.17 ↑ +61%
Carelon MAP_Medicare Advantage $781.00 ↑ +65%
Emblem Essential Plan 200-250 $787.91 ↑ +67%
EMBLEM Essential Plan 1-2 $787.91 ↑ +67%
OXFORD Liberty $820.00 ↑ +73%
Local 1199 ALL PRODUCTS $836.00 ↑ +77%
OXFORD Freedom $926.00 ↑ +96%
Healthfirst EXCHANGE $933.82 ↑ +98%
Healthfirst Small Group $951.33 ↑ +101%
UNITED EXCHANGE $1,040.00 ↑ +120%
MAGNACARE PPO Non-FPP $1,060.65 ↑ +124%
MAGNACARE PPO FPP $1,060.65 ↑ +124%
MAGNACARE Direct Plus Non-FPP $1,060.65 ↑ +124%
MAGNACARE Direct Plus FPP $1,060.65 ↑ +124%
MULTIPLAN ALL PRODUCTS $1,131.36 ↑ +139%
UNITED ALL PRODUCTS $1,147.00 ↑ +143%
Aetna ALL PRODUCTS $1,235.00 ↑ +161%
Anthem HealthPlus Essential Plan 200-250 $1,313.19 ↑ +178%
Healthfirst Essential Plan 200-250 $1,313.19 ↑ +178%
Affinity Essential Plan 3-4 $1,313.19 ↑ +178%
Healthfirst Essential Plan 3-4 $1,313.19 ↑ +178%
Affinity Essential Plan 200-250 $1,313.19 ↑ +178%
Affinity Essential Plan 1-2 $1,313.19 ↑ +178%
Fidelis Essential Plan 1-4_200-250 $1,313.19 ↑ +178%
MetroPlus Essential Plan 3-4 $1,313.19 ↑ +178%
MetroPlus Essential Plan 200-250 $1,313.19 ↑ +178%
MetroPlus Essential Plan 1-2 $1,313.19 ↑ +178%
Anthem HealthPlus Essential Plan 1-2 $1,313.19 ↑ +178%
Healthfirst Essential Plan 1-2 $1,313.19 ↑ +178%
Anthem HealthPlus Essential Plan 3-4 $1,313.19 ↑ +178%
OSCAR ALL PRODUCTS $1,466.00 ↑ +210%
CIGNA ALL PRODUCTS $1,500.00 ↑ +217%
ANTHEM Blue Access Small Group $1,536.00 ↑ +225%
ANTHEM Small Group EPO_PPO $1,536.00 ↑ +225%
ANTHEM Blue Access Large Group $1,579.00 ↑ +234%
ANTHEM EPO $1,707.00 ↑ +261%
ANTHEM INDEMNITY $1,707.00 ↑ +261%
ANTHEM PPO $1,707.00 ↑ +261%
ANTHEM HMO $1,707.00 ↑ +261%
Affinity CHP not published by hospital
UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE 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

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Ghs simple repair 20.1 - 30.0 cm - 12017 at other New-york hospitals

Hospital City Cash price Negotiated range
Lincoln Medical Center Bronx $472.79 $180.08 – $781.00
North Central Bronx Bronx $472.79 $180.08 – $781.00
NewYork-Presbyterian Queens Flushing $305.00 $186.66 – $654.59
Bellevue Hospital Center NY 10016 $472.79 $132.93 – $781.00
Harlem Hospital Center New York $472.79 $173.72 – $781.00
Kings County Hospital Center Brooklyn $472.79 $132.93 – $781.00
Metropolitan Hospital Center New York $472.79 $180.08 – $781.00
UPMC Chautauqua Jamestown $83.40 $83.40 – $1,033.67

All New-york hospitals for this procedure →