Hemoglobin copper sulfate 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

$4.01

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.

$2.28 with Aetna vs $125.66 with Healthfirst — 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
Aetna ALL PRODUCTS $2.28 ↓ -43%
Hamaspik MEDICARE ADVANTAGE $3.21 ↓ -20%
Healthfirst Medicare Advantage PPO $3.33 ↓ -17%
OXFORD Liberty $3.45 ↓ -14%
UNITED ALL PRODUCTS $3.45 ↓ -14%
OXFORD Freedom $3.45 ↓ -14%
Healthfirst MEDICARE ADVANTAGE $3.93 ↓ -2%
Healthfirst MAP $3.93 ↓ -2%
Local 1199 ALL PRODUCTS $4.00 ↓ -0%
Fidelis MAP $4.01 ↑ +0%
Aetna MEDICARE ADVANTAGE $4.01 ↑ +0%
VNSNY Medicare SNP $4.01 ↑ +0%
VNSNY Medicare Advantage $4.01 ↑ +0%
Amidacare Managed Medicaid $4.01 ↑ +0%
VACCN All Products $4.01 ↑ +0%
Senior Whole Health MLTC $4.01 ↑ +0%
Senior Whole Health MAP $4.01 ↑ +0%
ANTHEM MEDICARE ADVANTAGE $4.01 ↑ +0%
Centerlight PACE $4.01 ↑ +0%
EMBLEM MEDICARE ADVANTAGE $4.01 ↑ +0%
OXFORD MEDICARE ADVANTAGE $4.21 ↑ +5%
UNITED MEDICARE ADVANTAGE $4.21 ↑ +5%
MetroPlus MEDICARE ADVANTAGE $4.53 ↑ +13%
MetroPlus EXCHANGE $4.53 ↑ +13%
MetroPlus MAP $4.53 ↑ +13%
MAGNACARE Direct Plus FPP $4.81 ↑ +20%
MAGNACARE PPO Non-FPP $4.81 ↑ +20%
MAGNACARE PPO FPP $4.81 ↑ +20%
MAGNACARE Direct Plus Non-FPP $4.81 ↑ +20%
MetroPlus Essential Plan 200-250 $4.85 ↑ +21%
MetroPlus Essential Plan 3-4 $4.85 ↑ +21%
MetroPlus Essential Plan 1-2 $4.85 ↑ +21%
Wellcare MEDICARE ADVANTAGE $5.93 ↑ +48%
OSCAR ALL PRODUCTS $6.02 ↑ +50%
VillageCare Max MEDICARE ADVANTAGE $6.02 ↑ +50%
VillageCare Max MAP $6.02 ↑ +50%
Elderplan MAP_Medicare Advantage_MLTC $8.02 ↑ +100%
CIGNA ALL PRODUCTS $9.69 ↑ +142%
ANTHEM Small Group EPO_PPO $11.11 ↑ +177%
ANTHEM Blue Access Small Group $11.11 ↑ +177%
ANTHEM Blue Access Large Group $11.43 ↑ +185%
ANTHEM INDEMNITY $12.35 ↑ +208%
ANTHEM HMO $12.35 ↑ +208%
ANTHEM EPO $12.35 ↑ +208%
ANTHEM PPO $12.35 ↑ +208%
Healthfirst CHP $46.36 ↑ +1056%
Healthfirst HARP $46.36 ↑ +1056%
Healthfirst Managed Medicaid $46.36 ↑ +1056%
Fidelis HARP_Managed Medicaid $55.85 ↑ +1293%
Fidelis CHP $55.85 ↑ +1293%
Carelon Managed Medicaid_HARP_CHP $55.85 ↑ +1293%
Anthem HealthPlus EXCHANGE $55.85 ↑ +1293%
UNITED HARP $55.85 ↑ +1293%
UNITED Managed Medicaid $55.85 ↑ +1293%
UNITED BEHAVIORAL HEALTH Managed Medicaid $55.85 ↑ +1293%
Carelon GHI BMP $55.86 ↑ +1293%
MetroPlus CHP $55.86 ↑ +1293%
MetroPlus HARP $55.86 ↑ +1293%
MetroPlus Managed Medicaid $55.86 ↑ +1293%
MetroPlus Gold $55.86 ↑ +1293%
Carelon Commercial_Essential Plans $55.86 ↑ +1293%
MetroPlus SNP $55.86 ↑ +1293%
MetroPlus Goldcare 1 & 2 $55.86 ↑ +1293%
VNSNY Medicaid SNP $56.97 ↑ +1321%
Carelon (Amida Care) Managed Medicaid $56.97 ↑ +1321%
UNITED BEHAVIORAL HEALTH CHP $56.97 ↑ +1321%
UNITED BEHAVIORAL HEALTH HARP $56.97 ↑ +1321%
VNSNY MAP $56.97 ↑ +1321%
UNITED Essential Plan 1-4_200-250 $59.76 ↑ +1390%
UNITED BEHAVIORAL HEALTH Essential Plan $61.44 ↑ +1432%
UNITED CHP $69.83 ↑ +1641%
EMBLEM Essential Plan 3-4 $69.83 ↑ +1641%
EMBLEM Essential Plan 1-2 $75.41 ↑ +1781%
Emblem Essential Plan 200-250 $75.41 ↑ +1781%
Healthfirst EXCHANGE $89.38 ↑ +2129%
Healthfirst Small Group $91.05 ↑ +2171%
Healthfirst Essential Plan 1-2 $125.66 ↑ +3034%
Anthem HealthPlus Essential Plan 3-4 $125.66 ↑ +3034%
Affinity Essential Plan 1-2 $125.66 ↑ +3034%
Affinity Essential Plan 3-4 $125.66 ↑ +3034%
Affinity Essential Plan 200-250 $125.66 ↑ +3034%
Anthem HealthPlus Essential Plan 1-2 $125.66 ↑ +3034%
Anthem HealthPlus Essential Plan 200-250 $125.66 ↑ +3034%
Fidelis Essential Plan 1-4_200-250 $125.66 ↑ +3034%
Healthfirst Essential Plan 3-4 $125.66 ↑ +3034%
Healthfirst Essential Plan 200-250 $125.66 ↑ +3034%

Visitor-reported prices

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Hemoglobin copper sulfate at other New-york hospitals

Hospital City Cash price Negotiated range
Lincoln Medical Center Bronx $4.01 $3.05 – $9.69
North Central Bronx Bronx $4.01 $2.28 – $9.69
Bellevue Hospital Center NY 10016 $4.01 $1.75 – $9.69
Harlem Hospital Center New York $4.01 $3.05 – $9.69
Kings County Hospital Center Brooklyn $4.01 $1.75 – $9.69
Metropolitan Hospital Center New York $4.01 $3.05 – $9.69
Queens Hospital Center Jamaica $4.01 $1.75 – $9.69
Woodhull Medical Center Brooklyn $4.01 $1.75 – $9.69

All New-york hospitals for this procedure →