Inj, levothyroxine, freskabi 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

$3.75

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.

$3.00 with Hamaspik vs $367.29 with Anthem HealthPlus — 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
Hamaspik MEDICARE ADVANTAGE $3.00 ↓ -20%
Aetna MEDICARE ADVANTAGE $3.75 ↑ +0%
Fidelis MAP $3.75 ↑ +0%
OXFORD MEDICARE ADVANTAGE $3.94 ↑ +5%
Wellcare MEDICARE ADVANTAGE $5.55 ↑ +48%
Healthfirst MAP $6.82 ↑ +82%
Healthfirst MEDICARE ADVANTAGE $6.82 ↑ +82%
Healthfirst Medicare Advantage PPO $6.82 ↑ +82%
Senior Whole Health MLTC $6.83 ↑ +82%
Local 1199 ALL PRODUCTS $6.84 ↑ +82%
Fidelis EXCHANGE $6.96 ↑ +86%
ANTHEM MEDICARE ADVANTAGE $7.10 ↑ +89%
VACCN All Products $7.10 ↑ +89%
UNITED MEDICARE ADVANTAGE $7.17 ↑ +91%
ANTHEM Blue Access Small Group $7.38 ↑ +97%
ANTHEM EPO $7.38 ↑ +97%
ANTHEM HMO $7.38 ↑ +97%
ANTHEM INDEMNITY $7.38 ↑ +97%
ANTHEM PPO $7.38 ↑ +97%
ANTHEM Blue Access Large Group $7.38 ↑ +97%
ANTHEM Small Group EPO_PPO $7.38 ↑ +97%
VNSNY Medicare SNP $7.52 ↑ +101%
VNSNY Medicaid SNP $7.52 ↑ +101%
VNSNY MAP $7.52 ↑ +101%
Senior Whole Health MAP $7.52 ↑ +101%
Centerlight PACE $7.52 ↑ +101%
EMBLEM HIP_GHI_CHP $7.52 ↑ +101%
EMBLEM PPO_Commercial $7.52 ↑ +101%
Amidacare Managed Medicaid $7.52 ↑ +101%
VNSNY Medicare Advantage $7.52 ↑ +101%
MetroPlus EXCHANGE $7.72 ↑ +106%
MetroPlus MAP $7.72 ↑ +106%
MetroPlus MEDICARE ADVANTAGE $7.72 ↑ +106%
Aetna ALL PRODUCTS $8.32 ↑ +122%
OSCAR ALL PRODUCTS $8.35 ↑ +123%
VillageCare Max MEDICARE ADVANTAGE $8.35 ↑ +123%
MAGNACARE PPO Non-FPP $8.52 ↑ +127%
MAGNACARE PPO FPP $8.52 ↑ +127%
MAGNACARE Direct Plus Non-FPP $8.52 ↑ +127%
MAGNACARE Direct Plus FPP $8.52 ↑ +127%
VillageCare Max MAP $10.25 ↑ +173%
EMBLEM MEDICARE ADVANTAGE $10.65 ↑ +184%
CIGNA ALL PRODUCTS $13.43 ↑ +258%
Elderplan MAP_Medicare Advantage_MLTC $13.66 ↑ +264%
Healthfirst HARP $135.50 ↑ +3513%
Healthfirst Managed Medicaid $135.50 ↑ +3513%
Healthfirst CHP $135.50 ↑ +3513%
UNITED HARP $163.24 ↑ +4253%
Carelon Managed Medicaid_HARP_CHP $163.24 ↑ +4253%
Anthem HealthPlus EXCHANGE $163.24 ↑ +4253%
UNITED BEHAVIORAL HEALTH Managed Medicaid $163.24 ↑ +4253%
Fidelis HARP_Managed Medicaid $163.24 ↑ +4253%
Fidelis CHP $163.24 ↑ +4253%
UNITED Managed Medicaid $163.24 ↑ +4253%
Carelon GHI BMP $163.25 ↑ +4253%
MetroPlus CHP $163.25 ↑ +4253%
MetroPlus Gold $163.25 ↑ +4253%
MetroPlus Goldcare 1 & 2 $163.25 ↑ +4253%
MetroPlus HARP $163.25 ↑ +4253%
MetroPlus Managed Medicaid $163.25 ↑ +4253%
MetroPlus SNP $163.25 ↑ +4253%
Carelon Commercial_Essential Plans $163.25 ↑ +4253%
UNITED BEHAVIORAL HEALTH CHP $166.50 ↑ +4340%
UNITED BEHAVIORAL HEALTH HARP $166.50 ↑ +4340%
Carelon (Amida Care) Managed Medicaid $166.50 ↑ +4340%
UNITED Essential Plan 1-4_200-250 $174.67 ↑ +4558%
UNITED BEHAVIORAL HEALTH Essential Plan $179.56 ↑ +4688%
UNITED CHP $204.06 ↑ +5342%
EMBLEM Essential Plan 3-4 $204.06 ↑ +5342%
EMBLEM Essential Plan 1-2 $220.39 ↑ +5777%
Emblem Essential Plan 200-250 $220.39 ↑ +5777%
Healthfirst EXCHANGE $261.20 ↑ +6865%
Healthfirst Small Group $266.10 ↑ +6996%
Anthem HealthPlus Essential Plan 1-2 $367.29 ↑ +9694%
MetroPlus Essential Plan 200-250 $367.29 ↑ +9694%
Affinity Essential Plan 3-4 $367.29 ↑ +9694%
MetroPlus Essential Plan 1-2 $367.29 ↑ +9694%
Affinity Essential Plan 200-250 $367.29 ↑ +9694%
Fidelis Essential Plan 1-4_200-250 $367.29 ↑ +9694%
Healthfirst Essential Plan 1-2 $367.29 ↑ +9694%
Healthfirst Essential Plan 3-4 $367.29 ↑ +9694%
Anthem HealthPlus Essential Plan 3-4 $367.29 ↑ +9694%
Healthfirst Essential Plan 200-250 $367.29 ↑ +9694%
MetroPlus Essential Plan 3-4 $367.29 ↑ +9694%
Affinity Essential Plan 1-2 $367.29 ↑ +9694%
Anthem HealthPlus Essential Plan 200-250 $367.29 ↑ +9694%

Visitor-reported prices

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Inj, levothyroxine, freskabi at other New-york hospitals

Hospital City Cash price Negotiated range
NewYork-Presbyterian Hudson Valley Hospital Cortlandt Manor $533.89 $6.74 – $110.74
NewYork-Presbyterian Queens Flushing $533.89 $6.75 – $111.03
NewYork-Presbyterian Columbia University Irving Medical Center New York $533.89 $6.75 – $109.77
WESTFIELD MEMORIAL HOSPITAL INC WESTFIELD not published $3.82 – $10.04
Rochester General Hospital Rochester not published $6.82 – $6.94
Clifton Springs Hospital and Clinic Clifton Springs not published $6.40 – $6.94
Gouverneur Hospital Gouverneur not published $6.40 – $6.40
The Unity Hospital of Rochester Rochester not published $6.82 – $6.94

All New-york hospitals for this procedure →