Inj non-compmd foam sclrsnt mlt trncl veins same leg 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

$2,164.64

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.

$174.21 with Aetna vs $5,151.12 with Elderplan — 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 MEDICARE ADVANTAGE $174.21 ↓ -92%
Local 1199 ALL PRODUCTS $441.00 ↓ -80%
Healthfirst Managed Medicaid $1,064.30 ↓ -51%
Healthfirst HARP $1,064.30 ↓ -51%
Healthfirst CHP $1,064.30 ↓ -51%
Anthem HealthPlus EXCHANGE $1,282.28 ↓ -41%
UNITED Managed Medicaid $1,282.28 ↓ -41%
UNITED HARP $1,282.28 ↓ -41%
Fidelis HARP_Managed Medicaid $1,282.28 ↓ -41%
UNITED BEHAVIORAL HEALTH Managed Medicaid $1,282.28 ↓ -41%
Fidelis CHP $1,282.28 ↓ -41%
Carelon Managed Medicaid_HARP_CHP $1,282.28 ↓ -41%
Carelon Commercial_Essential Plans $1,282.29 ↓ -41%
MetroPlus CHP $1,282.29 ↓ -41%
Carelon GHI BMP $1,282.29 ↓ -41%
MetroPlus SNP $1,282.29 ↓ -41%
MetroPlus Managed Medicaid $1,282.29 ↓ -41%
MetroPlus HARP $1,282.29 ↓ -41%
MetroPlus Goldcare 1 & 2 $1,282.29 ↓ -41%
MetroPlus Gold $1,282.29 ↓ -41%
UNITED BEHAVIORAL HEALTH HARP $1,307.93 ↓ -40%
Carelon (Amida Care) Managed Medicaid $1,307.93 ↓ -40%
VNSNY Medicaid SNP $1,307.93 ↓ -40%
UNITED BEHAVIORAL HEALTH CHP $1,307.93 ↓ -40%
VNSNY MAP $1,307.93 ↓ -40%
UNITED Essential Plan 1-4_200-250 $1,372.04 ↓ -37%
UNITED BEHAVIORAL HEALTH Essential Plan $1,410.51 ↓ -35%
UNITED CHP $1,602.86 ↓ -26%
EMBLEM Essential Plan 3-4 $1,602.86 ↓ -26%
EMBLEM Essential Plan 1-2 $1,731.09 ↓ -20%
Emblem Essential Plan 200-250 $1,731.09 ↓ -20%
Hamaspik MEDICARE ADVANTAGE $1,731.71 ↓ -20%
Healthfirst EXCHANGE $2,051.66 ↓ -5%
MetroPlus Essential Plan 1-2 $2,070.16 ↓ -4%
MetroPlus Essential Plan 200-250 $2,070.16 ↓ -4%
MetroPlus Essential Plan 3-4 $2,070.16 ↓ -4%
Healthfirst Small Group $2,090.13 ↓ -3%
Healthfirst Medicare Advantage PPO $2,137.71 ↓ -1%
VNSNY Medicare Advantage $2,164.64 ↑ +0%
VACCN All Products $2,164.64 ↑ +0%
VNSNY Medicare SNP $2,164.64 ↑ +0%
ANTHEM MEDICARE ADVANTAGE $2,164.64 ↑ +0%
Senior Whole Health MLTC $2,164.64 ↑ +0%
Fidelis MAP $2,164.64 ↑ +0%
Senior Whole Health MAP $2,164.64 ↑ +0%
OXFORD MEDICARE ADVANTAGE $2,272.87 ↑ +5%
Aetna ALL PRODUCTS $2,297.00 ↑ +6%
ANTHEM Small Group EPO_PPO $2,344.00 ↑ +8%
ANTHEM Blue Access Small Group $2,344.00 ↑ +8%
ANTHEM Blue Access Large Group $2,409.00 ↑ +11%
Healthfirst MAP $2,524.05 ↑ +17%
Healthfirst MEDICARE ADVANTAGE $2,524.05 ↑ +17%
Centerlight PACE $2,575.56 ↑ +19%
Amidacare Managed Medicaid $2,575.56 ↑ +19%
MAGNACARE Direct Plus Non-FPP $2,597.57 ↑ +20%
MAGNACARE PPO Non-FPP $2,597.57 ↑ +20%
MAGNACARE Direct Plus FPP $2,597.57 ↑ +20%
MAGNACARE PPO FPP $2,597.57 ↑ +20%
ANTHEM INDEMNITY $2,644.00 ↑ +22%
ANTHEM PPO $2,644.00 ↑ +22%
ANTHEM EPO $2,644.00 ↑ +22%
ANTHEM HMO $2,644.00 ↑ +22%
UNITED MEDICARE ADVANTAGE $2,704.34 ↑ +25%
Anthem HealthPlus Essential Plan 3-4 $2,885.13 ↑ +33%
Healthfirst Essential Plan 3-4 $2,885.13 ↑ +33%
Healthfirst Essential Plan 200-250 $2,885.13 ↑ +33%
Healthfirst Essential Plan 1-2 $2,885.13 ↑ +33%
Fidelis Essential Plan 1-4_200-250 $2,885.13 ↑ +33%
Anthem HealthPlus Essential Plan 200-250 $2,885.13 ↑ +33%
Anthem HealthPlus Essential Plan 1-2 $2,885.13 ↑ +33%
Affinity Essential Plan 3-4 $2,885.13 ↑ +33%
Affinity Essential Plan 200-250 $2,885.13 ↑ +33%
Affinity Essential Plan 1-2 $2,885.13 ↑ +33%
MetroPlus MEDICARE ADVANTAGE $2,910.38 ↑ +34%
MetroPlus MAP $2,910.38 ↑ +34%
MetroPlus EXCHANGE $2,910.38 ↑ +34%
Fidelis EXCHANGE $3,073.79 ↑ +42%
Wellcare MEDICARE ADVANTAGE $3,203.66 ↑ +48%
EMBLEM MEDICARE ADVANTAGE $3,246.96 ↑ +50%
VillageCare Max MAP $3,863.34 ↑ +78%
OSCAR ALL PRODUCTS $3,863.34 ↑ +78%
VillageCare Max MEDICARE ADVANTAGE $3,863.34 ↑ +78%
Elderplan MAP_Medicare Advantage_MLTC $5,151.12 ↑ +138%

Visitor-reported prices

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Inj non-compmd foam sclrsnt mlt trncl veins same leg at other New-york hospitals

Hospital City Cash price Negotiated range
Lincoln Medical Center Bronx $2,164.64 $174.21 – $5,151.12
North Central Bronx Bronx $2,164.64 $174.21 – $5,151.12
Bellevue Hospital Center NY 10016 $2,164.64 $102.35 – $5,151.12
Harlem Hospital Center New York $2,164.64 $168.30 – $5,151.12
Kings County Hospital Center Brooklyn $2,164.64 $102.35 – $5,151.12
Metropolitan Hospital Center New York $2,164.64 $174.21 – $5,151.12
UPMC Chautauqua Jamestown $5,322.00 $127.04 – $7,983.00
Queens Hospital Center Jamaica $2,164.64 $102.35 – $5,151.12

All New-york hospitals for this procedure →