Injection glatiramer acetate 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

$172.88

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.

$67.28 with Aetna vs $367.29 with Affinity — 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 $67.28 ↓ -61%
Local 1199 ALL PRODUCTS $67.64 ↓ -61%
MetroPlus Essential Plan 1-2 $70.97 ↓ -59%
MetroPlus Essential Plan 200-250 $70.97 ↓ -59%
MetroPlus Essential Plan 3-4 $70.97 ↓ -59%
Healthfirst Managed Medicaid $135.50 ↓ -22%
Healthfirst CHP $135.50 ↓ -22%
Healthfirst HARP $135.50 ↓ -22%
Hamaspik MEDICARE ADVANTAGE $138.30 ↓ -20%
VACCN All Products $160.39 ↓ -7%
Senior Whole Health MAP $160.39 ↓ -7%
ANTHEM MEDICARE ADVANTAGE $160.39 ↓ -7%
VNSNY Medicare SNP $160.39 ↓ -7%
Senior Whole Health MLTC $160.39 ↓ -7%
VNSNY Medicare Advantage $160.39 ↓ -7%
UNITED HARP $163.24 ↓ -6%
Anthem HealthPlus EXCHANGE $163.24 ↓ -6%
Carelon Managed Medicaid_HARP_CHP $163.24 ↓ -6%
Fidelis CHP $163.24 ↓ -6%
Fidelis HARP_Managed Medicaid $163.24 ↓ -6%
UNITED BEHAVIORAL HEALTH Managed Medicaid $163.24 ↓ -6%
UNITED Managed Medicaid $163.24 ↓ -6%
MetroPlus Gold $163.25 ↓ -6%
MetroPlus Managed Medicaid $163.25 ↓ -6%
MetroPlus CHP $163.25 ↓ -6%
Carelon Commercial_Essential Plans $163.25 ↓ -6%
MetroPlus SNP $163.25 ↓ -6%
MetroPlus HARP $163.25 ↓ -6%
MetroPlus Goldcare 1 & 2 $163.25 ↓ -6%
Carelon GHI BMP $163.25 ↓ -6%
UNITED BEHAVIORAL HEALTH HARP $166.50 ↓ -4%
Carelon (Amida Care) Managed Medicaid $166.50 ↓ -4%
UNITED BEHAVIORAL HEALTH CHP $166.50 ↓ -4%
VNSNY MAP $166.50 ↓ -4%
VNSNY Medicaid SNP $166.50 ↓ -4%
Fidelis MAP $172.88 ↑ +0%
Aetna MEDICARE ADVANTAGE $172.88 ↑ +0%
UNITED Essential Plan 1-4_200-250 $174.67 ↑ +1%
UNITED BEHAVIORAL HEALTH Essential Plan $179.56 ↑ +4%
OXFORD MEDICARE ADVANTAGE $181.52 ↑ +5%
MAGNACARE PPO FPP $192.47 ↑ +11%
MAGNACARE PPO Non-FPP $192.47 ↑ +11%
MAGNACARE Direct Plus FPP $192.47 ↑ +11%
MAGNACARE Direct Plus Non-FPP $192.47 ↑ +11%
EMBLEM Essential Plan 3-4 $204.06 ↑ +18%
UNITED CHP $204.06 ↑ +18%
EMBLEM Essential Plan 1-2 $220.39 ↑ +27%
Emblem Essential Plan 200-250 $220.39 ↑ +27%
EMBLEM MEDICARE ADVANTAGE $240.59 ↑ +39%
Fidelis EXCHANGE $245.49 ↑ +42%
Wellcare MEDICARE ADVANTAGE $255.86 ↑ +48%
Healthfirst EXCHANGE $261.20 ↑ +51%
Healthfirst Small Group $266.10 ↑ +54%
Affinity Essential Plan 200-250 $367.29 ↑ +112%
Fidelis Essential Plan 1-4_200-250 $367.29 ↑ +112%
Healthfirst Essential Plan 1-2 $367.29 ↑ +112%
Healthfirst Essential Plan 200-250 $367.29 ↑ +112%
Anthem HealthPlus Essential Plan 3-4 $367.29 ↑ +112%
Anthem HealthPlus Essential Plan 200-250 $367.29 ↑ +112%
Affinity Essential Plan 1-2 $367.29 ↑ +112%
Healthfirst Essential Plan 3-4 $367.29 ↑ +112%
Anthem HealthPlus Essential Plan 1-2 $367.29 ↑ +112%
Affinity Essential Plan 3-4 $367.29 ↑ +112%

Visitor-reported prices

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Injection glatiramer acetate at other New-york hospitals

Hospital City Cash price Negotiated range
Lincoln Medical Center Bronx $172.88 $67.64 – $255.86
North Central Bronx Bronx $172.88 $67.28 – $255.86
Bellevue Hospital Center NY 10016 $172.88 $67.28 – $255.86
Harlem Hospital Center New York $172.88 $67.64 – $255.86
Kings County Hospital Center Brooklyn $172.88 $67.64 – $255.86
Metropolitan Hospital Center New York $172.88 $67.64 – $255.86
Queens Hospital Center Jamaica $172.88 $67.64 – $255.86
Woodhull Medical Center Brooklyn $172.88 $67.64 – $255.86

All New-york hospitals for this procedure →