Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance 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

not published by hospital

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.

$1,956.47

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.

$0.01 with CIGNA vs $1,663.00 with VNSNY — 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
CIGNA ALL PRODUCTS $0.01 —
Aetna MEDICARE ADVANTAGE $56.93 —
EMBLEM HIP_GHI_CHP $56.93 —
EMBLEM PPO_Commercial $56.93 —
Fidelis MAP $81.98 —
Local 1199 ALL PRODUCTS $99.00 —
ANTHEM Blue Access Small Group $166.48 —
ANTHEM Small Group EPO_PPO $166.48 —
ANTHEM Blue Access Large Group $171.29 —
ANTHEM INDEMNITY $185.11 —
ANTHEM EPO $185.11 —
ANTHEM HMO $185.11 —
ANTHEM PPO $185.11 —
Healthfirst Medicare Advantage PPO $225.00 —
Aetna ALL PRODUCTS $257.00 —
MAGNACARE PPO Non-FPP $330.00 —
MAGNACARE PPO FPP $330.00 —
MAGNACARE Direct Plus Non-FPP $330.00 —
MAGNACARE Direct Plus FPP $330.00 —
OXFORD Liberty $380.00 —
Healthfirst MEDICARE ADVANTAGE $391.29 —
Healthfirst MAP $391.29 —
OXFORD Freedom $431.00 —
UNITED EXCHANGE $480.00 —
UNITED ALL PRODUCTS $529.00 —
Healthfirst Managed Medicaid $579.02 —
Healthfirst HARP $579.02 —
Healthfirst CHP $579.02 —
OSCAR ALL PRODUCTS $645.00 —
Anthem HealthPlus EXCHANGE $697.60 —
Fidelis HARP_Managed Medicaid $697.60 —
UNITED HARP $697.60 —
UNITED Managed Medicaid $697.60 —
UNITED BEHAVIORAL HEALTH Managed Medicaid $697.60 —
Fidelis CHP $697.60 —
Carelon Managed Medicaid_HARP_CHP $697.60 —
MetroPlus Gold $697.61 —
MetroPlus CHP $697.61 —
Carelon GHI BMP $697.61 —
Carelon Commercial_Essential Plans $697.61 —
MetroPlus HARP $697.61 —
MetroPlus Managed Medicaid $697.61 —
MetroPlus SNP $697.61 —
MetroPlus Goldcare 1 & 2 $697.61 —
UNITED BEHAVIORAL HEALTH CHP $711.55 —
Carelon (Amida Care) Managed Medicaid $711.55 —
UNITED BEHAVIORAL HEALTH HARP $711.55 —
VNSNY MAP $711.55 —
VNSNY Medicaid SNP $711.55 —
UNITED Essential Plan 1-4_200-250 $746.43 —
UNITED BEHAVIORAL HEALTH Essential Plan $767.36 —
UNITED CHP $872.01 —
Centerlight PACE $978.24 —
EMBLEM Essential Plan 3-4 $1,046.42 —
EMBLEM Essential Plan 1-2 $1,116.18 —
Emblem Essential Plan 200-250 $1,116.18 —
Healthfirst EXCHANGE $1,116.18 —
Healthfirst Small Group $1,137.10 —
Wellcare MEDICARE ADVANTAGE $1,173.88 —
Carelon MAP_Medicare Advantage $1,271.71 —
Elderplan MAP_Medicare Advantage_MLTC $1,271.71 —
EMBLEM MEDICARE ADVANTAGE $1,369.53 —
MULTIPLAN ALL PRODUCTS $1,565.18 —
MetroPlus Essential Plan 3-4 $1,569.60 —
Fidelis Essential Plan 1-4_200-250 $1,569.60 —
MetroPlus Essential Plan 1-2 $1,569.60 —
MetroPlus Essential Plan 200-250 $1,569.60 —
Healthfirst Essential Plan 1-2 $1,569.60 —
Anthem HealthPlus Essential Plan 3-4 $1,569.60 —
Anthem HealthPlus Essential Plan 200-250 $1,569.60 —
Anthem HealthPlus Essential Plan 1-2 $1,569.60 —
Affinity Essential Plan 3-4 $1,569.60 —
Affinity Essential Plan 200-250 $1,569.60 —
Affinity Essential Plan 1-2 $1,569.60 —
Healthfirst Essential Plan 3-4 $1,569.60 —
Healthfirst Essential Plan 200-250 $1,569.60 —
VillageCare Max MEDICARE ADVANTAGE $1,663.00 —
Amidacare Managed Medicaid $1,663.00 —
VNSNY Medicare Advantage $1,663.00 —
VillageCare Max MAP $1,663.00 —
VNSNY Medicare SNP $1,663.00 —
UNITED MEDICARE ADVANTAGE not published by hospital —
UNITED BEHAVIORAL HEALTH All Products_Exchange not published by hospital —
Hamaspik MEDICARE ADVANTAGE not published by hospital —
MetroPlus EXCHANGE not published by hospital —
Affinity CHP not published by hospital —
UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE not published by hospital —
VACCN All Products not published by hospital —
MetroPlus MEDICARE ADVANTAGE not published by hospital —
Anthem HealthPlus CHP not published by hospital —
ANTHEM MEDICARE ADVANTAGE not published by hospital —
OXFORD MEDICARE ADVANTAGE not published by hospital —
Senior Whole Health MLTC not published by hospital —
Senior Whole Health MAP not published by hospital —
MetroPlus MAP not published by hospital —
Anthem HealthPlus Managed Medicaid_HARP_MLTC_MAP not published by hospital —
Affinity HARP_Managed Medicaid not published by hospital —
Fidelis EXCHANGE not published by hospital —

Visitor-reported prices

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Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance at other New-york hospitals

Hospital City Cash price Negotiated range
Lincoln Medical Center Bronx not published $0.01 – $645.00
North Central Bronx Bronx not published $0.01 – $645.00
UPMC Chautauqua Jamestown $165.60 $45.85 – $248.40
Rochester General Hospital Rochester $608.93 not published
Canton-Potsdam Hospital Potsdam $376.14 $38.29 – $44.67
The Unity Hospital of Rochester Rochester $566.25 not published
Newark Wayne Community Hospital Newark $608.93 $42.54 – $88.64
Bellevue Hospital Center NY 10016 not published $0.01 – $645.00

All New-york hospitals for this procedure →