Mayo gabapentin bld/srm/plasma therapeutic drug level 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

$21.67

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.

$54.28

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.

$1.00 with UNITED vs $143.69 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
UNITED EXCHANGE $1.00 ↓ -95%
Aetna ALL PRODUCTS $17.12 ↓ -21%
OXFORD Liberty $18.09 ↓ -17%
UNITED ALL PRODUCTS $18.09 ↓ -17%
OXFORD Freedom $18.09 ↓ -17%
Healthfirst MAP $21.24 ↓ -2%
Healthfirst MEDICARE ADVANTAGE $21.24 ↓ -2%
Healthfirst Medicare Advantage PPO $21.24 ↓ -2%
Elderplan MAP_Medicare Advantage_MLTC $21.67 ↑ +0%
Amidacare Managed Medicaid $21.67 ↑ +0%
Aetna MEDICARE ADVANTAGE $21.67 ↑ +0%
EMBLEM MEDICARE ADVANTAGE $21.67 ↑ +0%
VNSNY Medicare Advantage $21.67 ↑ +0%
VNSNY Medicare SNP $21.67 ↑ +0%
Senior Whole Health MLTC $21.67 ↑ +0%
Fidelis MAP $21.67 ↑ +0%
ANTHEM MEDICARE ADVANTAGE $21.67 ↑ +0%
Senior Whole Health MAP $21.67 ↑ +0%
Centerlight PACE $21.67 ↑ +0%
Hamaspik MEDICARE ADVANTAGE $21.67 ↑ +0%
VACCN All Products $21.67 ↑ +0%
OXFORD MEDICARE ADVANTAGE $22.75 ↑ +5%
UNITED MEDICARE ADVANTAGE $22.75 ↑ +5%
Wellcare MEDICARE ADVANTAGE $23.40 ↑ +8%
MetroPlus MEDICARE ADVANTAGE $24.49 ↑ +13%
MetroPlus EXCHANGE $24.49 ↑ +13%
MetroPlus MAP $24.49 ↑ +13%
MAGNACARE PPO Non-FPP $26.00 ↑ +20%
MAGNACARE Direct Plus FPP $26.00 ↑ +20%
MAGNACARE Direct Plus Non-FPP $26.00 ↑ +20%
MAGNACARE PPO FPP $26.00 ↑ +20%
VillageCare Max MEDICARE ADVANTAGE $32.51 ↑ +50%
OSCAR ALL PRODUCTS $32.51 ↑ +50%
VillageCare Max MAP $32.51 ↑ +50%
Carelon MAP_Medicare Advantage $35.28 ↑ +63%
MULTIPLAN ALL PRODUCTS $43.42 ↑ +100%
EMBLEM PPO_Commercial $43.42 ↑ +100%
EMBLEM HIP_GHI_CHP $43.42 ↑ +100%
Local 1199 ALL PRODUCTS $46.14 ↑ +113%
Healthfirst Managed Medicaid $53.00 ↑ +145%
Healthfirst HARP $53.00 ↑ +145%
Healthfirst CHP $53.00 ↑ +145%
CIGNA ALL PRODUCTS $54.08 ↑ +150%
ANTHEM Blue Access Small Group $60.03 ↑ +177%
ANTHEM Small Group EPO_PPO $60.03 ↑ +177%
ANTHEM Blue Access Large Group $61.76 ↑ +185%
MetroPlus CHP $63.86 ↑ +195%
UNITED BEHAVIORAL HEALTH Managed Medicaid $63.86 ↑ +195%
MetroPlus SNP $63.86 ↑ +195%
MetroPlus Gold $63.86 ↑ +195%
MetroPlus Goldcare 1 & 2 $63.86 ↑ +195%
MetroPlus Managed Medicaid $63.86 ↑ +195%
MetroPlus HARP $63.86 ↑ +195%
UNITED Managed Medicaid $63.86 ↑ +195%
UNITED HARP $63.86 ↑ +195%
Fidelis CHP $63.86 ↑ +195%
Fidelis HARP_Managed Medicaid $63.86 ↑ +195%
Carelon Commercial_Essential Plans $63.86 ↑ +195%
Carelon Managed Medicaid_HARP_CHP $63.86 ↑ +195%
Carelon GHI BMP $63.86 ↑ +195%
Anthem HealthPlus EXCHANGE $63.86 ↑ +195%
Carelon (Amida Care) Managed Medicaid $65.14 ↑ +201%
VNSNY Medicaid SNP $65.14 ↑ +201%
UNITED BEHAVIORAL HEALTH CHP $65.14 ↑ +201%
VNSNY MAP $65.14 ↑ +201%
UNITED BEHAVIORAL HEALTH HARP $65.14 ↑ +201%
ANTHEM HMO $66.74 ↑ +208%
ANTHEM EPO $66.74 ↑ +208%
ANTHEM INDEMNITY $66.74 ↑ +208%
ANTHEM PPO $66.74 ↑ +208%
UNITED Essential Plan 1-4_200-250 $68.33 ↑ +215%
UNITED BEHAVIORAL HEALTH Essential Plan $70.25 ↑ +224%
EMBLEM Essential Plan 3-4 $79.83 ↑ +268%
UNITED CHP $79.83 ↑ +268%
EMBLEM Essential Plan 1-2 $86.21 ↑ +298%
Emblem Essential Plan 200-250 $86.21 ↑ +298%
Healthfirst EXCHANGE $102.18 ↑ +372%
Healthfirst Small Group $104.09 ↑ +380%
Affinity Essential Plan 1-2 $143.69 ↑ +563%
Healthfirst Essential Plan 200-250 $143.69 ↑ +563%
Healthfirst Essential Plan 1-2 $143.69 ↑ +563%
Affinity Essential Plan 3-4 $143.69 ↑ +563%
Healthfirst Essential Plan 3-4 $143.69 ↑ +563%
Fidelis Essential Plan 1-4_200-250 $143.69 ↑ +563%
Anthem HealthPlus Essential Plan 200-250 $143.69 ↑ +563%
MetroPlus Essential Plan 3-4 $143.69 ↑ +563%
MetroPlus Essential Plan 200-250 $143.69 ↑ +563%
Anthem HealthPlus Essential Plan 3-4 $143.69 ↑ +563%
MetroPlus Essential Plan 1-2 $143.69 ↑ +563%
Affinity Essential Plan 200-250 $143.69 ↑ +563%
Anthem HealthPlus Essential Plan 1-2 $143.69 ↑ +563%
Affinity HARP_Managed Medicaid not published by hospital
Affinity CHP not published by hospital
Anthem HealthPlus CHP not published by hospital
Fidelis EXCHANGE not published by hospital
Anthem HealthPlus Managed Medicaid_HARP_MLTC_MAP not published by hospital
UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE not published by hospital
UNITED BEHAVIORAL HEALTH All Products_Exchange not published by hospital

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Mayo gabapentin bld/srm/plasma therapeutic drug level at other New-york hospitals

Hospital City Cash price Negotiated range
Lincoln Medical Center Bronx $21.67 $1.00 – $54.08
North Central Bronx Bronx $21.67 $1.00 – $54.08
NewYork-Presbyterian Queens Flushing $311.00 $15.17 – $55.75
Bellevue Hospital Center NY 10016 $21.67 $1.00 – $54.08
Harlem Hospital Center New York $21.67 $1.00 – $54.08
Kings County Hospital Center Brooklyn $21.67 $1.00 – $54.08
Metropolitan Hospital Center New York $21.67 $1.00 – $54.08
UPMC Chautauqua Jamestown $67.20 $14.47 – $100.80

All New-york hospitals for this procedure →