Mpsv4 vaccine subq 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.

$305.48

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 OXFORD vs $273.60 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
OXFORD Liberty $0.01
UNITED ALL PRODUCTS $0.01
Healthfirst Medicare Advantage PPO $61.10
Healthfirst MAP $61.10
Healthfirst MEDICARE ADVANTAGE $61.10
Healthfirst HARP $100.94
Healthfirst Managed Medicaid $100.94
Healthfirst CHP $100.94
UNITED Managed Medicaid $121.60
Anthem HealthPlus EXCHANGE $121.60
Carelon Managed Medicaid_HARP_CHP $121.60
Fidelis HARP_Managed Medicaid $121.60
UNITED BEHAVIORAL HEALTH Managed Medicaid $121.60
Fidelis CHP $121.60
UNITED HARP $121.60
MetroPlus HARP $121.61
Carelon GHI BMP $121.61
MetroPlus SNP $121.61
MetroPlus Gold $121.61
MetroPlus Goldcare 1 & 2 $121.61
MetroPlus Managed Medicaid $121.61
MetroPlus CHP $121.61
Carelon Commercial_Essential Plans $121.61
Aetna MEDICARE ADVANTAGE $122.19
Carelon (Amida Care) Managed Medicaid $124.03
UNITED BEHAVIORAL HEALTH HARP $124.03
VNSNY Medicaid SNP $124.03
VNSNY MAP $124.03
UNITED BEHAVIORAL HEALTH CHP $124.03
UNITED Essential Plan 1-4_200-250 $130.11
UNITED BEHAVIORAL HEALTH Essential Plan $133.76
UNITED CHP $152.01
EMBLEM Essential Plan 3-4 $152.01
Centerlight PACE $152.74
EMBLEM Essential Plan 1-2 $164.17
Emblem Essential Plan 200-250 $164.17
OXFORD Freedom $183.29
CIGNA ALL PRODUCTS $183.29
OSCAR ALL PRODUCTS $183.29
Wellcare MEDICARE ADVANTAGE $183.29
Healthfirst EXCHANGE $194.58
Healthfirst Small Group $198.22
Elderplan MAP_Medicare Advantage_MLTC $198.56
Carelon MAP_Medicare Advantage $198.56
EMBLEM MEDICARE ADVANTAGE $213.84
Aetna ALL PRODUCTS $218.37
MAGNACARE PPO FPP $229.11
MAGNACARE PPO Non-FPP $229.11
MAGNACARE Direct Plus FPP $229.11
MAGNACARE Direct Plus Non-FPP $229.11
EMBLEM HIP_GHI_CHP $244.38
EMBLEM PPO_Commercial $244.38
MULTIPLAN ALL PRODUCTS $244.38
UNITED EXCHANGE $244.38
ANTHEM Small Group EPO_PPO $259.66
ANTHEM EPO $259.66
ANTHEM HMO $259.66
ANTHEM Blue Access Small Group $259.66
VNSNY Medicare Advantage $259.66
VNSNY Medicare SNP $259.66
Amidacare Managed Medicaid $259.66
Local 1199 ALL PRODUCTS $259.66
VillageCare Max MAP $259.66
VillageCare Max MEDICARE ADVANTAGE $259.66
ANTHEM PPO $259.66
ANTHEM INDEMNITY $259.66
ANTHEM Blue Access Large Group $259.66
MetroPlus Essential Plan 200-250 $273.60
Affinity Essential Plan 1-2 $273.60
Affinity Essential Plan 200-250 $273.60
Affinity Essential Plan 3-4 $273.60
MetroPlus Essential Plan 3-4 $273.60
Healthfirst Essential Plan 1-2 $273.60
Healthfirst Essential Plan 200-250 $273.60
MetroPlus Essential Plan 1-2 $273.60
Healthfirst Essential Plan 3-4 $273.60
Fidelis Essential Plan 1-4_200-250 $273.60
Anthem HealthPlus Essential Plan 1-2 $273.60
Anthem HealthPlus Essential Plan 200-250 $273.60
Anthem HealthPlus Essential Plan 3-4 $273.60
OXFORD MEDICARE ADVANTAGE not published by hospital
Fidelis EXCHANGE not published by hospital
UNITED BEHAVIORAL HEALTH All Products_Exchange not published by hospital
UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE not published by hospital
ANTHEM MEDICARE ADVANTAGE not published by hospital
VACCN All Products not published by hospital
MetroPlus MEDICARE ADVANTAGE not published by hospital
MetroPlus EXCHANGE not published by hospital
MetroPlus MAP not published by hospital
Affinity HARP_Managed Medicaid not published by hospital
Affinity CHP not published by hospital
Anthem HealthPlus Managed Medicaid_HARP_MLTC_MAP not published by hospital
UNITED MEDICARE ADVANTAGE not published by hospital
Anthem HealthPlus CHP not published by hospital
Hamaspik MEDICARE ADVANTAGE not published by hospital
Fidelis MAP not published by hospital
Senior Whole Health MAP not published by hospital
Senior Whole Health MLTC not published by hospital

Visitor-reported prices

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Mpsv4 vaccine subq at other New-york hospitals

Hospital City Cash price Negotiated range
Lincoln Medical Center Bronx not published $106.49 – $106.49
North Central Bronx Bronx not published $218.37 – $218.37
Bellevue Hospital Center NY 10016 not published $218.37 – $218.37
Harlem Hospital Center New York not published $106.49 – $106.49
Kings County Hospital Center Brooklyn not published $218.37 – $218.37
Metropolitan Hospital Center New York not published $106.49 – $106.49
Queens Hospital Center Jamaica not published $218.37 – $218.37
Woodhull Medical Center Brooklyn not published $218.37 – $218.37

All New-york hospitals for this procedure →