Nasal/sinus endo surg w/concha bullosa resct 31240 at Jacobi Medical Center
1400 Pelham Parkway South, Bronx, NY · NYC Health + Hospitals · · NPI 1679587679
$2,040.67
Cash price 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.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge 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.
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The hospital's undiscounted list price — almost no one pays this.
$182.00 with Local 1199 vs $5,014.00 with EMBLEM — 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 →
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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 ?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 ?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 |
|---|---|---|---|
| Local 1199 | ALL PRODUCTS | $182.00 | ↓ -91% |
| Aetna | MEDICARE ADVANTAGE | $183.50 | ↓ -91% |
| MetroPlus | Essential Plan 200-250 | $226.47 | ↓ -89% |
| MetroPlus | Essential Plan 1-2 | $226.47 | ↓ -89% |
| MetroPlus | Essential Plan 3-4 | $226.47 | ↓ -89% |
| Healthfirst | CHP | $409.21 | ↓ -80% |
| MetroPlus | CHP | $493.03 | ↓ -76% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $493.03 | ↓ -76% |
| MetroPlus | Managed Medicaid | $493.03 | ↓ -76% |
| MetroPlus | HARP | $493.03 | ↓ -76% |
| MetroPlus | SNP | $493.03 | ↓ -76% |
| Fidelis | HARP_Managed Medicaid | $493.03 | ↓ -76% |
| Anthem HealthPlus | EXCHANGE | $493.03 | ↓ -76% |
| Carelon | Commercial_Essential Plans | $493.03 | ↓ -76% |
| Carelon | GHI BMP | $493.03 | ↓ -76% |
| Carelon | Managed Medicaid_HARP_CHP | $493.03 | ↓ -76% |
| MetroPlus | Goldcare 1 & 2 | $493.03 | ↓ -76% |
| UNITED | Managed Medicaid | $493.03 | ↓ -76% |
| Fidelis | CHP | $493.03 | ↓ -76% |
| UNITED | HARP | $493.03 | ↓ -76% |
| MetroPlus | Gold | $493.03 | ↓ -76% |
| UNITED BEHAVIORAL HEALTH | CHP | $502.89 | ↓ -75% |
| VNSNY | Medicaid SNP | $502.89 | ↓ -75% |
| VNSNY | MAP | $502.89 | ↓ -75% |
| UNITED BEHAVIORAL HEALTH | HARP | $502.89 | ↓ -75% |
| Carelon (Amida Care) | Managed Medicaid | $502.89 | ↓ -75% |
| UNITED | Essential Plan 1-4_200-250 | $527.54 | ↓ -74% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $542.33 | ↓ -73% |
| EMBLEM | Essential Plan 3-4 | $616.29 | ↓ -70% |
| UNITED | CHP | $616.29 | ↓ -70% |
| Emblem | Essential Plan 200-250 | $665.59 | ↓ -67% |
| EMBLEM | Essential Plan 1-2 | $665.59 | ↓ -67% |
| Healthfirst | EXCHANGE | $788.85 | ↓ -61% |
| Healthfirst | Small Group | $803.64 | ↓ -61% |
| Healthfirst | Managed Medicaid | $921.64 | ↓ -55% |
| Healthfirst | HARP | $921.64 | ↓ -55% |
| Anthem HealthPlus | Essential Plan 200-250 | $1,109.32 | ↓ -46% |
| Healthfirst | Essential Plan 1-2 | $1,109.32 | ↓ -46% |
| Healthfirst | Essential Plan 200-250 | $1,109.32 | ↓ -46% |
| Healthfirst | Essential Plan 3-4 | $1,109.32 | ↓ -46% |
| Affinity | Essential Plan 1-2 | $1,109.32 | ↓ -46% |
| Anthem HealthPlus | Essential Plan 3-4 | $1,109.32 | ↓ -46% |
| Anthem HealthPlus | Essential Plan 1-2 | $1,109.32 | ↓ -46% |
| Fidelis | Essential Plan 1-4_200-250 | $1,109.32 | ↓ -46% |
| Affinity | Essential Plan 3-4 | $1,109.32 | ↓ -46% |
| Affinity | Essential Plan 200-250 | $1,109.32 | ↓ -46% |
| Hamaspik | MEDICARE ADVANTAGE | $1,632.54 | ↓ -20% |
| Healthfirst | Medicare Advantage PPO | $1,844.11 | ↓ -10% |
| Senior Whole Health | MAP | $2,040.67 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $2,040.67 | ↑ +0% |
| Senior Whole Health | MLTC | $2,040.67 | ↑ +0% |
| VACCN | All Products | $2,040.67 | ↑ +0% |
| VNSNY | Medicare Advantage | $2,040.67 | ↑ +0% |
| Fidelis | MAP | $2,040.67 | ↑ +0% |
| VNSNY | Medicare SNP | $2,040.67 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $2,142.70 | ↑ +5% |
| Healthfirst | MAP | $2,177.38 | ↑ +7% |
| Healthfirst | MEDICARE ADVANTAGE | $2,177.38 | ↑ +7% |
| Centerlight | PACE | $2,221.82 | ↑ +9% |
| Aetna | ALL PRODUCTS | $2,297.00 | ↑ +13% |
| UNITED | MEDICARE ADVANTAGE | $2,332.91 | ↑ +14% |
| ANTHEM | Blue Access Small Group | $2,344.00 | ↑ +15% |
| ANTHEM | Small Group EPO_PPO | $2,344.00 | ↑ +15% |
| ANTHEM | Blue Access Large Group | $2,409.00 | ↑ +18% |
| MAGNACARE | PPO FPP | $2,448.80 | ↑ +20% |
| MAGNACARE | Direct Plus Non-FPP | $2,448.80 | ↑ +20% |
| MAGNACARE | Direct Plus FPP | $2,448.80 | ↑ +20% |
| MAGNACARE | PPO Non-FPP | $2,448.80 | ↑ +20% |
| OXFORD | Liberty | $2,454.00 | ↑ +20% |
| MetroPlus | MEDICARE ADVANTAGE | $2,510.66 | ↑ +23% |
| MetroPlus | EXCHANGE | $2,510.66 | ↑ +23% |
| MetroPlus | MAP | $2,510.66 | ↑ +23% |
| ANTHEM | PPO | $2,644.00 | ↑ +30% |
| ANTHEM | EPO | $2,644.00 | ↑ +30% |
| ANTHEM | HMO | $2,644.00 | ↑ +30% |
| ANTHEM | INDEMNITY | $2,644.00 | ↑ +30% |
| Amidacare | Managed Medicaid | $2,764.00 | ↑ +35% |
| OXFORD | Freedom | $2,780.00 | ↑ +36% |
| Fidelis | EXCHANGE | $2,897.75 | ↑ +42% |
| Wellcare | MEDICARE ADVANTAGE | $3,020.19 | ↑ +48% |
| EMBLEM | MEDICARE ADVANTAGE | $3,061.00 | ↑ +50% |
| OSCAR | ALL PRODUCTS | $3,332.73 | ↑ +63% |
| VillageCare Max | MAP | $3,332.73 | ↑ +63% |
| VillageCare Max | MEDICARE ADVANTAGE | $3,332.73 | ↑ +63% |
| UNITED | EXCHANGE | $3,594.00 | ↑ +76% |
| UNITED | ALL PRODUCTS | $3,963.00 | ↑ +94% |
| Elderplan | MAP_Medicare Advantage_MLTC | $4,443.64 | ↑ +118% |
| EMBLEM | PPO_Commercial | $5,014.00 | ↑ +146% |
| EMBLEM | HIP_GHI_CHP | $5,014.00 | ↑ +146% |
Visitor-reported prices
Comments
Nasal/sinus endo surg w/concha bullosa resct 31240 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Lincoln Medical Center | Bronx | $2,040.67 | $182.00 – $4,443.64 |
| North Central Bronx | Bronx | $2,040.67 | $182.00 – $4,443.64 |
| Bellevue Hospital Center | NY 10016 | $2,040.67 | $96.56 – $4,443.64 |
| Harlem Hospital Center | New York | $2,040.67 | $178.31 – $4,443.64 |
| Kings County Hospital Center | Brooklyn | $2,040.67 | $96.56 – $4,443.64 |
| Metropolitan Hospital Center | New York | $2,040.67 | $182.00 – $4,443.64 |
| Queens Hospital Center | Jamaica | $2,040.67 | $96.56 – $4,443.64 |
| Woodhull Medical Center | Brooklyn | $2,040.67 | $96.56 – $4,443.64 |