Pcv21 vaccine im 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.

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.

$100.94 with Healthfirst vs $664.41 with CIGNA — 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
Healthfirst Managed Medicaid $100.94
Healthfirst CHP $100.94
Healthfirst HARP $100.94
UNITED HARP $121.60
UNITED Managed Medicaid $121.60
Carelon Managed Medicaid_HARP_CHP $121.60
Fidelis HARP_Managed Medicaid $121.60
Anthem HealthPlus EXCHANGE $121.60
UNITED BEHAVIORAL HEALTH Managed Medicaid $121.60
Fidelis CHP $121.60
MetroPlus CHP $121.61
Carelon GHI BMP $121.61
MetroPlus SNP $121.61
Carelon Commercial_Essential Plans $121.61
MetroPlus Gold $121.61
MetroPlus Goldcare 1 & 2 $121.61
MetroPlus Managed Medicaid $121.61
MetroPlus HARP $121.61
UNITED BEHAVIORAL HEALTH CHP $124.03
UNITED BEHAVIORAL HEALTH HARP $124.03
Carelon (Amida Care) Managed Medicaid $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
Emblem Essential Plan 200-250 $164.17
EMBLEM Essential Plan 1-2 $164.17
Healthfirst EXCHANGE $194.58
Healthfirst Small Group $198.22
MetroPlus Essential Plan 3-4 $273.60
MetroPlus Essential Plan 200-250 $273.60
MetroPlus Essential Plan 1-2 $273.60
Healthfirst Essential Plan 200-250 $273.60
Anthem HealthPlus Essential Plan 1-2 $273.60
Fidelis Essential Plan 1-4_200-250 $273.60
Affinity Essential Plan 1-2 $273.60
Healthfirst Essential Plan 3-4 $273.60
Anthem HealthPlus Essential Plan 200-250 $273.60
Affinity Essential Plan 3-4 $273.60
Anthem HealthPlus Essential Plan 3-4 $273.60
Healthfirst Essential Plan 1-2 $273.60
Affinity Essential Plan 200-250 $273.60
Healthfirst Medicare Advantage PPO $337.37
Healthfirst MAP $337.37
Healthfirst MEDICARE ADVANTAGE $337.37
Local 1199 ALL PRODUCTS $344.25
Elderplan MAP_Medicare Advantage_MLTC $344.25
EMBLEM MEDICARE ADVANTAGE $344.25
Fidelis EXCHANGE $344.25
ANTHEM Blue Access Small Group $364.91
ANTHEM PPO $364.91
ANTHEM INDEMNITY $364.91
ANTHEM Small Group EPO_PPO $364.91
ANTHEM Blue Access Large Group $364.91
ANTHEM EPO $364.91
ANTHEM HMO $364.91
Senior Whole Health MAP $371.79
VNSNY Medicare SNP $371.79
VNSNY Medicaid SNP $371.79
VNSNY Medicare Advantage $371.79
VNSNY MAP $371.79
EMBLEM PPO_Commercial $371.79
Centerlight PACE $371.79
Hamaspik MEDICARE ADVANTAGE $371.79
Amidacare Managed Medicaid $371.79
Wellcare MEDICARE ADVANTAGE $371.79
EMBLEM HIP_GHI_CHP $371.79
Senior Whole Health MLTC $371.79
OSCAR ALL PRODUCTS $413.10
VillageCare Max MEDICARE ADVANTAGE $413.10
Aetna ALL PRODUCTS $426.26
CIGNA ALL PRODUCTS $664.41

Visitor-reported prices

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Pcv21 vaccine im at other New-york hospitals

Hospital City Cash price Negotiated range
Lincoln Medical Center Bronx not published $337.37 – $664.41
North Central Bronx Bronx not published $337.37 – $664.41
UPMC Chautauqua Jamestown $252.80 $12.50 – $284.40
Bellevue Hospital Center NY 10016 not published $337.37 – $664.41
Harlem Hospital Center New York not published $337.37 – $664.41
Kings County Hospital Center Brooklyn not published $337.37 – $664.41
Metropolitan Hospital Center New York not published $337.37 – $664.41
Queens Hospital Center Jamaica not published $337.37 – $664.41

All New-york hospitals for this procedure →