healthcosts.net
Shoulder Arthroscopy (Rotator Cuff Repair) at Jacobi Medical Center
1400 Pelham Parkway South, Bronx, NY · NYC Health + Hospitals · · NPI 1679587679
not published by hospital
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.
?
What you pay up front if you don't use insurance.
$16,661.08
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.
?
The hospital's undiscounted list price — almost no one pays this.
$1,009.57 with Healthfirst vs $14,161.92 with VillageCare Max — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 |
|---|---|---|---|
| Healthfirst | CHP | $1,009.57 | — |
| Aetna | MEDICARE ADVANTAGE | $1,080.67 | — |
| MetroPlus | HARP | $1,200.00 | — |
| Healthfirst | HARP | $1,326.75 | — |
| Healthfirst | Managed Medicaid | $1,326.75 | — |
| Wellcare | MEDICARE ADVANTAGE | $1,362.92 | — |
| Fidelis | MAP | $1,817.22 | — |
| Healthfirst | MEDICARE ADVANTAGE | $2,914.00 | — |
| Healthfirst | MAP | $2,914.00 | — |
| Healthfirst | Medicare Advantage PPO | $2,914.00 | — |
| Healthfirst | Small Group | $3,332.22 | — |
| Aetna | ALL PRODUCTS | $3,502.00 | — |
| Local 1199 | ALL PRODUCTS | $3,770.00 | — |
| MetroPlus | Managed Medicaid | $4,147.47 | — |
| UNITED | HARP | $4,147.47 | — |
| MetroPlus | CHP | $4,147.47 | — |
| Senior Whole Health | MLTC | $4,147.47 | — |
| UNITED | Managed Medicaid | $4,147.47 | — |
| MetroPlus | Goldcare 1 & 2 | $4,147.47 | — |
| MetroPlus | Gold | $4,147.47 | — |
| MetroPlus | SNP | $4,147.47 | — |
| Carelon | Managed Medicaid_HARP_CHP | $4,147.47 | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $4,147.47 | — |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $4,147.47 | — |
| Fidelis | CHP | $4,147.47 | — |
| Anthem HealthPlus | EXCHANGE | $4,147.47 | — |
| Senior Whole Health | MAP | $4,147.47 | — |
| Amidacare | Managed Medicaid | $4,147.47 | — |
| Fidelis | HARP_Managed Medicaid | $4,147.47 | — |
| VNSNY | Medicaid SNP | $4,230.42 | — |
| UNITED BEHAVIORAL HEALTH | HARP | $4,230.42 | — |
| VNSNY | MAP | $4,230.42 | — |
| Affinity | HARP_Managed Medicaid | $4,230.42 | — |
| Carelon (Amida Care) | Managed Medicaid | $4,230.42 | — |
| UNITED BEHAVIORAL HEALTH | CHP | $4,230.42 | — |
| CIGNA | ALL PRODUCTS | $4,285.00 | — |
| OXFORD | Liberty | $4,313.00 | — |
| Affinity | CHP | $4,354.84 | — |
| UNITED | Essential Plan 1-4_200-250 | $4,437.79 | — |
| OSCAR | ALL PRODUCTS | $4,454.00 | — |
| ANTHEM | Small Group EPO_PPO | $4,465.00 | — |
| ANTHEM | Blue Access Small Group | $4,465.00 | — |
| Anthem HealthPlus | CHP | $4,562.22 | — |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $4,562.22 | — |
| ANTHEM | Blue Access Large Group | $4,589.00 | — |
| EMBLEM | HIP_GHI_CHP | $4,821.00 | — |
| OXFORD | Freedom | $4,894.00 | — |
| ANTHEM | EPO | $4,961.00 | — |
| ANTHEM | INDEMNITY | $4,961.00 | — |
| ANTHEM | PPO | $4,961.00 | — |
| ANTHEM | HMO | $4,961.00 | — |
| Healthfirst | EXCHANGE | $5,184.34 | — |
| EMBLEM | Essential Plan 3-4 | $5,184.34 | — |
| UNITED | CHP | $5,184.34 | — |
| UNITED | EXCHANGE | $5,218.00 | — |
| EMBLEM | Essential Plan 1-2 | $5,599.08 | — |
| UNITED | ALL PRODUCTS | $6,042.00 | — |
| Centerlight | PACE | $8,330.54 | — |
| Elderplan | MAP_Medicare Advantage_MLTC | $8,453.60 | — |
| VNSNY | Medicare Advantage | $8,453.60 | — |
| ANTHEM | MEDICARE ADVANTAGE | $8,453.60 | — |
| VACCN | All Products | $8,453.60 | — |
| VNSNY | Medicare SNP | $8,453.60 | — |
| Affinity | Essential Plan 1-2 | $8,491.91 | — |
| Affinity | Essential Plan 200-250 | $8,491.91 | — |
| Affinity | Essential Plan 3-4 | $8,491.91 | — |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | $8,791.75 | — |
| Healthfirst | Essential Plan 1-2 | $9,331.81 | — |
| MetroPlus | Essential Plan 200-250 | $9,331.81 | — |
| Healthfirst | Essential Plan 3-4 | $9,331.81 | — |
| MetroPlus | Essential Plan 1-2 | $9,331.81 | — |
| Fidelis | Essential Plan 1-4_200-250 | $9,331.81 | — |
| Anthem HealthPlus | Essential Plan 3-4 | $9,331.81 | — |
| Healthfirst | Essential Plan 200-250 | $9,331.81 | — |
| MetroPlus | Essential Plan 3-4 | $9,331.81 | — |
| Anthem HealthPlus | Essential Plan 1-2 | $9,331.81 | — |
| EMBLEM | MEDICARE ADVANTAGE | $10,567.01 | — |
| Carelon | GHI BMP | $10,829.70 | — |
| Carelon | MAP_Medicare Advantage | $10,829.70 | — |
| Carelon | Commercial_Essential Plans | $10,829.70 | — |
| Fidelis | EXCHANGE | $12,004.11 | — |
| MAGNACARE | PPO Non-FPP | $12,495.81 | — |
| MAGNACARE | Direct Plus Non-FPP | $12,495.81 | — |
| MULTIPLAN | ALL PRODUCTS | $13,328.86 | — |
| VillageCare Max | MAP | $14,161.92 | — |
| VillageCare Max | MEDICARE ADVANTAGE | $14,161.92 | — |
| OXFORD | MEDICARE ADVANTAGE | not published by hospital | — |
| MetroPlus | MEDICARE ADVANTAGE | not published by hospital | — |
| MetroPlus | EXCHANGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| MetroPlus | MAP | not published by hospital | — |
| Hamaspik | MEDICARE ADVANTAGE | not published by hospital | — |
Visitor-reported prices
Comments
Shoulder Arthroscopy (Rotator Cuff Repair) at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Lincoln Medical Center | Bronx | not published | $1,009.57 – $11,918.04 |
| North Central Bronx | Bronx | not published | $1,009.57 – $14,161.92 |
| Bellevue Hospital Center | NY 10016 | $8,273.12 | $0.01 – $13,328.86 |
| Kings County Hospital Center | Brooklyn | $8,189.28 | $630.98 – $14,161.92 |
| Queens Hospital Center | Jamaica | $8,273.12 | $607.86 – $14,161.92 |
| Woodhull Medical Center | Brooklyn | $8,273.12 | $630.98 – $14,161.92 |
| Elmhurst Hospital Center | NY 11373 | not published | $972.57 – $11,918.04 |
| Harlem Hospital Center | New York | not published | $977.38 – $11,918.04 |