healthcosts.net
Skin Biopsy 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.
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What you pay up front if you don't use insurance.
$787.86
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.
$0.01 with CIGNA vs $1,770.82 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 →
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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 |
|---|---|---|---|
| CIGNA | ALL PRODUCTS | $0.01 | — |
| Healthfirst | CHP | $33.58 | — |
| Healthfirst | HARP | $33.58 | — |
| Healthfirst | Managed Medicaid | $33.58 | — |
| Aetna | MEDICARE ADVANTAGE | $34.20 | — |
| EMBLEM | HIP_GHI_CHP | $41.97 | — |
| Wellcare | MEDICARE ADVANTAGE | $45.33 | — |
| Healthfirst | MEDICARE ADVANTAGE | $60.14 | — |
| Healthfirst | MAP | $60.14 | — |
| Healthfirst | Medicare Advantage PPO | $60.14 | — |
| Fidelis | MAP | $60.44 | — |
| Healthfirst | Small Group | $157.57 | — |
| Elderplan | MAP_Medicare Advantage_MLTC | $235.13 | — |
| VNSNY | Medicare Advantage | $235.13 | — |
| ANTHEM | MEDICARE ADVANTAGE | $235.13 | — |
| VACCN | All Products | $235.13 | — |
| VNSNY | Medicare SNP | $235.13 | — |
| Centers Plan for Healthy Living | MEDICARE ADVANTAGE | $244.54 | — |
| Aetna | ALL PRODUCTS | $257.00 | — |
| EMBLEM | MEDICARE ADVANTAGE | $293.92 | — |
| MAGNACARE | PPO Non-FPP | $320.00 | — |
| MAGNACARE | Direct Plus Non-FPP | $320.00 | — |
| Fidelis | EXCHANGE | $333.88 | — |
| OXFORD | Liberty | $362.00 | — |
| Centerlight | PACE | $393.93 | — |
| OXFORD | Freedom | $410.00 | — |
| Local 1199 | ALL PRODUCTS | $420.00 | — |
| UNITED | EXCHANGE | $434.00 | — |
| UNITED | ALL PRODUCTS | $504.00 | — |
| Carelon | GHI BMP | $512.11 | — |
| Carelon | MAP_Medicare Advantage | $512.11 | — |
| Carelon | Commercial_Essential Plans | $512.11 | — |
| OSCAR | ALL PRODUCTS | $614.00 | — |
| ANTHEM | EPO | $630.29 | — |
| MULTIPLAN | ALL PRODUCTS | $630.29 | — |
| ANTHEM | INDEMNITY | $630.29 | — |
| ANTHEM | PPO | $630.29 | — |
| ANTHEM | Blue Access Large Group | $630.29 | — |
| ANTHEM | Small Group EPO_PPO | $630.29 | — |
| ANTHEM | HMO | $630.29 | — |
| ANTHEM | Blue Access Small Group | $630.29 | — |
| VillageCare Max | MAP | $669.68 | — |
| VillageCare Max | MEDICARE ADVANTAGE | $669.68 | — |
| MetroPlus | HARP | $719.20 | — |
| MetroPlus | Managed Medicaid | $787.03 | — |
| UNITED | HARP | $787.03 | — |
| MetroPlus | CHP | $787.03 | — |
| Senior Whole Health | MLTC | $787.03 | — |
| UNITED | Managed Medicaid | $787.03 | — |
| MetroPlus | Goldcare 1 & 2 | $787.03 | — |
| MetroPlus | Gold | $787.03 | — |
| MetroPlus | SNP | $787.03 | — |
| Carelon | Managed Medicaid_HARP_CHP | $787.03 | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | $787.03 | — |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $787.03 | — |
| Fidelis | CHP | $787.03 | — |
| Anthem HealthPlus | EXCHANGE | $787.03 | — |
| Senior Whole Health | MAP | $787.03 | — |
| Amidacare | Managed Medicaid | $787.03 | — |
| Fidelis | HARP_Managed Medicaid | $787.03 | — |
| VNSNY | Medicaid SNP | $802.77 | — |
| UNITED BEHAVIORAL HEALTH | HARP | $802.77 | — |
| VNSNY | MAP | $802.77 | — |
| Affinity | HARP_Managed Medicaid | $802.77 | — |
| Carelon (Amida Care) | Managed Medicaid | $802.77 | — |
| UNITED BEHAVIORAL HEALTH | CHP | $802.77 | — |
| Affinity | CHP | $826.38 | — |
| UNITED | Essential Plan 1-4_200-250 | $842.12 | — |
| Anthem HealthPlus | CHP | $865.73 | — |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $865.73 | — |
| Healthfirst | EXCHANGE | $983.79 | — |
| UNITED | CHP | $983.79 | — |
| EMBLEM | Essential Plan 3-4 | $1,180.55 | — |
| EMBLEM | Essential Plan 1-2 | $1,259.25 | — |
| Affinity | Essential Plan 1-2 | $1,618.20 | — |
| Affinity | Essential Plan 200-250 | $1,618.20 | — |
| Affinity | Essential Plan 3-4 | $1,618.20 | — |
| Healthfirst | Essential Plan 1-2 | $1,770.82 | — |
| MetroPlus | Essential Plan 200-250 | $1,770.82 | — |
| Healthfirst | Essential Plan 3-4 | $1,770.82 | — |
| MetroPlus | Essential Plan 1-2 | $1,770.82 | — |
| Fidelis | Essential Plan 1-4_200-250 | $1,770.82 | — |
| Anthem HealthPlus | Essential Plan 3-4 | $1,770.82 | — |
| Healthfirst | Essential Plan 200-250 | $1,770.82 | — |
| MetroPlus | Essential Plan 3-4 | $1,770.82 | — |
| Anthem HealthPlus | Essential Plan 1-2 | $1,770.82 | — |
| 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
Skin Biopsy at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Lincoln Medical Center | Bronx | not published | $0.01 – $779.20 |
| North Central Bronx | Bronx | not published | $33.58 – $774.06 |
| Bellevue Hospital Center | NY 10016 | $231.52 | $0.01 – $795.99 |
| Kings County Hospital Center | Brooklyn | $229.17 | $0.01 – $796.10 |
| UPMC Chautauqua | Jamestown | $326.40 | $31.36 – $2,904.64 |
| Queens Hospital Center | Jamaica | $231.52 | $0.01 – $791.80 |
| Woodhull Medical Center | Brooklyn | $231.52 | $0.01 – $669.68 |
| Elmhurst Hospital Center | NY 11373 | not published | $0.01 – $776.92 |