Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance at Jacobi Medical Center
1400 Pelham Parkway South, Bronx, NY · NYC Health + Hospitals · · NPI 1679587679
$819.50
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.
$2,522.16
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.
$94.33 with EMBLEM vs $4,677.00 with OSCAR — 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 |
|---|---|---|---|
| EMBLEM | PPO_Commercial | $94.33 | ↓ -88% |
| EMBLEM | HIP_GHI_CHP | $94.33 | ↓ -88% |
| Aetna | MEDICARE ADVANTAGE | $94.33 | ↓ -88% |
| Fidelis | MAP | $135.84 | ↓ -83% |
| Healthfirst | HARP | $579.02 | ↓ -29% |
| Healthfirst | CHP | $579.02 | ↓ -29% |
| Healthfirst | Managed Medicaid | $579.02 | ↓ -29% |
| UNITED | Managed Medicaid | $697.60 | ↓ -15% |
| Anthem HealthPlus | EXCHANGE | $697.60 | ↓ -15% |
| UNITED | HARP | $697.60 | ↓ -15% |
| Carelon | Managed Medicaid_HARP_CHP | $697.60 | ↓ -15% |
| Fidelis | CHP | $697.60 | ↓ -15% |
| UNITED BEHAVIORAL HEALTH | Managed Medicaid | $697.60 | ↓ -15% |
| Fidelis | HARP_Managed Medicaid | $697.60 | ↓ -15% |
| MetroPlus | Goldcare 1 & 2 | $697.61 | ↓ -15% |
| Carelon | GHI BMP | $697.61 | ↓ -15% |
| MetroPlus | SNP | $697.61 | ↓ -15% |
| MetroPlus | Gold | $697.61 | ↓ -15% |
| MetroPlus | Managed Medicaid | $697.61 | ↓ -15% |
| Carelon | Commercial_Essential Plans | $697.61 | ↓ -15% |
| MetroPlus | HARP | $697.61 | ↓ -15% |
| MetroPlus | CHP | $697.61 | ↓ -15% |
| UNITED BEHAVIORAL HEALTH | HARP | $711.55 | ↓ -13% |
| Carelon (Amida Care) | Managed Medicaid | $711.55 | ↓ -13% |
| VNSNY | MAP | $711.55 | ↓ -13% |
| VNSNY | Medicaid SNP | $711.55 | ↓ -13% |
| UNITED BEHAVIORAL HEALTH | CHP | $711.55 | ↓ -13% |
| Healthfirst | MAP | $731.35 | ↓ -11% |
| Healthfirst | Medicare Advantage PPO | $731.35 | ↓ -11% |
| Healthfirst | MEDICARE ADVANTAGE | $731.35 | ↓ -11% |
| UNITED | Essential Plan 1-4_200-250 | $746.43 | ↓ -9% |
| UNITED BEHAVIORAL HEALTH | Essential Plan | $767.36 | ↓ -6% |
| Senior Whole Health | MAP | $819.50 | ↑ +0% |
| VNSNY | Medicare SNP | $819.50 | ↑ +0% |
| Senior Whole Health | MLTC | $819.50 | ↑ +0% |
| VACCN | All Products | $819.50 | ↑ +0% |
| VNSNY | Medicare Advantage | $819.50 | ↑ +0% |
| ANTHEM | MEDICARE ADVANTAGE | $819.50 | ↑ +0% |
| OXFORD | MEDICARE ADVANTAGE | $860.48 | ↑ +5% |
| UNITED | CHP | $872.01 | ↑ +6% |
| EMBLEM | Essential Plan 3-4 | $872.01 | ↑ +6% |
| Amidacare | Managed Medicaid | $881.14 | ↑ +8% |
| Centerlight | PACE | $881.14 | ↑ +8% |
| Elderplan | MAP_Medicare Advantage_MLTC | $881.14 | ↑ +8% |
| Wellcare | MEDICARE ADVANTAGE | $885.06 | ↑ +8% |
| UNITED | MEDICARE ADVANTAGE | $925.20 | ↑ +13% |
| EMBLEM | Essential Plan 1-2 | $941.77 | ↑ +15% |
| Emblem | Essential Plan 200-250 | $941.77 | ↑ +15% |
| MetroPlus | MEDICARE ADVANTAGE | $995.69 | ↑ +21% |
| MetroPlus | MAP | $995.69 | ↑ +21% |
| MetroPlus | EXCHANGE | $995.69 | ↑ +21% |
| Local 1199 | ALL PRODUCTS | $1,011.00 | ↑ +23% |
| EMBLEM | MEDICARE ADVANTAGE | $1,024.38 | ↑ +25% |
| Healthfirst | EXCHANGE | $1,116.18 | ↑ +36% |
| Healthfirst | Small Group | $1,137.10 | ↑ +39% |
| Fidelis | EXCHANGE | $1,163.69 | ↑ +42% |
| VillageCare Max | MEDICARE ADVANTAGE | $1,321.71 | ↑ +61% |
| VillageCare Max | MAP | $1,321.71 | ↑ +61% |
| Healthfirst | Essential Plan 3-4 | $1,569.60 | ↑ +92% |
| Healthfirst | Essential Plan 1-2 | $1,569.60 | ↑ +92% |
| Anthem HealthPlus | Essential Plan 3-4 | $1,569.60 | ↑ +92% |
| Affinity | Essential Plan 200-250 | $1,569.60 | ↑ +92% |
| Healthfirst | Essential Plan 200-250 | $1,569.60 | ↑ +92% |
| Anthem HealthPlus | Essential Plan 1-2 | $1,569.60 | ↑ +92% |
| Anthem HealthPlus | Essential Plan 200-250 | $1,569.60 | ↑ +92% |
| Affinity | Essential Plan 3-4 | $1,569.60 | ↑ +92% |
| MetroPlus | Essential Plan 1-2 | $1,569.60 | ↑ +92% |
| Affinity | Essential Plan 1-2 | $1,569.60 | ↑ +92% |
| MetroPlus | Essential Plan 3-4 | $1,569.60 | ↑ +92% |
| Fidelis | Essential Plan 1-4_200-250 | $1,569.60 | ↑ +92% |
| MetroPlus | Essential Plan 200-250 | $1,569.60 | ↑ +92% |
| ANTHEM | Small Group EPO_PPO | $1,629.00 | ↑ +99% |
| ANTHEM | Blue Access Small Group | $1,629.00 | ↑ +99% |
| Carelon | MAP_Medicare Advantage | $1,639.40 | ↑ +100% |
| ANTHEM | Blue Access Large Group | $1,674.00 | ↑ +104% |
| Aetna | ALL PRODUCTS | $1,715.00 | ↑ +109% |
| ANTHEM | HMO | $1,835.00 | ↑ +124% |
| ANTHEM | PPO | $1,835.00 | ↑ +124% |
| ANTHEM | INDEMNITY | $1,835.00 | ↑ +124% |
| ANTHEM | EPO | $1,835.00 | ↑ +124% |
| MAGNACARE | PPO Non-FPP | $1,891.62 | ↑ +131% |
| MAGNACARE | Direct Plus Non-FPP | $1,891.62 | ↑ +131% |
| MAGNACARE | Direct Plus FPP | $1,891.62 | ↑ +131% |
| MAGNACARE | PPO FPP | $1,891.62 | ↑ +131% |
| UNITED | ALL PRODUCTS | $2,017.73 | ↑ +146% |
| MULTIPLAN | ALL PRODUCTS | $2,017.73 | ↑ +146% |
| UNITED | EXCHANGE | $2,017.73 | ↑ +146% |
| OXFORD | Liberty | $3,399.00 | ↑ +315% |
| OXFORD | Freedom | $3,850.00 | ↑ +370% |
| CIGNA | ALL PRODUCTS | $4,285.00 | ↑ +423% |
| OSCAR | ALL PRODUCTS | $4,677.00 | ↑ +471% |
| Hamaspik | MEDICARE ADVANTAGE | not published by hospital | — |
| Anthem HealthPlus | CHP | not published by hospital | — |
| Affinity | HARP_Managed Medicaid | not published by hospital | — |
| Anthem HealthPlus | Managed Medicaid_HARP_MLTC_MAP | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | MEDICARE ADVANTAGE | not published by hospital | — |
| UNITED BEHAVIORAL HEALTH | All Products_Exchange | not published by hospital | — |
| Affinity | CHP | not published by hospital | — |
Visitor-reported prices
Comments
Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Lincoln Medical Center | Bronx | $819.50 | $94.33 – $995.69 |
| North Central Bronx | Bronx | $819.50 | $94.33 – $1,321.71 |
| Bellevue Hospital Center | NY 10016 | $819.50 | $61.16 – $1,321.71 |
| Harlem Hospital Center | New York | $819.50 | $92.31 – $995.69 |
| Kings County Hospital Center | Brooklyn | $819.50 | $61.16 – $1,321.71 |
| Metropolitan Hospital Center | New York | $819.50 | $94.33 – $995.69 |
| UPMC Chautauqua | Jamestown | $1,357.80 | $86.08 – $2,036.70 |
| Queens Hospital Center | Jamaica | $819.50 | $61.16 – $1,321.71 |