Vital capacity test 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

$185.15

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.

Full explanation →

What you pay up front if you don't use insurance.

$436.87

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.

Full explanation →

The hospital's undiscounted list price — almost no one pays this.

$0.01 with CIGNA vs $349.50 with ANTHEM — 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 →

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 ↓ -100%
EMBLEM HIP_GHI_CHP $29.65 ↓ -84%
Aetna MEDICARE ADVANTAGE $29.65 ↓ -84%
EMBLEM PPO_Commercial $29.65 ↓ -84%
Local 1199 ALL PRODUCTS $35.00 ↓ -81%
Aetna ALL PRODUCTS $39.45 ↓ -79%
Fidelis MAP $42.70 ↓ -77%
OXFORD Liberty $88.00 ↓ -52%
OXFORD Freedom $102.00 ↓ -45%
Healthfirst HARP $106.64 ↓ -42%
Healthfirst Managed Medicaid $106.64 ↓ -42%
Healthfirst CHP $106.64 ↓ -42%
UNITED EXCHANGE $115.00 ↓ -38%
UNITED ALL PRODUCTS $128.00 ↓ -31%
UNITED HARP $128.47 ↓ -31%
UNITED Managed Medicaid $128.47 ↓ -31%
Carelon Managed Medicaid_HARP_CHP $128.47 ↓ -31%
UNITED BEHAVIORAL HEALTH Managed Medicaid $128.47 ↓ -31%
Fidelis HARP_Managed Medicaid $128.47 ↓ -31%
Anthem HealthPlus EXCHANGE $128.47 ↓ -31%
Fidelis CHP $128.47 ↓ -31%
MetroPlus Managed Medicaid $128.48 ↓ -31%
MetroPlus Goldcare 1 & 2 $128.48 ↓ -31%
MetroPlus HARP $128.48 ↓ -31%
MetroPlus CHP $128.48 ↓ -31%
MetroPlus Gold $128.48 ↓ -31%
MetroPlus SNP $128.48 ↓ -31%
Carelon Commercial_Essential Plans $128.48 ↓ -31%
Carelon GHI BMP $128.48 ↓ -31%
UNITED BEHAVIORAL HEALTH HARP $131.04 ↓ -29%
UNITED BEHAVIORAL HEALTH CHP $131.04 ↓ -29%
Carelon (Amida Care) Managed Medicaid $131.04 ↓ -29%
VNSNY Medicaid SNP $131.04 ↓ -29%
VNSNY MAP $131.04 ↓ -29%
Healthfirst MAP $133.32 ↓ -28%
Healthfirst MEDICARE ADVANTAGE $133.32 ↓ -28%
UNITED Essential Plan 1-4_200-250 $137.46 ↓ -26%
UNITED BEHAVIORAL HEALTH Essential Plan $141.32 ↓ -24%
Healthfirst Medicare Advantage PPO $157.41 ↓ -15%
UNITED CHP $160.60 ↓ -13%
Amidacare Managed Medicaid $160.62 ↓ -13%
Elderplan MAP_Medicare Advantage_MLTC $160.62 ↓ -13%
Centerlight PACE $160.62 ↓ -13%
Senior Whole Health MLTC $160.62 ↓ -13%
UNITED MEDICARE ADVANTAGE $168.65 ↓ -9%
MetroPlus EXCHANGE $181.50 ↓ -2%
MetroPlus MAP $181.50 ↓ -2%
MetroPlus MEDICARE ADVANTAGE $181.50 ↓ -2%
ANTHEM MEDICARE ADVANTAGE $185.15 ↑ +0%
VACCN All Products $185.15 ↑ +0%
Hamaspik MEDICARE ADVANTAGE $185.15 ↑ +0%
VNSNY Medicare Advantage $185.15 ↑ +0%
VNSNY Medicare SNP $185.15 ↑ +0%
Senior Whole Health MAP $185.15 ↑ +0%
EMBLEM Essential Plan 3-4 $192.72 ↑ +4%
OXFORD MEDICARE ADVANTAGE $194.41 ↑ +5%
Wellcare MEDICARE ADVANTAGE $199.96 ↑ +8%
Healthfirst EXCHANGE $205.57 ↑ +11%
EMBLEM Essential Plan 1-2 $205.57 ↑ +11%
Emblem Essential Plan 200-250 $205.57 ↑ +11%
Healthfirst Small Group $209.42 ↑ +13%
EMBLEM MEDICARE ADVANTAGE $231.44 ↑ +25%
VillageCare Max MAP $240.93 ↑ +30%
OSCAR ALL PRODUCTS $240.93 ↑ +30%
VillageCare Max MEDICARE ADVANTAGE $240.93 ↑ +30%
Fidelis EXCHANGE $262.91 ↑ +42%
Carelon MAP_Medicare Advantage $283.97 ↑ +53%
Anthem HealthPlus Essential Plan 200-250 $289.06 ↑ +56%
Anthem HealthPlus Essential Plan 1-2 $289.06 ↑ +56%
Affinity Essential Plan 200-250 $289.06 ↑ +56%
Affinity Essential Plan 1-2 $289.06 ↑ +56%
Fidelis Essential Plan 1-4_200-250 $289.06 ↑ +56%
Healthfirst Essential Plan 3-4 $289.06 ↑ +56%
MetroPlus Essential Plan 200-250 $289.06 ↑ +56%
Affinity Essential Plan 3-4 $289.06 ↑ +56%
MetroPlus Essential Plan 1-2 $289.06 ↑ +56%
Healthfirst Essential Plan 200-250 $289.06 ↑ +56%
Anthem HealthPlus Essential Plan 3-4 $289.06 ↑ +56%
Healthfirst Essential Plan 1-2 $289.06 ↑ +56%
MetroPlus Essential Plan 3-4 $289.06 ↑ +56%
MAGNACARE PPO Non-FPP $327.65 ↑ +77%
MAGNACARE PPO FPP $327.65 ↑ +77%
MAGNACARE Direct Plus FPP $327.65 ↑ +77%
MAGNACARE Direct Plus Non-FPP $327.65 ↑ +77%
ANTHEM PPO $349.50 ↑ +89%
ANTHEM Small Group EPO_PPO $349.50 ↑ +89%
ANTHEM Blue Access Large Group $349.50 ↑ +89%
ANTHEM EPO $349.50 ↑ +89%
ANTHEM HMO $349.50 ↑ +89%
ANTHEM Blue Access Small Group $349.50 ↑ +89%
MULTIPLAN ALL PRODUCTS $349.50 ↑ +89%
ANTHEM INDEMNITY $349.50 ↑ +89%
Affinity HARP_Managed Medicaid not published by hospital
Anthem HealthPlus CHP not published by hospital
UNITED BEHAVIORAL HEALTH All Products_Exchange not published by hospital
UNITED BEHAVIORAL HEALTH MEDICARE ADVANTAGE not published by hospital
Anthem HealthPlus Managed Medicaid_HARP_MLTC_MAP not published by hospital
Affinity CHP not published by hospital

Visitor-reported prices

visitor-reported
Report what you paid sign in to post

Comments

Add a comment sign in to post

Vital capacity test at other New-york hospitals

Hospital City Cash price Negotiated range
Lincoln Medical Center Bronx $185.15 $0.01 – $240.93
North Central Bronx Bronx $185.15 $0.01 – $240.93
NewYork-Presbyterian Queens Flushing $1,026.00 $35.00 – $194.40
Bellevue Hospital Center NY 10016 $185.15 $0.01 – $240.93
Harlem Hospital Center New York $185.15 $0.01 – $240.93
Kings County Hospital Center Brooklyn $185.15 $0.01 – $240.93
Metropolitan Hospital Center New York $185.15 $0.01 – $240.93
Queens Hospital Center Jamaica $185.15 $0.01 – $240.93

All New-york hospitals for this procedure →