Jacobi Medical Center
1400 Pelham Parkway South, Bronx, NY · NYC Health + Hospitals · · NPI 1679587679
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Strapping of elbow or wrist 29260 CPT 29260 | $70.29 | $699.99 | $0.01 – $781.00 | 21 |
| Strapping of hand or finger CPT 29280 | $70.29 | $701.09 | $0.01 – $781.00 | 21 |
| Strapping of hip CPT 29520 | $152.54 | $710.44 | $20.11 – $332.16 | 20 |
| Strapping of knee CPT 29530 | $152.54 | $682.34 | $0.01 – $781.00 | 21 |
| Strapping of toes 29550 CPT 29550 | $70.29 | $701.16 | $0.01 – $781.00 | 21 |
| Strep a ag ia CPT 87430 | $16.81 | not published | $6.57 – $41.97 | 22 |
| Strep a dna dir probe CPT 87650 | $20.05 | not published | $8.31 – $50.04 | 22 |
| Strep a dna quant CPT 87652 | $41.76 | not published | $33.41 – $104.12 | 21 |
| Strep b assay w/optic CPT 87802 | $12.73 | $38.19 | $1.00 – $31.48 | 20 |
| Strep b dna amp probe CPT 87653 | $35.09 | $128.73 | $1.00 – $87.17 | 20 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $79.50 – $106.81 | 3 |
| Streptokinase antibody CPT 86590 | $12.66 | not published | $10.13 – $31.48 | 21 |
| Streptomycin injection HCPCS J3000 | not published | not published | $26.88 – $77.69 | 17 |
| Streptozocin injection HCPCS J9320 | not published | not published | $370.18 – $447.92 | 3 |
| Stress test pulmonary CPT 94618 | $152.54 | $724.59 | $38.09 – $249.12 | 18 |
| Stress tte complete CPT 93351 | $648.84 | $2,263.56 | $261.48 – $1,023.12 | 18 |
| Str markers spec anal addl CPT 81266 | $304.81 | $762.03 | $1.00 – $457.22 | 19 |
| Str markers specimen anal CPT 81265 | $233.07 | $716.82 | $1.00 – $581.94 | 20 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | $819.50 | not published | $142.51 – $1,762.28 | 19 |
| Subq i/p critical care pr day age 28 days/less than 99469 CPT 99469 | not published | not published | $420.42 – $1,246.25 | 5 |
| Subq njx filling matrl 1cc/< CPT 11950 | $235.13 | $1,932.78 | $0.01 – $645.00 | 20 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | $724.37 | $2,133.76 | $0.01 – $1,383.86 | 20 |
| Subsequent intensive care infant 1500-2500 grams 99479 CPT 99479 | not published | not published | $130.95 – $389.21 | 5 |
| Subsequent intensive care infant 2501-5000 grams 99480 CPT 99480 | not published | not published | $126.34 – $374.78 | 5 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $134.42 – $193.56 | 4 |
| Subtalar arthro w/deb CPT 29906 | $3,839.54 | not published | $665.13 – $8,168.77 | 19 |
| Subtalar arthro w/exc CPT 29905 | $8,453.60 | not published | $582.93 – $18,115.63 | 19 |
| Subtalar arthro w/fb rmvl CPT 29904 | $3,839.54 | not published | $584.00 – $8,168.77 | 19 |
| Subtalar arthro w/fusion CPT 29907 | $15,226.08 | not published | $811.00 – $32,052.64 | 19 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,451.00 – $2,618.54 | 4 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | not published | not published | $0.15 – $0.99 | 3 |
| Suction lipectomy head&neck CPT 15876 | $4,332.25 | $12,446.43 | $0.01 – $6,635.36 | 20 |
| Suction lipectomy lwr extrem CPT 15879 | $4,332.25 | $10,467.78 | $0.01 – $6,635.36 | 20 |
| Suction lipectomy trunk CPT 15877 | $4,332.25 | $10,467.78 | $0.01 – $6,635.36 | 20 |
| Suction lipectomy upr extrem CPT 15878 | $2,164.64 | $6,326.62 | $0.01 – $3,863.34 | 19 |
| Suction socket HCPCS L6686 | not published | not published | $406.73 – $828.01 | 2 |
| Suction susp ak/knee disart HCPCS L5652 | not published | not published | $296.04 – $602.67 | 2 |
| Sugars multiple quant CPT 84379 | $11.53 | not published | $9.22 – $29.06 | 22 |
| Sugars single quant CPT 84378 | $11.53 | $42.26 | $1.00 – $29.06 | 20 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | not published | not published | $0.04 – $0.08 | 16 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | $82.90 | $0.02 – $34.47 | 4 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | not published | not published | $30.86 – $51.89 | 3 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $2.68 – $3.97 | 2 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | $54.60 | $185.96 | $0.01 – $645.00 | 20 |
| Supply of digital device HCPCS G0552 | $152.50 | not published | $122.00 – $332.38 | 19 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $15.89 – $30.75 | 3 |
| Support clav 29.6-40.5in med HCPCS L3650 | not published | not published | $42.48 – $86.48 | 3 |
| Supprelin la implant HCPCS J9226 | $45,350.22 | not published | $36,280.18 – $79,464.71 | 21 |
| Suprv interfacilty transport CPT 99485 | not published | not published | $55.00 – $114.51 | 4 |
| Suprv interfac trnsport addl CPT 99486 | not published | not published | $48.00 – $99.23 | 4 |
| Surg dx exam anorectal CPT 45990 | $3,245.23 | $8,505.69 | $0.01 – $5,197.22 | 20 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | $2,846.49 | $990.96 – $1,426.98 | 2 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | $2,847.30 | $991.50 – $1,427.76 | 2 |
| Surgery for urethra pouch CPT 53240 | $4,081.37 | not published | $487.80 – $8,800.35 | 19 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $994.00 – $1,979.81 | 4 |
| Surgery to stop leg growth CPT 27475 | $8,453.60 | not published | $794.09 – $18,115.63 | 20 |
| Surgery to stop leg growth CPT 27477 | $8,453.60 | not published | $877.92 – $18,115.63 | 20 |
| Surgery to stop leg growth CPT 27479 | $8,453.60 | not published | $1,092.56 – $18,115.63 | 20 |
| Surgery to stop leg growth CPT 27485 | $8,453.60 | not published | $805.92 – $18,115.63 | 20 |
| Surgical exposure prostate 55860 CPT 55860 | $6,015.75 | not published | $948.00 – $13,386.09 | 20 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,277.00 – $2,244.67 | 4 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,106.00 – $1,817.68 | 4 |
| Surgical opening of stomach CPT 43510 | $1,109.47 | not published | $887.58 – $2,264.35 | 20 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $704.00 – $1,357.55 | 4 |
| Surgical opening of throat CPT 42955 | $1,752.89 | not published | $621.00 – $3,873.63 | 19 |
| Surgical pathology level 1 gross examination only CPT 88300 | $28.98 | $416.24 | $0.01 – $54.16 | 21 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $46.45 | $416.24 | $1.00 – $69.94 | 19 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $63.23 | $416.24 | $1.00 – $97.57 | 19 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $63.23 | $416.24 | $0.01 – $97.57 | 21 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $425.68 | $1,461.34 | $0.01 – $671.16 | 21 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $966.69 | $2,889.04 | $1.00 – $1,508.58 | 19 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,250.00 – $2,309.80 | 4 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,438.00 – $2,626.20 | 4 |
| Surgical revision intestine CPT 44680 | not published | not published | $972.00 – $1,855.89 | 4 |
| Surgical trays HCPCS A4550 | not published | not published | $17.64 – $28.64 | 2 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $89.70 – $310.68 | 10 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | $3,245.23 | not published | $296.00 – $6,929.63 | 19 |
| Susceptibility agar dilution per agent CPT 87181 | $4.75 | $19.92 | $1.00 – $12.11 | 20 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $4.75 | not published | $3.80 – $12.11 | 22 |
| Susceptibility mic per plate CPT 87186 | $8.65 | $24.36 | $1.00 – $21.79 | 20 |
| Suscept studies macrobroth dilution ea CPT 87188 | $6.64 | $21.32 | $1.00 – $16.95 | 20 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,001.00 – $1,661.37 | 4 |
| Suspension of testis CPT 54620 | $4,081.37 | not published | $333.00 – $8,800.35 | 19 |
| Suspension of uterus CPT 58410 | not published | not published | $851.00 – $1,361.38 | 4 |
| Suspension of uterus 58400 CPT 58400 | not published | $4,177.74 | $533.29 – $767.94 | 3 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $75.23 – $153.16 | 3 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,001.00 – $1,793.76 | 4 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,311.00 – $2,373.88 | 4 |
| Svc venogram s&i CPT 75827 | $1,838.28 | $2,237.95 | $1.00 – $2,947.49 | 19 |
| Swallowing Evaluation (Bedside) CPT 92610 | $77.92 | $508.42 | $52.71 – $242.25 | 17 |
| Swallowing Therapy Session CPT 92526 | $94.21 | $303.46 | $75.37 – $189.42 | 20 |
| Sweat collection by iontophoresis CPT 89230 | $63.23 | not published | $3.72 – $130.10 | 22 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $1,579.45 – $3,215.37 | 2 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $2,500.60 – $5,090.61 | 2 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $230.69 – $469.61 | 2 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $242.14 – $492.92 | 2 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $164.24 – $334.32 | 2 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $307.84 – $626.67 | 2 |
| Sympathectomy cervical CPT 64802 | $2,310.83 | not published | $650.00 – $4,875.11 | 19 |
| Sympathectomy digital artery CPT 64820 | $2,310.83 | not published | $808.00 – $4,875.11 | 19 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.