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 |
|---|---|---|---|---|
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $724.37 | $2,478.04 | $0.01 – $1,383.86 | 21 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $724.37 | $4,457.40 | $0.01 – $1,383.86 | 21 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | not published | $3,532.33 | $0.01 – $645.00 | 8 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $472.79 | $1,900.43 | $0.01 – $781.00 | 21 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $724.37 | $2,847.88 | $0.01 – $782.32 | 21 |
| Complx repair fccmnaxghf 13133 CPT 13133 | not published | $2,208.89 | $0.01 – $781.00 | 9 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | not published | $2,208.89 | $0.01 – $781.00 | 9 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $724.37 | $2,422.74 | $0.01 – $1,383.86 | 21 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | not published | $2,208.89 | $0.01 – $781.00 | 9 |
| Component ankle afo plastic jt mold to pt mdl foot cup HCPCS L1970 | not published | not published | $601.51 – $1,224.54 | 3 |
| Composite byp grft 2 veins CPT 35682 | not published | not published | $408.41 – $588.11 | 4 |
| Composite byp grft 3/> segmt CPT 35683 | not published | not published | $476.08 – $685.56 | 4 |
| Composite byp grft pros&vein CPT 35681 | not published | not published | $92.04 – $132.54 | 4 |
| Composite drsg >16<=48 sq in HCPCS A6204 | not published | not published | $4.91 – $10.01 | 3 |
| Composite drsg <= 16 sq in HCPCS A6203 | not published | not published | $2.67 – $5.42 | 2 |
| Composite graft/pri close/don area 15760 CPT 15760 | $2,164.64 | $8,190.31 | $0.01 – $3,863.34 | 20 |
| Comprehensive hearing test CPT 92557 | $185.15 | $399.68 | $34.71 – $240.93 | 17 |
| Compre oph exam est pt 1/> CPT 92014 | $152.50 | $664.63 | $0.01 – $781.00 | 22 |
| Compre oph exam new pt 1/> CPT 92004 | $152.50 | $741.34 | $0.01 – $645.00 | 21 |
| Compression stocking bk18-30 HCPCS A6530 | not published | not published | $22.62 – $39.00 | 2 |
| Comp rpr tof wo pulm atresia CPT 33692 | not published | not published | $2,198.00 – $3,283.86 | 4 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | not published | $1,088.73 | $1.00 – $1,290.00 | 10 |
| Concentration infection agents any type CPT 87015 | $6.68 | $27.98 | $1.00 – $16.95 | 20 |
| Conditioning play audiometry 92582 CPT 92582 | $185.15 | $660.56 | $104.26 – $240.93 | 17 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | not published | not published | $187.06 – $214.49 | 2 |
| Condylomata destruction 56420 CPT 56420 | $238.06 | $920.19 | $0.01 – $781.00 | 21 |
| Conform band n/s w>=3"<5"/yd HCPCS A6443 | not published | not published | $0.22 – $0.45 | 2 |
| Conform band s w>=3" <5"/yd HCPCS A6446 | not published | not published | $0.33 – $0.63 | 2 |
| Conform band s w >=5"/yd HCPCS A6447 | not published | not published | $0.53 – $1.10 | 3 |
| Congo red blood test HCPCS P2029 | $4.95 | not published | $3.96 – $9.90 | 19 |
| Conivaptan hcl HCPCS C9488 | not published | not published | $30.73 – $55.01 | 3 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $3,762.53 | $8,485.42 | $0.01 – $6,061.28 | 20 |
| Conization of cervix CPT 57520 | $3,762.53 | $8,598.43 | $0.01 – $6,061.28 | 20 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $382.79 | not published | $306.23 – $803.00 | 21 |
| Connect omega .5mm HCPCS L8613 | not published | not published | $227.59 – $463.31 | 3 |
| Connector tis 2x10mm HCPCS C9352 | not published | not published | $564.27 – $1,117.30 | 2 |
| Constj trachesophgl fstl CPT 31611 | $3,837.72 | not published | $621.07 – $8,277.27 | 20 |
| Construct bladder opening CPT 51980 | not published | not published | $779.00 – $1,171.92 | 4 |
| Construct bowel bladder CPT 50820 | not published | $4,355.31 | $1,491.03 – $2,147.08 | 3 |
| Construct bowel bladder CPT 50825 | not published | not published | $1,831.00 – $2,677.74 | 4 |
| Construction of absent anus CPT 46730 | not published | not published | $1,701.00 – $3,431.56 | 4 |
| Construction of absent anus CPT 46735 | not published | not published | $2,028.00 – $3,946.00 | 4 |
| Construction of absent anus CPT 46740 | not published | not published | $1,836.00 – $3,742.46 | 4 |
| Construction of vagina CPT 57291 | $5,841.60 | not published | $593.00 – $12,488.96 | 20 |
| Construct thumb replacement CPT 26550 | $3,839.54 | not published | $1,939.78 – $8,168.77 | 20 |
| Construct vagina with graft CPT 57292 | $5,841.60 | not published | $915.00 – $12,488.96 | 20 |
| Consultation pathology during surgery CPT 88329 | $70.29 | $102.59 | $1.00 – $110.46 | 19 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $966.69 | $860.26 | $1.00 – $1,508.58 | 19 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | not published | $198.45 | $1.00 – $88.62 | 6 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $202.78 | $644.42 | $1.00 – $319.01 | 19 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $63.23 | $528.67 | $1.00 – $127.78 | 19 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $46.45 | $102.59 | $1.00 – $89.59 | 19 |
| Consultation with family CPT 90887 | not published | $220.13 | $78.44 – $358.00 | 4 |
| Consult comp w/report rfrd material CPT 88325 | $202.78 | $426.48 | $1.00 – $319.01 | 19 |
| Contact layer >16<= 48 sq in HCPCS A6207 | not published | not published | $5.80 – $11.83 | 2 |
| Contact lens fitg aphakia 1 CPT 92311 | $472.21 | $1,279.53 | $0.01 – $836.46 | 20 |
| Contact lens fitg aphakia ou CPT 92312 | $152.54 | $520.01 | $0.01 – $645.00 | 20 |
| Contact lens fitting for tx CPT 92071 | not published | $355.39 | $0.01 – $645.00 | 8 |
| Contact lens fitting ou CPT 92310 | not published | $338.47 | $0.01 – $645.00 | 7 |
| Contact lens gas permeable HCPCS V2531 | not published | not published | $435.12 – $749.52 | 2 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | $633.06 | $0.01 – $645.00 | 8 |
| Cont intraop neuro monitor HCPCS G0453 | not published | not published | $29.00 – $103.93 | 5 |
| Contour cranial bone lesion CPT 21181 | $7,000.36 | not published | $820.00 – $14,779.26 | 20 |
| Contour of face bone lesion CPT 21029 | $3,837.72 | not published | $622.00 – $8,277.27 | 19 |
| Contrast baths charges CPT 97034 | $15.62 | $163.74 | $12.50 – $32.06 | 19 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $3,724.63 | $8,534.05 | $1.00 – $5,912.15 | 19 |
| Contrast exam thoracic aorta CPT 75600 | $3,724.63 | not published | $63.13 – $7,882.87 | 22 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $6,396.89 | $13,852.58 | $1.00 – $10,419.09 | 19 |
| Contrast x-ray gallbladder CPT 74290 | $210.66 | $779.48 | $1.00 – $328.43 | 19 |
| Contrast x-ray of ankle CPT 73615 | $422.61 | $1,503.70 | $1.00 – $653.24 | 19 |
| Contrast x-ray of brain CPT 70010 | $422.61 | not published | $65.49 – $870.99 | 22 |
| Contrast x-ray of brain CPT 70015 | $934.93 | $2,712.90 | $1.00 – $1,467.83 | 19 |
| Contrast x-ray of elbow CPT 73085 | $422.61 | $1,457.48 | $1.00 – $653.24 | 19 |
| Contrast x-ray of hip CPT 73525 | $422.61 | $1,488.65 | $1.00 – $653.24 | 19 |
| Contrast x-ray of knee joint CPT 73580 | $422.61 | $1,528.45 | $1.00 – $653.24 | 19 |
| Contrast x-ray of wrist CPT 73115 | $422.61 | $1,497.20 | $1.00 – $653.24 | 19 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | not published | not published | $15,497.78 – $19,718.60 | 2 |
| Controller infinity pt dbs HCPCS C1787 | not published | not published | $45.88 – $45.88 | 1 |
| Control nosebleed pack+caut 30905 CPT 30905 | $152.54 | $699.22 | $0.01 – $781.00 | 21 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | $1,552.89 | $526.36 – $757.96 | 3 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | $3,837.72 | not published | $563.00 – $8,277.27 | 20 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | $274.80 | not published | $219.84 – $591.31 | 19 |
| Control of nosebleed ant comp 30903 CPT 30903 | $152.54 | $673.02 | $0.01 – $645.00 | 20 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $152.54 | $590.86 | $0.01 – $781.00 | 21 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $602.63 | $3,735.06 | $187.85 – $1,009.85 | 18 |
| Control throat bleeding CPT 42961 | not published | not published | $481.00 – $702.75 | 4 |
| Control throat bleeding CPT 42962 | $3,837.72 | $10,889.18 | $0.01 – $6,207.95 | 20 |
| Contrst x-ray uppr gi tract CPT 74249 | not published | not published | $132.00 – $456.99 | 2 |
| Conversion ext bil drg cath CPT 47535 | $4,176.15 | $10,175.66 | $215.21 – $6,704.03 | 16 |
| Convert nephrostomy catheter CPT 50434 | $2,424.12 | $5,759.98 | $210.35 – $5,218.78 | 20 |
| Conv gtube to jtube CPT 44373 | $2,244.82 | $5,399.29 | $217.26 – $3,593.01 | 15 |
| Coombs direct CPT 86880 | $70.29 | $39.73 | $1.00 – $110.46 | 20 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $202.78 | $40.91 | $1.00 – $319.01 | 20 |
| Coombs indirect titer reference CPT 86886 | $202.78 | $39.08 | $1.00 – $319.01 | 20 |
| Copper cu 64 dotatate diag HCPCS A9592 | $595.10 | not published | $476.08 – $1,188.56 | 20 |
| Copper intrauterine device HCPCS J7300 | not published | not published | $1,187.00 – $1,480.70 | 3 |
| Cor artery disease mrna CPT 81493 | $1,050.00 | not published | $738.50 – $2,619.92 | 21 |
| Core ndl bx lng/med perq CPT 32408 | $1,917.33 | $5,573.84 | $166.52 – $3,092.49 | 16 |
| Corf related serv 15 mins ea HCPCS G0409 | not published | not published | $28.18 – $67.50 | 4 |
| Corf skilled nursing service HCPCS G0128 | not published | not published | $5.04 – $26.32 | 5 |
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.