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 |
|---|---|---|---|---|
| Frenectomy 41115 CPT 41115 | $1,752.89 | $4,612.42 | $0.01 – $2,905.23 | 20 |
| Frenotomy 40806 CPT 40806 | $602.63 | $1,591.42 | $0.01 – $1,009.85 | 20 |
| Frenulotomy of penis CPT 54164 | $2,424.12 | $6,122.27 | $0.01 – $3,914.09 | 20 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $84.13 | $264.11 | $74.81 – $135.20 | 18 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $99.75 | $252.89 | $4.51 – $157.58 | 18 |
| Fresh frozen plasma thawing ea un CPT 86927 | $202.78 | $153.05 | $1.00 – $319.01 | 20 |
| Fr frz plasma donor retested HCPCS P9060 | $57.90 | $234.77 | $29.75 – $97.59 | 18 |
| Frozen blood freeze/thaw CPT 86932 | $46.45 | $335.14 | $1.00 – $173.53 | 20 |
| Frozen blood prep CPT 86930 | $202.78 | $335.14 | $1.00 – $319.01 | 20 |
| Frozen blood thaw CPT 86931 | $202.78 | $279.87 | $1.00 – $319.01 | 20 |
| Frozen cell preparation CPT 88241 | $12.09 | not published | $9.67 – $29.86 | 21 |
| Frozen plasma, pooled, sd HCPCS P9023 | $73.74 | $172.44 | $1.22 – $104.71 | 18 |
| Fructosamine glycated protein CPT 82985 | $16.76 | $63.18 | $1.00 – $41.97 | 20 |
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $31.30 – $63.73 | 2 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $154.28 – $296.19 | 4 |
| Fth/gft fr trnk each addl CPT 15201 | not published | $4,332.97 | $88.49 – $127.43 | 3 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $208.99 – $425.45 | 2 |
| Ftl cgen abnor 3 proteins CPT 81509 | $1,487.37 | not published | $39.44 – $3,711.15 | 22 |
| Ftl cgen abnor five anal CPT 81512 | $69.52 | not published | $55.62 – $173.53 | 22 |
| Ftl cgen abnor four anal CPT 81511 | $153.50 | $460.50 | $1.00 – $383.38 | 21 |
| Ftl cgen abnor three anal CPT 81510 | $55.54 | not published | $44.43 – $138.83 | 22 |
| Ftl cgen abnor two proteins CPT 81508 | $54.30 | not published | $31.23 – $135.60 | 22 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $198.16 – $403.40 | 2 |
| Full field erg w/i&r CPT 92273 | $368.50 | $1,223.07 | $0.01 – $1,327.00 | 21 |
| Full mouth x-ray of teeth CPT 70320 | $286.04 | not published | $18.94 – $595.69 | 22 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $36.40 – $74.09 | 2 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $125.84 | $530.55 | $1.00 – $195.75 | 19 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $2,164.64 | $8,452.54 | $0.01 – $3,863.34 | 20 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $2,164.64 | $6,326.62 | $0.01 – $3,863.34 | 20 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $79.00 – $188.74 | 4 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $2,164.64 | $7,504.12 | $0.01 – $3,863.34 | 20 |
| Functional brain mapping CPT 96020 | not published | not published | $158.00 – $370.93 | 3 |
| Fundus photography with i&r 92250 CPT 92250 | $152.54 | $453.48 | $41.41 – $249.12 | 18 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $998.61 – $2,032.93 | 3 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | not published | $9.47 | $0.02 – $0.03 | 13 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $0.39 – $0.80 | 2 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $2,012.00 – $5,515.08 | 4 |
| Fuse esophagus & intestine CPT 43340 | not published | $4,724.16 | $1,650.67 – $2,376.96 | 3 |
| Fuse esophagus & intestine CPT 43341 | not published | $4,728.93 | $1,649.97 – $2,375.96 | 3 |
| Fuse esophagus & stomach CPT 43320 | not published | $7,164.70 | $1,671.29 – $2,406.66 | 3 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $1,230.00 – $2,259.33 | 4 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,395.00 – $2,538.30 | 4 |
| Fuse/graft added joint CPT 26863 | not published | not published | $263.13 – $378.91 | 4 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $1,442.00 – $2,254.74 | 2 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $1,645.00 – $5,191.68 | 4 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,610.00 – $2,872.79 | 4 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,254.00 – $2,250.63 | 4 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,008.00 – $1,893.69 | 4 |
| Fuse upper gi structures CPT 47721 | not published | not published | $1,266.00 – $2,332.27 | 4 |
| Fusion/graft of finger joint CPT 26862 | $3,839.54 | not published | $902.27 – $8,168.77 | 19 |
| Fusion/graft of hand joint CPT 26844 | $8,453.60 | not published | $1,016.20 – $18,115.63 | 19 |
| Fusion of ankle joint open CPT 27870 | $15,226.08 | not published | $1,182.19 – $32,052.64 | 19 |
| Fusion of big toe joint CPT 28750 | $8,453.60 | $15,434.52 | $0.01 – $13,586.72 | 20 |
| Fusion of big toe joint CPT 28755 | $8,453.60 | $19,453.14 | $0.01 – $13,586.72 | 20 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,124.00 – $2,088.32 | 4 |
| Fusion of finger jnt add-on CPT 26861 | not published | $3,793.77 | $0.01 – $645.00 | 8 |
| Fusion of finger joint CPT 26860 | $3,839.54 | $10,288.74 | $0.01 – $6,126.58 | 20 |
| Fusion of finger tendons CPT 26471 | $3,839.54 | $10,449.32 | $0.01 – $6,126.58 | 20 |
| Fusion of finger tendons CPT 26474 | $1,893.86 | not published | $768.24 – $4,014.46 | 19 |
| Fusion of foot bones CPT 28730 | $15,226.08 | not published | $846.67 – $32,052.64 | 19 |
| Fusion of foot bones CPT 28735 | $15,226.08 | $40,929.11 | $0.01 – $24,039.48 | 20 |
| Fusion of foot bones CPT 28740 | $8,453.60 | not published | $715.82 – $18,115.63 | 19 |
| Fusion of hand joint CPT 26843 | $8,453.60 | not published | $922.53 – $18,115.63 | 19 |
| Fusion of knee CPT 27580 | not published | not published | $1,740.89 – $32,052.64 | 11 |
| Fusion of knuckle CPT 26850 | $8,453.60 | $20,675.53 | $0.01 – $13,586.72 | 20 |
| Fusion of knuckle joint CPT 26516 | $3,839.54 | not published | $876.23 – $8,168.77 | 19 |
| Fusion of knuckle joints CPT 26517 | $3,839.54 | not published | $1,024.05 – $8,168.77 | 19 |
| Fusion of knuckle joints CPT 26518 | $8,453.60 | not published | $1,035.72 – $18,115.63 | 19 |
| Fusion of knuckle with graft CPT 26852 | $8,453.60 | not published | $983.05 – $18,115.63 | 19 |
| Fusion of skull arteries CPT 61711 | not published | not published | $2,765.00 – $4,724.09 | 4 |
| Fusion of spermatic ducts CPT 54900 | $2,424.12 | not published | $868.00 – $5,218.78 | 19 |
| Fusion of spermatic ducts CPT 54901 | $4,081.37 | not published | $1,181.00 – $8,800.35 | 19 |
| Fusion of tendons at wrist CPT 25300 | $3,839.54 | not published | $830.01 – $8,168.77 | 19 |
| Fusion of tendons at wrist CPT 25301 | $3,839.54 | not published | $768.85 – $8,168.77 | 19 |
| Fusion of thumb CPT 26841 | $8,453.60 | not published | $910.63 – $18,115.63 | 19 |
| Fusion of tibiofibular joint CPT 27871 | $15,226.08 | not published | $817.20 – $32,052.64 | 19 |
| Fusion of toes CPT 28280 | $3,839.54 | not published | $391.98 – $8,168.77 | 19 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,435.00 – $2,424.90 | 4 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,208.00 – $2,112.81 | 4 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,260.00 – $1,879.16 | 4 |
| Fxn gene charac alleles CPT 81285 | $274.83 | $824.49 | $1.00 – $412.25 | 20 |
| Fxn gene detc abnor alleles CPT 81284 | $137.00 | $411.00 | $1.00 – $205.50 | 20 |
| Fxn gene full gene sequence CPT 81286 | $274.83 | $824.49 | $1.00 – $412.25 | 19 |
| Fxn gene known famil variant CPT 81289 | $185.20 | $555.60 | $1.00 – $277.80 | 20 |
| G0180 home health certification HCPCS G0180 | not published | $203.66 | $0.01 – $645.00 | 9 |
| G6pc gene CPT 81250 | $58.49 | $175.47 | $1.00 – $146.09 | 20 |
| G6pd full gene sequence CPT 81249 | $600.00 | not published | $425.10 – $1,497.21 | 21 |
| G6pd gene alys cmn variant CPT 81247 | $174.81 | not published | $123.85 – $435.85 | 21 |
| G6pd known familial variant CPT 81248 | $375.25 | not published | $117.72 – $936.26 | 22 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | not published | not published | $129.78 – $166.64 | 3 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $51.09 | not published | $40.87 – $99.26 | 20 |
| Gabapentin non-blood CPT 80355 | not published | $82.90 | $0.02 – $34.47 | 4 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.26 – $0.59 | 17 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $1.42 – $2.80 | 17 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.09 – $0.18 | 17 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $14.43 – $28.42 | 17 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $21.07 | $77.26 | $1.00 – $52.46 | 20 |
| Galactokinase - sendout CPT 82759 | $21.48 | not published | $17.18 – $53.27 | 22 |
| Galactose transferase test CPT 82776 | $11.74 | not published | $8.10 – $29.06 | 21 |
| Galectin-3 CPT 82777 | $44.25 | $110.63 | $1.00 – $110.58 | 20 |
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.