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 |
|---|---|---|---|---|
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $475.51 | $2,499.24 | $336.31 – $748.54 | 18 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $636.97 | $3,288.64 | $440.15 – $1,016.67 | 18 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | $6,904.15 | $18,723.51 | $0.01 – $11,319.80 | 20 |
| Gallium ga-68 dotatoc HCPCS C9067 | $4.05 | not published | $3.00 – $8.64 | 20 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | $372.17 | not published | $297.74 – $727.00 | 20 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | $534.91 | not published | $427.93 – $1,100.26 | 20 |
| Gallium illuccix 1 millicure HCPCS A9596 | $1,026.05 | not published | $397.17 – $1,518.55 | 20 |
| Gallium locametz 1 millicuri HCPCS A9800 | $873.44 | not published | $300.88 – $5,936.00 | 20 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $1.94 – $2.16 | 3 |
| Galsulfase injection HCPCS J1458 | not published | not published | $503.32 – $1,051.92 | 18 |
| Gamma globulin > 10 cc inj HCPCS J1560 | $498.52 | $148.88 | $148.88 – $523.45 | 17 |
| Gamma globulin 1 cc inj HCPCS J1460 | $49.85 | not published | $39.88 – $97.74 | 21 |
| Gammaglobulin iga CPT 82784 | $9.30 | $38.98 | $1.00 – $23.41 | 20 |
| Gammaglobulin ige CPT 82785 | $16.46 | $69.02 | $1.00 – $41.16 | 20 |
| Gamma glutamyltransferase CPT 82977 | $7.20 | $30.18 | $1.00 – $17.76 | 20 |
| Gammagraft HCPCS Q4111 | not published | not published | $7.87 – $310.68 | 11 |
| Gammaplex injection HCPCS J1557 | $57.93 | not published | $46.34 – $132.54 | 21 |
| Gamunex-c/gammaked HCPCS J1561 | $48.81 | $33.45 | $33.45 – $59.67 | 17 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $31.46 – $65.71 | 17 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $6,160.76 – $17,222.40 | 3 |
| Gardner vag dna amp probe CPT 87511 | $35.09 | not published | $28.07 – $87.17 | 21 |
| Gardner vag dna quant CPT 87512 | $41.76 | not published | $33.41 – $104.12 | 21 |
| Gastric analy w/ph ea spec CPT 82930 | $6.71 | not published | $5.25 – $16.95 | 20 |
| Gastric emptying imag study CPT 78265 | $475.51 | not published | $157.43 – $998.06 | 21 |
| Gastric emptying imag study CPT 78266 | $636.97 | not published | $187.29 – $1,355.56 | 21 |
| Gastric motility studies CPT 91020 | $627.89 | $1,650.24 | $308.57 – $698.71 | 16 |
| Gastric mucosa imaging CPT 78261 | $475.51 | $2,002.14 | $209.29 – $748.54 | 18 |
| Gastrin test CPT 82938 | $17.69 | not published | $14.15 – $44.39 | 22 |
| Gastroduodenostomy CPT 43810 | not published | not published | $933.00 – $1,755.36 | 4 |
| Gastroesophageal reflux study CPT 78262 | $475.51 | $1,903.05 | $257.93 – $748.54 | 18 |
| Gastroesophageal reflux test CPT 91034 | $627.89 | $2,096.36 | $214.74 – $698.71 | 16 |
| Gastrointestinal repair CPT 43360 | not published | not published | $2,297.00 – $3,801.86 | 4 |
| Gastrointestinal repair CPT 43361 | not published | not published | $2,595.00 – $4,636.90 | 4 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $975.00 – $2,310.80 | 4 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,202.00 – $2,261.85 | 4 |
| Gastro/jejuno tube, std HCPCS B4087 | not published | not published | $25.78 – $40.17 | 2 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $1,294.00 – $3,374.76 | 4 |
| Gastrostomy open neonatal CPT 43831 | $1,109.47 | not published | $543.00 – $2,264.35 | 20 |
| Gated heart multiple CPT 78473 | $475.51 | $2,052.02 | $301.13 – $748.54 | 18 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $1.91 – $3.91 | 3 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $2.04 – $4.18 | 2 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $1.68 – $3.43 | 3 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $0.75 – $1.54 | 2 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $2.85 – $5.80 | 2 |
| Gba gene CPT 81251 | $47.25 | $144.48 | $1.00 – $117.84 | 20 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $84.50 – $84.50 | 1 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $81.90 – $81.90 | 1 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $98.80 – $98.80 | 1 |
| Gc stocking thighlngth 18-30 HCPCS A6533 | not published | not published | $54.60 – $54.60 | 1 |
| Gc stocking thighlngth 30-40 HCPCS A6534 | not published | not published | $67.60 – $67.60 | 1 |
| Gc stocking thighlngth 40+ HCPCS A6535 | not published | not published | $66.30 – $66.30 | 1 |
| Gc stocking waistlngth 18-30 HCPCS A6539 | not published | not published | $141.70 – $141.70 | 1 |
| Gc stocking waistlngth 30-40 HCPCS A6540 | not published | not published | $156.00 – $156.00 | 1 |
| Gc stocking waistlngth 40+ HCPCS A6541 | not published | not published | $182.00 – $182.00 | 1 |
| Gefitinib oral HCPCS J8565 | not published | not published | $150.92 – $320.44 | 2 |
| Gel cap app device for trach HCPCS L8515 | not published | $65.63 | $42.07 – $242.25 | 4 |
| Gel cap for trach voice pros HCPCS L8512 | not published | not published | $1.44 – $2.93 | 2 |
| Gel-one HCPCS J7326 | $534.48 | not published | $427.58 – $1,067.18 | 21 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.58 – $1.31 | 18 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $2.88 – $6.25 | 17 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $229.67 | not published | $183.74 – $494.74 | 21 |
| General health panel CPT 80050 | not published | $134.53 | $1.00 – $97.66 | 4 |
| Generator barostim neo2 2014 HCPCS C1767 | not published | not published | $12,880.83 – $12,880.83 | 1 |
| Generator emblem MRI sicd subq HCPCS C1722 | not published | not published | $5,185.44 – $14,165.55 | 2 |
| Genetic counseling 30 min CPT 96040 | not published | $148.66 | $0.01 – $645.00 | 7 |
| Genetic tstg severe inh cond CPT 81443 | $2,448.56 | not published | $1,734.81 – $6,109.92 | 21 |
| Genioplasty augmentation CPT 21120 | $7,000.36 | not published | $487.00 – $14,779.26 | 19 |
| Geniop sldg augmentation CPT 21123 | $3,837.72 | not published | $867.00 – $8,277.27 | 19 |
| Geniop sldg osteot 1 CPT 21121 | $3,837.72 | not published | $610.57 – $8,277.27 | 19 |
| Geniop sldg osteot 2/> CPT 21122 | $7,000.36 | not published | $713.00 – $14,779.26 | 19 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | not published | not published | $24,607.42 – $24,607.42 | 1 |
| Genome re-evaluation CPT 81427 | $2,337.65 | not published | $0.01 – $5,833.08 | 21 |
| Genome sequence analysis CPT 81425 | $5,031.20 | $12,578.00 | $0.02 – $7,546.80 | 19 |
| Genome sequence analysis CPT 81426 | $2,709.95 | not published | $0.01 – $6,762.07 | 21 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $1.89 – $3.72 | 17 |
| Gentamicin peak therapeutic drug level CPT 80170 | $16.38 | $60.11 | $1.00 – $41.16 | 20 |
| Genvisc 850, inj, 1mg HCPCS J7320 | $5.90 | not published | $3.60 – $8.73 | 21 |
| G-esoph reflx tst w/electrod CPT 91035 | $627.89 | $3,460.96 | $505.38 – $1,607.93 | 16 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | $4,332.97 | $168.36 – $242.44 | 3 |
| Ghs abscess perianal iandd CPT 46050 | $1,078.88 | $3,052.08 | $0.01 – $1,741.28 | 21 |
| Ghs abscess postoperative iandd complex CPT 10180 | $3,386.84 | $7,625.71 | $0.01 – $5,438.86 | 21 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $9.81 | $29.43 | $1.00 – $24.21 | 20 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $17.11 | $54.83 | $1.00 – $42.78 | 20 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $102.26 | $306.78 | $1.00 – $255.05 | 20 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $152.54 | $419.15 | $20.51 – $249.12 | 18 |
| Ghs antibodies (torch) igm CPT 86694 | $14.39 | $60.34 | $1.00 – $35.51 | 20 |
| Ghs aspiration bladder - needle CPT 51100 | $287.81 | $1,855.69 | $0.01 – $781.00 | 21 |
| Ghs bladder cath - complex-foley CPT 51703 | $185.15 | $1,000.08 | $0.01 – $781.00 | 21 |
| Ghs bleeding time (ivy) CPT 85002 | $4.82 | $16.51 | $1.00 – $12.11 | 20 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $819.50 | $2,396.64 | $0.01 – $1,321.71 | 20 |
| Ghs central line insert < age 5, failed CPT 36555 | $3,724.63 | $5,277.28 | $91.90 – $5,912.15 | 17 |
| Ghs change cysto/gastrost CPT 43762 | $287.81 | $879.30 | $43.65 – $781.00 | 18 |
| Ghs chemo >8 hrs CPT 96416 | $392.51 | $1,601.32 | $0.01 – $645.00 | 20 |
| Ghs chemo infusion >8 hrs CPT 96425 | $392.51 | $1,532.72 | $187.87 – $1,173.00 | 18 |
| Ghs chemo IV push, ea addtl CPT 96411 | $84.22 | $427.26 | $60.76 – $1,173.00 | 18 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $35.09 | $147.12 | $1.00 – $87.17 | 20 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $283.86 | $1,501.44 | $220.50 – $781.00 | 18 |
| Ghs closed reduction ankle dislocation CPT 27840 | $283.86 | $1,790.03 | $220.50 – $781.00 | 17 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $1,893.86 | $5,331.92 | $0.01 – $3,010.85 | 21 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $283.86 | $2,003.40 | $220.50 – $781.00 | 17 |
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.