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 |
|---|---|---|---|---|
| Gjb6 gene com variants CPT 81254 | $35.00 | $144.48 | $1.00 – $87.17 | 20 |
| Glassia injection HCPCS J0257 | $5.58 | not published | $4.46 – $11.16 | 21 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | $28.98 | $215.28 | $0.01 – $645.00 | 20 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | $46.45 | $843.92 | $0.01 – $645.00 | 20 |
| Glaucoma surgery CPT 66150 | $4,760.49 | not published | $829.00 – $10,319.37 | 19 |
| Glaucoma surgery CPT 66155 | $4,760.49 | not published | $827.00 – $10,319.37 | 19 |
| Glaucoma surgery CPT 66160 | $2,698.92 | not published | $943.00 – $5,761.64 | 19 |
| Glaucoma surgery CPT 66170 | $2,698.92 | $10,963.72 | $0.01 – $4,321.23 | 20 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $59.15 – $120.41 | 2 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $192.30 | not published | $117.33 – $284.60 | 21 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $108.93 | not published | $87.14 – $260.55 | 21 |
| Glucagon plasma - sendout CPT 82943 | $14.29 | $52.42 | $1.00 – $35.51 | 20 |
| Glucagon tolerance panel CPT 80422 | $46.07 | not published | $36.86 – $114.61 | 21 |
| Glucagon tolerance panel CPT 80424 | $50.50 | not published | $33.07 – $125.91 | 21 |
| Glucagon tolerance test CPT 82946 | $17.77 | not published | $14.22 – $44.39 | 21 |
| Glucose 1 hr post dose CPT 82950 | $4.75 | $16.60 | $1.00 – $12.11 | 20 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $6.05 | not published | $3.79 – $15.34 | 22 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $3.28 | $9.10 | $0.01 – $5.00 | 21 |
| Glucose blood quantitative CPT 82947 | $3.93 | $16.44 | $1.00 – $9.69 | 20 |
| Glucose body fluid CPT 82945 | $3.93 | $16.44 | $1.00 – $9.69 | 20 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $70.29 | $633.06 | $0.01 – $645.00 | 20 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $12.87 | $47.23 | $1.00 – $32.28 | 20 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $3.92 | $11.76 | $1.00 – $9.69 | 20 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $0.51 | $26.60 | $0.30 – $0.55 | 16 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $15.70 – $30.15 | 3 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $11.10 | not published | $8.88 – $22.06 | 21 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $18.58 | $77.90 | $1.00 – $46.01 | 20 |
| Gonadotropin hormone panel CPT 80426 | $148.41 | not published | $118.73 – $370.47 | 22 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $18.52 | $77.64 | $1.00 – $46.01 | 20 |
| Gonioscopy CPT 92020 | $152.54 | $270.78 | $0.01 – $645.00 | 20 |
| Goniotomy CPT 65820 | $4,760.49 | $10,801.16 | $0.01 – $7,739.53 | 20 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $674.77 | not published | $539.82 – $1,101.23 | 13 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | $38.04 | $38.04 – $233.01 | 9 |
| Graft axiofill 1000mg HCPCS J3590 | not published | $29,722.11 | not published | 0 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $128.93 – $1,372.76 | 11 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $67.27 – $310.68 | 11 |
| Graft hand or finger tendon CPT 26416 | $3,839.54 | not published | $1,084.35 – $8,168.77 | 19 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $27.91 – $310.68 | 11 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $805.06 – $923.09 | 3 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | not published | not published | $2,443.77 – $2,443.77 | 1 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | not published | not published | $419.60 – $864.67 | 2 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $51.89 – $310.68 | 11 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | $59.81 | $59.81 – $233.01 | 9 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,124.00 – $1,909.32 | 4 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $128.93 – $310.68 | 11 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $52.75 – $310.68 | 11 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $128.93 – $310.68 | 11 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | not published | $18.12 – $310.68 | 10 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $128.93 – $310.68 | 9 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $48.75 – $310.68 | 11 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | not published | not published | $90.16 – $93.94 | 2 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | not published | not published | $35.07 – $59.11 | 2 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $1.46 – $3.71 | 3 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.16 – $0.44 | 17 |
| Granulocyte pheresis ea unit HCPCS P9050 | not published | $2,364.89 | $1,694.36 – $1,694.36 | 1 |
| Great toe-hand transfer CPT 26551 | not published | not published | $3,864.64 – $18,115.63 | 11 |
| Great toe with reduction 28495 CPT 28495 | $283.86 | $1,366.63 | $0.01 – $781.00 | 21 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | $2,164.64 | $6,541.87 | $589.34 – $3,863.34 | 16 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | $4,332.25 | $12,220.48 | $605.27 – $6,635.36 | 16 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | $4,332.97 | $173.63 – $250.03 | 3 |
| Grfg autol soft tiss dir exc CPT 15769 | $4,332.25 | $12,233.44 | $565.67 – $6,635.36 | 16 |
| Ground mileage HCPCS A0425 | not published | not published | $5.53 – $10.54 | 3 |
| Group behave couns 2-10 HCPCS G0473 | $35.25 | $243.77 | $12.42 – $70.16 | 18 |
| Group health education CPT 99078 | not published | $105.00 | $0.01 – $645.00 | 7 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $16.99 | $50.70 | $0.01 – $645.00 | 20 |
| Group train without patient HCPCS G0543 | not published | not published | $11.65 – $72.21 | 11 |
| Growth hormone antibody CPT 86277 | $15.74 | $47.22 | $1.00 – $39.55 | 20 |
| Growth hormone panel CPT 80428 | $66.70 | not published | $53.36 – $166.27 | 22 |
| Growth hormone panel CPT 80430 | $129.33 | not published | $75.75 – $322.85 | 22 |
| Growth stimulation gene 2 CPT 83006 | $75.60 | $226.80 | $1.00 – $188.87 | 20 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | $35.25 | $101.45 | $4.14 – $745.00 | 21 |
| Grp adapt bhv tx by tech CPT 97154 | $35.25 | $101.45 | $4.14 – $828.00 | 21 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,443.00 – $3,299.60 | 4 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,216.04 – $2,214.17 | 4 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,570.02 – $2,845.15 | 4 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,741.58 – $3,112.32 | 4 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,299.79 – $1,871.70 | 3 |
| Gstrst open wo constj tube CPT 43830 | $2,244.82 | not published | $630.00 – $4,790.68 | 20 |
| G-tube reposition CPT 43761 | $287.81 | $1,857.39 | $118.59 – $467.82 | 16 |
| Gu dilat ureter/urethra s&i CPT 74485 | $2,424.12 | $5,525.50 | $1.00 – $5,218.78 | 21 |
| Guided cath fluid drainage 10030 CPT 10030 | $832.60 | $2,635.06 | $149.54 – $1,325.93 | 16 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $243.46 – $769.48 | 3 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | not published | not published | $5.30 – $5.30 | 1 |
| Guide worley csg 9fx50cm std HCPCS C1892 | not published | not published | $0.74 – $0.74 | 1 |
| Guid loc target vol rad tx CPT 77387 | not published | $1,457.58 | $1,193.00 – $1,193.00 | 1 |
| Gum graft CPT 41870 | $1,752.89 | not published | $452.51 – $3,873.63 | 19 |
| Gw stiffened micro access kit HCPCS C1894 | not published | not published | $1.07 – $1.07 | 1 |
| Gynecomastia (males) 19300 CPT 19300 | $4,531.42 | $10,693.23 | $518.25 – $7,331.36 | 15 |
| Hair analysis HCPCS P2031 | not published | not published | $6.00 – $107.61 | 5 |
| Hair removal by electrolysis 17380 CPT 17380 | $724.37 | $2,026.32 | $0.01 – $1,383.86 | 20 |
| Hair trnspl 1-15 punch grfts CPT 15775 | $472.79 | not published | $238.00 – $1,014.89 | 19 |
| Hair trnspl >15 punch grafts CPT 15776 | $472.79 | not published | $378.23 – $1,014.89 | 19 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $28.77 – $58.55 | 2 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $1,376.73 – $2,802.69 | 3 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $1,669.50 – $3,398.69 | 3 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $1,998.59 – $4,068.65 | 3 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $5.29 – $11.72 | 17 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | not published | not published | $0.75 – $1.52 | 17 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $143.39 – $291.92 | 2 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $18.80 – $38.27 | 3 |
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.