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 |
|---|---|---|---|---|
| Microwave bronch, 3d, ebus HCPCS C9751 | $4,438.19 | $26,329.10 | $4,438.19 – $6,302.23 | 9 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $104.19 | $335.60 | $1.00 – $162.95 | 19 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | not published | $105.00 | $0.16 – $0.32 | 14 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.12 – $0.37 | 17 |
| Middle cerebral artery echo CPT 76821 | $125.84 | $644.14 | $1.00 – $195.75 | 19 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $38.57 – $46.35 | 3 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $1.10 – $2.32 | 17 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $483.07 – $983.40 | 3 |
| Minocycline hydrochloride HCPCS J2265 | $2.59 | not published | $1.51 – $5.46 | 20 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.49 – $0.57 | 2 |
| Miroderm HCPCS Q4175 | not published | not published | $76.68 – $310.68 | 11 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | $66.76 | not published | $53.41 – $143.98 | 21 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $1.04 – $2.33 | 3 |
| Mitochondrial gene CPT 81440 | $3,324.00 | $8,310.00 | $1.00 – $4,986.00 | 19 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | $42.51 | not published | $27.89 – $68.20 | 21 |
| Mitomycin instillation HCPCS J9281 | $307.34 | not published | $245.87 – $659.86 | 21 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | $54.65 | not published | $29.60 – $80.88 | 21 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $2,269.00 – $4,698.73 | 4 |
| Mlh1 gene CPT 81288 | $192.32 | not published | $113.10 – $480.24 | 22 |
| Mlh1 gene dup/delete variant CPT 81294 | $202.40 | $607.20 | $1.00 – $505.26 | 21 |
| Mlh1 gene full seq CPT 81292 | $675.40 | $2,026.20 | $1.00 – $1,685.27 | 21 |
| Mlh1 gene known variants CPT 81293 | $331.00 | not published | $110.06 – $825.69 | 22 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | $23.19 | $100.00 | $15.84 – $28.62 | 18 |
| Mlt fam grp bhv train ea add CPT 96203 | $6.46 | $100.00 | $4.71 – $8.52 | 18 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | $15,226.08 | not published | $1,257.67 – $32,052.64 | 19 |
| Mnl appl strs jt radiography CPT 77071 | $104.19 | $394.60 | $1.00 – $222.98 | 19 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | $1,031.90 | $97.32 – $140.14 | 3 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | $1,031.90 | $175.28 – $252.40 | 3 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | $1,031.90 | $166.71 – $240.06 | 3 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $1,893.86 | $4,801.16 | $0.01 – $3,010.85 | 20 |
| Mnpj elbow under anes CPT 24300 | $1,893.86 | not published | $429.00 – $4,014.46 | 19 |
| Mnpj of tmj w/anesth CPT 21073 | $1,752.89 | $6,577.65 | $283.56 – $2,905.23 | 15 |
| Mnt subs tx for change dx HCPCS G0270 | $30.09 | $88.80 | $0.01 – $645.00 | 20 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $693.45 – $882.29 | 2 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $133.00 – $202.64 | 4 |
| Modification of contact lens CPT 92325 | $152.54 | $477.17 | $0.01 – $645.00 | 20 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,456.00 – $2,290.02 | 4 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $586.00 – $985.29 | 4 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $37.73 | $36.16 | $1.00 – $56.60 | 20 |
| Molded inner boot HCPCS L2280 | not published | not published | $332.76 – $677.44 | 3 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $1,720.90 – $3,503.35 | 2 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $2,648.46 – $5,391.65 | 2 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,049.39 – $2,136.32 | 2 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $2,593.57 – $5,279.87 | 2 |
| Molecular pathology interpr HCPCS G0452 | not published | $54.34 | $1.00 – $76.42 | 7 |
| Mometasone sinus sinuva HCPCS J7402 | $11.35 | not published | $9.08 – $22.68 | 21 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $312.07 – $397.05 | 2 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $374.92 – $477.02 | 2 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $19,997.13 – $25,443.37 | 2 |
| Monitor reveal linq ii cardiac HCPCS C1764 | not published | not published | $5,026.45 – $5,363.97 | 2 |
| Monovisc inj per dose HCPCS J7327 | $683.17 | not published | $528.58 – $1,264.80 | 21 |
| Monthly tx for dmht 20mins HCPCS G0553 | $152.50 | not published | $33.53 – $332.38 | 19 |
| Mopath procedure level 1 CPT 81400 | $63.96 | $191.88 | $1.00 – $159.81 | 20 |
| Mopath procedure level 3 CPT 81402 | $150.33 | $450.99 | $1.00 – $375.31 | 20 |
| Mopath procedure level 5 CPT 81404 | $274.83 | $824.49 | $1.00 – $686.05 | 20 |
| Mopath procedure level 6 CPT 81405 | $301.35 | $904.05 | $1.00 – $752.24 | 20 |
| Mopath procedure level 7 CPT 81406 | $282.88 | $848.64 | $1.00 – $706.23 | 20 |
| Mopath procedure level 8 CPT 81407 | $846.27 | $2,538.81 | $1.00 – $2,111.43 | 20 |
| Mopath procedure level 9 CPT 81408 | $2,000.00 | $6,000.00 | $1.00 – $3,000.00 | 19 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $2.98 – $8.59 | 17 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $8.17 – $16.10 | 17 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $8.07 – $9.13 | 2 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $11.01 – $23.45 | 17 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $202.78 | $206.68 | $1.00 – $319.01 | 19 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $425.68 | $563.87 | $1.00 – $671.16 | 19 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $202.78 | $481.36 | $1.00 – $319.01 | 19 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | $635.47 | not published | $508.38 – $1,348.98 | 21 |
| Motion analysis video/3d CPT 96000 | $627.89 | not published | $89.78 – $941.84 | 20 |
| Motion test w/ft press meas CPT 96001 | $1,203.94 | $3,627.25 | $117.11 – $1,709.59 | 18 |
| Motor &/ sens nrve cndj test CPT 95905 | $472.21 | $484.53 | $38.28 – $836.46 | 18 |
| Mouth piece HCPCS A4617 | not published | not published | $2.46 – $4.98 | 2 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | $3,837.72 | $8,984.36 | $0.01 – $6,207.95 | 20 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | $206.68 | $1.00 – $168.28 | 6 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $202.78 | $537.03 | $1.00 – $446.23 | 19 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | $210.93 | $1.00 – $254.59 | 6 |
| M/phmtrc alys skeletal musc CPT 88355 | $202.78 | not published | $34.55 – $425.34 | 21 |
| Mpl gene analysis common variants CPT 81338 | $150.33 | $450.99 | $1.00 – $225.50 | 20 |
| M.pneumon dna dir probe CPT 87580 | $20.05 | not published | $16.04 – $50.04 | 21 |
| M.pneumon dna quant CPT 87582 | $302.62 | not published | $40.30 – $755.47 | 21 |
| Mpsv4 vaccine subq CPT 90733 | not published | $305.48 | $218.37 – $218.37 | 1 |
| MRA abdomen post contrast CPT 74185 | not published | $1,215.64 | $1.00 – $1,787.00 | 7 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | $1,725.64 | $1.00 – $1,787.00 | 7 |
| MRA chest w IV cont HCPCS C8909 | $422.61 | $1,670.32 | $1.00 – $1,787.00 | 18 |
| MRA chest wo IV cont HCPCS C8910 | $286.04 | $1,725.65 | $1.00 – $1,787.00 | 18 |
| MRA chest wwo IV cont HCPCS C8911 | $422.61 | $1,908.94 | $1.00 – $1,787.00 | 18 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | $1,945.55 | $1.00 – $1,787.00 | 7 |
| MRA pelvis CPT 72198 | not published | $1,210.00 | $1.00 – $1,787.00 | 7 |
| MRA pelvis w IV cont HCPCS C8918 | $422.61 | $1,670.32 | $1.00 – $1,787.00 | 18 |
| MRA pelvis wo IV cont HCPCS C8919 | $286.04 | $1,670.32 | $1.00 – $1,787.00 | 18 |
| MRA spinal canal CPT 72159 | not published | $2,129.75 | $1.00 – $1,787.00 | 7 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | $1,786.72 | $1.00 – $1,787.00 | 10 |
| MRA w/cont, abd HCPCS C8900 | $422.61 | not published | $338.09 – $870.99 | 19 |
| MRA w/cont, lwr ext HCPCS C8912 | $422.61 | $1,670.32 | $1.00 – $1,787.00 | 18 |
| Mra, w/dye, spinal canal HCPCS C8931 | $422.61 | not published | $338.09 – $870.99 | 19 |
| Mra, w/dye, upper extremity HCPCS C8934 | $422.61 | not published | $338.09 – $870.99 | 19 |
| MRA without cont, abd HCPCS C8901 | $286.04 | not published | $228.83 – $595.69 | 19 |
| MRA without cont, lwr ext HCPCS C8913 | $286.04 | $1,670.32 | $1.00 – $1,787.00 | 18 |
| Mra, without dye, spinal canal HCPCS C8932 | $286.04 | not published | $228.83 – $595.69 | 19 |
| Mra, without dye, upper extr HCPCS C8935 | $286.04 | $1,670.32 | $1.00 – $1,787.00 | 18 |
| MRA without fol w/cont, abd HCPCS C8902 | $422.61 | not published | $221.01 – $870.99 | 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.