CMS Price Transparency Data

Diagnostic procedure preparation

Facility: Jacobi Medical Center

Billing Code: G0279 (HCPCS)

The BaseRate · fair price medium confidence
A fair price for this
$58
about 1.4× the $40 Medicare rate · typically $17–$97
modeled estimate · not a bill or quote
What this hospital charges insurers
$63
About the fair price
about $5 over the fair price · 1.6× Medicare
Medicare pays $40 Fair price $58 This hospital $63

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

Highest price of the 9 NY hospitals we have prices for — worth calling around.

Cheapest $12 Priciest $63

Black dot = this hospital, among the 9 NY hospitals with a price for this procedure. Full list below.

A fair price for a Diagnostic procedure preparation is about $58 (about 1.4× the $40 Medicare rate). Jacobi Medical Center charges insurers about $63 — about the fair price. Located in Bronx, NY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $18 - $233 45%
Blue Cross Blue Shieldmajor $72 - $419 178%
Aetnamajor $16 - $55 40%
Cignamajor $47 116%
Fidelis Care $26 - $419 64%
Oscar Health $27 - $74 67%
WellCare $20 - $53 49%
+ 10 smaller / regional plans $15 - $419

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Facility Profile & Credentials

  • Address: 1400 Pelham Parkway South, Bronx, NY 10461
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals