CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Jacobi Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$83
about 0.9× the $95 Medicare rate · typically $72–$189
modeled estimate · not a bill or quote
What this hospital charges insurers
$76
About the fair price
about $7 under the fair price · 0.8× Medicare
Medicare pays $95 Fair price $83 This hospital $76 Hospital's list price $535

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 $56 Priciest $76

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

A fair price for a Office visit, established patient (20-29 min) is about $83 (about 0.9× the $95 Medicare rate). Jacobi Medical Center charges insurers about $76 — 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.

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $35 - $504 37%
Blue Cross Blue Shieldmajor $428 450%
Aetnamajor $40 - $257 42%
Fidelis Care $105 110%
MagnaCare $320 - $401 336%
Oscar Health $110 - $614 116%
WellCare $79 - $321 83%
+ 11 smaller / regional plans $58 - $455
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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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