CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Jacobi Medical Center

Billing Code: 99214 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$123
about 0.9× the $136 Medicare rate · typically $104–$222
modeled estimate · not a bill or quote
What this hospital charges insurers
$112
About the fair price
about $11 under the fair price · 0.8× Medicare
Medicare pays $136 Fair price $123 This hospital $112 Hospital's list price $663

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 $72 Priciest $112

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 (30-39 min) is about $123 (about 0.9× the $136 Medicare rate). Jacobi Medical Center charges insurers about $112 — 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 $54 - $530 40%
Blue Cross Blue Shieldmajor $530 391%
Aetnamajor $54 - $265 40%
Fidelis Care $155 114%
MagnaCare $320 - $497 236%
Oscar Health $161 - $614 119%
WellCare $116 - $398 86%
+ 11 smaller / regional plans $68 - $564
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