How many shoppable procedure prices are published for Jacobi Medical Center?

Jacobi Medical Center in Bronx, NY currently has 141 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Jacobi Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Jacobi Medical Center's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Jacobi Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Jacobi Medical Center an overall hospital quality rating of 2 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Local 440 Beds · urban Updated: 2026-09-05

Jacobi Medical Center

1400 Pelham Parkway South, Bronx, NY 10461 · 141 Priced Procedures · 61% Patient Recommendation

CMS Overall Rating 2 / 5 Stars

Above Fair Market · Negotiate

1.42×vs. Fair Market Price

Typical commercial prices here are +42% above the fair benchmark (1.42×) even after accounting for local nurse/doctor wages and patient complexity.

75/100 · Corroborated

75/100Self-Pay Cash Beats Insurance 69% of the Time

File Completeness95

Price Logic44

Peer Alignment61

Clean Billing89

Real Cash Discount96

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.42× fair market pricing.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Jacobi Medical Center prices routine shoppable procedures near 1.8× Medicare (p50 1.38×) while skewing captive emergency, lab, and upper-quartile codes to 2.8× Medicare (p75 2.07×, +50% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#76 of 92 in NY · 81st State Percentile#2,511 of 3,385 in U.S. · 74th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.97× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 69% of shoppable procedures (96/100 Cash Honesty)
2-Star CMS clinical rating with 61% patient recommendation (57/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.1× markup over Medicare rates
Captive ER (3.1×) & laboratory (1.1×) services average 1.56× higher multiples than routine shoppable care (1.8×)
Upper-quartile procedures (Q75 2.07×) jump +50% above the median procedure ratio (Q50 1.38×)
Unnegotiated chargemaster list prices average 3.9× Medicare (27¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.8× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.56× Divergence

2.8× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+50% Upper Tail

Q25 0.97× · Q50 1.38× · Q75 2.07×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.8× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.1× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

3.1× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

1.1× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

69% Cash Edge · 96/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

2 CMS · 57/100Elevated

Procedure Prices at Jacobi Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 141 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$71,502	$30,775	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$53,355	$19,087	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$53,171	$19,432	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$50,411	$17,936	unverified
Total hip replacement CPT Code: `27130`	—	—	$13,413	—
Total knee replacement CPT Code: `27447`	$14,171	$5,258	$13,523	0.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$6,540	$4,529	$6,109	0.7×
Breast lump removal CPT Code: `19120`	—	—	$3,875	—
Bunion correction surgery CPT Code: `28296`	$3,591	$3,570	$3,446	1.0×
Inguinal hernia repair CPT Code: `49505`	$3,917	$3,187	$3,629	0.9×
C-section delivery (full package) CPT Code: `59510`	—	$3,146	$2,975	1.1×
Vaginal delivery (full package) CPT Code: `59400`	—	$3,000	$2,680	1.1×
Cataract surgery with lens implant CPT Code: `66984`	$2,528	$2,498	$2,540	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$3,591	$2,217	$3,372	0.7×
Trauma team activation HCPCS Code: `G0390`	$1,566	$1,664	$1,453	1.1×
Colonoscopy with biopsy CPT Code: `45380`	$1,309	$1,237	$1,256	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$1,018	$1,189	$987	1.2×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,041	$1,071	$1,021	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$1,014	$1,022	$981	1.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$390	$814	$511	1.6×
Injection procedure for pain management HCPCS Code: `G0260`	$820	$831	$855	1.0×
Blood transfusion CPT Code: `36430`	$484	$677	$498	1.4×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$265	$658	$272	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$265	$551	$338	1.6×
MRI, knee or other leg joint CPT Code: `73721`	$265	$551	$369	1.5×
MRI, brain (no contrast) CPT Code: `70551`	$265	$551	$343	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$390	$457	$448	1.0×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$604	$460	$583	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$195	$457	$258	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$265	$425	$303	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$116	$374	$167	2.2×
CT scan, head (with contrast) CPT Code: `70460`	$195	$398	$242	1.6×
CT scan, neck (cervical spine) CPT Code: `72125`	$116	$388	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$116	$388	$168	unverified
Residential mental health treatment HCPCS Code: `H2036`	—	—	$406	—
CT scan, sinuses CPT Code: `70486`	$116	$334	$166	2.0×
CT scan, pelvis CPT Code: `72192`	$116	$342	$163	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$116	$320	$134	unverified
Rabies immune globulin HCPCS Code: `90375`	—	—	$322	—
Mental health services (assessment) HCPCS Code: `H0031`	—	$336	$140	unverified
CT scan, head (no contrast) CPT Code: `70450`	$116	$292	$160	1.8×
Behavioral health assessment HCPCS Code: `H0001`	—	$268	$157	1.7×
Psychiatric evaluation (first visit) CPT Code: `90791`	$186	$265	$185	1.4×
Ultrasound, pelvis CPT Code: `76856`	$116	$287	$130	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$186	$236	$166	1.4×
Psychological testing by technician CPT Code: `96138`	—	$252	$395	0.6×
Behavioral health living support HCPCS Code: `H2019`	—	$186	$34	5.5×
New patient office visit (30-44 min) CPT Code: `99203`	—	$202	$110	1.8×
Family therapy session CPT Code: `90847`	$186	$205	$173	1.2×
Psychotherapy session (60 minutes) CPT Code: `90837`	$186	$214	$181	1.2×
Neurobehavioral status check CPT Code: `96116`	$295	$224	$231	1.0×
Psychological testing evaluation CPT Code: `96136`	$144	$214	$128	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$217	$123	unverified
Speech therapy (language evaluation) CPT Code: `92507`	$84	$178	$86	2.1×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$175	$88	2.0×
Care planning with family CPT Code: `90887`	—	$185	$107	1.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$116	$209	$132	1.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$116	$209	$126	unverified
Screening mammogram (both breasts) CPT Code: `77067`	$144	$179	$123	1.5×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$179	$180	$148	1.2×
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$190	$257	0.7×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$190	$269	0.7×
Behavioral health day treatment HCPCS Code: `H0010`	—	$181	$343	0.5×
Behavioral health residential care HCPCS Code: `H0011`	—	$181	$364	0.5×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$36	$125	$38	3.3×
Orthotic fitting and training CPT Code: `97760`	$52	$144	$51	2.8×
Hospital observation (per hour) HCPCS Code: `G0378`	—	$153	$86	1.8×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$145	$87	1.7×
Physical therapy (gait training) CPT Code: `97116`	$32	$108	$33	3.3×
Physical therapy (functional capacity test) CPT Code: `97750`	$38	$119	$38	3.1×
Prosthetic fitting and training CPT Code: `97761`	$46	$119	$45	2.6×
Group therapy session CPT Code: `90853`	$107	$120	$100	1.2×
Breathing treatment (nebulizer) CPT Code: `94640`	$232	$134	$201	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$140	$140	$151	unverified
X-ray, hip CPT Code: `73502`	$97	$91	$93	1.0×
X-ray, lower back CPT Code: `72110`	$116	$96	$112	0.9×
Review of medical records for care CPT Code: `90889`	—	—	$114	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$39	$132	$40	unverified
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$86	$25	3.4×
Occupational therapy (self-care training) CPT Code: `97535`	$36	$80	$38	2.1×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$65	$84	$64	1.3×
Behavioral health day program HCPCS Code: `H2012`	—	—	$100	—
Typhoid vaccine HCPCS Code: `90675`	—	$259	$347	0.7×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	—	$203	—
Drug screening test HCPCS Code: `G0480`	$114	$117	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	—	—	$140	—
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	—	$111	—
Electrical stimulation therapy HCPCS Code: `G0283`	$14	$65	$14	4.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	$47	$75	$35	2.1×
Extended office visit (prolonged) HCPCS Code: `G2212`	—	$44	$33	1.3×
Colorectal cancer screening HCPCS Code: `G0010`	$55	$57	$49	1.2×
Flu vaccine injection HCPCS Code: `G0008`	$55	$55	$48	1.1×
Pneumonia vaccine injection HCPCS Code: `G0009`	$55	$55	$49	1.1×
X-ray, hand CPT Code: `73130`	$97	$79	$93	0.8×
X-ray, ankle CPT Code: `73610`	$97	$79	$93	0.8×
X-ray, chest (single view) CPT Code: `71045`	$97	$77	$92	0.8×
X-ray, foot CPT Code: `73630`	$97	$77	$92	0.8×
X-ray, chest (two views) CPT Code: `71046`	$97	$77	$93	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$97	$77	$93	0.8×
X-ray, shoulder CPT Code: `73030`	$97	$75	$92	0.8×
X-ray, pelvis CPT Code: `72170`	$116	$79	$110	0.7×
Blood antibody screen CPT Code: `86850`	$58	$58	$46	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	—	$39	—
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	—	$56	—
Mental health services (therapy) HCPCS Code: `H0032`	—	—	$65	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$11	$11	$11	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$5	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$5	$5	$5	1.0×
Speech therapy (group session) CPT Code: `92508`	$27	$27	$27	1.0×
Blood test, vitamin D CPT Code: `82306`	$30	$30	$31	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	—	—	$37	—
Blood test, glucose (blood sugar) CPT Code: `82947`	$4	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$10	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$7	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$7	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$5	$5	$5	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$8	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$6	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$9	$9	$9	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$15	$15	$16	0.9×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$13	$13	$14	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$31	$31	$34	0.9×
Culture, blood CPT Code: `87040`	$10	$10	$11	0.9×
Blood test, amylase CPT Code: `82150`	$6	$6	$7	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$4	$4	$5	0.8×
Behavioral health outpatient services HCPCS Code: `H2015`	—	$11	$16	0.7×
Blood test, basic metabolic panel CPT Code: `80048`	$8	$8	$9	unverified
Blood test, liver function panel CPT Code: `80076`	$8	$8	$9	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$3	$3	$3	unverified
Blood test, calcium CPT Code: `82310`	$5	$5	$5	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$14	$14	$14	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$18	$18	$19	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$17	$17	$18	unverified
Hepatitis C antibody test CPT Code: `86803`	$14	$14	$15	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	—	—	$25	unverified
Physical therapy (therapeutic exercise) CPT Code: `97110`	$32	$32	$35	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$4	$4	$4	unverified
Blood test, hemoglobin CPT Code: `85018`	$2	$2	$3	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$19	$19	$20	unverified
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$26	$26	$27	unverified
Community mental health services HCPCS Code: `H0038`	—	—	$16	unverified

Showing top 25 high-impact procedures of 141 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Jacobi Medical Center (Zero PHI Required)

CMS CCN: 330127

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $71,502

1. Amount on Your Bill or Quote ($) Pre-filled with Jacobi Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Jacobi Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$140,830 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($171,605) is $140,830 above the denoised Fair BaseRate ($30,775) and 7.3× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Jacobi Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite57/100

Would Recommend61%

Rated 9 or 10 (HCAHPS)59%

Median ER Wait217 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Jacobi Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-04-15·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (698 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Jacobi Medical Center.

Price Index: 1.06× regional baseline

Quality: 47/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Aetna

-43.9%

Median Household Income$49,036U.S. Census ACS

Local Uninsured Share7.3%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 75/100 · Corroborated CMS CCN 330127

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 330127) ↗ CMS HCRIS Cost Reports ↗

Published MRF Filebellevue

Publication / Vintage2026-09-05 · 753.09 MB

Validated Rate Rows9,898 (CMS v3.0.0)

File Integrity Digest28297c6a3866efd80c8d…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy