New York / Jacobi Medical Center
CMS certification 330127 · Bronx, NY · 1 entry in CMS's price-transparency list
Jacobi Medical Center: charges and Medicare payments
Jacobi Medical Center reported 1,771 Medicare inpatient stays across 64 DRGs in 2024. Across them it charged 1.99 times what it was paid — among the lower ratios in New York, number 98 of 123 hospitals with at least 100 stays (state median 2.74×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 264 stays at an average charge of $86,037, 5% below the national average. It also billed 124 outpatient services, charging 4.45 times what Medicare paid.
- 1Medicare inpatient stays 1,771
- 2Charge ÷ paid, inpatient 1.99×
- 3Rank in NY (highest ratio = 1) 98 of 123
- 4CMS price-transparency actions 1
Inpatient stays
For the 64 DRGs that can be compared with the national average, Jacobi Medical Center charged more than the national average in 22 (34%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 264 | $86,037 | -5% | $40,553 |
| 291 Heart Failure and Shock with MCC | 89 | $59,115 | +5% | $29,655 |
| 312 Syncope and Collapse | 59 | $31,305 | -31% | $21,736 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 47 | $28,904 | -28% | $19,847 |
| 884 Organic Disturbances and Intellectual Disability | 43 | $77,323 | +24% | $38,258 |
| 177 Respiratory Infections and Inflammations with MCC | 42 | $85,786 | +22% | $35,264 |
| 689 Kidney and Urinary Tract Infections with MCC | 42 | $42,987 | -16% | $26,696 |
| 690 Kidney and Urinary Tract Infections without MCC | 41 | $39,981 | +6% | $23,488 |
| 193 Simple Pneumonia and Pleurisy with MCC | 40 | $55,280 | -7% | $29,024 |
| 481 Hip and Femur Procedures except Major Joint with CC | 38 | $79,126 | -21% | $38,889 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 38 | $104,798 | +74% | $40,704 |
| 057 Degenerative Nervous System Disorders without MCC | 37 | $45,207 | -20% | $27,905 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 36 | $76,467 | +1% | $35,959 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 36 | $229,841 | 0% | $85,444 |
| 092 Other Disorders of Nervous System with CC | 33 | $41,392 | -20% | $24,997 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 33 | $65,622 | +30% | $28,686 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 31 | $216,784 | -33% | $107,906 |
| 683 Renal Failure with CC | 30 | $44,225 | +9% | $25,699 |
| 100 Seizures with MCC | 28 | $51,396 | -46% | $37,865 |
| 314 Other Circulatory System Diagnoses with MCC | 27 | $99,872 | +5% | $43,446 |
| 101 Seizures without MCC | 26 | $38,687 | -21% | $23,638 |
| 552 Medical Back Problems without MCC | 26 | $51,860 | +6% | $26,560 |
| 603 Cellulitis without MCC | 26 | $32,747 | -12% | $22,681 |
| 313 Chest Pain | 25 | $26,497 | -34% | $19,617 |
| 202 Bronchitis and Asthma with CC/MCC | 24 | $55,156 | +20% | $21,789 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 24 | $46,193 | +8% | $22,873 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 24 | $32,380 | -13% | $21,910 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 23 | $54,644 | -26% | $33,836 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 22 | $104,754 | +5% | $41,076 |
| 605 Trauma To The Skin, Subcutaneous Tissue and Breast without... | 22 | $32,095 | -31% | $22,739 |
| 377 Gastrointestinal Hemorrhage with MCC | 21 | $93,285 | +9% | $32,231 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 21 | $48,029 | -2% | $27,900 |
| 917 Poisoning and Toxic Effects of Drugs with MCC | 21 | $54,990 | -27% | $33,287 |
| 637 Diabetes with MCC | 20 | $67,929 | +2% | $35,371 |
| 812 Red Blood Cell Disorders without MCC | 19 | $34,056 | -23% | $20,228 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 18 | $60,157 | +8% | $28,419 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 17 | $47,920 | -35% | $30,487 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 16 | $38,415 | +6% | $19,363 |
| 638 Diabetes with CC | 16 | $29,629 | -29% | $22,947 |
| 682 Renal Failure with MCC | 16 | $40,045 | -39% | $30,898 |
| 897 Alcohol, Drug Abuse or Dependence without Rehabilitation... | 16 | $41,583 | +12% | $21,772 |
| 091 Other Disorders of Nervous System with MCC | 15 | $63,092 | -24% | $32,828 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 15 | $79,084 | -42% | $46,543 |
| 252 Other Vascular Procedures with MCC | 15 | $108,883 | -36% | $55,813 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $75,837 | -26% | $36,705 |
| 004 Tracheostomy with MV >96 Hours or Principal Diagnosis except... | 14 | $462,925 | -25% | $219,041 |
| 149 Dysequilibrium | 14 | $27,753 | -37% | $20,350 |
| 394 Other Digestive System Diagnoses with CC | 14 | $34,004 | -28% | $23,860 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 14 | $44,745 | -6% | $24,292 |
| 074 Cranial and Peripheral Nerve Disorders without MCC | 13 | $38,995 | -27% | $24,516 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 13 | $113,655 | -18% | $52,226 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 12 | $35,240 | -11% | $23,178 |
| 194 Simple Pneumonia and Pleurisy with CC | 12 | $34,455 | -10% | $19,608 |
| 299 Peripheral Vascular Disorders with MCC | 12 | $78,356 | +4% | $39,288 |
| 304 Hypertension with MCC | 12 | $76,673 | +34% | $27,495 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 12 | $59,438 | +5% | $29,546 |
| 378 Gastrointestinal Hemorrhage with CC | 12 | $32,861 | -32% | $22,983 |
| 393 Other Digestive System Diagnoses with MCC | 12 | $55,778 | -27% | $35,852 |
| 811 Red Blood Cell Disorders with MCC | 12 | $58,065 | -15% | $31,930 |
| 894 Alcohol, Drug Abuse or Dependence, Left Ama | 12 | $14,704 | -48% | $16,447 |
Showing the 60 most frequent of 64 DRGs.
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 1 Intraocular Procedures | 27 | $8,071 | $2,525 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 22 | $6,441 | $1,845 |
| Comprehensive Observation Services | 21 | $11,570 | $3,115 |
| Level 3 Vascular Procedures | 15 | $12,221 | $3,627 |
| Level 1 Endovascular Procedures | 14 | $15,001 | $3,714 |
| Level 2 Urology and Related Services | 13 | $4,485 | $778 |
| Level 4 Gynecologic Procedures | 12 | $8,288 | $3,559 |
Against the New York average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Jacobi Medical Center charged $86,037 on average, 26% less than the New York average of $116,930, and was paid $40,553 against a state average of $24,426. For Heart Failure and Shock with MCC (DRG 291), Jacobi Medical Center charged $59,115 on average, 27% less than the New York average of $81,161, and was paid $29,655 against a state average of $16,034. For Syncope and Collapse (DRG 312), Jacobi Medical Center charged $31,305 on average, 46% less than the New York average of $58,334, and was paid $21,736 against a state average of $11,568. For Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC (DRG 392), Jacobi Medical Center charged $28,904 on average, 42% less than the New York average of $50,017, and was paid $19,847 against a state average of $9,945. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $8,071 was 50% below the state average of $16,178. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,441 was 50% below the state average of $12,815. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $11,570 was 57% below the state average of $26,675. For Level 3 Vascular Procedures (outpatient APC 5183), its average charge of $12,221 was 34% below the state average of $18,520.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Jacobi Medical Center in Bronx, NY, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-15 (CMS case 3805)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.