Long Island Jewish Medical Center — price list
← Hospital overviewVerified from Long Island Jewish Medical Center’s published price file
Includes cash prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
127 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Abltj perc uxtr/perph nrv Outpatient | 0440T CPT | — | $9,188 | $1,639 – $39,107 | — | |
| Adapt bhv tx ea 15 min Outpatient | 0373T CPT | — | $4,595 | $32.19 – $8,853 | — | |
| ALLOMATRIX C PUTTY 10CC Inpatient | 10093 CDM | — | $1,646 | $1,155 – $3,234 | — | |
| AUTOTOME 44 Outpatient | 102388 CDM | — | $332 | $255 – $1,020 | — | |
| AUTOTOME 44 Inpatient | 102388 CDM | — | $364 | $255 – $714 | — | |
| AVITENE BX/6 Inpatient | 101081 CDM | — | $1,623 | $1,139 – $3,188 | — | |
| AVITENE BX/6 Outpatient | 101081 CDM | — | $1,480 | $1,139 – $4,554 | — | |
| Bone srgry cmptr ct/mri imag Outpatient | 0055T CPT | — | $4,595 | $1,132 – $23,789 | — | |
| Bone srgry cmptr fluor image Outpatient | 0054T CPT | — | $4,595 | $1,132 – $22,149 | — | |
| BSKT TRAPEZOID RX GWIRE RETRV 2.0CMX.035INX3.2MM Outpatient | 101804 CDM | — | $413 | $318 – $1,270 | — | |
| BSKT TRAPEZOID RX GWIRE RETRV 2.0CMX.035INX3.2MM Inpatient | 101804 CDM | — | $453 | $318 – $889 | — | |
| CABLE 1MM W/CRIMP 750MM STRL Outpatient | 10193 CDM | — | $711 | $547 – $2,189 | — | |
| CABLE 1MM W/CRIMP 750MM STRL Inpatient | 10193 CDM | — | $780 | $547 – $1,532 | — | |
| CABLE CRMP 1.7X750MM Inpatient | 10195 CDM | — | $780 | $547 – $1,532 | — | |
| CANNULA SNGL STAGE 3/8X32FR BX/10 Outpatient | 102322 CDM | — | $497 | $382 – $1,528 | — | |
| CANNULA VENOUS SING 32FR STAGE Outpatient | 102328 CDM | — | $454 | $350 – $1,398 | — | |
| CATH BALLOON DIL 6-8MM Outpatient | 101265 CDM | — | $295 | $227 – $908 | — | |
| CATH PD SWAN NECK CURL R 62.5CM Outpatient | 10071 CDM | — | $237 | $182 – $728 | — | |
| CATH PD SWAN NECK CURL R 62.5CM Inpatient | 10071 CDM | — | $259 | $182 – $510 | — | |
| CATH RENEGADE FG 10X150 1TIP Inpatient | 101116 CDM | — | $565 | $396 – $1,110 | — | |
| CATH RENEGADE FG 10X150 1TIP Outpatient | 101116 CDM | — | $515 | $396 – $1,585 | — | |
| CATH TESIO 2LUM LEFT 10FR Outpatient | 100255 CDM | — | $481 | $370 – $1,481 | — | |
| CATH URO MAX II 8X24FR Outpatient | 101386 CDM | — | $385 | $296 – $1,185 | — | |
| CATH URO MAX II 8X24FR Inpatient | 101386 CDM | — | $422 | $296 – $830 | — | |
| COIL VORTX DIAMD 2X4X2MM 5/BX Outpatient | 101278 CDM | — | $519 | $400 – $1,598 | — | |
| COIL VORTX DIAMD 2X4X2MM 5/BX Inpatient | 101278 CDM | — | $569 | $400 – $1,119 | — | |
| Drainage of hematoma/fluid Outpatient | 10140 CPT | — | $4,595 | $815 – $8,853 | — | |
| FILTER VENA CAVA JUG SUBCLV 12FR SIMON NITINOL Inpatient | 101188 CDM | — | $1,415 | $993 – $2,780 | — | |
| FILTER VENA CAVA JUG SUBCLV 12FR SIMON NITINOL Outpatient | 101188 CDM | — | $1,291 | $993 – $3,972 | — | |
| Fna bx w/us gdn 1st les Outpatient | 10005 CPT | — | $4,595 | $697 – $8,853 | — |