Stony Brook Southampton Hospital
Stony Brook Southampton Hospital in Southampton, NY publishes cash prices for 59 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
240 Meeting House Ln,Southampton,NY,11968 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $6,864.33 | $6,864.33 | — |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST | $7,344.83 | $7,344.83 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $2,995.45 | $2,995.45 | — |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $3,205.13 | $3,205.13 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT SCAN OF PELVIS WITH CONTRAST | $4,370.13 | $4,370.13 | — |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $4,676.04 | $4,676.04 | — |
| Diagnostic mammogram, both breasts both sides CPT 77066 DX MAMMO INCL CAD BI | $1,308.72 | $1,308.72 | — |
| Diagnostic mammogram, both breasts CPT 77066 DIAGNOSTIC MAMMOGRAPHY OF BOTH BREASTS | $1,223.10 | $1,223.10 | — |
| Diagnostic mammogram, one breast CPT 77065 DX MAMMO INCL CAD UNI | $423.40 | $423.40 | — |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $6,965.60 | $6,965.60 | — |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $9,855.85 | $9,855.85 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST | $7,536.67 | $7,536.67 | — |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $8,064.24 | $8,064.24 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $10,498.15 | $10,498.15 | — |
| MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $10,824.76 | $10,824.76 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $7,029.42 | $7,029.42 | — |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $7,521.48 | $7,521.48 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $1,256.23 | $1,256.23 | — |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 ULTRASOUND SCAN OF PREGNANT UTERUS (14 WEEKS OR MORE); SINGLE OR FIRST FETUS | $1,286.12 | $1,286.12 | — |
| Screening mammogram, both breasts both sides CPT 77067 SCR MAMMO BI INCL CAD | $1,308.72 | $1,308.72 | — |
| Screening mammogram, both breasts CPT 77067 SCREENING MAMMOGRAPHY | $1,223.10 | $1,223.10 | — |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $1,256.23 | $1,256.23 | — |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $1,673.31 | $1,673.31 | — |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $1,256.23 | $1,256.23 | — |
| Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN | $1,592.27 | $1,592.27 | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $580.95 | $580.95 | — |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $1,260.61 | $1,260.61 | — |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $273.58 | $273.58 | — |
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $511.36 | $511.36 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $328.03 | $328.03 | — |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $355.67 | $355.67 | — |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $178.80 | $178.80 | — |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $191.32 | $191.32 | — |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $137.08 | $137.08 | — |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $180.09 | $180.09 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $443.09 | $443.09 | — |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $474.11 | $474.11 | — |
| Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL | $153.73 | $153.73 | — |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $164.49 | $164.49 | — |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $163.80 | $163.80 | — |
| Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL | $424.02 | $424.02 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; FREE | $132.58 | $132.58 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 ASSAY OF PSA FREE | $315.85 | $315.85 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $230.20 | $230.20 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA (PROSTATE SPECIFIC ANTIGEN) MEASUREMENT; TOTAL | $445.72 | $445.72 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $123.37 | $123.37 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $174.09 | $174.09 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $82.98 | $82.98 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $112.55 | $112.55 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $344.15 | $344.15 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $429.95 | $429.95 | — |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $60.69 | $60.69 | — |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $64.94 | $64.94 | — |
| Urinalysis with microscope exam, manual CPT 81000 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; NON-AUTOMATED | $60.69 | $60.69 | — |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE | $64.94 | $64.94 | — |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $136.56 | $136.56 | — |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $146.12 | $146.12 | — |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST | $35.26 | $35.26 | — |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $54.10 | $54.10 | — |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cataract surgery with lens implant CPT 66984 REMOVAL OF CATARACT WITH INSERTION OF PROSTHETIC LENS | $8,232.58 | $8,232.58 | — |
| Colonoscopy with polyp removal CPT 45385 REMOVAL OF POLYPS OR GROWTHS OF LARGE BOWEL USING AN ENDOSCOPE WITH MECHANICAL SNARE | $8,431.60 | $8,431.60 | — |
| Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $8,232.58 | $8,232.58 | — |
| Colonoscopy, diagnostic CPT 45378 DIAGNOSTIC EXAM OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $7,436.50 | $7,436.50 | — |
| Gallbladder removal, laparoscopic CPT 47562 REMOVAL OF GALLBLADDER USING AN ENDOSCOPE | $18,183.58 | $18,183.58 | — |
| Gallbladder removal, laparoscopic CPT 47562 LAPAROSCOPIC CHOLECYSTECTOMY | $25,993.20 | $25,993.20 | — |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY | $16,728.26 | $16,728.26 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $3,162.85 | $3,162.85 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 INJECTION OF SUBSTANCE INTO LOWER SPINE CANAL USING IMAGING GUIDANCE | $7,436.50 | $7,436.50 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $6,035.91 | $6,035.91 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 NJX AA&/STRD TFRM EPI L/S 1 | $2,986.89 | $2,986.89 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 INJECTION OF ANESTHETIC AND/OR STEROID DRUG INTO SACRAL SPINE NERVE ROOT USING IMAGING GUIDANCE; SINGLE LEVEL | $7,436.50 | $7,436.50 | — |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE GLAND | $10,222.78 | $10,222.78 | — |
| Removal of a breast lump, open surgery CPT 19120 REMOVAL OF BREAST LESION | $3,852.65 | $3,852.65 | — |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $12,412.00 | $12,412.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $7,436.50 | $7,436.50 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 DIAGNOSTIC EXAM OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $11,217.88 | $11,217.88 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN | $497.35 | $497.35 | — |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $689.70 | $689.70 | — |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $464.80 | $464.80 | — |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $339.81 | $339.81 | — |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $756.54 | $756.54 | — |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $287.43 | $287.43 | — |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $493.45 | $493.45 | — |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $1,467.48 | $1,467.48 | — |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $254.35 | $254.35 | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 | $257.73 | $257.73 | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 PREV VISIT NEW AGE 40-64 | $257.73 | $257.73 | — |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES | $497.35 | $497.35 | — |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES | $464.80 | $464.80 | — |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES | $600.27 | $600.27 | — |
| Specialist consultation, low complexity or 30+ minutes CPT 99243 OFF/OP CNSLTJ NEW/EST LOW 30 | $493.49 | $493.49 | — |
| Specialist consultation, moderate complexity or 40+ minutes CPT 99244 OFF/OP CNSLTJ NEW/EST MOD 40 | $699.11 | $699.11 | — |
Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/99bf3fd5e16310e2b005ea59575278d6/charges/mrf