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St. Charles Hospital prices. From its own published file.

St. Charles Hospital in Port Jefferson, NY publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

17,292prices published
Feb 2026file last updated

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
—$2,127$122–$2,488
Emergency visit, high (level 4)
99284
—$2,435$144–$2,590
Emergency visit, highest (level 5)
99285
—$2,817$144–$2,817
Comprehensive metabolic panel
80053
—$584$10.10–$584
Basic metabolic panel
80048
—$215$7.32–$215
Complete blood count (CBC)
85025
—$232$3.20–$253
Blood draw (venipuncture)
36415
—$113$3.00–$116
Urinalysis
81001
—$194$3.11–$194
Troponin (heart test)
84484
—$277$7.27–$277
EKG tracing
93005
—$495$7.58–$495
Chest X-ray, 2 views
71046
—$623$15.15–$623
CT head without contrast
70450
—$2,400$121–$2,400
CT abdomen and pelvis with contrast
74177
—$3,825$109–$3,825
MRI lower back without contrast
72148
—$4,232$280–$4,877
Ultrasound, abdomen
76700
—$1,286$60.60–$1,286
IV push, single drug
96374
—$516$43.42–$2,332
IV fluids, first hour
96360
—$688$35.35–$2,332
Ketorolac injection, 15 mg
J1885
—$50.00$0.34–$62.00
Ondansetron injection
J2405
—$50.00$0.11–$76.00
Colonoscopy, diagnostic
45378
——$389–$4,299
Upper GI endoscopy with biopsy
43239
—$3,435$286–$4,299
Knee arthroscopy
29881
——$1,197–$8,639
Vaginal delivery, routine care
59400
——$2,411–$12,000
Cesarean delivery, routine care
59510
——$1,779–$12,000

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: St. Charles Hospital price transparency page.

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