St. Charles Hospital prices
St. Charles Hospital in Port Jefferson, NY publishes its standard charges, as every US hospital must under the federal Hospital Price Transparency Rule. Below is what its own file lists for common services, next to what it has agreed to accept from insurers.
What St. Charles Hospital publishes for common services
ER visit, level 3 (moderate): listed at $2,127. Insurers pay a median of $328, across 44 insurers.
If you were billed the list price, you may have been charged far more than insurers typically pay. See how to use these numbers below.
| Service | List price | Cash price | Insurers pay (median) |
|---|---|---|---|
| ER visit, level 1 (minor)CPT 99281, listed as "HC ER LEVEL 1" | $462 to $1,465 | - | $104$37.44 to $1,926, 44 insurers |
| ER visit, level 2 (low-moderate)CPT 99282, listed as "HC ER LEVEL 2" | $1,775 | - | $187$72.77 to $2,084, 44 insurers |
| ER visit, level 3 (moderate)CPT 99283, listed as "HC ER LEVEL 3" | $2,127 | - | $328$122 to $2,488, 44 insurers |
| ER visit, level 4 (high)CPT 99284, listed as "HC ER LEVEL 4" | $2,435 | - | $504$144 to $2,590, 44 insurers |
| ER visit, level 5 (critical)CPT 99285, listed as "HC ER LEVEL 5" | $2,817 | - | $726$144 to $2,701, 44 insurers |
| Office visit, established patient, low complexityCPT 99213, listed as "HC BH CLINIC E&M ESTAB PT L3" | $310 | - | $72.74$49.00 to $112, 3 insurers |
| Office visit, established patient, moderate complexityCPT 99214, listed as "HC BH CLINIC E&M ESTAB PT L4" | $375 | - | $97.84$71.00 to $164, 3 insurers |
| Routine venipuncture (blood draw)CPT 36415, listed as "HC VENIPUNCTURE" | $110 to $116 | - | $9.09$3.00 to $23.99, 48 insurers |
| Vitamin B12 injectionCPT J3420, listed as "XRX PROCHLORPERAZINE 25 MG RE SUPP" | $50.00 to $56.00 | - | $2.05$2.05 to $2.60, 11 insurers |
| Comprehensive metabolic panelCPT 80053, listed as "HC COMP METABOLIC PANEL" | $405 to $584 | - | $10.56$10.10 to $48.00, 54 insurers |
| Basic metabolic panelCPT 80048, listed as "HC BASIC METABOLIC PANEL" | $215 | - | $8.46$7.32 to $36.00, 54 insurers |
| CBC with differentialCPT 85025, listed as "HC CBC PLT DIFF AUTOMATED" | $139 to $253 | - | $7.77$3.20 to $44.00, 54 insurers |
| Lipid panelCPT 80061, listed as "HC LIPID PANEL" | $272 | - | $13.39$6.10 to $76.00, 54 insurers |
| Hepatic function panelCPT 80076, listed as "HC HEPATIC FUNCTION PANEL" | $224 | - | $8.17$7.32 to $44.00, 54 insurers |
| X-ray, ankle, 3 viewsCPT 73610, listed as "HC DX ANKLE MIN 3V" | $716 | - | $91.44$12.63 to $234, 53 insurers |
| CT abdomen, without contrastCPT 74176, listed as "HC CT ABD PELVIS WO CONTRAST" | $3,451 | - | $286$69.38 to $2,331, 54 insurers |
| CT abdomen and pelvis, with contrastCPT 74177, listed as "HC CT ABD PELVIS W CONTRAST" | $3,825 | - | $423$109 to $2,331, 54 insurers |
| CT abdomen and pelvis, with and without contrastCPT 74178, listed as "HC CT ABD PELVIS WWO CONTRAST" | $4,112 | - | $423$138 to $2,331, 54 insurers |
| MRI brain, without contrastCPT 70551, listed as "HC MRI BRAIN WO CON" | $4,500 | - | $505$280 to $4,877, 54 insurers |
| MRI brain, with and without contrastCPT 70553, listed as "HC MRI BRAIN WWO CON" | $9,000 | - | $505$414 to $5,072, 54 insurers |
| MRI pelvis, without contrastCPT 72195, listed as "HC MRI PELVIS WO CON" | $4,232 | - | $505$280 to $4,877, 54 insurers |
| MRI pelvis, with and without contrastCPT 72197, listed as "HC MRI PELVIS WWO CON" | $5,628 | - | $505$414 to $5,308, 54 insurers |
| Complete echocardiogram with DopplerCPT 93306, listed as "HC ECHO 2D M MODE SPEC COLOR DOP" | $3,963 | - | $503$209 to $1,460, 41 insurers |
| Echocardiogram, completeCPT 93307, listed as "HC ECHOCARDIOGRAM 2D WO SPEC COLOR DOP" | $3,280 | - | $286$90.90 to $644, 40 insurers |
| Electrocardiogram, routine ECG with interpretationCPT 93000, listed as "ELECTROCARDIOGRAM COMPLETE" | - | - | $15.15$15.15 to $128, 18 insurers |
| Electrocardiogram, tracing only (technical component)CPT 93005, listed as "HC EKG 12 LEAD" | $495 | - | $32.14$7.58 to $158, 41 insurers |
| Laparoscopic cholecystectomyCPT 47562, listed as "LAPAROSCOPIC CHOLECYSTECTOMY" | - | - | $6,904$1,511 to $15,534, 31 insurers |
| Knee arthroscopy, meniscectomyCPT 29881, listed as "KNEE ARTHROSCOPY/SURGERY" | - | - | $3,840$1,197 to $8,639, 31 insurers |
Source: St. Charles Hospital's standard charges file, which the hospital dated February 19, 2026. Read on September 28, 2026. View the hospital's file (a large data file). Hospitals must publish this file under 45 CFR § 180.
List price
The hospital's full charge (its "gross charge") before any discount. Few people pay it, but it is often the starting point on a bill.
Cash price
What the hospital says it accepts from patients paying without insurance.
Insurers pay
The median of the per-service rates the hospital has negotiated with insurers, shown only when at least 3 insurers report one. Your plan's rate may differ.
How to use these numbers
Uninsured or paying yourself? You can ask St. Charles Hospital to bill you its published cash price, and ask about financial assistance, which nonprofit hospitals must offer.
Insured, and the hospital is in your network? Your share should be based on your plan's negotiated rate, not the list price. If your bill or explanation of benefits shows the list price, ask the billing office why.
These figures summarize what the hospital publishes. They are not a quote, and they don't include separate physician bills.
Check your St. Charles Hospital bill for errors
The free check looks for duplicate charges, unbundling, upcoding and surprise billing. Its price comparison uses national reference pricing, separate from the hospital's published prices above.
BillMender is a document-preparation tool, not a law firm, and does not provide legal advice. We don't guarantee any outcome or dollar amount. Estimates are based on public reference pricing, not your hospital's actual contract rates.