St. John's Episcopal Hospital at South Shore

Far Rockaway, NY

Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-02.

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ProcedurePosted cashPosted gross× Medicare
Obstetric care, cesarean delivery (global) (59510) $7,317.98 $7,317.98 —
CT head/brain without contrast (70450) $1,474.72 $1,474.72 11.3×
MRI brain without contrast (70551) $3,300.05 $3,300.05 11.1×
MRI brain with contrast (70552) $3,962.28 $3,962.28 9.1×
MRI brain without and with contrast (70553) $7,034.16 $7,034.16 16.2×
X-ray lower spine, 4+ views (72110) $517.54 $517.54 4.0×
MRI lumbar spine without contrast (72148) $3,611.68 $3,611.68 12.1×
CT pelvis with contrast (72193) $2,098.01 $2,098.01 9.6×
MRI lower-extremity joint without contrast (73721)
range across 2 matching MRF lines
$1,892.10–$3,149.79 $1,892.10–$3,149.79 varies
CT abdomen and pelvis with contrast (74177) $2,248.26 $2,248.26 5.2×
Ultrasound, abdomen complete (76700) $1,183.12 $1,183.12 9.1×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $461.89 $461.89 3.5×
Ultrasound, transvaginal (76830) $598.79 $598.79 4.6×
Mammography, one breast (diagnostic) (77065) $416.26 $416.26 4.8×
Mammography, both breasts (diagnostic) (77066) $511.98 $511.98 4.6×
Mammography, screening (bilateral) (77067) $240.41 $240.41 2.6×
Basic metabolic panel (80048) $61.22 $61.22 7.2×
Comprehensive metabolic panel (80053) $84.59 $84.59 8.0×
Lipid panel (80061) $197 $197 14.7×
Hepatic function panel (80076) $69.01 $69.01 8.4×
PSA, total (84153) $207.02 $207.02 11.3×
Thyroid stimulating hormone (TSH) (84443) $103.51 $103.51 6.2×
CBC with automated differential (85025) $62.33 $62.33 8.0×
CBC, automated (85027) $24.49 $24.49 3.8×
Prothrombin time (PT) (85610) $52.31 $52.31 12.2×
Partial thromboplastin time (PTT) (85730) $51.20 $51.20 8.5×
Electrocardiogram (ECG), complete (93000) $50.09 $50.09 0.7×
Physical therapy, therapeutic exercise (per 15 min) (97110) $132.45 $132.45 4.6×
Office visit, new patient (low complexity, ~30 min) (99203) $456.33 $456.33 2.7×
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 2 matching MRF lines
$573.20–$695.63 $573.20–$695.63 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 2 matching MRF lines
$601.02–$695.63 $601.02–$695.63 varies
Preventive visit, new patient (age 18–39) (99385) $280.48 $280.48 —
Preventive visit, new patient (age 40–64) (99386) $339.46 $339.46 —

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

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Download the machine-readable file (CSV, 89.6 MB) ↓ — captured 2026-09-02

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