Supplies, drugs & other prices at Stony Brook University Hospital
Stony Brook, NY · every code in this section with a posted price and a Medicare benchmark.
158 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $4,039 | $4,039 | 4.1× |
| 2d tte w or w/o fol w/con,fu (C8924) range across 4 matching MRF lines |
$3,775–$4,253 | $3,775–$4,253 | varies |
| 3d anat seg imaging preop (C8001) | $4,969 | $4,969 | 30.9× |
| 3D contour simulaj trgt lvr les&mrgn micrwv ablt (0944T) | $1,058 | $1,058 | 3.6× |
| Admin hepatitis b vaccine (G0010) range across 2 matching MRF lines |
$232–$248 | $232–$248 | varies |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$164–$175 | $164–$175 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$232–$248 | $232–$248 | varies |
| Alcohol/sub misuse assess (G2011) range across 3 matching MRF lines |
$465–$498 | $465–$498 | varies |
| Alcohol/subs interv 15-30mn (G0396) range across 2 matching MRF lines |
$202–$216 | $202–$216 | varies |
| Alcohol/subs interv >30 min (G0397) range across 2 matching MRF lines |
$261–$279 | $261–$279 | varies |
| Amalgam 4 or > surfaces perm (D2161) | $13,690 | $13,690 | 17.0× |
| Amalgam one surface permanen (D2140) | $12,044.13 | $12,044.13 | 14.9× |
| Amalgam three surfaces perma (D2160) | $12,044.13 | $12,044.13 | 14.9× |
| Ant resin-based cmpst crown (D2390) | $25,032.33 | $25,032.33 | 31.0× |
| Ca screen;flexi sigmoidscope (G0104) range across 2 matching MRF lines |
$2,479–$7,958 | $2,479–$7,958 | varies |
| Ca screen;pelvic/breast exam (G0101) | $360 | $360 | 2.8× |
| Colon ca scrn not hi rsk ind (G0121) range across 2 matching MRF lines |
$2,678–$7,437 | $2,678–$7,437 | varies |
| Colorectal scrn; hi risk ind (G0105) | $7,835 | $7,835 | 6.7× |
| Complex simulation w/pet-ct (G0562) | $5,360 | $5,360 | 2.2× |
| Covid-19 lab test non-cdc (U0002) | $206 | $206 | 4.0× |
| Cysto impl 4 or more (C9740) | $10,621 | $10,621 | 0.9× |
| Cystoscopy prostatic imp 1-3 (C9739) | $12,213 | $12,213 | 1.8× |
| Dental prophylaxis adult (D1110) range across 2 matching MRF lines |
$12,673.50–$14,066.50 | $12,673.50–$14,066.50 | varies |
| Diab manage trn per indiv (G0108) range across 4 matching MRF lines |
$192–$468 | $192–$468 | varies |
| Diab manage trn ind/group (G0109) range across 5 matching MRF lines |
$110–$810 | $110–$810 | varies |
| Direct refer hospital observ (G0379) range across 2 matching MRF lines |
$1,717–$1,837 | $1,717–$1,837 | varies |
| Drug test def 1-7 classes (G0480) range across 4 matching MRF lines |
$290–$975 | $290–$975 | varies |
| Drug test def 8-14 classes (G0481) | $128 | $128 | 0.8× |
| Egd flexible transnasal w/biopsy single/multiple (0653T) | $4,933.33 | $4,933.33 | 2.1× |
| Elec stim other than wound (G0283) range across 2 matching MRF lines |
$157–$168 | $157–$168 | varies |
| Esd endoscopy or colonoscopy (C9779) | $16,790 | $16,790 | 3.5× |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) | $10,186 | $10,186 | 2.6× |
| Extraction coronal remnants (D7111) range across 2 matching MRF lines |
$6,179–$7,656.40 | $6,179–$7,656.40 | varies |
| Extraction erupted tooth/exr (D7140) range across 3 matching MRF lines |
$1,522–$10,795.33 | $1,522–$10,795.33 | varies |
| Extrnl counterpulse, per tx (G0166) | $2,093 | $2,093 | 12.6× |
| Facility svs dental rehab (G0330) | $43,103 | $43,103 | 10.4× |
| Fractional abl lsr fenestration first 100 sqcm (0479T) range across 2 matching MRF lines |
$9,029–$13,714 | $9,029–$13,714 | varies |
| Heart Symp Image Plnr (0331T) | $5,332 | $5,332 | 3.3× |
| Hepb screen high risk indiv (G0499) | $502 | $502 | 17.8× |
| Hospital outpt clinic visit (G0463) range across 5 matching MRF lines |
$389–$3,501.50 | $389–$3,501.50 | varies |
| Impact tooth remov comp bony (D7240) range across 2 matching MRF lines |
$5,397.67–$18,395 | $5,397.67–$18,395 | varies |
| Impact tooth remov soft tiss (D7220) range across 3 matching MRF lines |
$6,326.33–$14,402 | $6,326.33–$14,402 | varies |
| Inj for sacroiliac jt anesth (G0260) | $8,883 | $8,883 | 10.1× |
| Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) range across 2 matching MRF lines |
$2,308–$3,238 | $2,308–$3,238 | varies |
| Insertion of substernal implantable defibrillator electrode (0572T) | $19,094 | $19,094 | 1.8× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) | $84,833 | $84,833 | 3.1× |
| Insertion/Replacement Complete Iims (0525T) | $38,103 | $38,103 | 1.6× |
| Insertion/Replacement Iims Electrode Only (0526T) | $28,556 | $28,556 | 2.8× |
| Insertion/Replacement Iims Implantable Mntr Only (0527T) | $28,556 | $28,556 | 2.8× |
| Insj Wcs Lv Eltrd Only (0516T) | $28,556 | $28,556 | 2.2× |
| Insj Wcs Lv Pg Compnt (0517T) | $28,556 | $28,556 | 2.2× |
| Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) | $90,601 | $90,601 | 2.3× |
| Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) | $21,956 | $21,956 | 2.1× |
| Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) | $21,956 | $21,956 | 2.1× |
| Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) | $22,588 | $22,588 | 0.8× |
| Insj/Rplcmt Icds W/Substernal Electrode (0571T) | $90,601 | $90,601 | 2.3× |
| Instlj fecal microbiota ssp (0780T) | $3,198 | $3,198 | 19.3× |
| Intens behave ther cardio dx (G0446) | $180 | $180 | 3.8× |
| Interro Device Evaluation Cardiac Modulj System (0418T) | $112 | $112 | 2.4× |
| Interrog dev eval iims ip (0529T) | $143 | $143 | 3.1× |
| Interrog Dev Eval Wrls Car Stimulator in Person (0521T) | $66 | $66 | 1.8× |
| Ire Abltj 1+Tum Organ Perq (0600T) | $28,025.33 | $28,025.33 | 2.1× |
| Mra w/cont, abd (C8900) | $4,969 | $4,969 | 11.4× |
| Mra w/cont, chest (C8909) | $4,756 | $4,756 | 10.9× |
| Mra w/cont, lwr ext (C8912) | $5,682 | $5,682 | 13.0× |
| Mra w/cont, pelvis (C8918) | $8,281 | $8,281 | 19.0× |
| Mra w/o cont, abd (C8901) | $3,799 | $3,799 | 12.8× |
| Mra w/o cont, chest (C8910) | $4,056 | $4,056 | 13.6× |
| Mra w/o cont, lwr ext (C8913) | $5,231 | $5,231 | 17.6× |
| Mra w/o cont, pelvis (C8919) | $7,704 | $7,704 | 25.9× |
| Mra w/o fol w/cont, abd (C8902) | $5,944 | $5,944 | 13.6× |
| Mra w/o fol w/cont, chest (C8911) range across 2 matching MRF lines |
$6,972–$7,460 | $6,972–$7,460 | varies |
| Mra w/o fol w/cont, lwr ext (C8914) | $7,460 | $7,460 | 17.1× |
| Mra w/o fol w/cont, pelvis (C8920) | $8,723 | $8,723 | 20.0× |
| Mra, w/dye, upper extremity (C8934) | $7,615 | $7,615 | 17.5× |
| Mra, w/o&w/dye, spinal canal (C8933) | $4,002 | $4,002 | 9.2× |
| Mri w/o fol w/cont, breast, (C8908) | $5,554 | $5,554 | 12.8× |
| Mri w/o fol w/cont, brst, un (C8905) | $5,554 | $5,554 | 12.8× |
| Neuro csf prion prtn qual (0035U) | $316 | $316 | 0.6× |
| Njx dx/ther paraver fct jt w/us cer/thor 1 lvl (0213T) range across 2 matching MRF lines |
$2,308–$3,238 | $2,308–$3,238 | varies |
| Obtaining screen pap smear (Q0091) | $226 | $226 | 6.3× |
| Perc d-e cor revasc chro sin (C9607) range across 4 matching MRF lines |
$38,614–$41,828 | $38,614–$41,828 | varies |
| Perc d-e cor revasc t cabg s (C9604) range across 2 matching MRF lines |
$39,570–$41,317 | $39,570–$41,317 | varies |
| Perc d-e cor stent ather s (C9602) range across 2 matching MRF lines |
$38,614–$41,317 | $38,614–$41,317 | varies |
| Perc drug-el cor stent sing (C9600) range across 3 matching MRF lines |
$38,614–$41,317 | $38,614–$41,317 | varies |
| Perq njx algc cell &/prdct uni/bi fluor lmbr 1st (0627T) | $8,883 | $8,883 | 0.6× |
| Perq Sacral Augmt Unilat Inj (0200T) | $6,326.33 | $6,326.33 | 0.7× |
| Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) | $14,439 | $14,439 | 1.0× |
| Place intra-socket bio dress (D7922) | $681.67 | $681.67 | 0.8× |
| Post 1 srfc resinbased cmpst (D2391) range across 2 matching MRF lines |
$6,336.75–$7,033.25 | $6,336.75–$7,033.25 | varies |
| Post 2 srfc resinbased cmpst (D2392) | $10,124 | $10,124 | 12.5× |
| Post 3 srfc resinbased cmpst (D2393) | $7,537 | $7,537 | 9.3× |
| Post >=4srfc resinbase cmpst (D2394) | $13,690 | $13,690 | 17.0× |
| Ppps, initial visit (G0438) | $317 | $317 | 1.8× |
| Ppps, subseq visit (G0439) | $317 | $317 | 2.3× |
| Prefab stnlss steel crwn pri (D2930) | $10,580.20 | $10,580.20 | 13.1× |
| Prgrmg dev eval iims ip (0528T) | $143 | $143 | 3.1× |
| Prgrmg device eval wrls car stimulator in person (0522T) | $143 | $143 | 3.1× |
| Prgrmg Device Evaluation Cardiac Modulj System (0417T) | $112 | $112 | 2.4× |
| Prostate biopsy, any mthd (G0416) range across 2 matching MRF lines |
$1,586–$9,112 | $1,586–$9,112 | varies |
| Psa screening (G0103) range across 2 matching MRF lines |
$330–$353 | $330–$353 | varies |
| Quan MRI alys brain with diagnostic MRI (0866T) | $954 | $954 | 3.2× |
| Re-cement or re-bond crown (D2920) | $134 | $134 | 0.2× |
| Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) | $4,982 | $4,982 | 1.9× |
| Rem imp tooth w mucoper flp (D7210) range across 2 matching MRF lines |
$2,786–$13,183.33 | $2,786–$13,183.33 | varies |
| Removal complete iims (0530T) | $12,074 | $12,074 | 2.6× |
| Removal iims electrode only (0531T) | $12,074 | $12,074 | 2.6× |
| Removal iims implt mntr only (0532T) | $12,074 | $12,074 | 2.6× |
| Removal Ss Dfb Electrode (0573T) | $8,368 | $8,368 | 1.8× |
| Repos Cardiac Modulj Transvenous Electrode (0415T) | $12,778 | $12,778 | 16.3× |
| Repos prev impl ss impltbl dfb pacing eltrd (0574T) | $8,368 | $8,368 | 1.8× |
| Resin one surface-anterior (D2330) | $7,656.40 | $7,656.40 | 9.5× |
| Revasc intra lithotrip-ather (C9766) | $33,673 | $33,673 | 1.5× |
| Revasc intra lithotrip-stent (C9765) range across 2 matching MRF lines |
$27,335–$33,673 | $27,335–$33,673 | varies |
| Revasc intravasc lithotripsy (C9764) range across 2 matching MRF lines |
$12,893.33–$16,834 | $12,893.33–$16,834 | varies |
| Revasc lithotrip tibi/perone (C9772) range across 2 matching MRF lines |
$10,770.67–$27,376.67 | $10,770.67–$27,376.67 | varies |
| Revasc lithotrip-stent-ather (C9767) | $54,171 | $54,171 | 2.4× |
| Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) | $21,956 | $21,956 | 0.8× |
| Rmvl & Rplcmt Pg Compnt Wcs (0519T) | $12,074 | $12,074 | 0.9× |
| Rmvl Car Modulj Tranvns Elt (0413T) | $21,956 | $21,956 | 4.7× |
| Rmvl Cardiac Modulj Pls Gen (0412T) | $24,810 | $24,810 | 5.3× |
| Rmvl Pg Compnt Wcs (0518T) | $12,074 | $12,074 | 2.6× |
| Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) | $8,368 | $8,368 | 1.8× |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) | $84,833 | $84,833 | 6.5× |
| Rmvl&Rplcmt Substernal Impltbl Defibrillator Pg (0614T) | $78,298 | $78,298 | 2.8× |
| Sbrt w/positron emission del (G0563) | $10,305 | $10,305 | 2.6× |
| Screen cerv/vag thin layer (G0123) range across 3 matching MRF lines |
$256–$274 | $256–$274 | varies |
| Screen pap by tech w md supv (P3000) range across 2 matching MRF lines |
$179–$192 | $179–$192 | varies |
| Splint extra-coronal (D4323) | $560 | $560 | 0.7× |
| Splint intra-coronal (D4322) | $681.67 | $681.67 | 0.8× |
| Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) | $41,052 | $41,052 | 1.7× |
| Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) | $41,052 | $41,052 | 1.7× |
| Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) | $41,052 | $41,052 | 1.7× |
| Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) | $41,052 | $41,052 | 1.7× |
| Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) | $10,186 | $10,186 | 2.6× |
| Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) | $10,186 | $10,186 | 2.6× |
| Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) | $10,186 | $10,186 | 2.6× |
| Tcat Rmvl Perm Dual Chamber Ldls Pm Compl Sys (0798T) | $10,186 | $10,186 | 2.6× |
| Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) | $41,052 | $41,052 | 1.7× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) | $41,052 | $41,052 | 1.7× |
| Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) | $41,052 | $41,052 | 1.7× |
| Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) | $41,052 | $41,052 | 1.7× |
| Tee w or w/o fol w/cont,cong (C8926) | $4,039 | $4,039 | 4.1× |
| Tomosynthesis, mammo (G0279) range across 2 matching MRF lines |
$224–$240 | $224–$240 | varies |
| Tooth reimplantation (D7270) | $1,616 | $1,616 | 2.0× |
| Tooth root removal (D7250) | $7,033.25 | $7,033.25 | 8.7× |
| Transcatheter Renal Sympath Denervation Bilat (0339T) range across 2 matching MRF lines |
$30,864–$31,375 | $30,864–$31,375 | varies |
| Transcatheter renal sympath denervation unilat (0338T) | $20,576 | $20,576 | 2.9× |
| Trauma respons w/hosp criti (G0390) range across 2 matching MRF lines |
$777.67–$36,598 | $777.67–$36,598 | varies |
| Treatment of complications (D9930) | $6,179 | $6,179 | 7.7× |
| Trluml Perip Athrc Brchiocph (0237T) | $39,365 | $39,365 | 2.7× |
| Trluml Perip Athrc Iliac Art (0238T) | $39,365 | $39,365 | 1.7× |
| Trluml Peripheral Atherectomy Renal Artery Ea (0234T) | $39,365 | $39,365 | 2.7× |
| Tte w or w/o fol w/con,stres (C8928) range across 2 matching MRF lines |
$3,775–$4,039 | $3,775–$4,039 | varies |
| Tte w or w/o fol w/cont, com (C8921) | $4,039 | $4,039 | 4.1× |
| Tte w or w/o fol w/cont, f/u (C8922) | $4,039 | $4,039 | 4.1× |
| Tte w or wo fol wcon,doppler (C8929) range across 4 matching MRF lines |
$6,628–$9,920 | $6,628–$9,920 | varies |
| Unsched dialysis esrd pt hos (G0257) range across 2 matching MRF lines |
$2,831–$3,029 | $2,831–$3,029 | varies |
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.