Top 40 services provided by SOUTHAMPTON MEMORIAL HOSPITAL
Services CPT Price Est. Cash Price
CT scan of the head or brain without contrast or dye 70450 $3,129.00 $469.35
MRI scan of the brain with and without contrast 70553 $5,462.00 $819.30
CT scan of the pelvis with contrast or dye 72193 $3,129.00 $469.35
CT scan of the pelvis with contrast or dye 72193 $387.00 $58.05
CT scan of the abdomen with contrast or dye 74160 $3,129.00 $469.35
Ultrasound of the abdomen 76700 $568.00 $85.20
Ultrasound of the abdomen 76700 $608.00 $91.20
Basic Metabolic Panel 80048 $437.00 $65.55
Basic Metabolic Panel 80048 $204.00 $30.60
Comprehensive Metabolic Panel 80053 $252.00 $37.80
Comprehensive Metabolic Panel 80053 $316.00 $47.40
Lipid Panel 80061 $214.00 $32.10
Lipid Panel 80061 $108.00 $16.20
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $56.00 $8.40
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $173.00 $25.95
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $56.00 $8.40
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $148.00 $22.20
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $132.00 $19.80
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $380.00 $57.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $190.00 $28.50
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $204.00 $30.60
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $106.00 $15.90
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $186.00 $27.90
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $114.00 $17.10
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $80.00 $12.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $163.00 $24.45
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $172.00 $25.80
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $112.00 $16.80
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $317.00 $47.55
Physical therapy evaluation session for 20 minutes 97161 $321.00 $48.15