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SUNY Downstate Medical Center

University Hospital of Brooklyn

Hospital Charges

In an effort to ensure transparency related to healthcare costs, SUNY Downstate Medical Center is providing you with information to assist you in determining the cost of the medical services we provide and to help you make better informed healthcare decisions.

The information we provide on our website provides a general idea of the hospital prices for our most common inpatient, outpatient and diagnostic procedures.

It is important to note that what we listed here are average prices for medical procedures, which are subject to change.

The estimated average price is an approximate calculation of the total hospital prices for a specific inpatient, outpatient or diagnostic procedure. These prices may vary based on pre-existing conditions and the actual procedure performed, such as in the following situations:

  • Additional testing, medications, services or procedures that may be required.
  • Pre-existing factors that may impact your medical needs. Examples include obesity, smoking and diabetes.
  • Your physician may determine that a different procedure needs to be performed than originally planned.

Please note that these prices do not include physicians' fees, as these offices will bill you separately.

Examples of these include prices from your surgeon, anesthesiologist, pathologist, or radiologist. Please contact those offices directly for their price information.

Physicians who provide services at SUNY Downstate Medical Center may or may not participate with the same health care plans as SUNY Downstate Medical Center. Please check with the physician arranging your hospital services to determine the health care plans in which the physician participates or select the Find a Physician link on the left-hand menu bar.

 

Important!

Most importantly, the figures listed are not what you may pay out-of-pocket for the service/procedure listed. The amount you will owe depends on your insurance plan.

Coverage benefits can differ greatly from plan to plan. The amount of any co-pays, co-insurance or deductibles will be dependent on your specific insurance plan. If you have health insurance, you should contact your insurance company directly to determine what your financial obligation will be. You may be asked to provide a procedure code, which can be obtained from your physician's office.

Note: Any payments in addition to the insurance coverage, such as co-pays, deposits and other co-insurance amounts that are the responsibility of the patient, will be due at the time the services are provided. You should verify which services are covered by your insurance plan prior to receiving such services as any charges not covered by your insurance plan will be your responsibility.

Please recognize that you may receive more than one bill for services received at UHB such as physician, hospital and possible ambulance service.

Billing Policy Summary

If you have questions or need assistance with your bill, we provide Patient Account Representatives to assist you. They provide information, make payment arrangements and help you resolve insurance billing problems.

 

Contact Us

Contact our
Patient Account Representatives

By Phone
Customer Service Representatives at:
(855) 786-9362
Monday - Friday from 9 am to 5 pm.

In Person
Representatives are located at:
711 Parkside Ave
Brooklyn NY

Financial Assistance

If you have questions regarding charges prior to a service, charity care, applying for Medicaid or a health exchange product, please contact Patient Financial Services Representatives at:

(718) 270-1031
Monday - Friday from 8 am to 4 pm.

We offer a variety of ways to pay your bill: by mail, by phone using a credit card (call our Customer Service Lines) or by visiting the Cashier at SUNY Downstate located in the front lobby.


This list contains our charges for services including:

Room and Board — Per Day Charges

Medical, Surgical, Pediatrics, Obstetrics Charges
ICU / ICCU $5,738.00
Nursery $2,911.00
Neonatal ICU $5,738.00
Medical $3,742.00
Step-Down $4,740.00
Telemetry $4,740.00

Labor and Delivery Charges

The following list does not include charges for anesthesia, drugs or supplies required for a particular delivery room procedure. Fees for physicians services or anesthesia administration are also not reflected and will be billed separately by your physician.

  Charges
Cesarean Section Delivery Please See Operating Room Charges
Vaginal Delivery $5,828.00

Operating Room Charges

Operating Room charges are based on the complexity level, with level 1 being the most basic, for a particular operation. There is an initial set-up charge as well as an additional charge for each 15 minutes while the operation is being performed.

  Charges
Level 1 $3,600.00
Level 2 $4,080.00
Level 3 $4,560.00

Evaluation & Management Services (CPT Codes 99201-99499):

Outpatient Clinic Charges

Outpatient Visit charges are based on the level of service provided to our patients. The following charges do not include fees for drugs, supplies, or additional ancillary procedures that may be required for a particular Clinic Visit.

  2018 CPT Code Charges
Office Visit: Limited Initial / Established 99201 / 99211 $488.00
Office Visit: Low Severity Initial / Established 99202 / 99212 $520.00
Office Visit: Low Complex Initial / Established 99203 / 99213 $552.00
Office Visit: Low Moderate Complex Initial / Established 99204 / 99214 $620.00
Office Visit: High Complexity Initial / Established 99205 / 99215 $811.00

Emergency Room Charges

Emergency Department charges are based on the level of emergency care provided to our patients. The categories, with Category I representing basic emergency care, reflect the type of accommodations needed, the personnel resources, the intensity of care and the amount of time needed to provide treatment. The following charges do not include fees for drugs, supplies, or additional ancillary procedures that may be required for a particular emergency treatment. They also do not include fees for Emergency Department physicians, who will bill separately for their services.

  2018 CPT Code Charges
ER Visit, Level 1 (low to moderate severity) 99281 $498.00
ER Visit, Level 2 (low to moderate severity) 99282 $852.00
ER Visit, Level 3 (moderate severity) 99283 $905.00
ER Visit, Level 4 (high severity) 99284 $1,140.00
Outpatient Visit, established patient, 15 minutes 99213 $1,225.00

Laboratory & Pathology Services (CPT Codes 80047 - 89398)

  2018 CPT Code Charges
Basic Metabolic Panel 80048 $71.00
Complete Blood Count, automated 85027 $37.00
Complete Blood Count, with differential WBC, automated 85025 $70.00
Comprehensive Metabolic Panel 80053 $101.00
Lipid Panel 80061 $139.00
Partial Thromboplastin Time 85730 $45.00
Prothrombin Time 85610 $29.00
Thyroid Stimulating Hormone 84443 $126.00
Troponin, Quantitative 84484 $24.00
Urinalysis, without microscopy 81002 or 81003 $43.00
Urinalysis, with microscopy 81000 or 81001 $58.00

Radiology Services (CPT Codes 70010 - 79999)

  2018 CPT Code Charges
CT Scan, Abdomen & Pelvis with contrast 74177 $2,457.00
CT Scan, Head or Brain, without contrast 70450 $1,079.00
Mammography, Screening, Bilateral 77065 $158.00
MRI, Head or Brain, without contrast, followed by contrast 70553 $5,040.00
Ultrasound, Abdomen, Complete 76700 $858.00
Ultrasound, OB, 14 weeks or more, transabdominal 76805 $687.00
X-Ray, Lower Back, four views 72110 $350.00
X-Ray, Chest, two views 71046 $378.00

Medicine Services (CPT Codes 90281 - 99607)

  2018 CPT Code Charges
Inhalation Treatment, pressurized or nonpressurized 94640 $407.00
Physical Therapy, Evaluation 97161 $203.00
Physical Therapy, Gait Training 97116 $114.00
Physical Therapy, Therapeutic Exercise 97110 $267.00
Occupational Therapy, Evaluation 97165 $169.00
Swallowing Evaluation 92610 $230.00
Swallowing Treatment 92526 $152.00
Speech Therapy Evaluation 92522 $246.00

Download Entire Chargemaster in Machine Readable CSV Format

Hospital Standard Charges by MS-DRG report, MS Excel

 

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