Jag tror att geografimetoden STIntersects() kommer att göra vad du vill:
DECLARE @g geography;
DECLARE @h geography;
SET @g = geography::STGeomFromText('POLYGON((-122.358 47.653, -122.348 47.649, -122.348 47.658, -122.358 47.658, -122.358 47.653))', 4326);
SET @h = geography::Point(47.653, -122.358, 4326)
SELECT @g.STIntersects(@h)