Sentara Albemarle Regional Medical Center
3050 Halstead Boulevard Extended, Elizabeth City, NC · Sentara · · NPI 1245211168
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $263.00 | $526.00 | $68.82 – $70.20 | 2 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $477.50 | $955.00 | $315.71 – $322.03 | 2 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $329.00 | $658.00 | $315.71 – $322.03 | 2 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $248.00 | $496.00 | $68.82 – $70.20 | 2 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $159.00 | $318.00 | $68.82 – $70.20 | 2 |
| Administration immunization 1 vaccine CPT 90471 | $66.00 | $132.00 | $68.82 – $70.20 | 2 |
| Administration immunization each additional vaccine CPT 90472 | $52.00 | $104.00 | not published | 0 |
| Administration immunization first component each vaccine CPT 90460 | $47.50 | $95.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $68.82 – $70.20 | 2 |
| Administration vaccine hepatitis b HCPCS G0010 | $48.00 | $96.00 | $44.76 – $45.65 | 2 |
| Administration vaccine influenza virus HCPCS G0008 | $58.50 | $117.00 | $44.76 – $45.65 | 2 |
| Administration vaccine pneumococcal HCPCS G0009 | $58.50 | $117.00 | $44.76 – $45.65 | 2 |
| Adrenal cortex & medulla img CPT 78075 | $1,350.00 | $2,700.00 | $1,237.46 – $1,262.20 | 2 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $93.50 | $187.00 | not published | 0 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $206.38 – $210.51 | 2 |
| Aep neurodiagnostic i&r CPT 92653 | $776.50 | $1,553.00 | $206.38 – $210.51 | 2 |
| Aep thrshld est mlt freq i&r CPT 92652 | $776.50 | $1,553.00 | $206.38 – $210.51 | 2 |
| _afb id by dna probe rflx ast CPT 87149 | $67.50 | $135.00 | $20.05 – $20.45 | 2 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $7.31 – $7.46 | 2 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $170.00 | $340.00 | $115.36 – $117.67 | 2 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $137.00 – $139.74 | 2 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $274.83 – $280.33 | 2 |
| Afo molded to patient plasti HCPCS L1940 | $436.77 | $873.54 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $706.39 | $1,412.78 | not published | 0 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | $385.02 | $770.04 | not published | 0 |
| Afo, walk boot type, cus fab HCPCS L4631 | $1,180.94 | $2,361.87 | not published | 0 |
| Afo w/ankle joint, prefab HCPCS L1971 | $275.31 | $550.62 | not published | 0 |
| After cataract laser surgery CPT 66821 | $948.50 | $1,897.00 | not published | 0 |
| Air conduction bilat CPT 92552 | $104.50 | $209.00 | $127.17 – $129.71 | 2 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $122.99 – $125.45 | 2 |
| Ak/knee disartic silesian ba HCPCS L5698 | $88.50 | $176.99 | not published | 0 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | $157.84 | $315.68 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $23.00 | $46.00 | $7.78 – $7.94 | 2 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $34.62 | 2 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $49.50 | $99.00 | $5.78 – $5.90 | 2 |
| Albumin serum plasma or whole blood CPT 82040 | $22.50 | $45.00 | $4.95 – $5.05 | 2 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $95.50 | $191.00 | $17.27 – $17.62 | 2 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | $36.00 | $72.00 | not published | 0 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $125.50 – $128.01 | 2 |
| Alginate dressing <=16 sq in HCPCS A6196 | $15.50 | $31.00 | not published | 0 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $33.00 | $66.00 | not published | 0 |
| Alginate drsg wound filler HCPCS A6199 | $11.90 | $23.81 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $53.50 | $107.00 | $5.18 – $5.28 | 2 |
| Allergen alpha lactalbumin ige CPT 86008 | $42.00 | $84.00 | $17.93 – $18.29 | 2 |
| Allergen egg white ige CPT 86003 | $38.00 | $76.00 | $5.22 – $5.32 | 2 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $16.00 | $32.00 | $7.97 – $8.13 | 2 |
| Allergy injections; 2 or more 95117 CPT 95117 | $52.00 | $104.00 | $44.76 – $45.65 | 2 |
| Allergy injection; single 95115 CPT 95115 | $52.00 | $104.00 | $44.76 – $45.65 | 2 |
| Allg patch or app # of tests 95044 CPT 95044 | $445.00 | $890.00 | not published | 0 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $12,271.52 – $12,516.95 | 2 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $287.73 | $575.46 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $25.80 | $51.60 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $205.45 | $410.90 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $122.13 | $244.26 | not published | 0 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $173.36 | $346.73 | not published | 0 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $35.70 – $36.41 | 2 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $191.00 | $382.00 | $64.41 – $65.70 | 2 |
| Alpha-fetoprotein amniotic CPT 82106 | $80.50 | $161.00 | $17.00 – $17.34 | 2 |
| Alpha-fetoprotein tumor marker CPT 82105 | $66.00 | $132.00 | $16.77 – $17.11 | 2 |
| Alt/sgpt CPT 84460 | $33.00 | $66.00 | $5.30 – $5.41 | 2 |
| Aluminum - quest CPT 82108 | $97.00 | $194.00 | $25.48 – $25.99 | 2 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $3,168.99 – $3,232.37 | 2 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $381.00 | $762.00 | not published | 0 |
| Ambl bp mntr w/sw a/r CPT 93788 | $354.50 | $709.00 | $127.17 – $129.71 | 2 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $5.99 – $6.11 | 2 |
| Amino acid screen, urine CPT 82128 | not published | not published | $13.87 – $14.15 | 2 |
| Amino acid single qual CPT 82127 | not published | not published | $14.18 – $14.46 | 2 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $19.61 – $20.00 | 2 |
| Aminolevulinic acid delta CPT 82135 | $76.50 | $153.00 | $16.45 – $16.78 | 2 |
| Ammonia CPT 82140 | $113.00 | $226.00 | $14.57 – $14.86 | 2 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $1,249.00 | $2,498.00 | not published | 0 |
| Amniocentesis therapeutic CPT 59001 | $1,835.00 | $3,670.00 | $291.27 – $297.09 | 2 |
| Amniotic fluid scan CPT 82143 | not published | not published | $9.35 – $9.54 | 2 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $2,192.50 | $4,385.00 | $3,127.46 – $3,190.00 | 2 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.99 – $268.25 | 2 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,536.96 – $1,567.70 | 2 |
| Amputate hand at wrist CPT 25920 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Amputate leg at thigh CPT 27591 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Amputate leg at thigh CPT 27592 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Amputate lower leg at knee CPT 27598 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Amputate upper arm & implant CPT 24931 | not published | not published | $12,271.52 – $12,516.95 | 2 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $6,935.66 – $7,074.38 | 2 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $1,972.13 – $2,011.58 | 2 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Amputation follow-up surgery CPT 24930 | not published | not published | $6,935.66 – $7,074.38 | 2 |
| Amputation follow-up surgery CPT 25924 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $6,935.66 – $7,074.38 | 2 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $6,935.66 – $7,074.38 | 2 |
| Amputation of foot at ankle CPT 27888 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Amputation of forearm CPT 25900 | not published | not published | $6,935.66 – $7,074.38 | 2 |
| Amputation of forearm CPT 25905 | not published | not published | $6,935.66 – $7,074.38 | 2 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.