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 |
|---|---|---|---|---|
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $163.00 | $326.00 | $18.58 – $18.95 | 2 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $151.38 | 2 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $191.00 | $382.00 | $18.52 – $18.89 | 2 |
| Gonioscopy CPT 92020 | not published | not published | $127.17 – $129.71 | 2 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $83.32 | $166.64 | not published | 0 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $146.46 | $292.91 | not published | 0 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $2,879.89 | $5,759.78 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $163.02 | $326.03 | not published | 0 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $310.36 | $620.73 | not published | 0 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $50.72 | $101.43 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $90.56 | $181.13 | not published | 0 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $3,326.90 | $6,653.80 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,813.84 | $3,627.68 | not published | 0 |
| Great toe-hand transfer CPT 26551 | not published | not published | $6,935.66 – $7,074.38 | 2 |
| Great toe with reduction 28495 CPT 28495 | $502.00 | $1,004.00 | $235.77 – $240.49 | 2 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $1,972.13 – $2,011.58 | 2 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,387.18 – $3,454.92 | 2 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,387.18 – $3,454.92 | 2 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $48.50 | $97.00 | $11.99 – $12.23 | 2 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $16.05 | 2 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $68.03 | 2 |
| Growth hormone panel CPT 80430 | not published | not published | $129.33 – $131.92 | 2 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $75.60 – $77.11 | 2 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,834.14 – $1,870.82 | 2 |
| G-tube reposition CPT 43761 | $774.00 | $1,548.00 | $238.81 – $243.59 | 2 |
| Gu dilat ureter/urethra s&i CPT 74485 | $2,003.50 | $4,007.00 | $1,998.04 – $2,038.00 | 2 |
| Guided cath fluid drainage 10030 CPT 10030 | $1,225.50 | $2,451.00 | $676.85 – $690.39 | 2 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $926.67 | $1,853.34 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $288.25 | $576.50 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $409.50 | $819.00 | not published | 0 |
| Gum graft CPT 41870 | not published | not published | $1,483.04 – $1,512.70 | 2 |
| Gw stiffened micro access kit HCPCS C1894 | $780.00 | $1,560.00 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $3,742.46 – $3,817.31 | 2 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $706.42 – $720.55 | 2 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $388.56 – $396.33 | 2 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $388.56 – $396.33 | 2 |
| Halo cervical into jckt vest HCPCS L0810 | $1,975.30 | $3,950.60 | not published | 0 |
| Hand-held pefr meter a4614 HCPCS A4614 | $26.40 | $52.79 | not published | 0 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | $47.50 | $95.00 | not published | 0 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $1,487.82 | $2,975.63 | not published | 0 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $6,935.66 – $7,074.38 | 2 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Hand X-ray CPT 73130 | $281.50 | $563.00 | $83.18 – $84.84 | 2 |
| Haptoglobin quantitative CPT 83010 | $9.00 | $18.00 | $12.58 – $12.83 | 2 |
| Harvest auto stem cells CPT 38206 | $2,426.00 | $4,852.00 | not published | 0 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $1,972.13 – $2,011.58 | 2 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $2,272.46 – $2,317.91 | 2 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $421.68 – $430.12 | 2 |
| Hast w/i&r phys/qhp CPT 94452 | $185.50 | $371.00 | $127.17 – $129.71 | 2 |
| Hast w/oxygen titrate CPT 94453 | $215.00 | $430.00 | $127.17 – $129.71 | 2 |
| Hba1/hba2 full gene sequence CPT 81259 | $230.50 | $461.00 | $600.00 – $612.00 | 2 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $202.40 – $206.45 | 2 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $382.76 | 2 |
| Hbb full gene sequence CPT 81364 | $606.50 | $1,213.00 | $324.58 – $331.07 | 2 |
| Hbb gene com variants CPT 81361 | not published | not published | $174.81 – $178.31 | 2 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $202.40 – $206.45 | 2 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $382.76 | 2 |
| Hb glycosylated a1c home dev CPT 83037 | $12.00 | $24.00 | $9.71 – $9.90 | 2 |
| Hbot, full body chamber, 30m HCPCS G0277 | $426.00 | $852.00 | $131.53 – $134.16 | 2 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $480.50 | $961.00 | $167.65 – $171.01 | 2 |
| Hcg free betachain test CPT 84704 | not published | not published | $15.29 – $15.60 | 2 |
| Hcg qualitative CPT 84703 | $65.50 | $131.00 | $7.52 – $7.67 | 2 |
| Hcg quantitative CPT 84702 | $102.00 | $204.00 | $15.05 – $15.35 | 2 |
| Hc hearing aid exam both ears CPT 92591 | $134.00 | $268.00 | not published | 0 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $26.00 | $52.00 | not published | 0 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $1,536.96 – $1,567.70 | 2 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $706.42 – $720.55 | 2 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $706.42 – $720.55 | 2 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $518.98 – $529.36 | 2 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $382.11 – $389.75 | 2 |
| Hc nm kidney imaging with flow CPT 78701 | $986.00 | $1,972.00 | $382.11 – $389.75 | 2 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $518.98 – $529.36 | 2 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $1,237.46 – $1,262.20 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $2,374.00 | $4,748.00 | not published | 0 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $2,729.00 | $5,458.00 | not published | 0 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $2,957.00 | $5,914.00 | not published | 0 |
| Hdr rdncl skn surf brachytx CPT 77767 | $2,374.00 | $4,748.00 | $368.66 – $376.03 | 2 |
| Hdr rdncl skn surf brachytx CPT 77768 | $2,729.00 | $5,458.00 | $368.66 – $376.03 | 2 |
| Head CT scan (with and without contrast) CPT 70470 | $1,455.00 | $2,910.00 | $167.65 – $171.01 | 2 |
| Head CT scan (with contrast) CPT 70460 | $1,322.00 | $2,644.00 | $167.65 – $171.01 | 2 |
| Head CT scan (without contrast) CPT 70450 | $989.50 | $1,979.00 | $99.93 – $101.93 | 2 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $679.57 – $693.16 | 2 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,625.00 – $1,657.50 | 2 |
| Heart first pass multiple CPT 78483 | not published | not published | $518.98 – $529.36 | 2 |
| Heart image spect CPT 78494 | not published | not published | $382.11 – $389.75 | 2 |
| Heart infarct image CPT 78466 | not published | not published | $382.11 – $389.75 | 2 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $518.98 – $529.36 | 2 |
| Heavy metal qual any number CPT 83015 | $72.50 | $145.00 | $20.94 – $21.36 | 2 |
| Heinz bodies direct CPT 85441 | $25.50 | $51.00 | $4.20 – $4.28 | 2 |
| Heinz bodies induced CPT 85445 | not published | not published | $6.82 – $6.96 | 2 |
| Helicobacter pylori antibody igm CPT 86677 | $62.00 | $124.00 | $16.85 – $17.19 | 2 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $8.19 – $8.35 | 2 |
| Hematocrit CPT 85014 | $54.00 | $108.00 | $2.37 – $2.42 | 2 |
| Hematopoietic nuclear tx CPT 79403 | $874.50 | $1,749.00 | not published | 0 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Hemodialysis one evaluation CPT 90935 | not published | not published | $656.00 – $669.12 | 2 |
| Hemoglobin CPT 85018 | $37.50 | $75.00 | $2.37 – $2.42 | 2 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $4.01 – $4.09 | 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.