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 |
|---|---|---|---|---|
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $124.66 | 2 |
| Hpa-1 genotyping CPT 81105 | $213.50 | $427.00 | $122.22 – $124.66 | 2 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $124.66 | 2 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $124.66 | 2 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $124.66 | 2 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.22 – $124.66 | 2 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $124.66 | 2 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $124.66 | 2 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $35.09 – $35.79 | 2 |
| Hpv low-risk types CPT 87623 | not published | not published | $35.09 – $35.79 | 2 |
| Hpv types 16 & 18 only CPT 87625 | $112.00 | $224.00 | $40.55 – $41.36 | 2 |
| H pylori ag ia CPT 87339 | not published | not published | $16.00 – $16.32 | 2 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $67.36 – $68.71 | 2 |
| H pylori (c-13) breath CPT 83013 | $301.50 | $603.00 | $67.36 – $68.71 | 2 |
| H pylori drug admin CPT 83014 | $14.50 | $29.00 | $7.86 – $8.02 | 2 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $3,027.00 | $6,054.00 | $1,303.95 – $1,330.03 | 2 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $584.90 – $596.60 | 2 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $584.90 – $596.60 | 2 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $1,972.13 – $2,011.58 | 2 |
| Hsv dna dir probe CPT 87528 | not published | not published | $20.05 – $20.45 | 2 |
| Htt gene charac alleles CPT 81274 | not published | not published | $274.83 – $280.33 | 2 |
| Htt gene detc abnor alleles CPT 81271 | $218.00 | $436.00 | $137.00 – $139.74 | 2 |
| Human epididymis protein 4 (he4) CPT 86305 | $306.50 | $613.00 | $20.81 – $21.23 | 2 |
| Hydration IV infusion each additional hour CPT 96361 | $186.00 | $372.00 | $44.76 – $45.65 | 2 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $336.50 | $673.00 | $203.31 – $207.37 | 2 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | $4.66 | $9.32 | not published | 0 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | $28.46 | $56.93 | not published | 0 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | $5.70 | $11.39 | not published | 0 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | $11.38 | $22.77 | not published | 0 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | $6.73 | $13.46 | not published | 0 |
| Hydrogel drsg gel filler HCPCS A6248 | $18.12 | $36.23 | not published | 0 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $112.00 | $224.00 | $17.90 – $18.26 | 2 |
| Hymenotomy CPT 56442 | not published | not published | $3,094.12 – $3,156.00 | 2 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $5,658.31 – $5,771.48 | 2 |
| #hypersens-actinomyces ab CPT 86602 | $47.00 | $94.00 | $10.18 – $10.38 | 2 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $368.66 – $376.03 | 2 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $528.13 – $538.70 | 2 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $528.13 – $538.70 | 2 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $528.13 – $538.70 | 2 |
| Hysterosalpingography s&i CPT 74740 | $636.00 | $1,272.00 | $228.06 – $232.62 | 2 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $4,781.46 – $4,877.09 | 2 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $3,094.12 – $3,156.00 | 2 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $3,094.12 – $3,156.00 | 2 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $4,781.46 – $4,877.09 | 2 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $3,094.12 – $3,156.00 | 2 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $4,781.46 – $4,877.09 | 2 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $4,781.46 – $4,877.09 | 2 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $4,781.46 – $4,877.09 | 2 |
| I-123 iobenguane diag HCPCS A9582 | $2,079.00 | $4,158.00 | not published | 0 |
| I-123 ioflupane diag HCPCS A9584 | $2,196.50 | $4,393.00 | not published | 0 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $236.00 | $472.00 | not published | 0 |
| I131 iodide cap, rx HCPCS A9517 | $98.00 | $196.00 | not published | 0 |
| I131 iodide sol, rx HCPCS A9530 | $19.00 | $38.00 | not published | 0 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $13.42 – $13.69 | 2 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $119.50 | $239.00 | $35.09 – $35.79 | 2 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $90.50 | $181.00 | $18.09 – $18.45 | 2 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $23.00 | $46.00 | $45.28 – $46.19 | 2 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,448.56 – $2,497.53 | 2 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $45,186.03 | $90,372.06 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $45,186.03 | $90,372.06 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $10,898.55 | $21,797.10 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $15,709.23 | $31,418.46 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $206.38 – $210.51 | 2 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $35.70 – $36.41 | 2 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $56.39 – $57.51 | 2 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $6,935.66 – $7,074.38 | 2 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $2,300.00 | $4,600.00 | $3,168.99 – $3,232.37 | 2 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,578.64 – $1,610.21 | 2 |
| Identify sperm tissue CPT 89264 | not published | not published | $49.81 – $50.81 | 2 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $4,453.00 | $8,906.00 | $3,127.46 – $3,190.00 | 2 |
| Idh1 common variants CPT 81120 | not published | not published | $193.25 – $197.12 | 2 |
| Idh2 common variants CPT 81121 | not published | not published | $295.79 – $301.71 | 2 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $1,491.50 | $2,983.00 | $2,653.04 – $2,706.10 | 2 |
| I&d lacrimal sac CPT 68420 | not published | not published | $2,272.46 – $2,317.91 | 2 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $1,630.00 | $3,260.00 | $2,776.40 – $2,831.92 | 2 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $2,776.40 – $2,831.92 | 2 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $2,776.40 – $2,831.92 | 2 |
| Ifnl3 gene CPT 81283 | $319.00 | $638.00 | $73.37 – $74.84 | 2 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $207.31 – $211.46 | 2 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $68.55 – $69.92 | 2 |
| Igh gene rearrange amp meth CPT 81261 | $226.50 | $453.00 | $197.99 – $201.95 | 2 |
| Igh@ var region somatic mutation analy CPT 81263 | $741.00 | $1,482.00 | $294.52 – $300.41 | 2 |
| Igk rearrangeabn clonal pop CPT 81264 | $362.50 | $725.00 | $172.73 – $176.18 | 2 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $316.00 | $632.00 | not published | 0 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $316.00 | $632.00 | $342.61 – $349.46 | 2 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $316.00 | $632.00 | $162.84 – $166.10 | 2 |
| Ikbkap gene CPT 81260 | not published | not published | $39.31 – $40.10 | 2 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $6,935.66 – $7,074.38 | 2 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,186.50 | $2,373.00 | not published | 0 |
| Iliac revasc add-on 37222 CPT 37222 | $8,067.00 | $16,134.00 | not published | 0 |
| Img rta detcj/mntr ds staff CPT 92227 | $61.50 | $123.00 | $56.39 – $57.51 | 2 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $35.70 – $36.41 | 2 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $56.39 – $57.51 | 2 |
| Immob elbow child sm HCPCS L3762 | $82.50 | $165.00 | not published | 0 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $33.64 | $67.28 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $85.90 | $171.81 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $59.52 | $119.03 | not published | 0 |
| Immune complex assay CPT 86332 | $244.00 | $488.00 | $24.37 – $24.86 | 2 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $88.50 | $177.00 | $20.81 – $21.23 | 2 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $88.50 | $177.00 | $20.81 – $21.23 | 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.