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 |
|---|---|---|---|---|
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $5,658.31 – $5,771.48 | 2 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $5,658.31 – $5,771.48 | 2 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $5,658.31 – $5,771.48 | 2 |
| Left compres band >=3" <5"/yd HCPCS A6449 | $10.87 | $21.74 | not published | 0 |
| Left compres band <3"/yd HCPCS A6448 | $5.70 | $11.39 | not published | 0 |
| Left compres band >=5"/yd HCPCS A6450 | $6.73 | $13.46 | not published | 0 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $20.05 – $20.45 | 2 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $41.76 – $42.60 | 2 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $3,017.99 – $3,078.35 | 2 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,016.50 | $2,033.00 | $228.06 – $232.62 | 2 |
| Leishmania antibody CPT 86717 | $52.00 | $104.00 | $12.25 – $12.50 | 2 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Lengthening of palate CPT 42227 | not published | not published | $5,658.31 – $5,771.48 | 2 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $5,658.31 – $5,771.48 | 2 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $6,935.66 – $7,074.38 | 2 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $6,935.66 – $7,074.38 | 2 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $6,935.66 – $7,074.38 | 2 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $12,271.52 – $12,516.95 | 2 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $6,935.66 – $7,074.38 | 2 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $12,271.52 – $12,516.95 | 2 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $6,935.66 – $7,074.38 | 2 |
| Leukacyte transfusion CPT 86950 | not published | not published | $162.84 – $166.10 | 2 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $10.39 – $10.60 | 2 |
| Levetiracetam therapeutic drug level CPT 80177 | $138.00 | $276.00 | $13.25 – $13.52 | 2 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $3,098.72 – $3,160.69 | 2 |
| Lidocaine therapeutic drug level CPT 80176 | $31.50 | $63.00 | $14.69 – $14.98 | 2 |
| Lift heel adj small gl60404sm HCPCS L3332 | $12.94 | $25.88 | not published | 0 |
| Ligate leg veins open CPT 37761 | not published | not published | $3,017.99 – $3,078.35 | 2 |
| Ligate leg veins radical 37760 CPT 37760 | $5,752.50 | $11,505.00 | $3,017.99 – $3,078.35 | 2 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $3,017.99 – $3,078.35 | 2 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $3,017.99 – $3,078.35 | 2 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $3,094.12 – $3,156.00 | 2 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,578.64 – $1,610.21 | 2 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $3,017.99 – $3,078.35 | 2 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,017.99 – $3,078.35 | 2 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,017.99 – $3,078.35 | 2 |
| Ligation internal jugular vein 37565 CPT 37565 | $1,856.50 | $3,713.00 | $3,017.99 – $3,078.35 | 2 |
| Ligation/major artery/extremity 37618 CPT 37618 | $1,928.00 | $3,856.00 | not published | 0 |
| Ligation major artery neck CPT 37615 | $4,493.00 | $8,986.00 | $3,017.99 – $3,078.35 | 2 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $3,017.99 – $3,078.35 | 2 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $5,318.67 – $5,425.04 | 2 |
| Ligation of femoral vein CPT 37650 | not published | not published | $3,017.99 – $3,078.35 | 2 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $5,318.67 – $5,425.04 | 2 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,017.99 – $3,078.35 | 2 |
| Ligation of salivary duct CPT 42665 | not published | not published | $3,168.99 – $3,232.37 | 2 |
| Ligation of shunt CPT 49428 | $1,708.00 | $3,416.00 | not published | 0 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $3,017.99 – $3,078.35 | 2 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $5,201.50 | $10,403.00 | $3,017.99 – $3,078.35 | 2 |
| Lig/band angioaccess av fistula CPT 37607 | $5,063.50 | $10,127.00 | $3,017.99 – $3,078.35 | 2 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $3,017.99 – $3,078.35 | 2 |
| Limb exercise test CPT 95875 | not published | not published | $122.99 – $125.45 | 2 |
| Limited ankle motion ea jnt HCPCS L2200 | $40.36 | $80.73 | not published | 0 |
| Limited visual field xm CPT 92081 | not published | not published | $56.39 – $57.51 | 2 |
| Lipase CPT 83690 | $68.00 | $136.00 | $6.89 – $7.03 | 2 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $3,168.99 – $3,232.37 | 2 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $33.86 – $34.54 | 2 |
| Lipoprotein blood quant CPT 83704 | $68.00 | $136.00 | $34.19 – $34.87 | 2 |
| Lipoprotein direct measurement hdl CPT 83718 | $105.00 | $210.00 | $8.19 – $8.35 | 2 |
| Lipoprotein direct measurement ldl CPT 83721 | $29.50 | $59.00 | $10.50 – $10.71 | 2 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $34.87 | 2 |
| Lip surgery procedure CPT 40799 | $295.50 | $591.00 | not published | 0 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $13.45 | 2 |
| Lithium therapeutic drug level CPT 80178 | $64.00 | $128.00 | $6.61 – $6.74 | 2 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $115.00 | $230.00 | not published | 0 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $177.50 | $355.00 | $176.19 – $179.71 | 2 |
| Liver elastography 91200 CPT 91200 | not published | not published | $122.99 – $125.45 | 2 |
| Liver Function Test CPT 80076 | $114.00 | $228.00 | $8.17 – $8.33 | 2 |
| Liver imaging CPT 78201 | $1,223.00 | $2,446.00 | $518.98 – $529.36 | 2 |
| Liver imag w/vasclr flow CPT 78202 | $1,223.00 | $2,446.00 | $518.98 – $529.36 | 2 |
| Liver/spleen imag static only CPT 78215 | $532.00 | $1,064.00 | $382.11 – $389.75 | 2 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $621.50 | $1,243.00 | $382.11 – $389.75 | 2 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,272.46 – $2,317.91 | 2 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $3,127.46 – $3,190.00 | 2 |
| Loudness balance test CPT 92562 | not published | not published | $206.38 – $210.51 | 2 |
| Low back disk surgery CPT 63030 | not published | not published | $6,935.66 – $7,074.38 | 2 |
| Low cost skin substitute app HCPCS C5271 | $855.00 | $1,710.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5275 | $765.00 | $1,530.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5272 | $429.50 | $859.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,374.00 | $4,748.00 | $167.65 – $171.01 | 2 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $2,192.50 | $4,385.00 | $333.46 – $340.13 | 2 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,327.00 | $2,654.00 | $99.93 – $101.93 | 2 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,861.50 | $3,723.00 | $333.46 – $340.13 | 2 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,798.50 | $3,597.00 | $333.46 – $340.13 | 2 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,518.00 | $3,036.00 | $228.06 – $232.62 | 2 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $366.50 | $733.00 | $99.93 – $101.93 | 2 |
| Lower jaw bone graft CPT 21215 | not published | not published | $5,658.31 – $5,771.48 | 2 |
| Low frequency non-thermal Ultrasound CPT 97610 | $102.50 | $205.00 | $191.77 – $195.61 | 2 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $10,160.25 – $10,363.45 | 2 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $10,160.25 – $10,363.45 | 2 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $10,160.25 – $10,363.45 | 2 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $10,160.25 – $10,363.45 | 2 |
| Lso corset front HCPCS L0972 | $94.70 | $189.41 | not published | 0 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $131.44 | $262.89 | not published | 0 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $230.29 | $460.58 | not published | 0 |
| Lso s/c shell/panel custom HCPCS L0640 | $829.04 | $1,658.07 | not published | 0 |
| Lso s/c shell/panel prefab HCPCS L0639 | $850.77 | $1,701.54 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.99 – $22.43 | 2 |
| Lumbar diskogram s&i CPT 72295 | $2,108.50 | $4,217.00 | $1,866.46 – $1,903.79 | 2 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $16,759.24 – $17,094.42 | 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.