Sentara RMH Medical Center
2010 Health Campus Drive, Harrisonburg, VA · Sentara · · NPI 1780694372
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 |
|---|---|---|---|---|
| Acup 1/> without estim ea add 15 CPT 97811 | $85.50 | $171.00 | not published | 0 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $85.50 | $171.00 | $28.78 – $29.63 | 4 |
| Acute hepatitis panel CPT 80074 | $235.00 | $470.00 | $48.58 – $50.01 | 4 |
| Acute venous thrombus image CPT 78456 | $638.00 | $1,276.00 | $1,288.43 – $1,326.33 | 4 |
| #acylcarnitineprfl CPT 82017 | $77.00 | $154.00 | $17.21 – $33.72 | 5 |
| Acylcarnitines qual CPT 82016 | not published | not published | $16.82 – $27.72 | 5 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $176.64 – $181.84 | 4 |
| Adapter b 8 channel 10cm HCPCS C1883 | $485.94 | $971.87 | not published | 0 |
| Adding walker to prev cast CPT 29440 | $156.50 | $313.00 | $161.72 – $166.48 | 4 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $504.75 – $519.59 | 4 |
| Add le poly knee custom kafo HCPCS L2387 | not published | not published | $226.20 – $232.85 | 4 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $681.38 – $701.42 | 4 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $420.64 – $433.01 | 4 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $451.43 – $464.71 | 4 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $375.72 – $386.77 | 4 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $891.12 – $917.33 | 4 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $454.24 – $467.60 | 4 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $621.14 – $639.41 | 4 |
| Adenovirus ag ia CPT 87301 | not published | not published | $12.22 – $23.99 | 5 |
| Adenovirus antibody,serum - quest CPT 86603 | $55.00 | $110.00 | $13.13 – $25.74 | 5 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $22.20 – $22.85 | 4 |
| Adhesive, liquid or equal HCPCS A4364 | $18.63 | $37.26 | not published | 0 |
| Adh-sendout CPT 84588 | $147.50 | $295.00 | $34.62 – $67.86 | 5 |
| Adj gastric band via subq port CPT 43999 | $1,359.50 | $2,719.00 | $902.63 – $929.18 | 4 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $7,221.37 – $7,433.77 | 4 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $2,053.37 – $2,113.77 | 4 |
| Adjustment gastric band HCPCS S2083 | $375.00 | $750.00 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $188.50 | $377.00 | $71.65 – $73.76 | 4 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $373.50 | $747.00 | $71.65 – $73.76 | 4 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $762.50 | $1,525.00 | $328.72 – $338.39 | 4 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $540.00 | $1,080.00 | $328.72 – $338.39 | 4 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $173.50 | $347.00 | $71.65 – $73.76 | 4 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $250.50 | $501.00 | $71.65 – $73.76 | 4 |
| Administration immunization 1 vaccine CPT 90471 | $20.50 | $41.00 | $71.65 – $73.76 | 4 |
| Administration immunization each additional vaccine CPT 90472 | $20.50 | $41.00 | not published | 0 |
| Administration immunization first component each vaccine CPT 90460 | $49.00 | $98.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $71.65 – $73.76 | 4 |
| Administration vaccine hepatitis b HCPCS G0010 | $49.00 | $98.00 | $46.60 – $47.97 | 4 |
| Administration vaccine influenza virus HCPCS G0008 | $20.50 | $41.00 | $46.60 – $47.97 | 4 |
| Administration vaccine pneumococcal HCPCS G0009 | $20.50 | $41.00 | $46.60 – $47.97 | 4 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $43.00 – $44.27 | 4 |
| Adrenal cortex & medulla img CPT 78075 | $872.50 | $1,745.00 | $1,288.43 – $1,326.33 | 4 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $100.50 | $201.00 | not published | 0 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $214.89 – $221.21 | 4 |
| Aep neurodiagnostic i&r CPT 92653 | $746.50 | $1,493.00 | $214.89 – $221.21 | 4 |
| Aep thrshld est mlt freq i&r CPT 92652 | $746.50 | $1,493.00 | $214.89 – $221.21 | 4 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $3,002.29 – $3,090.59 | 4 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $0.02 – $809,151.00 | 4 |
| _afb id by dna probe rflx ast CPT 87149 | $67.50 | $135.00 | $20.45 – $40.09 | 5 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $7.46 – $11.30 | 5 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $170.00 | $340.00 | $117.67 – $121.13 | 4 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $139.74 – $143.85 | 4 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $280.33 – $288.57 | 4 |
| Aflibercept injection HCPCS J0178 | not published | not published | $786.99 – $810.14 | 4 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $657.07 – $676.40 | 4 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $1,385.86 – $1,426.62 | 4 |
| Afo molded to patient plasti HCPCS L1940 | $436.77 | $873.54 | $579.67 – $596.72 | 4 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $706.39 | $1,412.78 | $1,091.80 – $1,123.91 | 4 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $320.11 – $329.52 | 4 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $430.16 – $442.82 | 4 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $409.76 – $421.82 | 4 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $918.89 – $945.91 | 4 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $316.21 – $325.51 | 4 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $688.45 – $708.70 | 4 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $1,387.61 – $1,428.42 | 4 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $796.94 – $820.38 | 4 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | $391.00 | $782.00 | $800.52 – $824.06 | 4 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $921.07 – $948.16 | 4 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $638.23 – $657.01 | 4 |
| Afo, walk boot type, cus fab HCPCS L4631 | $1,180.94 | $2,361.87 | $1,950.89 – $2,008.27 | 4 |
| Afo w/ankle joint, prefab HCPCS L1971 | $275.31 | $550.62 | $573.47 – $590.34 | 4 |
| After cataract laser surgery CPT 66821 | $897.00 | $1,794.00 | not published | 0 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $228.07 – $241.66 | 4 |
| Ag detect nos ia single CPT 87450 | not published | not published | $19.17 – $19.17 | 1 |
| Air conduction bilat CPT 92552 | $55.50 | $111.00 | $132.41 – $136.30 | 4 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $128.06 – $131.82 | 4 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $3,060.27 – $3,150.27 | 4 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $2,011.92 – $2,071.09 | 4 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $685.87 – $706.04 | 4 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,499.62 – $1,543.73 | 4 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $670.17 – $689.88 | 4 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $105.50 – $108.60 | 4 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $259.71 – $267.35 | 4 |
| Ak/knee disartic silesian ba HCPCS L5698 | $88.50 | $176.99 | $131.21 – $135.07 | 4 |
| Ak open end sach HCPCS L5321 | not published | not published | $4,104.20 – $4,224.92 | 4 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $171.43 – $176.47 | 4 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $226.54 – $233.20 | 4 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | $157.84 | $315.68 | $237.64 – $244.63 | 4 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $1,695.97 – $1,745.86 | 4 |
| Albumin body fluid quantitative each specimen CPT 82042 | $24.50 | $49.00 | $7.94 – $10.34 | 5 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.66 – $22.29 | 4 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $54.14 – $55.73 | 4 |
| Albumin ischemia modified CPT 82045 | not published | not published | $34.62 – $35.64 | 4 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $28.00 | $56.00 | $5.90 – $11.57 | 5 |
| Albumin serum plasma or whole blood CPT 82040 | $23.00 | $46.00 | $5.05 – $9.91 | 5 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $132.00 | $264.00 | $17.62 – $18.13 | 4 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $28.78 – $29.63 | 4 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | $36.00 | $72.00 | not published | 0 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $176.64 – $181.84 | 4 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $3,405.65 – $3,505.81 | 4 |
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.