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 |
|---|---|---|---|---|
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,724.00 | $3,448.00 | $902.63 – $929.18 | 4 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $925.49 – $952.71 | 4 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $902.63 – $929.18 | 4 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $902.63 – $929.18 | 4 |
| Gjb2 gene full sequence CPT 81252 | $586.50 | $1,173.00 | $103.14 – $106.18 | 4 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $62.75 – $64.60 | 4 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.70 – $36.75 | 4 |
| Glassia injection HCPCS J0257 | not published | not published | $5.75 – $5.92 | 4 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $28.78 – $29.63 | 4 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $37.17 – $38.26 | 4 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,296.74 – $2,364.29 | 4 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,296.74 – $2,364.29 | 4 |
| Glove finger flexion right lg xl HCPCS L3912 | $60.03 | $120.06 | $133.66 – $137.59 | 4 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $186.10 – $191.57 | 4 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $151.97 – $156.44 | 4 |
| Glucagon plasma - sendout CPT 82943 | $66.00 | $132.00 | $14.58 – $28.57 | 5 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.99 – $83.93 | 5 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $51.51 – $92.13 | 5 |
| Glucagon tolerance test CPT 82946 | not published | not published | $18.13 – $30.13 | 5 |
| Glucose 1 hr post dose CPT 82950 | $22.50 | $45.00 | $4.84 – $9.49 | 5 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.17 – $12.12 | 5 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $26.50 | $53.00 | $3.35 – $6.32 | 5 |
| Glucose blood quantitative CPT 82947 | $20.00 | $40.00 | $4.01 – $7.84 | 5 |
| Glucose body fluid CPT 82945 | $20.00 | $40.00 | $4.01 – $7.84 | 5 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $188.50 | $377.00 | $58.71 – $60.44 | 4 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $49.00 | $98.00 | $13.13 – $25.75 | 5 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $20.00 | $40.00 | $4.00 – $7.84 | 5 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.80 – $0.80 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.26 – $11.59 | 4 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $82.00 | $164.00 | $18.95 – $37.16 | 5 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $151.38 – $270.12 | 5 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $81.50 | $163.00 | $18.89 – $37.03 | 5 |
| Gonioscopy CPT 92020 | not published | not published | $132.41 – $136.30 | 4 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $748.34 – $770.35 | 4 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $34.68 | $69.35 | 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 | $3,256.29 – $3,352.06 | 4 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $40.33 | $80.66 | not published | 0 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $1,672.95 | $3,345.90 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $3,586.25 | $7,172.50 | 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 | $252.54 | $505.08 | not published | 0 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $77.62 | $155.25 | 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 | $4,013.75 | $8,027.50 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $349.60 | $699.20 | not published | 0 |
| Great toe-hand transfer CPT 26551 | not published | not published | $7,221.37 – $7,433.77 | 4 |
| Great toe with reduction 28495 CPT 28495 | $372.50 | $745.00 | $245.48 – $252.70 | 4 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,053.37 – $2,113.77 | 4 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,526.71 – $3,630.44 | 4 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,526.71 – $3,630.44 | 4 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $48.50 | $97.00 | $12.44 – $12.81 | 4 |
| Group train without patient HCPCS G0543 | not published | not published | $28.78 – $29.63 | 4 |
| Growth hormone antibody CPT 86277 | not published | not published | $16.05 – $31.47 | 5 |
| Growth hormone panel CPT 80428 | not published | not published | $68.03 – $121.55 | 5 |
| Growth hormone panel CPT 80430 | not published | not published | $131.92 – $142.78 | 5 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $77.11 – $79.38 | 4 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,909.69 – $1,965.86 | 4 |
| G-tube reposition CPT 43761 | $504.00 | $1,008.00 | $248.65 – $255.96 | 4 |
| Gu dilat ureter/urethra s&i CPT 74485 | $1,021.00 | $2,042.00 | $2,080.35 – $2,141.53 | 4 |
| Guided cath fluid drainage 10030 CPT 10030 | $2,170.50 | $4,341.00 | $704.73 – $725.46 | 4 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $754.52 | $1,509.03 | 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 | $530.00 | $1,060.00 | not published | 0 |
| Gum graft CPT 41870 | not published | not published | $1,544.13 – $1,589.55 | 4 |
| Gw stiffened micro access kit HCPCS C1894 | $910.80 | $1,821.60 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $3,896.63 – $4,011.24 | 4 |
| Hair analysis HCPCS P2031 | not published | not published | $9.26 – $9.26 | 1 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $735.52 – $757.16 | 4 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $404.56 – $416.46 | 4 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $404.56 – $416.46 | 4 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $52.90 – $54.45 | 4 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $2,747.85 – $2,828.67 | 4 |
| Halo cervical into jckt vest HCPCS L0810 | $1,975.30 | $3,950.60 | $3,061.46 – $3,151.50 | 4 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $3,872.54 – $3,986.44 | 4 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $263.70 – $271.46 | 4 |
| 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 | $117.68 – $121.14 | 4 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $1,487.82 | $2,975.63 | not published | 0 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $1,969.59 – $2,027.52 | 4 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $2,021.92 – $2,081.38 | 4 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $781.74 – $804.73 | 4 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $2,006.27 – $2,065.28 | 4 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $3,256.29 – $3,352.06 | 4 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $7,221.37 – $7,433.77 | 4 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $3,256.29 – $3,352.06 | 4 |
| Hand X-ray CPT 73130 | $203.00 | $406.00 | $86.61 – $89.15 | 4 |
| Haptoglobin quantitative CPT 83010 | $64.00 | $128.00 | $12.83 – $25.14 | 5 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $210.56 – $216.75 | 4 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $151.44 – $155.89 | 4 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $149.96 – $154.37 | 4 |
| Harvest auto stem cells CPT 38206 | $2,999.00 | $5,998.00 | not published | 0 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $2,053.37 – $2,113.77 | 4 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $2,366.07 – $2,435.66 | 4 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $439.06 – $451.97 | 4 |
| Hast w/i&r phys/qhp CPT 94452 | $149.00 | $298.00 | $132.41 – $136.30 | 4 |
| Hast w/oxygen titrate CPT 94453 | $219.00 | $438.00 | $132.41 – $136.30 | 4 |
| Hba1/hba2 full gene sequence CPT 81259 | $230.50 | $461.00 | $612.00 – $630.00 | 4 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $206.45 – $212.52 | 4 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $382.76 – $394.01 | 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.