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 |
|---|---|---|---|---|
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $53.52 – $55.09 | 4 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.05 – $4.34 | 4 |
| Inj dupuytren cord w/enzyme CPT 20527 | $155.00 | $310.00 | $305.48 – $314.46 | 4 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.91 – $7.11 | 4 |
| Inj dx for sinogram CPT 20501 | $232.00 | $464.00 | not published | 0 |
| Inject for sacroiliac joint HCPCS G0259 | $428.00 | $856.00 | not published | 0 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,084.00 | $2,168.00 | $702.49 – $723.15 | 4 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $323.00 | $646.00 | not published | 0 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $51.11 – $55.10 | 4 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $462.17 – $508.34 | 4 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $20.38 – $20.98 | 4 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $282.50 | $565.00 | $305.48 – $314.46 | 4 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $72.80 – $74.94 | 4 |
| Injection during cath supravalvular aortography CPT 93567 | $197.50 | $395.00 | not published | 0 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $17.22 – $22.04 | 4 |
| Injection epidural blood patch or clot CPT 62273 | $705.00 | $1,410.00 | $702.49 – $723.15 | 4 |
| Injection eye drug CPT 67028 | $807.00 | $1,614.00 | $328.72 – $338.39 | 4 |
| Injection for arthrography wrist (both sides) CPT 25246 | $358.00 | $716.00 | not published | 0 |
| Injection for bladder x-ray CPT 51600 | $694.50 | $1,389.00 | not published | 0 |
| Injection for hip x-ray CPT 27095 | $208.00 | $416.00 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $250.50 | $501.00 | not published | 0 |
| Injection for spleen x-ray CPT 38200 | $2,359.50 | $4,719.00 | not published | 0 |
| Injection for tear sac x-ray CPT 68850 | $977.00 | $1,954.00 | not published | 0 |
| Injection for ureter x-ray CPT 50684 | $1,789.50 | $3,579.00 | not published | 0 |
| Injection for ureter x-ray CPT 50690 | $1,320.00 | $2,640.00 | not published | 0 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $13.05 – $13.05 | 1 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $299.93 – $299.93 | 1 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.39 – $12.93 | 4 |
| Injection into brain canal CPT 61026 | not published | not published | $702.49 – $723.15 | 4 |
| Injection into brain canal CPT 61055 | $825.50 | $1,651.00 | $305.48 – $314.46 | 4 |
| Injection into hemorrhoid(s) CPT 46500 | $1,339.50 | $2,679.00 | $925.49 – $952.71 | 4 |
| Injection into spinal artery CPT 62294 | not published | not published | $880.23 – $906.11 | 4 |
| Injection into vocal cord CPT 31513 | not published | not published | $389.24 – $400.69 | 4 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.03 – $1.06 | 4 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.85 – $6.02 | 4 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $71.65 – $73.76 | 4 |
| Injection of sinus tract CPT 20500 | $1,128.00 | $2,256.00 | $1,544.13 – $1,589.55 | 4 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $6.56 – $6.82 | 4 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.71 – $1.76 | 4 |
| Injection px peyronie ds CPT 54200 | not published | not published | $248.65 – $255.96 | 4 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $425.00 | $850.00 | $397.85 – $409.55 | 4 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $27.54 – $28.35 | 4 |
| Injection, ruconest HCPCS J0596 | not published | not published | $37.50 – $38.60 | 4 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,231.00 | $2,462.00 | $702.49 – $723.15 | 4 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $357.00 | $714.00 | $702.49 – $723.15 | 4 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $602.00 | $1,204.00 | $702.49 – $723.15 | 4 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $779.00 | $1,558.00 | $880.23 – $906.11 | 4 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $667.50 | $1,335.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,331.00 | $2,662.00 | $880.23 – $906.11 | 4 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $667.50 | $1,335.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,160.00 | $2,320.00 | $880.23 – $906.11 | 4 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,144.50 | $2,289.00 | $702.49 – $723.15 | 4 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,157.50 | $2,315.00 | $702.49 – $723.15 | 4 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $162.32 – $174.12 | 4 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $399.50 | $799.00 | $305.48 – $314.46 | 4 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $234.00 | $468.00 | $305.48 – $314.46 | 4 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $245.50 | $491.00 | $305.48 – $314.46 | 4 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $120.00 | $240.00 | $46.60 – $47.97 | 4 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $138.50 | $277.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $228.50 | $457.00 | $211.68 – $217.91 | 4 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $75.00 | $150.00 | $71.65 – $73.76 | 4 |
| Injection treatment of eye CPT 66020 | not published | not published | $2,296.74 – $2,364.29 | 4 |
| Injection treatment of eye CPT 66030 | $1,556.50 | $3,113.00 | $2,296.74 – $2,364.29 | 4 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,943.35 – $2,000.51 | 4 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,943.35 – $2,000.51 | 4 |
| Injection treatment of nerve CPT 64681 | not published | not published | $880.23 – $906.11 | 4 |
| Injection treatment of nose CPT 30200 | not published | not published | $536.74 – $552.53 | 4 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $31.98 – $32.92 | 4 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $41.12 – $42.33 | 4 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $32.56 – $35.58 | 4 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $21.29 – $21.92 | 4 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $370.42 – $404.09 | 4 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $57.22 – $58.91 | 4 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,122.00 | $2,244.00 | $702.49 – $723.15 | 4 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,144.50 | $2,289.00 | $880.23 – $906.11 | 4 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.19 – $1.37 | 4 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $17.10 – $17.60 | 4 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $163.20 – $175.71 | 4 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $197.63 – $203.45 | 4 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $18.87 – $19.42 | 4 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $0.02 – $2,448,600.00 | 4 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.97 – $10.26 | 4 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $34.55 – $35.57 | 4 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $22.46 – $23.12 | 4 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $143.81 – $148.04 | 4 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.25 – $1.29 | 4 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $13.89 – $13.89 | 1 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.90 – $2.98 | 4 |
| Inj for ext venography CPT 36005 | $170.00 | $340.00 | not published | 0 |
| Inj for mammo ductogram CPT 19030 | $1,460.00 | $2,920.00 | not published | 0 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $1.05 – $1.08 | 4 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $587.01 – $604.28 | 4 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $6.21 – $28.11 | 4 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $42.50 – $43.75 | 4 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $119.71 – $123.23 | 4 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,823.24 – $2,906.28 | 4 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $3.46 – $3.46 | 1 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $163.20 – $163.20 | 1 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $4.37 – $4.50 | 4 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $77.49 – $79.77 | 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.