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 |
|---|---|---|---|---|
| Unlisted px foot/toes CPT 28899 | $1,143.50 | $2,287.00 | $245.48 – $252.70 | 4 |
| Unlisted px forearm/wrist CPT 25999 | $409.50 | $819.00 | $245.48 – $252.70 | 4 |
| Unlisted px hands/fingers CPT 26989 | $198.00 | $396.00 | $245.48 – $252.70 | 4 |
| Unlisted px inner ear CPT 69949 | not published | not published | $235.71 – $242.65 | 4 |
| Unlisted px leg/ankle CPT 27899 | $427.00 | $854.00 | $245.48 – $252.70 | 4 |
| Unlisted px male genital sys CPT 55899 | $253.00 | $506.00 | $248.65 – $255.96 | 4 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $133.76 – $137.70 | 4 |
| Unlisted px middle ear CPT 69799 | $355.50 | $711.00 | $235.71 – $242.65 | 4 |
| Unlisted px neck/thorax CPT 21899 | $352.00 | $704.00 | $235.71 – $242.65 | 4 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $235.71 – $242.65 | 4 |
| Unlisted px pelvis/hip joint CPT 27299 | $373.50 | $747.00 | $245.48 – $252.70 | 4 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $2,296.74 – $2,364.29 | 4 |
| Unlisted px salivry glnd/dux CPT 42699 | $3,047.00 | $6,094.00 | $235.71 – $242.65 | 4 |
| Unlisted px small intestine CPT 44799 | $1,487.50 | $2,975.00 | $902.63 – $929.18 | 4 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $235.71 – $242.65 | 4 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $133.76 – $137.70 | 4 |
| Unlisted px tongue flr mouth CPT 41599 | $292.50 | $585.00 | $235.71 – $242.65 | 4 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $235.71 – $242.65 | 4 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $51.86 – $53.39 | 4 |
| Unlisted resp px dx nuc med CPT 78599 | not published | not published | $397.85 – $409.55 | 4 |
| Unlisted spec derm svc/px CPT 96999 | not published | not published | $199.67 – $205.54 | 4 |
| Unlisted surgical path px CPT 88399 | $47.38 | $94.75 | $51.86 – $53.39 | 4 |
| Unlisted transfusion med px CPT 86999 | not published | not published | $28.78 – $29.63 | 4 |
| Unlisted ultrasound procedure CPT 76999 | $121.00 | $242.00 | $86.61 – $89.15 | 4 |
| Unlisted urinalysis px CPT 81099 | $7.50 | $15.00 | not published | 0 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $624.29 – $642.65 | 4 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $397.85 – $409.55 | 4 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $6,016.50 – $6,193.46 | 4 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $6,016.50 – $6,193.46 | 4 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $605.00 | $1,210.00 | $683.02 – $703.11 | 4 |
| Upgrade pm system CPT 33214 | $12,334.00 | $24,668.00 | $10,401.81 – $10,707.75 | 4 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $3,112.00 | $6,224.00 | $347.20 – $357.41 | 4 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,233.50 | $4,467.00 | $347.20 – $357.41 | 4 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,855.00 | $3,710.00 | $237.46 – $244.44 | 4 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $902.63 – $929.18 | 4 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $902.63 – $929.18 | 4 |
| Upper ext fx orthosis rad/ul HCPCS L3982 | $232.88 | $465.75 | $428.18 – $440.77 | 4 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $902.63 – $929.18 | 4 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $6,016.50 – $6,193.46 | 4 |
| Urea nitrogen CPT 84520 | $20.00 | $40.00 | $4.03 – $7.88 | 5 |
| Urea nitrogen 24 hour urine CPT 84540 | $22.50 | $45.00 | $5.67 – $9.49 | 5 |
| Urea nitrogen clearance CPT 84545 | $19.50 | $39.00 | $7.34 – $13.19 | 5 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.23 – $7.51 | 5 |
| Ureteral embolization/occl CPT 50705 | $1,567.50 | $3,135.00 | not published | 0 |
| Ureteral reflux study CPT 78740 | $341.50 | $683.00 | $397.85 – $409.55 | 4 |
| Ureter endoscopy CPT 50970 | not published | not published | $3,508.06 – $3,611.23 | 4 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $5,336.05 – $5,492.99 | 4 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $5,336.05 – $5,492.99 | 4 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $3,508.06 – $3,611.23 | 4 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $5,336.05 – $5,492.99 | 4 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $5,336.05 – $5,492.99 | 4 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $5,336.05 – $5,492.99 | 4 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $5,336.05 – $5,492.99 | 4 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $313.50 | $627.00 | $237.46 – $244.44 | 4 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,508.06 – $3,611.23 | 4 |
| Urethrocystography void s&i CPT 74455 | $301.00 | $602.00 | $237.46 – $244.44 | 4 |
| Uric acid blood CPT 84550 | $22.00 | $44.00 | $4.61 – $9.04 | 5 |
| Uric acid urine CPT 84560 | $22.50 | $45.00 | $5.18 – $9.49 | 5 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.79 – $7.36 | 5 |
| Urinalysis microscopic only CPT 81015 | $24.50 | $49.00 | $3.11 – $6.08 | 5 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.21 – $4.34 | 5 |
| Urinalysis (with microscopy) CPT 81001 | $40.00 | $80.00 | $3.23 – $6.32 | 5 |
| Urinalysis (without microscopy) CPT 81003 | $25.50 | $51.00 | $2.30 – $4.48 | 5 |
| Urinary pouch w/barrier HCPCS A5071 | $5.70 | $11.39 | not published | 0 |
| Urinary reflex study CPT 51792 | not published | not published | $58.71 – $60.44 | 4 |
| Urine Culture Test CPT 87086 | $41.00 | $82.00 | $8.23 – $16.14 | 5 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $132.41 – $136.30 | 4 |
| Urine pregnancy test CPT 81025 | $63.50 | $127.00 | $8.78 – $12.64 | 5 |
| Urine screen for bacteria CPT 81007 | not published | not published | $5.14 – $31.48 | 5 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $17.00 – $17.00 | 1 |
| Urography, antegrade CPT 74425 | $375.50 | $751.00 | $347.20 – $357.41 | 4 |
| Urography inf drip &/or bolus CPT 74410 | $642.50 | $1,285.00 | $174.56 – $179.69 | 4 |
| Use 1st target lesion CPT 76982 | $336.50 | $673.00 | $104.04 – $107.10 | 4 |
| User adjustable heel height HCPCS L5990 | not published | not published | $2,224.02 – $2,289.43 | 4 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $13.13 – $13.64 | 4 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $294.86 – $294.86 | 1 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,777.04 – $13,152.83 | 4 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $72.96 | $145.92 | $302.29 – $302.29 | 1 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $72.96 | $145.92 | $275.00 – $275.00 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $65.55 | $131.10 | $291.53 – $291.53 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $43.89 | $87.78 | $164.15 – $164.15 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $32.68 | $65.36 | $122.58 – $122.58 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $140.53 – $140.53 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $131.61 – $131.61 | 1 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $332.04 – $332.04 | 1 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $59.22 – $59.22 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $156.13 – $156.13 | 1 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $156.13 – $156.13 | 1 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $40.88 – $40.88 | 1 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $41.79 – $41.79 | 1 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $34.48 – $34.48 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $127.12 – $127.12 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $36.90 – $36.90 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $17.24 – $17.24 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $45.82 – $45.82 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $120.63 – $120.63 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $68.91 – $68.91 | 1 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $20.44 – $20.44 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $249.59 – $249.59 | 1 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $482.44 – $482.44 | 1 |
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.