Sentara Halifax Regional Hospital
2204 Wilborn Avenue, South Boston, VA · Sentara · · NPI 1588668842
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $169.50 | $339.00 | $25.47 – $30.74 | 4 |
| 17-hydroxypregnenolone CPT 84143 | $170.00 | $340.00 | $19.84 – $23.95 | 4 |
| 17-ketosteroids CPT 83586 | $54.50 | $109.00 | $11.14 – $13.44 | 4 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $133.55 – $137.47 | 4 |
| 1st psyc collab care mgmt CPT 99492 | not published | not published | $101.90 – $104.90 | 4 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $31.25 – $37.72 | 4 |
| 24 hr ambulatory b/p monitor CPT 93786 | $158.50 | $317.00 | $133.46 – $137.38 | 4 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,000.00 | $4,000.00 | $786.33 – $809.46 | 4 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $786.33 – $809.46 | 4 |
| 2nd order venous cath CPT 36012 | $2,066.00 | $4,132.00 | not published | 0 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $129.07 – $132.87 | 4 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $129.07 – $132.87 | 4 |
| 3-d radiotherapy plan CPT 77295 | $4,340.00 | $8,680.00 | not published | 0 |
| 3d recon without postprocess indpndt CPT 76376 | $840.50 | $1,681.00 | $60.02 – $60.02 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $56.00 | $112.00 | $9.70 – $11.71 | 4 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $84.00 | $168.00 | $18.86 – $18.86 | 1 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $45.61 – $46.95 | 4 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $125.50 | $251.00 | $10.45 – $12.61 | 4 |
| Abd aorta w/runoff s&i CPT 75630 | $3,526.50 | $7,053.00 | $2,047.87 – $3,252.59 | 4 |
| Abd/low ext cath 1st CPT 36245 | $3,720.50 | $7,441.00 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $3,022.00 | $6,044.00 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $3,260.00 | $6,520.00 | not published | 0 |
| Abd/low ext cath addl CPT 36248 | $2,752.50 | $5,505.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,130.00 | $2,260.00 | $175.94 – $181.12 | 4 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,054.50 | $2,109.00 | $175.94 – $181.12 | 4 |
| Abdominal CT scan (without contrast) CPT 74150 | $754.00 | $1,508.00 | $104.87 – $107.95 | 4 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,339.00 | $6,678.00 | $349.95 – $360.24 | 4 |
| Abdominal MRI (with contrast) CPT 74182 | $1,997.50 | $3,995.00 | $349.95 – $360.24 | 4 |
| Abdominal MRI (without contrast) CPT 74181 | $1,905.00 | $3,810.00 | $239.34 – $246.38 | 4 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,246.00 | $2,492.00 | $909.78 – $936.53 | 4 |
| Abdominal Ultrasound (complete) CPT 76700 | $762.50 | $1,525.00 | $104.87 – $107.95 | 4 |
| Abdominal Ultrasound (limited) CPT 76705 | $634.50 | $1,269.00 | $104.87 – $107.95 | 4 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,096.00 | $2,192.00 | $909.78 – $936.53 | 4 |
| Abl1 gene CPT 81170 | $965.00 | $1,930.00 | $261.00 – $315.00 | 4 |
| Ablate arrhythmia add on CPT 93655 | $8,018.50 | $16,037.00 | not published | 0 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $12,071.00 | $24,142.00 | $7,278.54 – $7,492.61 | 4 |
| Ablate bone tumor(s) perq CPT 20982 | $10,651.50 | $21,303.00 | $17,587.76 – $18,105.05 | 4 |
| Ablate heart dysrhythm focus CPT 93650 | $5,486.00 | $10,972.00 | not published | 0 |
| Ablate inf turbinate superf 30801 CPT 30801 | $1,587.50 | $3,175.00 | not published | 0 |
| Ablate pulm tumor perq crybl CPT 32994 | not published | not published | $10,662.54 – $10,976.14 | 4 |
| Ablate pulm tumor perq rf CPT 32998 | $8,026.50 | $16,053.00 | $6,064.13 – $6,242.48 | 4 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $208.50 | $417.00 | $129.07 – $132.87 | 4 |
| Ablation cryo abd perit om CPT 49999 | $5,821.50 | $11,643.00 | $909.78 – $936.53 | 4 |
| Ablation cryo adrenal tumor CPT 60699 | $6,222.00 | $12,444.00 | $6,064.13 – $6,242.48 | 4 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $347.50 | $695.00 | $247.43 – $254.70 | 4 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $10,659.50 | $21,319.00 | $10,662.54 – $10,976.14 | 4 |
| Ablation cryo retro lymph node CPT 38999 | $818.00 | $1,636.00 | $442.53 – $455.55 | 4 |
| Ablation cryo thigh/knee CPT 27599 | $3,732.00 | $7,464.00 | $247.43 – $254.70 | 4 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $10,662.54 – $10,976.14 | 4 |
| Ablation of upper extremity nerves rf CPT 64999 | $529.50 | $1,059.00 | $307.90 – $316.95 | 4 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,656.68 – $1,705.40 | 4 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $9.08 – $9.35 | 4 |
| Abortion (mpr) CPT 59866 | not published | not published | $305.67 – $314.66 | 4 |
| Abrasion lesion single CPT 15786 | not published | not published | $201.25 – $207.17 | 4 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,124.50 | $6,249.00 | $1,656.68 – $1,705.40 | 4 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | $5.70 | $11.39 | not published | 0 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | $5.70 | $11.39 | not published | 0 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | $5.18 | $10.35 | not published | 0 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | $3.62 | $7.25 | not published | 0 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | $7.76 | $15.53 | not published | 0 |
| Acetaminophen level CPT 80143 | $169.00 | $338.00 | $16.22 – $19.57 | 4 |
| Acetone qualitative CPT 82009 | $19.00 | $38.00 | $3.93 – $4.75 | 4 |
| Acetylcholine receptor modulating antibody CPT 86043 | $75.00 | $150.00 | $10.48 – $12.65 | 4 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $10.69 – $12.90 | 4 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $374.31 – $385.31 | 4 |
| Acne surgery 10040 CPT 10040 | $223.00 | $446.00 | $201.25 – $207.17 | 4 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $519.50 | $1,039.00 | not published | 0 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $348.00 | $696.00 | not published | 0 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $99.00 | $198.00 | $101.90 – $104.90 | 4 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | $99.00 | $198.00 | not published | 0 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $56.50 | $113.00 | not published | 0 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $112.00 | $224.00 | $178.04 – $183.28 | 4 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $507.00 | $1,014.00 | $133.55 – $137.47 | 4 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $22.00 | $44.00 | not published | 0 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $31.50 | $63.00 | $12.44 – $12.81 | 4 |
| Acoustic immitance testing CPT 92570 | not published | not published | $129.07 – $132.87 | 4 |
| Acoustic refl threshold tst CPT 92568 | $102.50 | $205.00 | $37.47 – $38.57 | 4 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Acth stimulation panel CPT 80402 | not published | not published | $75.66 – $91.31 | 4 |
| Acth stimulation panel CPT 80406 | not published | not published | $68.09 – $82.17 | 4 |
| Actigraphy testing CPT 95803 | not published | not published | $59.17 – $60.91 | 4 |
| Actinotherapy uv light CPT 96900 | $137.00 | $274.00 | $37.47 – $38.57 | 4 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $141.00 | $282.00 | $29.01 – $29.87 | 4 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | $141.00 | $282.00 | not published | 0 |
| Acup 1/> without estim ea add 15 CPT 97811 | $119.50 | $239.00 | not published | 0 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $119.50 | $239.00 | $29.01 – $29.87 | 4 |
| Acute hepatitis panel CPT 80074 | $670.00 | $1,340.00 | $41.44 – $50.01 | 4 |
| Acute venous thrombus image CPT 78456 | not published | not published | $238.05 – $1,333.64 | 4 |
| #acylcarnitineprfl CPT 82017 | $327.00 | $654.00 | $14.68 – $17.71 | 4 |
| Acylcarnitines qual CPT 82016 | not published | not published | $14.35 – $17.31 | 4 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $178.04 – $183.28 | 4 |
| Adapter b 8 channel 10cm HCPCS C1883 | $485.94 | $971.87 | not published | 0 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $101.90 – $104.90 | 4 |
| Adding walker to prev cast CPT 29440 | $218.50 | $437.00 | $163.00 – $167.79 | 4 |
| Adenovirus ag ia CPT 87301 | not published | not published | $10.42 – $12.58 | 4 |
| Adenovirus antibody,serum - quest CPT 86603 | $65.00 | $130.00 | $11.20 – $13.51 | 4 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $18.93 – $22.79 | 4 |
| Adhesive, liquid or equal HCPCS A4364 | $18.63 | $37.26 | not published | 0 |
| Adh-sendout CPT 84588 | $159.50 | $319.00 | $29.53 – $35.64 | 4 |
| Adj gastric band via subq port CPT 43999 | $1,598.00 | $3,196.00 | $909.78 – $936.53 | 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.