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 |
|---|---|---|---|---|
| Chemo intralesional up to 7 96405 CPT 96405 | $96.00 | $192.00 | $72.22 – $74.35 | 4 |
| Chemotaxis assay CPT 86155 | not published | not published | $13.91 – $16.79 | 4 |
| Chemotherapy injection 96542 CPT 96542 | not published | not published | $331.32 – $341.07 | 4 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $331.32 – $341.07 | 4 |
| Chest 2 vws w oblique CPT 71048 | $444.00 | $888.00 | $104.87 – $107.95 | 4 |
| Chest apical lordotic proj CPT 71047 | $355.00 | $710.00 | $87.29 – $89.86 | 4 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,963.50 | $3,927.00 | $175.94 – $181.12 | 4 |
| Chest CT scan (with contrast) CPT 71260 | $1,497.10 | $2,994.20 | $175.94 – $181.12 | 4 |
| Chest CT scan (without contrast) CPT 71250 | $993.12 | $1,986.23 | $104.87 – $107.95 | 4 |
| Chest X-ray CPT 71046 | $143.00 | $286.00 | $87.29 – $89.86 | 4 |
| Chest X-ray (single view) CPT 71045 | $197.00 | $394.00 | $87.29 – $89.86 | 4 |
| Chg pr pul rehab for copd patients CPT 94626 | $66.50 | $133.00 | $59.17 – $60.91 | 4 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $294.00 | $588.00 | $175.94 – $181.12 | 4 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $180.49 – $217.83 | 4 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $226.89 – $273.83 | 4 |
| Chiropractic manj 5 regions CPT 98942 | $112.50 | $225.00 | not published | 0 |
| Chiropract manj 1-2 regions CPT 98940 | $54.00 | $108.00 | not published | 0 |
| Chiropract manj 3-4 regions CPT 98941 | $66.00 | $132.00 | not published | 0 |
| Chlamydia culture CPT 87110 | $91.00 | $182.00 | $17.05 – $20.58 | 4 |
| Chlamydia trachomatis ag if CPT 87270 | $108.50 | $217.00 | $10.42 – $12.58 | 4 |
| Chlamydia type CPT 87140 | $27.50 | $55.00 | $4.85 – $5.85 | 4 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $17.44 – $21.05 | 4 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $37.27 – $44.98 | 4 |
| Chlnggrphy intraop addl s&i CPT 74301 | $175.50 | $351.00 | $166.77 – $166.77 | 1 |
| Chloride CPT 82435 | $57.00 | $114.00 | $4.00 – $4.83 | 4 |
| Chloride 24 hour urine CPT 82436 | $25.50 | $51.00 | $5.00 – $6.04 | 4 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $1.18 – $1.18 | 1 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $486.50 | $973.00 | $331.32 – $341.07 | 4 |
| Cholangiogram percutaneous compl CPT 47532 | $6,246.00 | $12,492.00 | $3,591.42 – $3,697.05 | 4 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $515.50 | $1,031.00 | $166.77 – $166.77 | 1 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $3,063.50 | $6,127.00 | $3,591.42 – $3,697.05 | 4 |
| Cholesterol CPT 82465 | $52.00 | $104.00 | $3.78 – $4.57 | 4 |
| Cholesterol body fluid CPT 84999 | $157.00 | $314.00 | $6.07 – $6.07 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | $84.00 | $168.00 | $11.65 – $14.06 | 4 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,566.76 – $2,642.25 | 4 |
| Cholinesterase CPT 82480 | $46.00 | $92.00 | $6.85 – $8.26 | 4 |
| Cholinesterase challenge CPT 95857 | not published | not published | $216.59 – $222.96 | 4 |
| Chrom analysis CPT 88273 | $225.00 | $450.00 | $30.28 – $36.55 | 4 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $13.27 – $40.85 | 4 |
| Chromatography CPT 83021 | $96.00 | $192.00 | $15.71 – $18.96 | 4 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $5.94 – $12.48 | 4 |
| Chromo high res and frag x - sendout CPT 81243 | $274.50 | $549.00 | $49.62 – $59.89 | 4 |
| Chromosome analys amniotic CPT 88269 | $1,145.50 | $2,291.00 | $151.08 – $182.34 | 4 |
| Chromosome analysis 100 CPT 88249 | $192.00 | $384.00 | $150.66 – $181.83 | 4 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,155.00 | $2,310.00 | $109.18 – $131.76 | 4 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $150.66 – $181.83 | 4 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $130.75 – $157.80 | 4 |
| Chromosome analysis 5 CPT 88261 | $1,218.50 | $2,437.00 | $229.98 – $277.56 | 4 |
| Chromosome analysis 50-100 CPT 88248 | $187.00 | $374.00 | $150.66 – $181.83 | 4 |
| Chromosome analys placenta CPT 88267 | $132.50 | $265.00 | $164.06 – $198.00 | 4 |
| Chromosome banding study CPT 88283 | not published | not published | $59.68 – $72.03 | 4 |
| Chromosome count additional CPT 88285 | $131.50 | $263.00 | $23.41 – $28.26 | 4 |
| Chromosome karyotype study CPT 88280 | $332.50 | $665.00 | $29.12 – $35.14 | 4 |
| Chromosome study additional CPT 88289 | $279.50 | $559.00 | $29.95 – $36.15 | 4 |
| Chronic urticaria - sendout CPT 86343 | $53.00 | $106.00 | $10.84 – $13.08 | 4 |
| Chylomicron screen, bf - sendout CPT 82664 | $21.00 | $42.00 | $43.76 – $64.42 | 4 |
| Cidofovir injection HCPCS J0740 | not published | not published | $572.00 – $588.83 | 4 |
| Ciliary transsleral therapy CPT 66710 | $1,588.00 | $3,176.00 | not published | 0 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $0.02 – $617,919.55 | 4 |
| Cine/video x-rays CPT 76120 | not published | not published | $104.87 – $107.95 | 4 |
| Cine/video x-rays add-on CPT 76125 | not published | not published | $69.76 – $69.76 | 1 |
| Circum 28 days or older CPT 54161 | $2,090.50 | $4,181.00 | not published | 0 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $1,418.50 | $2,837.00 | not published | 0 |
| Circumcision (newborn) CPT 54150 | $2,269.50 | $4,539.00 | not published | 0 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $655.00 | $1,310.00 | $286.67 – $345.99 | 4 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $8.90 – $9.16 | 4 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $5,029.06 | $10,058.13 | not published | 0 |
| Claviculectomy partial CPT 23120 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Claviculectomy total CPT 23125 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $540.99 – $556.90 | 4 |
| Clearance of airways CPT 31720 | not published | not published | $219.65 – $226.11 | 4 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $133.46 – $137.38 | 4 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $133.46 – $137.38 | 4 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $133.46 – $137.38 | 4 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $37.47 – $38.57 | 4 |
| Clip ligating vesolock lg HCPCS C1760 | $774.70 | $1,549.40 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $3,247.09 – $3,342.59 | 4 |
| Cllr miami j sm HCPCS L0174 | $210.62 | $421.25 | not published | 0 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $11.16 – $11.48 | 4 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $207.00 | $414.00 | $247.43 – $254.70 | 4 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $1,006.00 | $2,012.00 | $1,612.94 – $1,660.38 | 4 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $396.00 | $792.00 | $1,612.94 – $1,660.38 | 4 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $162.50 | $325.00 | $247.43 – $254.70 | 4 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $1,873.00 | $3,746.00 | $1,612.94 – $1,660.38 | 4 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $513.50 | $1,027.00 | $247.43 – $254.70 | 4 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $1,089.00 | $2,178.00 | $1,612.94 – $1,660.38 | 4 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $389.50 | $779.00 | $247.43 – $254.70 | 4 |
| Closed tx orbit without manipulj CPT 21400 | $1,164.00 | $2,328.00 | $540.99 – $556.90 | 4 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $2,528.50 | $5,057.00 | $1,612.94 – $1,660.38 | 4 |
| Closed tx septal&nose fx CPT 21337 | $2,622.00 | $5,244.00 | not published | 0 |
| Closed tx sesamoid fx 28530 CPT 28530 | $445.50 | $891.00 | $247.43 – $254.70 | 4 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $298.50 | $597.00 | $247.43 – $254.70 | 4 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $651.00 | $1,302.00 | not published | 0 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $13.92 – $16.80 | 4 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,960.50 | $5,921.00 | not published | 0 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $2,328.00 | $4,656.00 | $540.99 – $556.90 | 4 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $629.23 – $647.74 | 4 |
| Clot factor fletcher fact CPT 85292 | $75.50 | $151.00 | $16.47 – $19.88 | 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.