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 |
|---|---|---|---|---|
| Clot factor viii reltd antgn CPT 85244 | $47.50 | $95.00 | $17.77 – $21.44 | 4 |
| Clot factor wght kininogen CPT 85293 | $75.50 | $151.00 | $16.47 – $19.88 | 4 |
| Clot factor xii hageman CPT 85280 | $23.00 | $46.00 | $15.92 – $20.32 | 4 |
| Clot factor xiii fibrin scrn CPT 85291 | $28.50 | $57.00 | $7.93 – $9.57 | 4 |
| Clot factor xiii fibrin stab CPT 85290 | $51.50 | $103.00 | $14.22 – $17.16 | 4 |
| Clotting assay whole blood CPT 85396 | not published | not published | $20.92 – $20.92 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $609.50 | $1,219.00 | $247.43 – $254.70 | 4 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $342.50 | $685.00 | $247.43 – $254.70 | 4 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $609.50 | $1,219.00 | $247.43 – $254.70 | 4 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $1,612.94 – $1,660.38 | 4 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $513.50 | $1,027.00 | $247.43 – $254.70 | 4 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $2,807.50 | $5,615.00 | $1,612.94 – $1,660.38 | 4 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $393.50 | $787.00 | $247.43 – $254.70 | 4 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $258.00 | $516.00 | $247.43 – $254.70 | 4 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $523.00 | $1,046.00 | $247.43 – $254.70 | 4 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $609.50 | $1,219.00 | $247.43 – $254.70 | 4 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $487.50 | $975.00 | $247.43 – $254.70 | 4 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $609.50 | $1,219.00 | $247.43 – $254.70 | 4 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $3,128.50 | $6,257.00 | $1,612.94 – $1,660.38 | 4 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $2,637.00 | $5,274.00 | $1,612.94 – $1,660.38 | 4 |
| Clsd tx fracture of radius 25500 CPT 25500 | $258.00 | $516.00 | $247.43 – $254.70 | 4 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $264.00 | $528.00 | $247.43 – $254.70 | 4 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $495.50 | $991.00 | $247.43 – $254.70 | 4 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $441.50 | $883.00 | $247.43 – $254.70 | 4 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,104.00 | $2,208.00 | $1,612.94 – $1,660.38 | 4 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $523.00 | $1,046.00 | $247.43 – $254.70 | 4 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $3,284.50 | $6,569.00 | $1,612.94 – $1,660.38 | 4 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $382.50 | $765.00 | $247.43 – $254.70 | 4 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $425.50 | $851.00 | $247.43 – $254.70 | 4 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $198.00 | $396.00 | $247.43 – $254.70 | 4 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $448.00 | $896.00 | $247.43 – $254.70 | 4 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $3,145.00 | $6,290.00 | not published | 0 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $525.00 | $1,050.00 | $540.99 – $556.90 | 4 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $483.00 | $966.00 | $247.43 – $254.70 | 4 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $277.00 | $554.00 | $247.43 – $254.70 | 4 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $783.00 | $1,566.00 | $247.43 – $254.70 | 4 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $609.50 | $1,219.00 | $247.43 – $254.70 | 4 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $379.50 | $759.00 | $247.43 – $254.70 | 4 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $3,404.50 | $6,809.00 | not published | 0 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,006.00 | $2,012.00 | $1,612.94 – $1,660.38 | 4 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $609.50 | $1,219.00 | $247.43 – $254.70 | 4 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $380.00 | $760.00 | $247.43 – $254.70 | 4 |
| Clsd tx pelvic ring fx CPT 27197 | $198.00 | $396.00 | $247.43 – $254.70 | 4 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $247.43 – $254.70 | 4 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $3,741.00 | $7,482.00 | $1,612.94 – $1,660.38 | 4 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $367.00 | $734.00 | $247.43 – $254.70 | 4 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $375.00 | $750.00 | $247.43 – $254.70 | 4 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $1,006.00 | $2,012.00 | $1,612.94 – $1,660.38 | 4 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $382.50 | $765.00 | $247.43 – $254.70 | 4 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $2,528.50 | $5,057.00 | $1,612.94 – $1,660.38 | 4 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $951.50 | $1,903.00 | $1,612.94 – $1,660.38 | 4 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $3,145.00 | $6,290.00 | $1,612.94 – $1,660.38 | 4 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $194.00 | $388.00 | $247.43 – $254.70 | 4 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $609.50 | $1,219.00 | $247.43 – $254.70 | 4 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $342.50 | $685.00 | $247.43 – $254.70 | 4 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,252.50 | $2,505.00 | $1,612.94 – $1,660.38 | 4 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $376.00 | $752.00 | $247.43 – $254.70 | 4 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $451.00 | $902.00 | $247.43 – $254.70 | 4 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $344.50 | $689.00 | $247.43 – $254.70 | 4 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $258.00 | $516.00 | $247.43 – $254.70 | 4 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $247.43 – $254.70 | 4 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $609.50 | $1,219.00 | $247.43 – $254.70 | 4 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $258.00 | $516.00 | $247.43 – $254.70 | 4 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $739.50 | $1,479.00 | $247.43 – $254.70 | 4 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,767.00 | $3,534.00 | $1,612.94 – $1,660.38 | 4 |
| Cltx craniofacial separation CPT 21431 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $1,809.00 | $3,618.00 | $1,612.94 – $1,660.38 | 4 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $257.50 | $515.00 | $247.43 – $254.70 | 4 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $3,284.50 | $6,569.00 | $1,612.94 – $1,660.38 | 4 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $401.00 | $802.00 | $247.43 – $254.70 | 4 |
| Cltx lunate dislc w/mnpj CPT 25690 | $3,295.00 | $6,590.00 | $1,612.94 – $1,660.38 | 4 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $7,000.00 | $14,000.00 | $5,938.04 – $6,112.69 | 4 |
| Cltx mndblr/max alv ridge fx CPT 21440 | $2,417.00 | $4,834.00 | not published | 0 |
| Cltx post ankle fx CPT 27767 | not published | not published | $247.43 – $254.70 | 4 |
| Cltx post ankle fx w/mnpj CPT 27768 | $3,350.00 | $6,700.00 | $1,612.94 – $1,660.38 | 4 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $1,787.50 | $3,575.00 | $1,612.94 – $1,660.38 | 4 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $1,019.00 | $2,038.00 | $247.43 – $254.70 | 4 |
| Cltx thigh fx CPT 27267 | $4,202.50 | $8,405.00 | $3,282.07 – $3,378.60 | 4 |
| Cltx thigh fx w/mnpj CPT 27268 | not published | not published | $1,612.94 – $1,660.38 | 4 |
| Cmbn ant pst colprhy CPT 57260 | not published | not published | $5,017.84 – $5,165.42 | 4 |
| C motor evoked lwr limbs CPT 95929 | $606.50 | $1,213.00 | $374.31 – $385.31 | 4 |
| C motor evoked uppr limbs CPT 95928 | $606.50 | $1,213.00 | $861.38 – $886.72 | 4 |
| C motor evoked upr&lwr limbs CPT 95939 | $1,008.50 | $2,017.00 | $861.38 – $886.72 | 4 |
| Cmptr ophth dx img ant segmt CPT 92132 | not published | not published | $59.17 – $60.91 | 4 |
| Cmptr ophth img optic nerve CPT 92133 | not published | not published | $59.17 – $60.91 | 4 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $8.20 – $14.74 | 4 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $7.66 – $9.24 | 4 |
| #cmvcul-virus inoculation shell CPT 87254 | $141.50 | $283.00 | $6.69 – $20.54 | 4 |
| Cmv pcr-sendout CPT 87496 | $83.00 | $166.00 | $30.53 – $36.84 | 4 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $119.19 – $143.85 | 4 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $190.00 – $195.58 | 4 |
| Co2 monitor per day CPT 94681 | $289.00 | $578.00 | $374.31 – $385.31 | 4 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.69 – $2.77 | 4 |
| Coagulation time activated teg CPT 85347 | $25.50 | $51.00 | $3.72 – $4.49 | 4 |
| Coagulation time lee & white CPT 85345 | not published | not published | $4.08 – $4.92 | 4 |
| Coagulation time otr method CPT 85348 | not published | not published | $3.91 – $4.71 | 4 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $6.74 – $6.74 | 1 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $129.07 – $132.87 | 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.