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 |
|---|---|---|---|---|
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $170.89 – $175.92 | 4 |
| Cryopreservation sperm CPT 89259 | not published | not published | $61.38 – $175.50 | 4 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $442.53 – $455.55 | 4 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $52.27 – $53.81 | 4 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $3,927.48 – $4,042.99 | 4 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $223.00 | $446.00 | $201.25 – $207.17 | 4 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $59.17 – $60.91 | 4 |
| Cryptococcus abs qn - sendout CPT 86641 | $136.50 | $273.00 | $12.54 – $15.13 | 4 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $10.42 – $12.58 | 4 |
| Crystal identification light microscopy CPT 89060 | $62.50 | $125.00 | $6.38 – $7.70 | 4 |
| Csf leakage imaging CPT 78650 | not published | not published | $343.46 – $1,333.64 | 4 |
| Csf ventriculography CPT 78635 | not published | not published | $343.46 – $559.32 | 4 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $119.19 – $143.85 | 4 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $239.10 – $288.57 | 4 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $161.12 – $194.46 | 4 |
| CT 3d report other modality w/workstation CPT 76377 | $840.00 | $1,680.00 | $151.25 – $151.25 | 1 |
| Cta abdomen without & /or w/contrast CPT 74175 | $3,308.50 | $6,617.00 | $175.94 – $181.12 | 4 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $3,567.50 | $7,135.00 | $175.94 – $181.12 | 4 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,782.00 | $5,564.00 | $175.94 – $181.12 | 4 |
| Cta neck without &/or w/contrast CPT 70498 | $2,637.50 | $5,275.00 | $175.94 – $181.12 | 4 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $6,390.50 | $12,781.00 | $349.95 – $360.24 | 4 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,513.78 | $3,027.57 | $175.94 – $181.12 | 4 |
| CT Angiogram of the Head CPT 70496 | $2,691.50 | $5,383.00 | $175.94 – $181.12 | 4 |
| CT angio hrt w/3d image CPT 75574 | $375.00 | $750.00 | $349.95 – $360.24 | 4 |
| CT angio pelvis CPT 72191 | $3,082.50 | $6,165.00 | $175.94 – $181.12 | 4 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $2,789.50 | $5,579.00 | $175.94 – $181.12 | 4 |
| CT bone density axial CPT 77078 | $507.00 | $1,014.00 | $87.29 – $89.86 | 4 |
| CT cerebral perf w cont & prcssng CPT 70473 | not published | not published | $175.94 – $181.12 | 4 |
| CT colonography dx CPT 74261 | $433.00 | $866.00 | $104.87 – $107.95 | 4 |
| CT colonography dx w/dye CPT 74262 | $536.50 | $1,073.00 | $175.94 – $181.12 | 4 |
| CT colonography screening CPT 74263 | $433.00 | $866.00 | $239.34 – $246.38 | 4 |
| CT guidance for needle placement CPT 77012 | $1,255.00 | $2,510.00 | $401.50 – $401.50 | 1 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $627.50 | $1,255.00 | not published | 0 |
| CT guid cryo ablat intramuscular CPT 20999 | $4,232.50 | $8,465.00 | $247.43 – $254.70 | 4 |
| CT guid parench tis ablat CPT 77013 | $1,764.00 | $3,528.00 | $476.06 – $476.06 | 1 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $51.50 | $103.00 | $72.18 – $89.65 | 4 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,068.00 | $2,136.00 | $349.95 – $360.24 | 4 |
| CT hrt w/3d image CPT 75572 | $1,068.00 | $2,136.00 | $349.95 – $360.24 | 4 |
| CT limited or localized follow-up study CPT 76380 | $533.50 | $1,067.00 | $87.29 – $89.86 | 4 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,393.00 | $2,786.00 | $175.94 – $181.12 | 4 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,002.88 | $2,005.76 | $104.87 – $107.95 | 4 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,504.00 | $3,008.00 | $175.94 – $181.12 | 4 |
| CT neck soft tissue w/contrast CPT 70491 | $1,379.00 | $2,758.00 | $175.94 – $181.12 | 4 |
| CT neck soft tissue without contrast CPT 70490 | $848.50 | $1,697.00 | $104.87 – $107.95 | 4 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,585.00 | $3,170.00 | $175.94 – $181.12 | 4 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,776.50 | $3,553.00 | $175.94 – $181.12 | 4 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,145.50 | $2,291.00 | $175.94 – $181.12 | 4 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $670.00 | $1,340.00 | $104.87 – $107.95 | 4 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $356.50 | $713.00 | not published | 0 |
| CT scan for localization CPT 77011 | $1,478.50 | $2,957.00 | $401.50 – $401.50 | 1 |
| CT scan for therapy guide CPT 77014 | $466.50 | $933.00 | $151.25 – $151.25 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $2,259.00 | $4,518.00 | $349.95 – $360.24 | 4 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,820.50 | $3,641.00 | $349.95 – $360.24 | 4 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,541.50 | $3,083.00 | $239.34 – $246.38 | 4 |
| CT thoracic spine w/contrast CPT 72129 | $1,810.50 | $3,621.00 | $175.94 – $181.12 | 4 |
| CT thoracic spine without contrast CPT 72128 | $1,262.50 | $2,525.00 | $104.87 – $107.95 | 4 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $446.50 | $893.00 | $104.87 – $107.95 | 4 |
| CT t-spine w /wo contrast CPT 72130 | $1,776.50 | $3,553.00 | $175.94 – $181.12 | 4 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,520.00 | $3,040.00 | $349.95 – $360.24 | 4 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,353.50 | $2,707.00 | $104.87 – $107.95 | 4 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,681.00 | $3,362.00 | $175.94 – $181.12 | 4 |
| Cuffs adj lock with active con HCPCS L3740 | $723.98 | $1,447.97 | not published | 0 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $61.38 – $175.50 | 4 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $61.38 – $175.50 | 4 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $3,554.63 – $3,659.18 | 4 |
| Culture aerobic additional method definitive id each CPT 87077 | $204.00 | $408.00 | $7.03 – $8.48 | 4 |
| Culture afb any source CPT 87116 | $64.50 | $129.00 | $9.40 – $11.34 | 4 |
| Culture anaerobic additional method definitive id each CPT 87076 | $69.00 | $138.00 | $7.03 – $8.48 | 4 |
| Culture anaerobic except blood CPT 87075 | $92.00 | $184.00 | $8.24 – $9.94 | 4 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $2.40 – $10.14 | 4 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $14.56 – $14.56 | 1 |
| Culture bact stool aero addl path ea CPT 87046 | $22.50 | $45.00 | $1.20 – $9.91 | 4 |
| Culture body fluid CPT 87070 | $74.00 | $148.00 | $7.50 – $9.05 | 4 |
| Culture fungi definitive id mold CPT 87107 | $16.00 | $32.00 | $8.98 – $10.84 | 4 |
| Culture fungi definitive id yeast CPT 87106 | $78.00 | $156.00 | $8.98 – $10.84 | 4 |
| Culture fungi other (except blood) CPT 87102 | $214.50 | $429.00 | $7.32 – $8.83 | 4 |
| Culture fungi skin/hair/nail CPT 87101 | not published | not published | $6.71 – $8.10 | 4 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $12.71 – $15.34 | 4 |
| Culture mycoplasma any source CPT 87109 | $100.00 | $200.00 | $13.39 – $16.16 | 4 |
| Culture of specimen by kit CPT 87084 | $56.50 | $113.00 | $11.79 – $28.36 | 4 |
| Culture quantitative aerobic other source CPT 87071 | $21.50 | $43.00 | $2.40 – $10.38 | 4 |
| Culture screening strep group a CPT 87081 | $62.50 | $125.00 | $5.77 – $6.96 | 4 |
| Culture type pulse field gel CPT 87152 | not published | not published | $6.73 – $8.13 | 4 |
| Culture typing added method CPT 87158 | not published | not published | $6.73 – $8.13 | 4 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $10.89 – $13.15 | 4 |
| Culture typing immunologic CPT 87147 | $41.00 | $82.00 | $4.51 – $5.44 | 4 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $145.00 | $290.00 | $189.71 – $228.96 | 4 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $145.50 | $291.00 | $30.53 – $36.84 | 4 |
| Culture urine each isolate CPT 87088 | not published | not published | $7.04 – $8.49 | 4 |
| Culture virus isolation CPT 87250 | not published | not published | $17.02 – $20.54 | 4 |
| Cutter lead HCPCS C1773 | $3,071.88 | $6,143.76 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $1,138.50 | $2,277.00 | $1,579.00 – $1,625.44 | 4 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $207.50 | $415.00 | $12.46 – $15.04 | 4 |
| Cyclic citrullinated peptide antibody CPT 86200 | $141.50 | $283.00 | $11.27 – $13.60 | 4 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.79 – $0.81 | 4 |
| Cyclosporine 2 hour CPT 80158 | $82.50 | $165.00 | $15.70 – $18.95 | 4 |
| Cyp2c19 gene com variants CPT 81225 | $193.00 | $386.00 | $253.48 – $305.93 | 4 |
| Cyp2c9 gene com variants CPT 81227 | $133.00 | $266.00 | $152.08 – $183.55 | 4 |
| Cyp2d6 gene com variants CPT 81226 | $633.50 | $1,267.00 | $392.29 – $473.46 | 4 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $152.08 – $183.55 | 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.