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 |
|---|---|---|---|---|
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $246.00 | $492.00 | $72.22 – $74.35 | 4 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $505.00 | $1,010.00 | $72.22 – $74.35 | 4 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $879.00 | $1,758.00 | $331.32 – $341.07 | 4 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $653.00 | $1,306.00 | $331.32 – $341.07 | 4 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $219.50 | $439.00 | $72.22 – $74.35 | 4 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $276.50 | $553.00 | $72.22 – $74.35 | 4 |
| Administration immunization 1 vaccine CPT 90471 | $43.50 | $87.00 | $72.22 – $74.35 | 4 |
| Administration immunization each additional vaccine CPT 90472 | $46.50 | $93.00 | not published | 0 |
| Administration immunization first component each vaccine CPT 90460 | $43.50 | $87.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $72.22 – $74.35 | 4 |
| Administration vaccine hepatitis b HCPCS G0010 | $43.50 | $87.00 | $46.97 – $48.35 | 4 |
| Administration vaccine influenza virus HCPCS G0008 | $43.50 | $87.00 | $46.97 – $48.35 | 4 |
| Administration vaccine pneumococcal HCPCS G0009 | $43.50 | $87.00 | $46.97 – $48.35 | 4 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $43.04 – $44.31 | 4 |
| Adrenal cortex & medulla img CPT 78075 | $1,350.00 | $2,700.00 | $266.98 – $1,333.64 | 4 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $107.50 | $215.00 | not published | 0 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $101.90 – $104.90 | 4 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $216.59 – $222.96 | 4 |
| Aep neurodiagnostic i&r CPT 92653 | $891.50 | $1,783.00 | $216.59 – $222.96 | 4 |
| Aep thrshld est mlt freq i&r CPT 92652 | $891.50 | $1,783.00 | $216.59 – $222.96 | 4 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $3,002.29 – $3,090.59 | 4 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $0.02 – $809,151.00 | 4 |
| _afb id by dna probe rflx ast CPT 87149 | $70.00 | $140.00 | $17.44 – $21.05 | 4 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $6.36 – $7.68 | 4 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $131.00 | $262.00 | $100.36 – $121.13 | 4 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $119.19 – $143.85 | 4 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $239.10 – $288.57 | 4 |
| Aflibercept injection HCPCS J0178 | not published | not published | $746.52 – $768.48 | 4 |
| Afo molded to patient plasti HCPCS L1940 | $436.77 | $873.54 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $706.39 | $1,412.78 | not published | 0 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | $385.02 | $770.04 | not published | 0 |
| Afo, walk boot type, cus fab HCPCS L4631 | $1,180.94 | $2,361.87 | not published | 0 |
| Afo w/ankle joint, prefab HCPCS L1971 | $275.31 | $550.62 | not published | 0 |
| After cataract laser surgery CPT 66821 | $937.00 | $1,874.00 | not published | 0 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $232.13 – $238.96 | 4 |
| Ag detect nos ia single CPT 87450 | not published | not published | $4.67 – $4.67 | 1 |
| Air conduction bilat CPT 92552 | $104.50 | $209.00 | $133.46 – $137.38 | 4 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $129.07 – $132.87 | 4 |
| Ak/knee disartic silesian ba HCPCS L5698 | $88.50 | $176.99 | not published | 0 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | $157.84 | $315.68 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $34.50 | $69.00 | $6.77 – $8.17 | 4 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.66 – $22.29 | 4 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $54.14 – $55.73 | 4 |
| Albumin ischemia modified CPT 82045 | not published | not published | $29.53 – $35.64 | 4 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $62.00 | $124.00 | $5.03 – $6.07 | 4 |
| Albumin serum plasma or whole blood CPT 82040 | $27.00 | $54.00 | $4.31 – $5.20 | 4 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $108.50 | $217.00 | $15.02 – $18.13 | 4 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $17.64 – $17.64 | 1 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $29.01 – $29.87 | 4 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | $41.00 | $82.00 | not published | 0 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $178.04 – $183.28 | 4 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $3,405.65 – $3,505.81 | 4 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $109.18 – $131.78 | 4 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,489.22 – $2,562.44 | 4 |
| Alginate dressing <=16 sq in HCPCS A6196 | $20.18 | $40.37 | not published | 0 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $36.22 | $72.45 | not published | 0 |
| Alginate drsg wound filler HCPCS A6199 | $38.82 | $77.63 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $80.50 | $161.00 | $4.51 – $5.44 | 4 |
| Allergen alpha lactalbumin ige CPT 86008 | $44.00 | $88.00 | $15.60 – $18.83 | 4 |
| Allergen egg white ige CPT 86003 | $38.00 | $76.00 | $4.54 – $5.48 | 4 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $22.50 | $45.00 | $4.11 – $8.37 | 4 |
| Allergy injections; 2 or more 95117 CPT 95117 | $59.00 | $118.00 | $46.97 – $48.35 | 4 |
| Allergy injection; single 95115 CPT 95115 | $59.00 | $118.00 | $46.97 – $48.35 | 4 |
| Allergy Skin Testing CPT 95004 | not published | not published | $861.38 – $886.72 | 4 |
| Allg patch or app # of tests 95044 CPT 95044 | $445.00 | $890.00 | $861.38 – $886.72 | 4 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $12,878.18 – $13,256.95 | 4 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $287.73 | $575.46 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $205.45 | $410.90 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $122.13 | $244.26 | not published | 0 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $37.47 – $38.57 | 4 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $29.01 – $29.87 | 4 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.24 – $5.40 | 4 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $232.50 | $465.00 | $56.04 – $67.63 | 4 |
| Alpha-fetoprotein amniotic CPT 82106 | $98.00 | $196.00 | $14.79 – $17.85 | 4 |
| Alpha-fetoprotein tumor marker CPT 82105 | $80.50 | $161.00 | $14.59 – $17.61 | 4 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $96.99 – $99.84 | 4 |
| Alt/sgpt CPT 84460 | $34.00 | $68.00 | $4.61 – $5.56 | 4 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.58 – $4.72 | 4 |
| Aluminum - quest CPT 82108 | $118.50 | $237.00 | $22.17 – $26.75 | 4 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $434.00 | $868.00 | $95.36 – $98.17 | 4 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $26.59 – $26.59 | 1 |
| Ambl bp mntr w/sw a/r CPT 93788 | $403.50 | $807.00 | $133.46 – $137.38 | 4 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $5.15 – $6.29 | 4 |
| Amino acid screen, urine CPT 82128 | not published | not published | $12.07 – $14.56 | 4 |
| Amino acid single qual CPT 82127 | not published | not published | $12.34 – $14.89 | 4 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $17.06 – $20.59 | 4 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.81 – $1.86 | 4 |
| Aminolevulinic acid delta CPT 82135 | $93.00 | $186.00 | $14.31 – $17.27 | 4 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $397.82 – $409.52 | 4 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $29.23 – $29.23 | 1 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $23.08 – $23.76 | 4 |
| Ammonia CPT 82140 | $170.00 | $340.00 | $12.68 – $15.30 | 4 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $1,724.00 | $3,448.00 | not published | 0 |
| Amniocentesis therapeutic CPT 59001 | $2,642.50 | $5,285.00 | $305.67 – $314.66 | 4 |
| Amniotic fluid scan CPT 82143 | not published | not published | $8.13 – $9.82 | 4 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $3,978.50 | $7,957.00 | $3,282.07 – $3,378.60 | 4 |
| Amphetamine confirm urine -sendout CPT 80324 | not published | not published | $25.38 – $25.38 | 1 |
| Amphetamines 5 or more CPT 80326 | not published | not published | $25.38 – $25.38 | 1 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $20.19 – $20.19 | 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.