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 |
|---|---|---|---|---|
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $5,270.33 – $5,425.34 | 4 |
| Digoxin total therapeutic drug level CPT 80162 | $133.00 | $266.00 | $11.55 – $13.94 | 4 |
| Dilate biliary duct/ampulla CPT 47542 | $561.50 | $1,123.00 | not published | 0 |
| Dilate esophagus CPT 43453 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $909.78 – $936.53 | 4 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $7,611.50 | $15,223.00 | not published | 0 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $7,611.50 | $15,223.00 | not published | 0 |
| Dilate ic vasospasm init CPT 61640 | $10,657.50 | $21,315.00 | not published | 0 |
| Dilate tear duct opening CPT 68801 | not published | not published | $448.10 – $461.28 | 4 |
| Dilate urethra stricture CPT 53600 | $613.00 | $1,226.00 | $250.62 – $257.99 | 4 |
| Dilate urethra stricture CPT 53601 | $242.00 | $484.00 | $133.46 – $137.38 | 4 |
| Dilate urethra stricture CPT 53621 | not published | not published | $250.62 – $257.99 | 4 |
| Dilation/female urethra/initial 53660 CPT 53660 | $299.50 | $599.00 | $129.07 – $132.87 | 4 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,200.32 – $1,235.63 | 4 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $3,247.09 – $3,342.59 | 4 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,200.32 – $1,235.63 | 4 |
| Dilation of salivary duct CPT 42660 | not published | not published | $540.99 – $556.90 | 4 |
| Dilation of urethra CPT 53661 | not published | not published | $133.46 – $137.38 | 4 |
| Dilation of vagina CPT 57400 | not published | not published | $3,247.09 – $3,342.59 | 4 |
| Dilation salivary duct 42650 CPT 42650 | $3,571.50 | $7,143.00 | not published | 0 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $1,390.50 | $2,781.00 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $402.10 | $804.20 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $4,149.00 | $8,298.00 | not published | 0 |
| Dilat xst trc new access rcs CPT 50437 | $4,564.50 | $9,129.00 | not published | 0 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $763.95 – $786.42 | 4 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $37.47 – $38.57 | 4 |
| Disability dlco CPT 94727 | $170.00 | $340.00 | $216.59 – $222.96 | 4 |
| Disaccharidases CPT 82657 | $277.50 | $555.00 | $19.29 – $23.28 | 4 |
| Disarticulation shoulder CPT 23920 | not published | not published | $12,878.18 – $13,256.95 | 4 |
| Discography cerv/thor spine CPT 72285 | $1,771.00 | $3,542.00 | $1,571.20 – $2,011.54 | 4 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $1,785.37 – $1,837.89 | 4 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,581.61 – $5,745.77 | 4 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Division of fallopian tube 58605 CPT 58605 | $1,807.50 | $3,615.00 | not published | 0 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $25.44 – $25.44 | 1 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $2,852.50 | $5,705.00 | not published | 0 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $168.17 – $292.25 | 4 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $239.10 – $288.57 | 4 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $119.19 – $143.85 | 4 |
| Dna antibody native/double stranded CPT 86225 | $114.50 | $229.00 | $11.95 – $14.43 | 4 |
| Dna gardnerella CPT 87510 | $233.00 | $466.00 | $17.44 – $21.05 | 4 |
| Dna probe chlamydia CPT 87490 | not published | not published | $19.79 – $23.89 | 4 |
| Dna probe gc CPT 87590 | not published | not published | $23.39 – $28.22 | 4 |
| Dna trichomonas CPT 87660 | $233.00 | $466.00 | $17.44 – $21.05 | 4 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $51.62 – $53.14 | 4 |
| Doppler echo complete CPT 93320 | $496.00 | $992.00 | not published | 0 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $3,856.50 | $7,713.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $567.00 | $1,134.00 | $216.59 – $222.96 | 4 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $272.00 | $544.00 | $133.46 – $137.38 | 4 |
| Dorsi & plantar flex ass/res HCPCS L2220 | $67.28 | $134.55 | not published | 0 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $252.02 – $259.44 | 4 |
| Double transfer toe-hand CPT 26554 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $73.30 – $75.45 | 4 |
| Dpyd gene common variants CPT 81232 | $808.00 | $1,616.00 | $152.08 – $183.55 | 4 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $465.00 | $930.00 | $710.31 – $731.20 | 4 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $620.50 | $1,241.00 | $710.31 – $731.20 | 4 |
| Drainage external ear complex 69005 CPT 69005 | $2,876.50 | $5,753.00 | $1,656.68 – $1,705.40 | 4 |
| Drainage external ear simple 69000 CPT 69000 | $436.00 | $872.00 | $710.31 – $731.20 | 4 |
| Drainage lymph node lesion 38300 CPT 38300 | $2,111.00 | $4,222.00 | $2,913.65 – $2,999.35 | 4 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $2,913.65 – $2,999.35 | 4 |
| Drainage mouth roof lesion CPT 42000 | $525.00 | $1,050.00 | not published | 0 |
| Drainage of arm bursa 23931 CPT 23931 | $4,908.00 | $9,816.00 | $1,656.68 – $1,705.40 | 4 |
| Drainage of bladder abscess CPT 51080 | $2,473.50 | $4,947.00 | $2,913.65 – $2,999.35 | 4 |
| Drainage of bone lesion CPT 26992 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Drainage of bone lesion CPT 27303 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Drainage of eye CPT 65800 | $1,201.00 | $2,402.00 | $2,314.92 – $2,383.01 | 4 |
| Drainage of eye CPT 65810 | $2,756.50 | $5,513.00 | $2,314.92 – $2,383.01 | 4 |
| Drainage of eye CPT 65815 | not published | not published | $2,314.92 – $2,383.01 | 4 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,612.94 – $1,660.38 | 4 |
| Drainage of kidney lesion CPT 50390 | $1,967.00 | $3,934.00 | $710.31 – $731.20 | 4 |
| Drainage of mouth lesion CPT 41005 | $611.00 | $1,222.00 | not published | 0 |
| Drainage of mouth lesion CPT 41007 | $3,503.00 | $7,006.00 | not published | 0 |
| Drainage of mouth lesion CPT 41008 | $3,581.00 | $7,162.00 | not published | 0 |
| Drainage of mouth lesion CPT 41009 | $1,004.50 | $2,009.00 | $540.99 – $556.90 | 4 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $540.99 – $556.90 | 4 |
| Drainage of mouth lesion CPT 41016 | $4,992.00 | $9,984.00 | $5,938.04 – $6,112.69 | 4 |
| Drainage of mouth lesion CPT 41017 | $2,376.00 | $4,752.00 | not published | 0 |
| Drainage of mouth lesion CPT 41018 | $3,192.50 | $6,385.00 | not published | 0 |
| Drainage of nose lesion int 30000 CPT 30000 | $614.00 | $1,228.00 | not published | 0 |
| Drainage of nose lesion sept 30020 CPT 30020 | $1,124.50 | $2,249.00 | $540.99 – $556.90 | 4 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,612.94 – $1,660.38 | 4 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Drainage of rectal abscess CPT 45005 | $2,154.00 | $4,308.00 | $1,200.32 – $1,235.63 | 4 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $2,784.20 – $2,866.09 | 4 |
| Drainage of salivary gland CPT 42320 | not published | not published | $540.99 – $556.90 | 4 |
| Drainage of throat abscess CPT 42725 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Drainage of urethra abscess 53060 CPT 53060 | $2,766.50 | $5,533.00 | not published | 0 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $861.38 – $886.72 | 4 |
| Drain blood from under nail 11740 CPT 11740 | $154.00 | $308.00 | $133.46 – $137.38 | 4 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,556.00 | $5,112.00 | $1,656.68 – $1,705.40 | 4 |
| Drain cath image guided visceral pq CPT 49405 | $3,800.50 | $7,601.00 | $1,656.68 – $1,705.40 | 4 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $1,941.00 | $3,882.00 | $708.05 – $728.88 | 4 |
| Drain chest lesion CPT 21502 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $74.52 | $149.04 | not published | 0 |
| Drain finger abscess;simple 26010 CPT 26010 | $436.00 | $872.00 | $201.25 – $207.17 | 4 |
| Drain lower leg bursa CPT 27604 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Drain lower leg lesion 27603 CPT 27603 | $5,619.00 | $11,238.00 | $2,913.65 – $2,999.35 | 4 |
| Drain neck/chest lesion 21501 CPT 21501 | $3,948.00 | $7,896.00 | $2,913.65 – $2,999.35 | 4 |
| Drain ostomy pouch w/flange HCPCS A5063 | $8.80 | $17.60 | not published | 0 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $3,247.09 – $3,342.59 | 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.