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 |
|---|---|---|---|---|
| Drain ovary abscess open CPT 58820 | not published | not published | $3,247.09 – $3,342.59 | 4 |
| Drain penis lesion CPT 54015 | not published | not published | $1,656.68 – $1,705.40 | 4 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,612.94 – $1,660.38 | 4 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $2,913.65 – $2,999.35 | 4 |
| Drain shoulder lesion CPT 23030 | not published | not published | $2,913.65 – $2,999.35 | 4 |
| Drain thigh/knee lesion 27301 CPT 27301 | $3,948.00 | $7,896.00 | $2,913.65 – $2,999.35 | 4 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $487.50 | $975.00 | $201.25 – $207.17 | 4 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $374.00 | $748.00 | $201.25 – $207.17 | 4 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $894.00 | $1,788.00 | $407.77 – $419.76 | 4 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $1,205.00 | $2,410.00 | $741.35 – $763.15 | 4 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $4,724.00 | $9,448.00 | not published | 0 |
| Drng hand tendon sheath 26020 CPT 26020 | $5,278.00 | $10,556.00 | $3,282.07 – $3,378.60 | 4 |
| Drng of eyelid abscess 67700 CPT 67700 | $724.50 | $1,449.00 | not published | 0 |
| Drng of finger abscess comp 26011 CPT 26011 | $1,609.00 | $3,218.00 | $1,656.68 – $1,705.40 | 4 |
| Drng of hydrocele 55000 CPT 55000 | $1,131.50 | $2,263.00 | $710.31 – $731.20 | 4 |
| Drng of mouth lesion 40801 CPT 40801 | $2,528.50 | $5,057.00 | $540.99 – $556.90 | 4 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $3,091.00 | $6,182.00 | $3,247.09 – $3,342.59 | 4 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,200.32 – $1,235.63 | 4 |
| Drng of scrotum abscess 55100 CPT 55100 | $1,956.50 | $3,913.00 | $1,656.68 – $1,705.40 | 4 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | $1,487.00 | $2,974.00 | not published | 0 |
| Drng ovary abscess perqt 58822 CPT 58822 | $2,279.50 | $4,559.00 | not published | 0 |
| Drng peritoneal abscess open 49020 CPT 49020 | $3,065.50 | $6,131.00 | not published | 0 |
| Drng salivary gland simple 42300 CPT 42300 | $2,664.50 | $5,329.00 | not published | 0 |
| Drng salivary gland submax/subling 42310 CPT 42310 | $1,072.00 | $2,144.00 | $540.99 – $556.90 | 4 |
| Drop lock knee HCPCS L2182 | $79.18 | $158.36 | not published | 0 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $785.56 | $1,571.13 | not published | 0 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $16.04 | $32.09 | not published | 0 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $18.63 | $37.26 | not published | 0 |
| Drsg sht 5.625x4.625in std HCPCS A6025 | $34.16 | $68.31 | not published | 0 |
| Drug admin & hemodynmic meas CPT 93463 | $2,192.00 | $4,384.00 | not published | 0 |
| Drug assay caffeine CPT 80155 | $25.50 | $51.00 | $23.16 – $40.40 | 4 |
| Drug assay posaconazole CPT 80187 | $141.50 | $283.00 | $23.59 – $28.47 | 4 |
| Drug assay rufinamide CPT 80210 | $73.00 | $146.00 | $23.59 – $28.47 | 4 |
| Drug assay vedolizumab CPT 80280 | $157.00 | $314.00 | $33.56 – $40.50 | 4 |
| Drug assay voriconazole CPT 80285 | $148.50 | $297.00 | $23.59 – $28.47 | 4 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $16.22 – $19.57 | 4 |
| Drug of abuse screen urine CPT 80305 | $38.50 | $77.00 | $10.96 – $13.23 | 4 |
| Drug screening tapentadol CPT 80372 | not published | not published | $25.87 – $25.87 | 1 |
| Drug screen quant tiagabine CPT 80199 | $183.00 | $366.00 | $23.59 – $28.47 | 4 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $29.66 – $29.66 | 1 |
| Drug test def 15-21 classes HCPCS G0482 | not published | not published | $172.90 – $208.18 | 4 |
| Drug test def 1-7 classes HCPCS G0480 | $230.00 | $460.00 | $95.93 – $119.87 | 4 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $214.82 – $258.65 | 4 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $136.23 – $164.03 | 4 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $54.06 – $65.25 | 4 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $14.91 – $18.00 | 4 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $554.50 | $1,109.00 | $54.06 – $65.25 | 4 |
| Drvvt confirm - quest CPT 85597 | $38.50 | $77.00 | $10.35 – $18.88 | 4 |
| Dry needling (97799) CPT 97799 | $84.00 | $168.00 | not published | 0 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $4,166.50 | $8,333.00 | $1,958.73 – $2,016.34 | 4 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $407.77 – $419.76 | 4 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | $663.00 | $1,326.00 | $407.77 – $419.76 | 4 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $741.35 – $763.15 | 4 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $741.35 – $763.15 | 4 |
| Ductogram sgl duct CPT 77053 | $413.00 | $826.00 | $166.77 – $245.79 | 4 |
| Duodenal motility study CPT 91022 | not published | not published | $374.31 – $385.31 | 4 |
| Duplex scan bilateral study 93985 CPT 93985 | $328.00 | $656.00 | $239.34 – $246.38 | 4 |
| Duplex scan unilateral study 93986 CPT 93986 | $158.00 | $316.00 | $104.87 – $107.95 | 4 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $539.00 | $1,078.00 | $104.87 – $107.95 | 4 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $702.50 | $1,405.00 | $216.59 – $222.96 | 4 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $1,021.00 | $2,042.00 | $239.34 – $246.38 | 4 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $87.87 – $90.45 | 4 |
| Dxa bone density axl vrt fx CPT 77085 | $1,002.00 | $2,004.00 | $104.87 – $107.95 | 4 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $129.07 – $132.87 | 4 |
| Dx bronchoscope/brush 31623 CPT 31623 | $2,007.00 | $4,014.00 | $1,785.37 – $1,837.89 | 4 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,007.00 | $4,014.00 | $1,785.37 – $1,837.89 | 4 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,007.00 | $4,014.00 | $1,785.37 – $1,837.89 | 4 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $448.10 – $461.28 | 4 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $909.78 – $936.53 | 4 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $909.78 – $936.53 | 4 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $216.59 – $222.96 | 4 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $129.07 – $132.87 | 4 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,785.37 – $1,837.89 | 4 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $250.62 – $257.99 | 4 |
| Dynamic surface emg CPT 96002 | not published | not published | $216.59 – $222.96 | 4 |
| Ear and throat examination CPT 92502 | not published | not published | $540.99 – $556.90 | 4 |
| Ear canal biopsy 69105 CPT 69105 | $2,267.00 | $4,534.00 | not published | 0 |
| Ear cartilage graft CPT 21235 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Ear irrigation 69209 CPT 69209 | $245.00 | $490.00 | $59.17 – $60.91 | 4 |
| Ear protector evaluation CPT 92596 | not published | not published | $37.47 – $38.57 | 4 |
| Ecallantide injection HCPCS J1290 | not published | not published | $590.32 – $607.68 | 4 |
| Ecg 12 lead tracing only CPT 93005 | $123.00 | $246.00 | $59.17 – $60.91 | 4 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $77.00 | $154.00 | $59.17 – $60.91 | 4 |
| Ecg < 30 days transmission & analysis CPT 93271 | $389.00 | $778.00 | $95.36 – $98.17 | 4 |
| Ecg external < 48 hours recording CPT 93225 | $209.00 | $418.00 | $133.46 – $137.38 | 4 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $300.50 | $601.00 | $59.17 – $60.91 | 4 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $294.50 | $589.00 | $37.47 – $38.57 | 4 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $294.50 | $589.00 | $37.47 – $38.57 | 4 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,643.50 | $3,287.00 | $548.10 – $564.22 | 4 |
| Echocardiography doppler color flow mapping CPT 93325 | $403.00 | $806.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,805.00 | $3,610.00 | $786.33 – $809.46 | 4 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $602.00 | $1,204.00 | $239.34 – $246.38 | 4 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $1,510.00 | $3,020.00 | $349.95 – $360.24 | 4 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $421.00 | $842.00 | not published | 0 |
| Echo exam of eye CPT 76516 | not published | not published | $97.58 – $107.69 | 4 |
| Echo exam of eye CPT 76519 | not published | not published | $104.87 – $107.95 | 4 |
| Echo exam of eye CPT 76529 | $228.50 | $457.00 | $87.29 – $89.86 | 4 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $29.01 – $29.87 | 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.