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 |
|---|---|---|---|---|
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $3,867.33 – $3,981.08 | 4 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $3,867.33 – $3,981.08 | 4 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $3,867.33 – $3,981.08 | 4 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $78.29 – $80.59 | 4 |
| ER Visit (level 1, minor) CPT 99281 | $218.50 | $437.00 | $84.58 – $87.07 | 4 |
| ER Visit (level 2) CPT 99282 | $284.00 | $568.00 | $154.02 – $158.55 | 4 |
| ER Visit (level 3) CPT 99283 | $421.00 | $842.00 | $273.82 – $281.87 | 4 |
| ER Visit (level 4) CPT 99284 | $644.50 | $1,289.00 | $418.55 – $430.86 | 4 |
| ER Visit (level 5, high severity) CPT 99285 | $1,011.50 | $2,023.00 | $597.36 – $614.93 | 4 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $3,867.33 – $3,981.08 | 4 |
| Esophageal dilat s&i CPT 74360 | $816.00 | $1,632.00 | $107.92 – $107.92 | 1 |
| Esophageal motility CPT 78258 | not published | not published | $359.23 – $411.81 | 4 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $3,867.33 – $3,981.08 | 4 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $909.78 – $936.53 | 4 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $909.78 – $936.53 | 4 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $909.78 – $936.53 | 4 |
| Esophagoscopy flex remove fb CPT 43215 | $1,593.00 | $3,186.00 | $1,924.81 – $1,981.42 | 4 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $3,867.33 – $3,981.08 | 4 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $3,867.33 – $3,981.08 | 4 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Esophagus motility study CPT 91010 | $390.50 | $781.00 | $374.31 – $385.31 | 4 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $374.31 – $385.31 | 4 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Esoph imped function test CPT 91037 | not published | not published | $216.59 – $222.96 | 4 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $374.31 – $385.31 | 4 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| Essure 58565 CPT 58565 | not published | not published | $5,017.84 – $5,165.42 | 4 |
| Established Patient Office Visit (level 1) CPT 99211 | $23.50 | $47.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $93.50 | $187.00 | not published | 0 |
| Estradiol total CPT 82670 | $330.50 | $661.00 | $24.31 – $29.34 | 4 |
| Estrogens total-sendout CPT 82672 | $130.00 | $260.00 | $18.88 – $22.78 | 4 |
| Etanercept injection HCPCS J1438 | not published | not published | $2,118.52 – $2,118.52 | 1 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $529.00 – $544.56 | 4 |
| Ethylene glycol -sendout CPT 82693 | $72.00 | $144.00 | $12.96 – $15.65 | 4 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $107.69 – $110.86 | 4 |
| Euglobulin lysis CPT 85360 | not published | not published | $7.32 – $8.83 | 4 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $3,247.09 – $3,342.59 | 4 |
| Eval aud funcj ea addl 15 CPT 92627 | $102.50 | $205.00 | not published | 0 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $129.07 – $132.87 | 4 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $430.00 | $860.00 | $123.55 – $127.19 | 4 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $9.03 – $10.90 | 4 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $49.50 | $99.00 | $85.36 – $103.02 | 4 |
| Evaluation heart device CPT 93640 | $1,174.00 | $2,348.00 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $319.00 | $638.00 | $134.82 – $138.79 | 4 |
| Evaluation psychiatric diagnostic CPT 90791 | $190.00 | $380.00 | $178.04 – $183.28 | 4 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $2,276.50 | $4,553.00 | not published | 0 |
| Evasc prlng admn rx agnt add CPT 61651 | $2,276.50 | $4,553.00 | not published | 0 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $2,852.50 | $5,705.00 | not published | 0 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $2,852.50 | $5,705.00 | not published | 0 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $2,852.50 | $5,705.00 | not published | 0 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $2,852.50 | $5,705.00 | not published | 0 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $2,852.50 | $5,705.00 | not published | 0 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $2,852.50 | $5,705.00 | not published | 0 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $2,852.50 | $5,705.00 | not published | 0 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $2,852.50 | $5,705.00 | not published | 0 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $2,852.50 | $5,705.00 | not published | 0 |
| Event monitor CPT 93270 | $180.50 | $361.00 | $37.44 – $38.54 | 4 |
| Evoked auditory tst complete CPT 92588 | $203.00 | $406.00 | $374.31 – $385.31 | 4 |
| Evoked oa emissions ltd CPT 92587 | $172.00 | $344.00 | $216.59 – $222.96 | 4 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $286.50 | $573.00 | not published | 0 |
| Evoked potentials upper limbs CPT 95925 | $505.00 | $1,010.00 | $216.59 – $222.96 | 4 |
| Evoked potential visual not glaucoma CPT 95930 | $265.50 | $531.00 | $216.59 – $222.96 | 4 |
| Ewhfo w/joint(s) cf HCPCS L3766 | $649.46 | $1,298.93 | not published | 0 |
| Ewho w/joint(s) cf HCPCS L3764 | $438.84 | $877.68 | not published | 0 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $305.67 – $314.66 | 4 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $3,247.09 – $3,342.59 | 4 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $4,357.50 | $8,715.00 | $2,913.65 – $2,999.35 | 4 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $2,913.65 – $2,999.35 | 4 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Exc abd les sc 3 cm/> CPT 22903 | $4,802.00 | $9,604.00 | $2,913.65 – $2,999.35 | 4 |
| Exc abdl tum deep < 5 cm CPT 22900 | $3,942.00 | $7,884.00 | $2,913.65 – $2,999.35 | 4 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $2,913.65 – $2,999.35 | 4 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $5,758.00 | $11,516.00 | $2,913.65 – $2,999.35 | 4 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $4,357.50 | $8,715.00 | $1,656.68 – $1,705.40 | 4 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $4,357.50 | $8,715.00 | $1,656.68 – $1,705.40 | 4 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $2,913.65 – $2,999.35 | 4 |
| Exc bartholins gland/cyst CPT 56740 | 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.