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 |
|---|---|---|---|---|
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $451.50 | $903.00 | $741.35 – $763.15 | 4 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $686.00 | $1,372.00 | $407.77 – $419.76 | 4 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $530.00 | $1,060.00 | $741.35 – $763.15 | 4 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $789.50 | $1,579.00 | $407.77 – $419.76 | 4 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $741.35 – $763.15 | 4 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $907.50 | $1,815.00 | $407.77 – $419.76 | 4 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,694.50 | $3,389.00 | not published | 0 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,043.00 | $2,086.00 | $407.77 – $419.76 | 4 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $90.50 | $181.00 | $7.48 – $9.03 | 4 |
| Ghs mbp CPT 83873 | $114.00 | $228.00 | $14.96 – $18.06 | 4 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $337.00 | $674.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $337.00 | $674.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $337.00 | $674.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $337.00 | $674.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $214.50 | $429.00 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $246.50 | $493.00 | not published | 0 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $178.50 | $357.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $416.00 | $832.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $451.50 | $903.00 | $741.35 – $763.15 | 4 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,967.50 | $3,935.00 | not published | 0 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,515.00 | $3,030.00 | $708.05 – $728.88 | 4 |
| Ghs nerve block axillary nerve CPT 64417 | $544.00 | $1,088.00 | not published | 0 |
| Ghs nerve block brachial plexus CPT 64415 | $633.50 | $1,267.00 | not published | 0 |
| Ghs nerve block interscaline CPT 64510 | $1,832.50 | $3,665.00 | not published | 0 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,832.50 | $3,665.00 | not published | 0 |
| Ghs nerve block sciatic nerve CPT 64445 | $918.50 | $1,837.00 | $708.05 – $728.88 | 4 |
| Ghs nerve block suprascapular CPT 64418 | $487.00 | $974.00 | $708.05 – $728.88 | 4 |
| Ghs ng placement w fluoro guidance CPT 43752 | $555.50 | $1,111.00 | $448.10 – $461.28 | 4 |
| Ghs o2 saturation CPT 82810 | $49.50 | $99.00 | $8.50 – $10.26 | 4 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $129.07 – $132.87 | 4 |
| Ghs o2 uptake rest & indirect CPT 94690 | $147.00 | $294.00 | $59.17 – $60.91 | 4 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $46.97 – $48.35 | 4 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,241.00 | $2,482.00 | $629.23 – $647.74 | 4 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,241.00 | $2,482.00 | $1,579.00 – $1,625.44 | 4 |
| Ghs optokenetic CPT 92544 | $228.50 | $457.00 | $129.07 – $132.87 | 4 |
| Ghs oscillating trac CPT 92545 | not published | not published | $216.59 – $222.96 | 4 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $74.00 | $148.00 | not published | 0 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $74.00 | $148.00 | not published | 0 |
| Ghs ot dds rom CPT 95851 | not published | not published | $6.69 – $6.89 | 4 |
| Ghs ot group caregiver training CPT 97552 | $13.00 | $26.00 | not published | 0 |
| Ghs ot prosthetic training/15 min CPT 97761 | $135.50 | $271.00 | $40.72 – $41.92 | 4 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $88.50 | $177.00 | $61.14 – $62.94 | 4 |
| Ghs ot work hardening-additional hours CPT 97546 | $95.50 | $191.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $652.50 | $1,305.00 | $662.98 – $682.48 | 4 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,746.00 | $3,492.00 | not published | 0 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $2,811.00 | $5,622.00 | not published | 0 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $21.50 | $43.00 | $36.83 – $36.83 | 1 |
| Ghs peritonsillar abscess i andd CPT 42700 | $614.00 | $1,228.00 | not published | 0 |
| Ghs phenylketonurid CPT 84030 | $81.00 | $162.00 | $4.78 – $5.78 | 4 |
| Ghs picc line insert < 5 CPT 36568 | $2,823.00 | $5,646.00 | $1,579.00 – $1,625.44 | 4 |
| Ghs plngl fx pm cl CPT 26725 | $402.50 | $805.00 | $247.43 – $254.70 | 4 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $3.75 – $4.53 | 4 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $2,561.00 | $5,122.00 | $861.38 – $886.72 | 4 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $133.46 – $137.38 | 4 |
| Ghs ppd (tb intradermal) CPT 86580 | $23.00 | $46.00 | $6.74 – $29.79 | 4 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $41.50 | $83.00 | $8.40 – $10.14 | 4 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $4.88 – $5.89 | 4 |
| Ghs protoporphyrins fract CPT 84202 | $69.50 | $139.00 | $12.48 – $15.07 | 4 |
| Ghs pr without cont pulse ox CPT 94625 | $66.50 | $133.00 | $59.17 – $60.91 | 4 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $73.00 | $146.00 | $10.66 – $12.86 | 4 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $355.50 | $711.00 | not published | 0 |
| Ghs quinidine CPT 80194 | $131.00 | $262.00 | $12.70 – $15.33 | 4 |
| Ghs refill of implantable pump CPT 95990 | $224.00 | $448.00 | $331.32 – $341.07 | 4 |
| Ghs removal intranasal foreign body CPT 30300 | $158.50 | $317.00 | $133.46 – $137.38 | 4 |
| Ghs removal pharyngeal foreign body CPT 42809 | $779.50 | $1,559.00 | $448.10 – $461.28 | 4 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $3,288.50 | $6,577.00 | $1,612.94 – $1,660.38 | 4 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $6,678.00 | $13,356.00 | $3,282.07 – $3,378.60 | 4 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $102.00 | $204.00 | $13.82 – $16.68 | 4 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $3.75 – $4.53 | 4 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $12.10 – $14.61 | 4 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $3.71 – $4.48 | 4 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $10.71 – $12.93 | 4 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $8.56 – $10.33 | 4 |
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $6.51 – $7.85 | 4 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $711.50 | $1,423.00 | $407.77 – $419.76 | 4 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $451.50 | $903.00 | $407.77 – $419.76 | 4 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $789.50 | $1,579.00 | $407.77 – $419.76 | 4 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $1,331.50 | $2,663.00 | $407.77 – $419.76 | 4 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $451.50 | $903.00 | $201.25 – $207.17 | 4 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $596.50 | $1,193.00 | $201.25 – $207.17 | 4 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $451.50 | $903.00 | $201.25 – $207.17 | 4 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $907.50 | $1,815.00 | $201.25 – $207.17 | 4 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $1,531.00 | $3,062.00 | $201.25 – $207.17 | 4 |
| Ghs sleep study unattended CPT 95800 | $458.00 | $916.00 | $216.59 – $222.96 | 4 |
| Ghs somatosensory testing lower extremit CPT 95926 | $505.00 | $1,010.00 | $216.59 – $222.96 | 4 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,008.50 | $2,017.00 | $861.38 – $886.72 | 4 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $161.50 | $323.00 | $48.30 – $49.72 | 4 |
| Ghs sphenopalatine ganglion block CPT 64505 | $745.00 | $1,490.00 | $307.90 – $316.95 | 4 |
| Ghs spont nystagmus CPT 92541 | $177.00 | $354.00 | $133.46 – $137.38 | 4 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $322.50 | $645.00 | $103.59 – $106.64 | 4 |
| Ghs st - eval for alt comm CPT 92567 | $40.50 | $81.00 | $37.47 – $38.57 | 4 |
| Ghs strapping shoulder - 29240 CPT 29240 | $636.00 | $1,272.00 | $133.46 – $137.38 | 4 |
| Ghs st - re-eval for alt comm CPT 92597 | $441.50 | $883.00 | $71.86 – $73.97 | 4 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $98.00 | $196.00 | $46.97 – $48.35 | 4 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $334.50 | $669.00 | $213.36 – $219.63 | 4 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,404.50 | $2,809.00 | $741.35 – $763.15 | 4 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $963.50 | $1,927.00 | $407.77 – $419.76 | 4 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,141.50 | $2,283.00 | not published | 0 |
| Ghs trypsin (fecal) CPT 84488 | $144.00 | $288.00 | $2.66 – $7.66 | 4 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $523.00 | $1,046.00 | $247.43 – $254.70 | 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.