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 tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $247.43 – $254.70 | 4 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $21.14 – $25.52 | 4 |
| Ghs urine, porphyrins quant CPT 84120 | $61.00 | $122.00 | $12.80 – $15.45 | 4 |
| Ghs vaginal delivery only CPT 59409 | $2,556.00 | $5,112.00 | $3,247.09 – $3,342.59 | 4 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $2,489.00 | $4,978.00 | $374.31 – $385.31 | 4 |
| Ghs windowing of cast CPT 29730 | not published | not published | $163.00 – $167.79 | 4 |
| Giardia ag if CPT 87269 | not published | not published | $11.84 – $14.29 | 4 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $12.81 – $15.46 | 4 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $153.49 – $245.79 | 4 |
| Gi inhouse confirmation CPT 87045 | $41.00 | $82.00 | $4.78 – $9.91 | 4 |
| Gi protein loss CPT 78282 | not published | not published | $359.23 – $411.81 | 4 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,449.50 | $4,899.00 | $909.78 – $936.53 | 4 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $932.82 – $960.25 | 4 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $909.78 – $936.53 | 4 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $909.78 – $936.53 | 4 |
| Gjb2 gene full sequence CPT 81252 | $612.00 | $1,224.00 | $87.97 – $106.18 | 4 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $53.52 – $64.60 | 4 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $30.45 – $36.75 | 4 |
| Glassia injection HCPCS J0257 | not published | not published | $5.77 – $5.94 | 4 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $29.01 – $29.87 | 4 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $37.47 – $38.57 | 4 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,314.92 – $2,383.01 | 4 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,314.92 – $2,383.01 | 4 |
| Glove finger flexion right lg xl HCPCS L3912 | $42.96 | $85.91 | not published | 0 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $149.26 – $153.65 | 4 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $137.70 – $141.75 | 4 |
| Glucagon plasma - sendout CPT 82943 | $101.00 | $202.00 | $12.43 – $15.00 | 4 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $40.08 – $48.37 | 4 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $43.94 – $53.03 | 4 |
| Glucagon tolerance test CPT 82946 | not published | not published | $15.46 – $18.66 | 4 |
| Glucose 1 hr post dose CPT 82950 | $24.00 | $48.00 | $4.13 – $4.99 | 4 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $5.26 – $6.35 | 4 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $22.50 | $45.00 | $2.85 – $3.44 | 4 |
| Glucose blood quantitative CPT 82947 | $41.50 | $83.00 | $3.42 – $4.13 | 4 |
| Glucose body fluid CPT 82945 | $21.50 | $43.00 | $3.42 – $4.13 | 4 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $226.50 | $453.00 | $59.17 – $60.91 | 4 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $58.50 | $117.00 | $11.20 – $13.51 | 4 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $20.00 | $40.00 | $3.41 – $4.12 | 4 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.84 – $0.84 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.51 – $11.85 | 4 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $113.50 | $227.00 | $16.16 – $19.51 | 4 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $129.12 – $155.83 | 4 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $179.50 | $359.00 | $16.11 – $19.45 | 4 |
| Gonioscopy CPT 92020 | not published | not published | $133.46 – $137.38 | 4 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $1,438.93 – $1,438.93 | 1 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $83.32 | $166.64 | not published | 0 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $146.46 | $292.91 | not published | 0 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $2,879.89 | $5,759.78 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $163.02 | $326.03 | not published | 0 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $105.57 | $211.14 | not published | 0 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $50.72 | $101.43 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $90.56 | $181.13 | not published | 0 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $661.18 | $1,322.36 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,813.84 | $3,627.68 | not published | 0 |
| Great toe-hand transfer CPT 26551 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Great toe with reduction 28495 CPT 28495 | $609.50 | $1,219.00 | $247.43 – $254.70 | 4 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,554.63 – $3,659.18 | 4 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,554.63 – $3,659.18 | 4 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $63.50 | $127.00 | $12.44 – $12.81 | 4 |
| Group train without patient HCPCS G0543 | not published | not published | $29.01 – $29.87 | 4 |
| Growth hormone antibody CPT 86277 | not published | not published | $13.69 – $16.53 | 4 |
| Growth hormone panel CPT 80428 | not published | not published | $58.03 – $70.04 | 4 |
| Growth hormone panel CPT 80430 | not published | not published | $107.41 – $135.47 | 4 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $35.92 – $79.19 | 4 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,924.81 – $1,981.42 | 4 |
| G-tube reposition CPT 43761 | $1,568.50 | $3,137.00 | $250.62 – $257.99 | 4 |
| Gu dilat ureter/urethra s&i CPT 74485 | $2,347.00 | $4,694.00 | $263.60 – $2,153.35 | 4 |
| Guided cath fluid drainage 10030 CPT 10030 | $3,035.00 | $6,070.00 | $710.31 – $731.20 | 4 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $581.67 | $1,163.34 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $288.25 | $576.50 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $474.50 | $949.00 | not published | 0 |
| Gw stiffened micro access kit HCPCS C1894 | $641.70 | $1,283.40 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $3,927.48 – $4,042.99 | 4 |
| Hair analysis HCPCS P2031 | not published | not published | $7.33 – $9.70 | 2 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $741.35 – $763.15 | 4 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $407.77 – $419.76 | 4 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $407.77 – $419.76 | 4 |
| Halo cervical into jckt vest HCPCS L0810 | $1,975.30 | $3,950.60 | not published | 0 |
| Hand-held pefr meter a4614 HCPCS A4614 | $26.40 | $52.79 | not published | 0 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $6.82 – $6.82 | 1 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | $47.50 | $95.00 | not published | 0 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $1,487.82 | $2,975.63 | not published | 0 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Hand X-ray CPT 73130 | $196.00 | $392.00 | $69.76 – $89.65 | 4 |
| Haptoglobin quantitative CPT 83010 | $118.50 | $237.00 | $10.94 – $13.21 | 4 |
| Harvest auto stem cells CPT 38206 | $4,192.50 | $8,385.00 | not published | 0 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $442.53 – $455.55 | 4 |
| Hast w/i&r phys/qhp CPT 94452 | $210.50 | $421.00 | $133.46 – $137.38 | 4 |
| Hast w/oxygen titrate CPT 94453 | $244.50 | $489.00 | $133.46 – $137.38 | 4 |
| Hba1/hba2 full gene sequence CPT 81259 | $230.50 | $461.00 | $522.00 – $630.00 | 4 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $176.09 – $212.52 | 4 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $326.47 – $394.01 | 4 |
| Hbb full gene sequence CPT 81364 | $728.00 | $1,456.00 | $282.38 – $340.81 | 4 |
| Hbb gene com variants CPT 81361 | not published | not published | $152.08 – $183.55 | 4 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $176.09 – $212.52 | 4 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $326.47 – $394.01 | 4 |
| Hb glycosylated a1c home dev CPT 83037 | $12.00 | $24.00 | $8.45 – $10.20 | 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.