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 |
|---|---|---|---|---|
| Hysteroscopy lysis CPT 58559 | not published | not published | $5,017.84 – $5,165.42 | 4 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $3,247.09 – $3,342.59 | 4 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $5,017.84 – $5,165.42 | 4 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $5,017.84 – $5,165.42 | 4 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $5,017.84 – $5,165.42 | 4 |
| I-123 iobenguane diag HCPCS A9582 | $2,173.50 | $4,347.00 | $2,363.85 – $2,433.38 | 4 |
| I-123 ioflupane diag HCPCS A9584 | $2,296.50 | $4,593.00 | $1,415.49 – $1,457.13 | 4 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $89.00 | $178.00 | not published | 0 |
| I131 iodide cap, rx HCPCS A9517 | $45.00 | $90.00 | $24.55 – $25.27 | 4 |
| I131 iodide sol, rx HCPCS A9530 | $20.00 | $40.00 | $21.19 – $21.81 | 4 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $11.68 – $14.09 | 4 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $190.50 | $381.00 | $30.53 – $36.84 | 4 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $90.50 | $181.00 | $15.74 – $18.99 | 4 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $23.00 | $46.00 | $39.39 – $47.54 | 4 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,130.25 – $2,570.99 | 4 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $223.60 – $230.18 | 4 |
| Icatibant injection HCPCS J1744 | not published | not published | $228.16 – $228.16 | 1 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $45,186.03 | $90,372.06 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $45,186.03 | $90,372.06 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $10,898.55 | $21,797.10 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $21,576.13 | $43,152.26 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $216.59 – $222.96 | 4 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $37.47 – $38.57 | 4 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $59.17 – $60.91 | 4 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $29.01 – $29.87 | 4 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $4,173.50 | $8,347.00 | not published | 0 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,656.68 – $1,705.40 | 4 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $0.02 – $587,770.14 | 4 |
| Identify sperm tissue CPT 89264 | not published | not published | $52.27 – $53.81 | 4 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $5,121.00 | $10,242.00 | $3,282.07 – $3,378.60 | 4 |
| Idh1 common variants CPT 81120 | not published | not published | $168.13 – $202.91 | 4 |
| Idh2 common variants CPT 81121 | not published | not published | $257.34 – $310.58 | 4 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $2,707.00 | $5,414.00 | $2,784.20 – $2,866.09 | 4 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $2,957.00 | $5,914.00 | $2,913.65 – $2,999.35 | 4 |
| Idursulfase injection HCPCS J1743 | not published | not published | $569.39 – $586.13 | 4 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $2,913.65 – $2,999.35 | 4 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $2,913.65 – $2,999.35 | 4 |
| Ifnl3 gene CPT 81283 | $383.00 | $766.00 | $63.83 – $77.04 | 4 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $180.36 – $217.68 | 4 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $59.64 – $71.81 | 4 |
| Igh gene rearrange amp meth CPT 81261 | $272.00 | $544.00 | $172.25 – $207.89 | 4 |
| Igh@ var region somatic mutation analy CPT 81263 | $798.00 | $1,596.00 | $256.23 – $309.25 | 4 |
| Igk rearrangeabn clonal pop CPT 81264 | $435.00 | $870.00 | $150.28 – $181.37 | 4 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $157.50 | $315.00 | $54.56 – $54.56 | 1 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $182.50 | $365.00 | $92.36 – $369.24 | 4 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $157.50 | $315.00 | $38.44 – $175.50 | 4 |
| Ikbkap gene CPT 81260 | not published | not published | $34.20 – $41.28 | 4 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,651.50 | $3,303.00 | not published | 0 |
| Iliac revasc add-on 37222 CPT 37222 | $6,924.00 | $13,848.00 | not published | 0 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $59.33 – $61.08 | 4 |
| Img rta detcj/mntr ds staff CPT 92227 | $61.50 | $123.00 | $59.17 – $60.91 | 4 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $37.47 – $38.57 | 4 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $59.17 – $60.91 | 4 |
| Immob elbow child sm HCPCS L3762 | $82.50 | $165.00 | not published | 0 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $33.64 | $67.28 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $85.90 | $171.81 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $59.52 | $119.03 | not published | 0 |
| Immune complex assay CPT 86332 | $336.50 | $673.00 | $21.20 – $25.59 | 4 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $50.06 – $51.54 | 4 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $82.00 – $84.41 | 4 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $47.98 – $49.39 | 4 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $231.00 | $462.00 | $18.10 – $21.85 | 4 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $282.00 | $564.00 | $18.10 – $21.85 | 4 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $22.25 – $26.85 | 4 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $80.50 | $161.00 | $10.42 – $12.58 | 4 |
| Immunodiffusion nes CPT 86329 | $234.50 | $469.00 | $12.22 – $14.75 | 4 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $31.07 – $58.64 | 3 |
| Immunofixation electrophoresis serum CPT 86334 | $83.00 | $166.00 | $19.44 – $23.46 | 4 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $104.50 | $209.00 | $52.45 – $52.45 | 1 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $182.50 | $365.00 | $38.44 – $175.50 | 4 |
| Immunoglobulin assay CPT 86023 | $56.50 | $113.00 | $10.84 – $13.08 | 4 |
| Immunology procedure CPT 86849 | not published | not published | $6.07 – $6.07 | 1 |
| Impedence cardiogram CPT 93701 | not published | not published | $133.46 – $137.38 | 4 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $17,587.76 – $18,105.05 | 4 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $448.10 – $461.28 | 4 |
| Implant neuroelectrodes CPT 64561 | $12,535.50 | $25,071.00 | not published | 0 |
| Implant spinal canal cath CPT 62351 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Implnt spinl canal catheter 62350 CPT 62350 | $4,169.00 | $8,338.00 | not published | 0 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $12,878.18 – $13,256.95 | 4 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $12,878.18 – $13,256.95 | 4 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $12,878.18 – $13,256.95 | 4 |
| Implt neurostim elctr each HCPCS L8680 | $350.35 | $700.70 | not published | 0 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $304.71 – $313.68 | 4 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | $11.90 | $23.81 | not published | 0 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $43.68 – $44.97 | 4 |
| In-111 autol wbc diag per dose HCPCS A9570 | $2,072.50 | $4,145.00 | $1,125.25 – $1,158.35 | 4 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $1,564.12 – $1,564.12 | 1 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | not published | not published | $848.09 – $873.03 | 4 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $1,306.50 | $2,613.00 | $760.53 – $782.90 | 4 |
| In-111 pentetreotide HCPCS A9572 | $2,028.50 | $4,057.00 | $2,040.96 – $2,100.99 | 4 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $7,278.54 – $7,492.61 | 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.