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 |
|---|---|---|---|---|
| Inj, carmustine (accord) HCPCS J9052 | not published | not published | $509.01 – $509.01 | 1 |
| Inj cefazolin sodium, hikma HCPCS J0688 | not published | not published | $1.78 – $1.78 | 1 |
| Inj cefazolin (wg crit care) HCPCS J0687 | not published | not published | $1.96 – $1.96 | 1 |
| Inj, cefiderocol, 10 mg HCPCS J0699 | not published | not published | $2.47 – $2.54 | 4 |
| Inj ceftolozane tazobactam HCPCS J0695 | not published | not published | $9.01 – $9.28 | 4 |
| Inj. cetirizine hcl 0.5mg HCPCS J1201 | not published | not published | $17.26 – $17.77 | 4 |
| Inj, cimerli, 0.1 mg HCPCS Q5128 | not published | not published | $85.15 – $87.65 | 4 |
| Inj, cipaglucosidase, 5 mg HCPCS J1203 | not published | not published | $94.25 – $97.02 | 4 |
| Inj, clevidipine butyrate HCPCS C9248 | not published | not published | $5.64 – $5.64 | 1 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $116.00 | $232.00 | not published | 0 |
| Inj crotalidae im f(ab')2 eq HCPCS J0841 | not published | not published | $2,046.51 – $2,046.51 | 1 |
| Inj, crovalimab-akkz, 10 mg HCPCS J1307 | not published | not published | $562.54 – $579.09 | 4 |
| Inj cuvitru, 100 mg HCPCS J1555 | not published | not published | $17.93 – $18.46 | 4 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | not published | not published | $9.29 – $9.56 | 4 |
| Inj cyclophosphamd auromedic HCPCS J9071 | not published | not published | $0.53 – $0.54 | 4 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | not published | not published | $0.51 – $0.53 | 4 |
| Inj, cyclophosphamd, sandoz HCPCS J9074 | not published | not published | $3.73 – $3.84 | 4 |
| Inj daptomycin (xellia) HCPCS J0873 | not published | not published | $0.08 – $0.08 | 1 |
| Inj daxibotulinumtoxina-lanm HCPCS J0589 | not published | not published | $3.15 – $3.25 | 4 |
| Inj delandistrogene mox rokl HCPCS J1413 | not published | not published | $0.02 – $3,487,445.20 | 4 |
| Inj. denosumab-bbdz, 1 mg HCPCS Q5136 | not published | not published | $28.47 – $29.31 | 4 |
| Inj disk cerv-thor ea lev CPT 62291 | $2,270.50 | $4,541.00 | not published | 0 |
| Inj, docetaxel (beizray) 1mg HCPCS J9174 | not published | not published | $47.01 – $48.40 | 4 |
| Inj, donanemab-azbt, 2 mg HCPCS J0175 | not published | not published | $4.22 – $4.35 | 4 |
| Inj dupuytren cord w/enzyme CPT 20527 | $609.50 | $1,219.00 | $307.90 – $316.95 | 4 |
| Inj, durolane 1 mg HCPCS J7318 | not published | not published | $6.87 – $7.07 | 4 |
| Inj dx for sinogram CPT 20501 | $1,143.00 | $2,286.00 | not published | 0 |
| Inject for sacroiliac joint HCPCS G0259 | $597.50 | $1,195.00 | not published | 0 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,515.00 | $3,030.00 | $708.05 – $728.88 | 4 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $479.00 | $958.00 | not published | 0 |
| Injection, belinostat, 10mg HCPCS J9032 | not published | not published | $54.17 – $55.77 | 4 |
| Injection, burosumab-twza 1m HCPCS J0584 | not published | not published | $508.69 – $523.65 | 4 |
| Injection, cangrelor HCPCS C9460 | not published | not published | $20.42 – $21.02 | 4 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $394.00 | $788.00 | $307.90 – $316.95 | 4 |
| Injection, daratumumab 10 mg HCPCS J9145 | not published | not published | $72.19 – $74.31 | 4 |
| Injection during cath supravalvular aortography CPT 93567 | $5,291.00 | $10,582.00 | not published | 0 |
| Injection, edaravone, 1 mg HCPCS J1301 | not published | not published | $15.48 – $15.94 | 4 |
| Injection epidural blood patch or clot CPT 62273 | $1,350.00 | $2,700.00 | $708.05 – $728.88 | 4 |
| Injection eye drug CPT 67028 | $644.50 | $1,289.00 | $331.32 – $341.07 | 4 |
| Injection for arthrography wrist (both sides) CPT 25246 | $479.00 | $958.00 | not published | 0 |
| Injection for bladder x-ray CPT 51600 | $118.00 | $236.00 | not published | 0 |
| Injection for hip x-ray CPT 27095 | $267.00 | $534.00 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $190.00 | $380.00 | not published | 0 |
| Injection for spleen x-ray CPT 38200 | $3,029.50 | $6,059.00 | not published | 0 |
| Injection for tear sac x-ray CPT 68850 | $1,254.50 | $2,509.00 | not published | 0 |
| Injection for ureter x-ray CPT 50684 | $2,298.00 | $4,596.00 | not published | 0 |
| Injection for ureter x-ray CPT 50690 | $1,694.50 | $3,389.00 | not published | 0 |
| Injection, fulvestrant HCPCS J9395 | not published | not published | $13.68 – $13.68 | 1 |
| Injection glatiramer acetate HCPCS J1595 | not published | not published | $314.36 – $314.36 | 1 |
| Injection, inclisiran, 1 mg HCPCS J1306 | not published | not published | $12.86 – $13.24 | 4 |
| Injection into brain canal CPT 61026 | not published | not published | $708.05 – $728.88 | 4 |
| Injection into brain canal CPT 61055 | $2,199.00 | $4,398.00 | $307.90 – $316.95 | 4 |
| Injection into hemorrhoid(s) CPT 46500 | $1,872.00 | $3,744.00 | $932.82 – $960.25 | 4 |
| Injection, isavuconazonium HCPCS J1833 | not published | not published | $1.03 – $1.06 | 4 |
| Injection, necitumumab, 1 mg HCPCS J9295 | not published | not published | $5.85 – $6.02 | 4 |
| Injection of HIV prep drug HCPCS G0012 | not published | not published | $72.22 – $74.35 | 4 |
| Injection of sinus tract CPT 20500 | $1,576.50 | $3,153.00 | not published | 0 |
| Injection,onabotulinumtoxina HCPCS J0585 | not published | not published | $6.64 – $6.84 | 4 |
| Injection, peramivir HCPCS J2547 | not published | not published | $1.71 – $1.76 | 4 |
| Injection px peyronie ds CPT 54200 | not published | not published | $250.62 – $257.99 | 4 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $652.00 | $1,304.00 | $401.00 – $412.80 | 4 |
| Injection, renflexis HCPCS Q5104 | not published | not published | $27.34 – $28.14 | 4 |
| Injection, ruconest HCPCS J0596 | not published | not published | $37.41 – $38.51 | 4 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $999.50 | $1,999.00 | $708.05 – $728.88 | 4 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $1,073.00 | $2,146.00 | $708.05 – $728.88 | 4 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,511.50 | $3,023.00 | $708.05 – $728.88 | 4 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $2,189.50 | $4,379.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,994.00 | $3,988.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,571.50 | $5,143.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $2,567.00 | $5,134.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,973.00 | $3,946.00 | not published | 0 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $2,532.50 | $5,065.00 | $708.05 – $728.88 | 4 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,636.00 | $3,272.00 | $708.05 – $728.88 | 4 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $177.56 – $182.78 | 4 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $460.00 | $920.00 | $307.90 – $316.95 | 4 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $622.00 | $1,244.00 | $307.90 – $316.95 | 4 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $489.50 | $979.00 | $307.90 – $316.95 | 4 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $113.50 | $227.00 | $46.97 – $48.35 | 4 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $104.00 | $208.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $178.00 | $356.00 | $213.36 – $219.63 | 4 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $67.50 | $135.00 | $72.22 – $74.35 | 4 |
| Injection treatment of eye CPT 66020 | not published | not published | $2,314.92 – $2,383.01 | 4 |
| Injection treatment of eye CPT 66030 | $1,201.00 | $2,402.00 | $2,314.92 – $2,383.01 | 4 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,958.73 – $2,016.34 | 4 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,958.73 – $2,016.34 | 4 |
| Injection treatment of nose CPT 30200 | not published | not published | $540.99 – $556.90 | 4 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $32.57 – $33.52 | 4 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $42.62 – $43.88 | 4 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $35.01 – $36.04 | 4 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $39.73 – $40.90 | 4 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $391.82 – $403.34 | 4 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $56.75 – $58.42 | 4 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $2,199.00 | $4,398.00 | $708.05 – $728.88 | 4 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $2,532.50 | $5,065.00 | not published | 0 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $14.78 – $15.22 | 4 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $201.59 – $207.51 | 4 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $19.82 – $20.40 | 4 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $0.02 – $2,448,600.00 | 4 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $10.15 – $10.45 | 4 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $33.52 – $34.51 | 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.