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 |
|---|---|---|---|---|
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $179.72 – $185.01 | 4 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,800.89 – $1,853.85 | 4 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $432.65 – $728.23 | 4 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $40.75 – $41.94 | 4 |
| Levetiracetam therapeutic drug level CPT 80177 | $86.50 | $173.00 | $11.53 – $13.91 | 4 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $3,251.91 – $3,347.55 | 4 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.02 – $0.02 | 1 |
| Lidocaine therapeutic drug level CPT 80176 | $33.00 | $66.00 | $12.78 – $15.42 | 4 |
| Lift heel adj small gl60404sm HCPCS L3332 | $12.94 | $25.88 | not published | 0 |
| Ligate leg veins open CPT 37761 | not published | not published | $3,167.20 – $3,260.35 | 4 |
| Ligate leg veins radical 37760 CPT 37760 | $6,615.50 | $13,231.00 | $3,167.20 – $3,260.35 | 4 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $3,167.20 – $3,260.35 | 4 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $3,167.20 – $3,260.35 | 4 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $3,247.09 – $3,342.59 | 4 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,656.68 – $1,705.40 | 4 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $3,167.20 – $3,260.35 | 4 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,167.20 – $3,260.35 | 4 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,167.20 – $3,260.35 | 4 |
| Ligation internal jugular vein 37565 CPT 37565 | $2,031.50 | $4,063.00 | $3,167.20 – $3,260.35 | 4 |
| Ligation/major artery/extremity 37618 CPT 37618 | $2,215.50 | $4,431.00 | not published | 0 |
| Ligation major artery neck CPT 37615 | $4,916.00 | $9,832.00 | $3,167.20 – $3,260.35 | 4 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $3,167.20 – $3,260.35 | 4 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $5,581.61 – $5,745.77 | 4 |
| Ligation of femoral vein CPT 37650 | not published | not published | $3,167.20 – $3,260.35 | 4 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $5,581.61 – $5,745.77 | 4 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,167.20 – $3,260.35 | 4 |
| Ligation of shunt CPT 49428 | $2,951.00 | $5,902.00 | not published | 0 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $3,167.20 – $3,260.35 | 4 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $7,815.50 | $15,631.00 | $3,167.20 – $3,260.35 | 4 |
| Lig/band angioaccess av fistula CPT 37607 | $5,540.00 | $11,080.00 | $3,167.20 – $3,260.35 | 4 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $3,167.20 – $3,260.35 | 4 |
| Limb exercise test CPT 95875 | not published | not published | $129.07 – $132.87 | 4 |
| Limited ankle motion ea jnt HCPCS L2200 | $40.36 | $80.73 | not published | 0 |
| Limited autopsy CPT 88036 | not published | not published | $118.69 – $118.69 | 1 |
| Limited autopsy CPT 88037 | not published | not published | $95.05 – $95.05 | 1 |
| Limited visual field xm CPT 92081 | not published | not published | $59.17 – $60.91 | 4 |
| Lipase CPT 83690 | $75.00 | $150.00 | $5.99 – $7.23 | 4 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $29.46 – $35.55 | 4 |
| Lipoprotein blood quant CPT 83704 | $158.00 | $316.00 | $29.75 – $35.90 | 4 |
| Lipoprotein direct measurement hdl CPT 83718 | $31.50 | $63.00 | $7.13 – $8.60 | 4 |
| Lipoprotein direct measurement ldl CPT 83721 | $61.50 | $123.00 | $9.14 – $11.02 | 4 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $29.75 – $35.90 | 4 |
| Lip surgery procedure CPT 40799 | $356.00 | $712.00 | not published | 0 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $0.02 – $590,373.88 | 4 |
| Listeria monocytogenes CPT 86723 | not published | not published | $11.48 – $13.85 | 4 |
| Lithium therapeutic drug level CPT 80178 | $45.00 | $90.00 | $5.75 – $6.94 | 4 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $138.00 | $276.00 | not published | 0 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $177.50 | $355.00 | $153.29 – $185.00 | 4 |
| Liver elastography 91200 CPT 91200 | not published | not published | $129.07 – $132.87 | 4 |
| Liver Function Test CPT 80076 | $81.50 | $163.00 | $7.11 – $8.58 | 4 |
| Liver imaging CPT 78201 | $1,223.00 | $2,446.00 | $430.51 – $559.32 | 4 |
| Liver imag w/vasclr flow CPT 78202 | $1,223.00 | $2,446.00 | $430.51 – $559.32 | 4 |
| Liver/spleen imag static only CPT 78215 | $1,202.00 | $2,404.00 | $401.00 – $412.80 | 4 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,381.00 | $2,762.00 | $401.00 – $412.80 | 4 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $225.92 – $232.57 | 4 |
| Loudness balance test CPT 92562 | not published | not published | $216.59 – $222.96 | 4 |
| Low back disk surgery CPT 63030 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Low cost skin substitute app HCPCS C5271 | $1,477.00 | $2,954.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5275 | $1,321.50 | $2,643.00 | not published | 0 |
| Low cost skin substitute app HCPCS C5272 | $742.00 | $1,484.00 | not published | 0 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,955.00 | $3,910.00 | $175.94 – $181.12 | 4 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,722.50 | $3,445.00 | $349.95 – $360.24 | 4 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,574.50 | $3,149.00 | $104.87 – $107.95 | 4 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,593.50 | $7,187.00 | $349.95 – $360.24 | 4 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,862.00 | $5,724.00 | $349.95 – $360.24 | 4 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,130.00 | $4,260.00 | $239.34 – $246.38 | 4 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $238.50 | $477.00 | $69.76 – $107.69 | 4 |
| Lower jaw bone graft CPT 21215 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Low frequency non-thermal Ultrasound CPT 97610 | $359.00 | $718.00 | $201.25 – $207.17 | 4 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $10,662.54 – $10,976.14 | 4 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $10,662.54 – $10,976.14 | 4 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $10,662.54 – $10,976.14 | 4 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $10,662.54 – $10,976.14 | 4 |
| Lso corset front HCPCS L0972 | $94.70 | $189.41 | not published | 0 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $131.44 | $262.89 | not published | 0 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $230.29 | $460.58 | not published | 0 |
| Lso s/c shell/panel custom HCPCS L0640 | $829.04 | $1,658.07 | not published | 0 |
| Lso s/c shell/panel prefab HCPCS L0639 | $850.77 | $1,701.54 | not published | 0 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $19.13 – $23.09 | 4 |
| Lumbar diskogram s&i CPT 72295 | $1,859.50 | $3,719.00 | $1,571.20 – $2,011.54 | 4 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $17,587.76 – $18,105.05 | 4 |
| Lumizyme injection HCPCS J0221 | not published | not published | $211.66 – $217.89 | 4 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $59.17 – $60.91 | 4 |
| Lung Function Test (Spirometry) CPT 94010 | $270.00 | $540.00 | $216.59 – $222.96 | 4 |
| Lung perfusion imaging CPT 78580 | $705.00 | $1,410.00 | $312.77 – $411.81 | 4 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $216.34 – $222.70 | 4 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $43.60 – $44.89 | 4 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $240.00 | $480.00 | $326.34 – $335.94 | 4 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $264.79 – $272.58 | 4 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $29.01 – $29.87 | 4 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $17.44 – $21.05 | 4 |
| Lymphatics/lymph node imaging CPT 78195 | $482.00 | $964.00 | $384.27 – $559.32 | 4 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $31.81 – $38.39 | 4 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $42.66 – $51.48 | 4 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $71.59 – $198.51 | 4 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $41.40 – $49.97 | 4 |
| Lymph vessel x-ray arm/leg CPT 75801 | $1,315.50 | $2,631.00 | $290.98 – $646.20 | 4 |
| Lymph vessel x-ray arms/legs CPT 75803 | $1,315.50 | $2,631.00 | $290.98 – $1,621.57 | 4 |
| Lymph vessel x-ray trunk CPT 75805 | $2,140.00 | $4,280.00 | $290.98 – $3,252.59 | 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.