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 |
|---|---|---|---|---|
| Lymph vessel x-ray trunk CPT 75807 | $2,140.00 | $4,280.00 | $290.98 – $3,252.59 | 4 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $540.99 – $556.90 | 4 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,247.09 – $3,342.59 | 4 |
| Lysis penil circumic lesion CPT 54162 | $3,503.00 | $7,006.00 | not published | 0 |
| Macro exam dissect molec study ea CPT 88387 | $46.00 | $92.00 | $7.74 – $7.74 | 1 |
| Macroscopic exam arthropod CPT 87168 | $83.00 | $166.00 | $3.71 – $4.48 | 4 |
| Macroscopic exam parasite CPT 87169 | $14.00 | $28.00 | $3.75 – $4.53 | 4 |
| Magnesium CPT 83735 | $46.00 | $92.00 | $5.83 – $7.04 | 4 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $239.34 – $246.38 | 4 |
| Malaria antibody CPT 86750 | $177.50 | $355.00 | $11.48 – $13.85 | 4 |
| Manipulate finger w/anesth CPT 26340 | $3,284.50 | $6,569.00 | $1,612.94 – $1,660.38 | 4 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,612.94 – $1,660.38 | 4 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $149.00 | $298.00 | $133.46 – $137.38 | 4 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $202.50 | $405.00 | $133.46 – $137.38 | 4 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,612.94 – $1,660.38 | 4 |
| Manipulation of spine CPT 22505 | not published | not published | $1,612.94 – $1,660.38 | 4 |
| Manipulat palm cord post inj CPT 26341 | $1,186.00 | $2,372.00 | $247.43 – $254.70 | 4 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $4.41 – $5.32 | 4 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $817.50 | $1,635.00 | not published | 0 |
| Map tachycard site(s) CPT 93609 | $4,377.50 | $8,755.00 | not published | 0 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $54.34 – $55.94 | 4 |
| Marker biop eviva buckle ss HCPCS A4648 | $417.10 | $834.21 | not published | 0 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $1,279.08 – $1,316.70 | 4 |
| Mastectomy partial CPT 19301 | not published | not published | $3,927.48 – $4,042.99 | 4 |
| Mastoidectomy CPT 69501 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Mastoids complete CPT 70130 | $266.50 | $533.00 | $69.76 – $107.69 | 4 |
| Mastoid surgery revision CPT 69603 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $30.53 – $36.84 | 4 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $23.74 – $28.65 | 4 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $37.27 – $44.98 | 4 |
| Maxillofacial fixation CPT 21100 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $175.50 | $351.00 | $12.58 – $15.18 | 4 |
| Mayo aathr protein s free CPT 85306 | $32.50 | $65.00 | $13.33 – $16.09 | 4 |
| Mayo activated protein c resistance assay CPT 85307 | $61.00 | $122.00 | $13.33 – $16.09 | 4 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $209.50 | $419.00 | $33.56 – $40.50 | 4 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $17.64 – $17.64 | 1 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $28.22 – $28.22 | 1 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $108.00 | $216.00 | $12.86 – $15.52 | 4 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $49.02 – $49.02 | 1 |
| Mayo alpha 1 antitrypsin CPT 82103 | $65.00 | $130.00 | $11.69 – $14.11 | 4 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $118.50 | $237.00 | $13.12 – $15.83 | 4 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $25.38 – $25.38 | 1 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $25.44 – $25.44 | 1 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $524.50 | $1,049.00 | $105.82 – $127.71 | 4 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $367.00 | $734.00 | $79.74 – $96.24 | 4 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $627.00 | $1,254.00 | $119.19 – $143.85 | 4 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,608.50 | $5,217.00 | $1,009.20 – $1,218.00 | 4 |
| Mayo androstenedione CPT 82157 | $137.00 | $274.00 | $25.47 – $30.74 | 4 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $98.50 | $197.00 | $12.70 – $15.33 | 4 |
| Mayo antithrombin iii antigen CPT 85301 | $19.00 | $38.00 | $9.40 – $11.35 | 4 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $95.50 | $191.00 | $13.09 – $15.80 | 4 |
| Mayo avwpr vw factor activity CPT 85397 | $99.00 | $198.00 | $26.85 – $32.40 | 4 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $150.00 | $300.00 | $30.53 – $36.84 | 4 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $18.70 – $18.70 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $62.50 | $125.00 | $8.86 – $10.69 | 4 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $51.50 | $103.00 | $126.01 – $152.08 | 4 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $186.72 – $225.35 | 4 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $100.00 | $200.00 | $11.22 – $13.55 | 4 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $28.03 – $28.03 | 1 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $83.00 | $166.00 | $11.48 – $13.85 | 4 |
| Mayo brcmg brucella antibody igm CPT 86622 | $58.50 | $117.00 | $7.77 – $9.38 | 4 |
| Mayo c1 esterase inhibitor CPT 83883 | $61.50 | $123.00 | $11.83 – $14.28 | 4 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $29.32 – $29.32 | 1 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $87.00 | $174.00 | $14.68 – $17.71 | 4 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $251.50 | $503.00 | $23.30 – $28.12 | 4 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $324.50 | $649.00 | $106.33 – $128.33 | 4 |
| Mayo ceruloplasmin CPT 82390 | $66.50 | $133.00 | $9.34 – $11.28 | 4 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $283.50 | $567.00 | $12.28 – $14.83 | 4 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $177.50 | $355.00 | $11.21 – $13.52 | 4 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $30.50 | $61.00 | $10.28 – $12.41 | 4 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $30.50 | $61.00 | $11.03 – $13.31 | 4 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $316.00 | $632.00 | $72.16 – $122.31 | 4 |
| Mayo chromium CPT 82495 | $97.00 | $194.00 | $17.64 – $21.29 | 4 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | not published | $24.74 – $24.74 | 1 |
| Mayo coccidioides antibody CPT 86635 | $95.50 | $191.00 | $9.98 – $12.04 | 4 |
| Mayo cocou cortisone urine CPT 82542 | $423.50 | $847.00 | $20.96 – $25.29 | 4 |
| Mayo cortisol free CPT 82530 | $20.00 | $40.00 | $14.54 – $17.55 | 4 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $21.06 | $42.13 | $36.65 – $44.24 | 4 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $215.50 | $431.00 | $10.54 – $12.73 | 4 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $32.33 – $32.33 | 1 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $19.01 – $19.01 | 1 |
| Mayo cyanide CPT 82600 | $135.50 | $271.00 | $16.88 – $20.37 | 4 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $390.00 | $780.00 | $67.70 – $175.50 | 4 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $132.00 | $264.00 | $11.53 – $13.91 | 4 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $64.50 | $129.00 | $8.21 – $26.53 | 4 |
| Mayo dihydrotestosterone CPT 82642 | $105.50 | $211.00 | $25.47 – $30.74 | 4 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $4.67 – $10.12 | 4 |
| Mayo efpo chloride stool CPT 82438 | $37.50 | $75.00 | $4.35 – $5.25 | 4 |
| Mayo estriol CPT 82677 | $160.00 | $320.00 | $21.04 – $25.39 | 4 |
| Mayo estrone CPT 82679 | $148.00 | $296.00 | $21.71 – $26.20 | 4 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $233.00 | $466.00 | $14.22 – $17.16 | 4 |
| Mayo everolimus therapeutic drug level CPT 80169 | $485.00 | $970.00 | $11.95 – $14.42 | 4 |
| Mayo factor ii CPT 85210 | $20.50 | $41.00 | $7.96 – $13.63 | 4 |
| Mayo factor v CPT 85220 | $62.50 | $125.00 | $15.36 – $18.53 | 4 |
| Mayo factor vii CPT 85230 | $23.00 | $46.00 | $15.57 – $18.79 | 4 |
| Mayo factor viii vw factor antigen CPT 85246 | $22.50 | $45.00 | $19.96 – $24.09 | 4 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $391.50 | $783.00 | $19.96 – $24.09 | 4 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $83.50 | $167.00 | $19.96 – $24.09 | 4 |
| Mayo factor x CPT 85260 | $71.00 | $142.00 | $15.57 – $18.79 | 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.