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 |
|---|---|---|---|---|
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $349.95 – $360.24 | 4 |
| MRA without cont, abd HCPCS C8901 | $1,899.00 | $3,798.00 | $239.34 – $246.38 | 4 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $239.34 – $246.38 | 4 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $239.34 – $246.38 | 4 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $239.34 – $246.38 | 4 |
| MRA without fol w/cont, abd HCPCS C8902 | $2,511.00 | $5,022.00 | $349.95 – $360.24 | 4 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $3,208.00 | $6,416.00 | $349.95 – $360.24 | 4 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $2,486.00 | $4,972.00 | $349.95 – $360.24 | 4 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $2,007.00 | $4,014.00 | $349.95 – $360.24 | 4 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $2,007.00 | $4,014.00 | $349.95 – $360.24 | 4 |
| Mr elastography CPT 76391 | $1,192.00 | $2,384.00 | $239.34 – $246.38 | 4 |
| MRI brain w/dye CPT 70558 | not published | not published | $175.94 – $181.12 | 4 |
| MRI brain without dye CPT 70557 | not published | not published | $548.10 – $562.87 | 4 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $175.94 – $181.12 | 4 |
| MRI breast c- unilateral CPT 77046 | $2,300.50 | $4,601.00 | $239.34 – $246.38 | 4 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $471.10 – $471.10 | 1 |
| MRI breast without cont bi CPT 77047 | $2,752.50 | $5,505.00 | $239.34 – $246.38 | 4 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $468.80 – $468.80 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,362.50 | $2,725.00 | $239.34 – $246.38 | 4 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,923.00 | $3,846.00 | $349.95 – $360.24 | 4 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $2,187.50 | $4,375.00 | $786.33 – $809.46 | 4 |
| MRI chest without contrast CPT 71550 | $1,627.50 | $3,255.00 | $239.34 – $246.38 | 4 |
| MRI chest without & w/contrast CPT 71552 | $2,409.50 | $4,819.00 | $349.95 – $360.24 | 4 |
| MRI chest w IV cont CPT 71551 | $1,872.00 | $3,744.00 | $602.19 – $807.53 | 4 |
| MRI compatible system HCPCS L0859 | $1,042.24 | $2,084.49 | not published | 0 |
| MRI fetal ea addl gestation CPT 74713 | $450.50 | $901.00 | not published | 0 |
| MRI fetal sngl/1st gestation CPT 74712 | $568.50 | $1,137.00 | $239.34 – $246.38 | 4 |
| MRI guid ndl plc s&i CPT 77021 | $1,267.50 | $2,535.00 | $447.71 – $447.71 | 1 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $447.71 – $447.71 | 1 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $1,227.75 – $1,263.87 | 4 |
| MRI loex nonjt w IV cont CPT 73719 | $2,288.00 | $4,576.00 | $349.95 – $360.24 | 4 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $2,241.50 | $4,483.00 | $239.34 – $246.38 | 4 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,977.00 | $5,954.00 | $349.95 – $360.24 | 4 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,938.00 | $3,876.00 | $239.34 – $246.38 | 4 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,360.00 | $6,720.00 | $349.95 – $360.24 | 4 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,313.50 | $4,627.00 | $349.95 – $360.24 | 4 |
| MRI tmj CPT 70336 | $2,034.50 | $4,069.00 | $239.34 – $246.38 | 4 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,976.00 | $3,952.00 | $239.34 – $246.38 | 4 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,977.00 | $5,954.00 | $349.95 – $360.24 | 4 |
| MRI upper extremity w/dye CPT 73219 | $2,241.50 | $4,483.00 | $349.95 – $360.24 | 4 |
| MRI w/cont, breast, bi HCPCS C8906 | $2,790.00 | $5,580.00 | $349.95 – $360.24 | 4 |
| MRI w/cont, breast, uni HCPCS C8903 | $2,464.50 | $4,929.00 | $175.94 – $181.12 | 4 |
| MRI without fol w/cont, breast HCPCS C8908 | $3,027.50 | $6,055.00 | $349.95 – $360.24 | 4 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $2,711.00 | $5,422.00 | $349.95 – $360.24 | 4 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $87.29 – $89.86 | 4 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $95.36 – $98.17 | 4 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $59.17 – $60.91 | 4 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | not published | not published | $29.01 – $29.87 | 4 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $239.34 – $246.38 | 4 |
| Mr spectroscopy CPT 76390 | $1,719.50 | $3,439.00 | $87.29 – $89.86 | 4 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $182.05 – $223.43 | 4 |
| Msh2 gene full seq CPT 81295 | not published | not published | $182.05 – $399.83 | 4 |
| Msh2 gene known variants CPT 81296 | not published | not published | $155.44 – $353.77 | 4 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $194.02 – $249.31 | 4 |
| Msh6 gene full seq CPT 81298 | not published | not published | $345.40 – $672.34 | 4 |
| Msh6 gene known variants CPT 81299 | $216.00 | $432.00 | $193.49 – $322.63 | 4 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Mthfr gene analy common variants CPT 81291 | $184.00 | $368.00 | $56.85 – $68.61 | 4 |
| M.tuberculo dna dir probe CPT 87555 | $19.50 | $39.00 | $23.39 – $28.22 | 4 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $37.27 – $44.98 | 4 |
| Mucin synovial fluid CPT 83872 | not published | not published | $5.10 – $6.15 | 4 |
| Mucopolysaccharides CPT 83864 | $110.50 | $221.00 | $24.80 – $29.92 | 4 |
| Mucormycosis antibody CPT 86732 | not published | not published | $13.05 – $15.75 | 4 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $178.04 – $183.28 | 4 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $129.07 – $132.87 | 4 |
| Multiple sleep latency test CPT 95805 | $1,473.50 | $2,947.00 | $861.38 – $886.72 | 4 |
| Mumps antibody igg CPT 86735 | $176.00 | $352.00 | $11.35 – $13.70 | 4 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $3,554.63 – $3,659.18 | 4 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $3,554.63 – $3,659.18 | 4 |
| Muscle test cran nerv unilat CPT 95867 | $371.50 | $743.00 | $216.59 – $222.96 | 4 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $129.07 – $132.87 | 4 |
| Muscle test larynx CPT 95865 | not published | not published | $133.46 – $137.38 | 4 |
| Muscle test one fiber CPT 95872 | $283.50 | $567.00 | $216.59 – $222.96 | 4 |
| Muscle transfers CPT 23397 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $3,554.63 – $3,659.18 | 4 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $41.97 – $50.65 | 4 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $17.44 – $21.05 | 4 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $37.27 – $44.98 | 4 |
| Mycoplasma antibody igm CPT 86738 | $123.50 | $247.00 | $11.52 – $13.90 | 4 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $386.50 | $773.00 | $152.60 – $184.17 | 4 |
| Myelogphy 2/> spine regions CPT 72270 | not published | not published | $251.22 – $807.53 | 4 |
| Myelography l-s spine CPT 72265 | $1,847.00 | $3,694.00 | $251.22 – $807.53 | 4 |
| Myelography neck spine CPT 72240 | $1,489.50 | $2,979.00 | $251.22 – $807.53 | 4 |
| Myelography thoracic spine CPT 72255 | not published | not published | $251.22 – $807.53 | 4 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $5,022.00 | $10,044.00 | $786.33 – $809.46 | 4 |
| Myelography via inj w/s&i cervical CPT 62302 | $3,712.00 | $7,424.00 | $786.33 – $809.46 | 4 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $2,057.50 | $4,115.00 | $786.33 – $809.46 | 4 |
| Myelography via inj w/s&i thoracic CPT 62303 | $3,712.00 | $7,424.00 | $786.33 – $809.46 | 4 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $163.00 | $326.00 | $10.03 – $12.11 | 4 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $1,169.98 – $1,473.02 | 4 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $1,434.35 – $1,476.53 | 4 |
| Myocrd img pet 2rtracer CPT 78432 | not published | not published | $1,522.30 – $1,567.07 | 4 |
| Myocrd img pet 2rtracer CT CPT 78433 | $2,263.00 | $4,526.00 | $2,209.57 – $2,274.55 | 4 |
| Myocrd img pet mlt rst&strs CPT 78492 | not published | not published | $1,169.98 – $1,473.02 | 4 |
| Myocrd img pet rst&strs CT CPT 78431 | not published | not published | $2,209.57 – $2,274.55 | 4 |
| Myocrd img pet rst/strs w/ct CPT 78430 | not published | not published | $1,434.35 – $1,476.53 | 4 |
| Myomectomy vag method CPT 58145 | not published | not published | $3,247.09 – $3,342.59 | 4 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $4.33 – $4.46 | 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.