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 |
|---|---|---|---|---|
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Opn tx nasomax fx w/fixj CPT 21346 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Opn tx nasomax fx w/graft CPT 21348 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Opn tx orbit fx combined CPT 21387 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Opn tx orbit fx periorbital CPT 21386 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $418.55 – $430.86 | 4 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $59.17 – $60.91 | 4 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $59.17 – $60.91 | 4 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $15.25 – $15.25 | 1 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx lunate dislocation CPT 25695 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx medial ankle fx CPT 27766 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Optx mndblr/max alv ridge fx CPT 21445 | $4,155.00 | $8,310.00 | $5,938.04 – $6,112.69 | 4 |
| Optx palatal/max fracture CPT 21422 | $3,416.00 | $6,832.00 | $5,938.04 – $6,112.69 | 4 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $12,878.18 – $13,256.95 | 4 |
| Optx post ankle fx CPT 27769 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $12,878.18 – $13,256.95 | 4 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $17,587.76 – $18,105.05 | 4 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx sho dislc fx CPT 23670 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $12,878.18 – $13,256.95 | 4 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx thigh fx CPT 27269 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Oral busulfan HCPCS J8510 | not published | not published | $10.32 – $10.63 | 4 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $10.42 – $12.58 | 4 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $19.08 – $19.65 | 4 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $22.74 – $23.41 | 4 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $405.75 – $417.68 | 4 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $3,591.42 – $3,697.05 | 4 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $3,591.42 – $3,697.05 | 4 |
| Organic acids total quant ea spec CPT 83918 | $67.00 | $134.00 | $20.53 – $24.78 | 4 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $44.59 – $45.90 | 4 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $29.14 – $30.00 | 4 |
| Oropharyngeal biopsy 42800 CPT 42800 | $3,192.50 | $6,385.00 | not published | 0 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $138.69 | $277.38 | not published | 0 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $634.46 | $1,268.91 | not published | 0 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $613.76 | $1,227.51 | not published | 0 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $348.80 | $697.59 | not published | 0 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $129.90 | $259.79 | not published | 0 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $154.74 | $309.47 | not published | 0 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $54.34 | $108.68 | not published | 0 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $129.90 | $259.79 | not published | 0 |
| Orthopantogram CPT 70355 | $334.50 | $669.00 | $69.76 – $89.65 | 4 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $59.17 – $60.91 | 4 |
| Ortho shoe add half sole HCPCS L3530 | $18.63 | $37.26 | not published | 0 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $309.98 | $619.97 | not published | 0 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $111.28 – $114.55 | 4 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $179.58 | $359.15 | not published | 0 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $474.55 | $949.10 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $219.65 – $226.11 | 4 |
| Osmolality blood CPT 83930 | $61.00 | $122.00 | $5.75 – $6.94 | 4 |
| Osmolality urine CPT 83935 | $61.00 | $122.00 | $5.93 – $7.16 | 4 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $12,878.18 – $13,256.95 | 4 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $56.00 | $112.00 | not published | 0 |
| Osteoplasty humerus CPT 24420 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $12,878.18 – $13,256.95 | 4 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Ot evaluation high complexity patient/family CPT 97167 | $280.00 | $560.00 | $101.60 – $104.59 | 4 |
| Ot evaluation low complexity patient/family CPT 97165 | $245.50 | $491.00 | $101.60 – $104.59 | 4 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $263.00 | $526.00 | $101.60 – $104.59 | 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.