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 |
|---|---|---|---|---|
| Other bone graft microvasc CPT 20962 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $20.12 – $24.29 | 4 |
| Oth resp proc, group HCPCS G0239 | $71.50 | $143.00 | $37.47 – $38.57 | 4 |
| Oth resp proc, indiv HCPCS G0238 | $87.50 | $175.00 | $29.01 – $29.87 | 4 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $130.50 | $261.00 | $50.42 – $51.90 | 4 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $102.00 | $204.00 | $46.41 – $47.78 | 4 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $99.50 | $199.00 | $27.95 – $28.77 | 4 |
| Ot re-evaluation patient/family CPT 97168 | $161.50 | $323.00 | $69.12 – $71.15 | 4 |
| Ot therapeutic activities direct patient contact each 15 minutes CPT 97530 | $66.50 | $133.00 | $35.32 – $36.36 | 4 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $88.50 | $177.00 | $18.70 – $19.25 | 4 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $88.50 | $177.00 | $19.95 – $20.54 | 4 |
| Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes CPT 97110 | $95.00 | $190.00 | $29.30 – $30.17 | 4 |
| Ot therapeutic procedure neuromuscular reeducate each 15 minutes CPT 97112 | $107.00 | $214.00 | $33.02 – $33.99 | 4 |
| Ot training self care/home management direct contact each 15 minutes CPT 97535 | $88.50 | $177.00 | $32.65 – $33.61 | 4 |
| Ovarian cystectomy 58925 CPT 58925 | not published | not published | $5,017.84 – $5,165.42 | 4 |
| Ovulation tests CPT 84830 | not published | not published | $11.05 – $13.34 | 4 |
| P-32 sod phosphate ther per mci HCPCS A9563 | not published | not published | $283.80 – $292.15 | 4 |
| Pabpn1 gene detc abnor allel CPT 81312 | $684.00 | $1,368.00 | $119.19 – $143.85 | 4 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | not published | not published | $6.14 – $6.32 | 4 |
| Pad repl cerv collr univ adult HCPCS L0999 | $21.22 | $42.44 | not published | 0 |
| Palb2 gene full gene seq CPT 81307 | not published | not published | $339.46 – $708.63 | 4 |
| Palb2 gene known famil vrnt CPT 81308 | not published | not published | $262.17 – $316.42 | 4 |
| Palifermin injection HCPCS J2425 | not published | not published | $37.45 – $38.55 | 4 |
| Paliperidone 117 mg/0.75 ml inj HCPCS J2426 | not published | not published | $15.38 – $15.83 | 4 |
| Palivizumab 50 mg/0.5 ml inj CPT 90378 | not published | not published | $445.48 – $458.59 | 4 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | not published | not published | $177.87 – $183.11 | 4 |
| Parathormone (pth) intact CPT 83970 | $167.00 | $334.00 | $35.91 – $43.34 | 4 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,036.00 | $2,072.00 | $515.26 – $559.32 | 4 |
| Parathyroid planar imaging CPT 78070 | $365.50 | $731.00 | $266.98 – $411.81 | 4 |
| Parathyroid planar img w/tomo spect CPT 78071 | $965.00 | $1,930.00 | $401.00 – $412.80 | 4 |
| Paravaginal defect repair 57284 CPT 57284 | not published | not published | $5,017.84 – $5,165.42 | 4 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $374.00 | $748.00 | $201.25 – $207.17 | 4 |
| Parotid duct diversion CPT 42507 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Parotid duct diversion CPT 42509 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Part exc/post vert comp/sng/thorac 22101 CPT 22101 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $3,247.09 – $3,342.59 | 4 |
| Partial exc bone humerus CPT 24140 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Partial hip replacement CPT 27125 | not published | not published | $12,878.18 – $13,256.95 | 4 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,612.94 – $1,660.38 | 4 |
| Partial removal finger bone CPT 26236 | $2,567.00 | $5,134.00 | $1,612.94 – $1,660.38 | 4 |
| Partial removal foot fascia CPT 28060 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $2,314.92 – $2,383.01 | 4 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $2,314.92 – $2,383.01 | 4 |
| Partial removal of fibula CPT 27641 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Partial removal of foot bone CPT 28288 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Partial removal of hand bone CPT 26230 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Partial removal of nose CPT 30150 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Partial removal of radius CPT 25151 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Partial removal of radius CPT 25230 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Partial removal of rib CPT 21600 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Partial removal of sternum CPT 21620 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Partial removal of thyroid CPT 60220 | not published | not published | $6,064.13 – $6,242.48 | 4 |
| Partial removal of thyroid CPT 60225 | not published | not published | $6,064.13 – $6,242.48 | 4 |
| Partial removal of tibia CPT 27640 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Partial removal of toe CPT 28160 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Partial removal of tongue CPT 41120 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Partial removal of ulna CPT 25119 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Partial removal of ulna CPT 25150 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Partial removal of ulna CPT 25240 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,247.09 – $3,342.59 | 4 |
| Partial thyroid excision CPT 60210 | not published | not published | $6,064.13 – $6,242.48 | 4 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $6,064.13 – $6,242.48 | 4 |
| Part removal hip bone deep CPT 27071 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Part removal of metatarsal CPT 28110 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Part removal of metatarsal CPT 28113 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Part remove hip bone super CPT 27070 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Passy muir valve metal trach HCPCS L8501 | $110.23 | $220.46 | not published | 0 |
| Paste skin barrier .5oz adapt HCPCS A4406 | $15.52 | $31.05 | not published | 0 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $170.89 – $175.92 | 4 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $170.89 – $175.92 | 4 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $51.91 – $51.91 | 1 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $52.27 – $53.81 | 4 |
| Patient recorded spirometry CPT 94014 | not published | not published | $448.10 – $461.28 | 4 |
| Patient recorded spirometry CPT 94015 | not published | not published | $216.59 – $222.96 | 4 |
| Pca3/klk3 antigen CPT 81313 | $285.50 | $571.00 | $221.89 – $267.16 | 4 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $642.66 – $642.66 | 1 |
| Pdgfra gene CPT 81314 | $540.00 | $1,080.00 | $286.67 – $345.99 | 4 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $11.38 | $22.77 | not published | 0 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $201.25 – $207.17 | 4 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $129.07 – $132.87 | 4 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $129.07 – $132.87 | 4 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $28,992.54 – $29,845.26 | 4 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $114.46 – $133.75 | 4 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $135.98 – $139.98 | 4 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $138.61 – $142.68 | 4 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $161.42 – $166.17 | 4 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $81.09 – $83.47 | 4 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $114.38 – $117.74 | 4 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,901.01 – $4,015.75 | 4 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $227.87 – $234.57 | 4 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $2,008.50 | $4,017.00 | $175.94 – $181.12 | 4 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,656.50 | $3,313.00 | $175.94 – $181.12 | 4 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,078.92 | $2,157.83 | $104.87 – $107.95 | 4 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,526.00 | $7,052.00 | $349.95 – $360.24 | 4 |
| Pelvic MRI (with contrast) CPT 72196 | $2,241.50 | $4,483.00 | $349.95 – $360.24 | 4 |
| Pelvic MRI (without contrast) CPT 72195 | $1,916.50 | $3,833.00 | $239.34 – $246.38 | 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.