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 |
|---|---|---|---|---|
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $8.47 – $10.23 | 4 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $133.55 – $137.47 | 4 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $3,591.42 – $3,697.05 | 4 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $107.50 | $215.00 | $101.90 – $104.90 | 4 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $30.50 | $61.00 | not published | 0 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $28,055.00 | $56,110.00 | not published | 0 |
| Prq card angio/athrect addl CPT 92925 | $10,349.50 | $20,699.00 | not published | 0 |
| Prq cardiac angio addl art CPT 92921 | $7,903.00 | $15,806.00 | not published | 0 |
| Prq card revasc chronic addl CPT 92944 | $9,402.00 | $18,804.00 | not published | 0 |
| Prq card revasc mi 1 vsl CPT 92941 | $9,402.00 | $18,804.00 | not published | 0 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $15,248.50 | $30,497.00 | not published | 0 |
| Prq card stent/ath/angio CPT 92934 | $11,673.50 | $23,347.00 | not published | 0 |
| Prq card stent w/angio addl CPT 92929 | $11,976.00 | $23,952.00 | not published | 0 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $11,976.00 | $23,952.00 | $11,579.71 – $11,920.29 | 4 |
| Prq revasc byp graft addl CPT 92938 | $9,402.00 | $18,804.00 | not published | 0 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,612.94 – $1,660.38 | 4 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $11,976.00 | $23,952.00 | $11,579.71 – $11,920.29 | 4 |
| Prq trlml c athrc st angiop1 CPT 92933 | $11,976.00 | $23,952.00 | not published | 0 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | not published | not published | $11,579.71 – $11,920.29 | 4 |
| Prq trluml c angiop 1art&/br CPT 92920 | $7,903.00 | $15,806.00 | not published | 0 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $15,068.50 | $30,137.00 | $11,579.71 – $11,920.29 | 4 |
| Prq trluml revsc ch occ ant CPT 92943 | $11,976.00 | $23,952.00 | $11,579.71 – $11,920.29 | 4 |
| Pr removal drug delivery implant CPT 11982 | $882.50 | $1,765.00 | $448.10 – $461.28 | 4 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $292.50 | $585.00 | $133.46 – $137.38 | 4 |
| Pr removal intrauterine device CPT 58301 | $335.00 | $670.00 | $305.67 – $314.66 | 4 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $816.50 | $1,633.00 | $407.77 – $419.76 | 4 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $376.00 | $752.00 | $201.25 – $207.17 | 4 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $451.50 | $903.00 | $201.25 – $207.17 | 4 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $461.50 | $923.00 | $201.25 – $207.17 | 4 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $775.50 | $1,551.00 | $201.25 – $207.17 | 4 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $3,933.00 | $7,866.00 | not published | 0 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $442.53 – $455.55 | 4 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,696.00 | $3,392.00 | $1,579.00 – $1,625.44 | 4 |
| PSA (Prostate) Test CPT 84153 | $74.50 | $149.00 | $16.00 – $19.31 | 4 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | $14.00 | $28.00 | $29.01 – $29.87 | 4 |
| Psychoanalysis CPT 90845 | not published | not published | $178.04 – $183.28 | 4 |
| Psychoeducation 45 min + HCPCS G0177 | $135.50 | $271.00 | not published | 0 |
| Psychotherapy group therapy CPT 90853 | $69.00 | $138.00 | $101.90 – $104.90 | 4 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $187.00 | $374.00 | $178.04 – $183.28 | 4 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $281.00 | $562.00 | $178.04 – $183.28 | 4 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $372.50 | $745.00 | $178.04 – $183.28 | 4 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $231.00 | $462.00 | $216.59 – $222.96 | 4 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $155.00 | $310.00 | not published | 0 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | $162.50 | $325.00 | not published | 0 |
| Psycl/nrpsyc tech 1st CPT 96138 | $180.00 | $360.00 | $448.10 – $461.28 | 4 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $55.50 | $111.00 | $133.46 – $137.38 | 4 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $37.00 | $74.00 | not published | 0 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $15.00 | $30.00 | not published | 0 |
| Psytx complex interactive CPT 90785 | $41.50 | $83.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $96.00 | $192.00 | $14.79 – $15.23 | 4 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $68.50 | $137.00 | $19.15 – $19.71 | 4 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $50.00 | $100.00 | $14.42 – $14.85 | 4 |
| Pt application of modality traction mechanical CPT 97012 | $69.00 | $138.00 | $14.44 – $14.87 | 4 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $105.12 – $314.25 | 4 |
| Pten gene full sequence CPT 81321 | not published | not published | $522.00 – $630.00 | 4 |
| Pten gene known fam variant CPT 81322 | not published | not published | $40.54 – $48.93 | 4 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Pt evaluation high complexity patient/family CPT 97163 | $286.50 | $573.00 | $98.92 – $101.83 | 4 |
| Pt evaluation low complexity patient/family CPT 97161 | $252.00 | $504.00 | $98.92 – $101.83 | 4 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $269.00 | $538.00 | $98.92 – $101.83 | 4 |
| Pt re-evaluation patient/family CPT 97164 | $172.00 | $344.00 | $68.12 – $70.12 | 4 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $164.00 | $328.00 | not published | 0 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $71.50 | $143.00 | $12.74 – $13.11 | 4 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $56.00 | $112.00 | $29.30 – $30.17 | 4 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $91.00 | $182.00 | $29.92 – $30.80 | 4 |
| Pt wheelchair management each 15 minutes CPT 97542 | $88.50 | $177.00 | $31.32 – $32.25 | 4 |
| Pul art balloon repr percut CPT 92997 | not published | not published | $11,579.71 – $11,920.29 | 4 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $4,706.35 – $5,680.08 | 4 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $323.92 – $411.81 | 4 |
| Pulse ox continuous overnight monitoring CPT 94762 | $242.50 | $485.00 | $129.07 – $132.87 | 4 |
| Pulse ox multiple CPT 94761 | $260.00 | $520.00 | not published | 0 |
| Pulse ox single CPT 94760 | $109.00 | $218.00 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $652.50 | $1,305.00 | $708.05 – $728.88 | 4 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $157.50 | $315.00 | $133.46 – $137.38 | 4 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $470.00 | $940.00 | $407.77 – $419.76 | 4 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,485.00 | $2,970.00 | $708.05 – $728.88 | 4 |
| Puraply 1 sq cm HCPCS Q4195 | $90.04 | $180.09 | not published | 0 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $112.50 | $225.00 | not published | 0 |
| Pvb thoracic cont infusion CPT 64463 | $1,834.00 | $3,668.00 | $708.05 – $728.88 | 4 |
| Pvb thoracic single inj site CPT 64461 | $1,834.00 | $3,668.00 | $708.05 – $728.88 | 4 |
| Pyruvate CPT 84210 | $53.00 | $106.00 | $12.60 – $15.20 | 4 |
| Pyruvate kinase CPT 84220 | $113.50 | $227.00 | $8.21 – $9.91 | 4 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $133.46 – $137.38 | 4 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,356.50 | $2,713.00 | $506.27 – $559.32 | 4 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,356.50 | $2,713.00 | $323.92 – $411.81 | 4 |
| Quest t3 uptake CPT 84479 | $74.00 | $148.00 | $5.63 – $6.79 | 4 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $8.35 – $8.35 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $359.49 – $370.06 | 4 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $247.02 – $254.29 | 4 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $280.68 – $288.94 | 4 |
| Rabies vaccine id CPT 90676 | not published | not published | $241.60 – $248.70 | 4 |
| Radiation handling CPT 77790 | $251.50 | $503.00 | not published | 0 |
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.