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 |
|---|---|---|---|---|
| Radiation physics consult CPT 77336 | $554.50 | $1,109.00 | not published | 0 |
| Radiation therapy dose plan CPT 77300 | $413.50 | $827.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77332 | $389.50 | $779.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77333 | $448.00 | $896.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77334 | $514.00 | $1,028.00 | not published | 0 |
| Radiation treatment delivery CPT 77402 | $371.00 | $742.00 | not published | 0 |
| Radiation treatment delivery CPT 77412 | $564.50 | $1,129.00 | not published | 0 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Radical resection of elbow CPT 24149 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $2,913.65 – $2,999.35 | 4 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,913.65 – $2,999.35 | 4 |
| Radiesse injection HCPCS Q2026 | not published | not published | $356.17 – $366.65 | 4 |
| Radiology port images(s) CPT 77417 | $200.00 | $400.00 | not published | 0 |
| Radiotherapy dose plan imrt CPT 77301 | $4,123.50 | $8,247.00 | not published | 0 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $174.51 – $179.64 | 4 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | not published | not published | $392.75 – $559.32 | 4 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,414.50 | $2,829.00 | $544.64 – $560.66 | 4 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,882.50 | $3,765.00 | $1,298.63 – $1,336.83 | 4 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,556.00 | $3,112.00 | $392.75 – $559.32 | 4 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,169.00 | $2,338.00 | $392.75 – $411.81 | 4 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $2,913.65 – $2,999.35 | 4 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,913.65 – $2,999.35 | 4 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $2,913.65 – $2,999.35 | 4 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $2,913.65 – $2,999.35 | 4 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $2,913.65 – $2,999.35 | 4 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $2,913.65 – $2,999.35 | 4 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $2,913.65 – $2,999.35 | 4 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $2,913.65 – $2,999.35 | 4 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $76.98 – $79.25 | 4 |
| Range of motion measurements CPT 95852 | not published | not published | $4.99 – $5.13 | 4 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $69.21 – $71.25 | 4 |
| Rapid desensitization CPT 95180 | not published | not published | $448.10 – $461.28 | 4 |
| Rapid Strep Test CPT 87880 | $123.50 | $247.00 | $14.38 – $17.36 | 4 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $389.83 – $401.30 | 4 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $228.15 – $234.86 | 4 |
| Rbc count only automated CPT 85041 | not published | not published | $2.63 – $3.17 | 4 |
| Rbc deglycerolized each unit HCPCS P9039 | $869.00 | $1,738.00 | not published | 0 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $442.53 – $455.55 | 4 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $7.48 – $9.03 | 4 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $6.50 – $7.84 | 4 |
| Rbc serum pretx incubj drugs CPT 86975 | $95.50 | $191.00 | $25.70 – $460.18 | 4 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Realignment of knee CPT 27457 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Realignment of knee CPT 27455 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Realignment of tendons CPT 26437 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Realignment of thigh bone CPT 27454 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $5,581.61 – $5,745.77 | 4 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $17,587.76 – $18,105.05 | 4 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $12,878.18 – $13,256.95 | 4 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $12,878.18 – $13,256.95 | 4 |
| Reconstruct extra finger CPT 26587 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Reconstruct finger joint CPT 26545 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Reconstruct finger joint CPT 26548 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Reconstruct head of radius CPT 24365 | not published | not published | $12,878.18 – $13,256.95 | 4 |
| Reconstruct head of radius CPT 24366 | not published | not published | $12,878.18 – $13,256.95 | 4 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $17,587.76 – $18,105.05 | 4 |
| Reconstruction knee CPT 27427 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Reconstruction knee CPT 27428 | not published | not published | $12,878.18 – $13,256.95 | 4 |
| Reconstruction knee CPT 27429 | not published | not published | $12,878.18 – $13,256.95 | 4 |
| Reconstruction of anus CPT 46753 | not published | not published | $2,784.20 – $2,866.09 | 4 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $12,878.18 – $13,256.95 | 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.