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 |
|---|---|---|---|---|
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $3.06 – $3.06 | 1 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $31.41 – $32.34 | 4 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | not published | not published | $11.33 – $11.66 | 4 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | not published | not published | $12.43 – $12.80 | 4 |
| Rotavirus antibody CPT 86759 | not published | not published | $15.86 – $19.14 | 4 |
| Routine footcare pt w lops HCPCS G0247 | $166.50 | $333.00 | $201.25 – $207.17 | 4 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $23.86 – $24.57 | 4 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $12,878.18 – $13,256.95 | 4 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $12,878.18 – $13,256.95 | 4 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $2,654.00 | $5,308.00 | $1,579.00 – $1,625.44 | 4 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,285.50 | $2,571.00 | $392.75 – $411.81 | 4 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $1,712.00 | $3,424.00 | $1,298.63 – $1,336.83 | 4 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,071.00 | $4,142.00 | $1,434.35 – $1,476.53 | 4 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $2,654.00 | $5,308.00 | $1,579.00 – $1,625.44 | 4 |
| Rpl tun-cvad w subq port CPT 36582 | $6,728.00 | $13,456.00 | $3,167.20 – $3,260.35 | 4 |
| Rpl tun-cvad w subq pump CPT 36583 | $11,510.00 | $23,020.00 | $5,581.61 – $5,745.77 | 4 |
| Rpl tun cvc wo subq port CPT 36581 | $6,728.00 | $13,456.00 | $3,167.20 – $3,260.35 | 4 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $6,493.74 – $6,684.73 | 4 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $6,064.13 – $6,242.48 | 4 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $6,493.74 – $6,684.73 | 4 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $3,591.42 – $3,697.05 | 4 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $6,064.13 – $6,242.48 | 4 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $6,493.74 – $6,684.73 | 4 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $6,064.13 – $6,242.48 | 4 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $3,591.42 – $3,697.05 | 4 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $5,581.61 – $5,745.77 | 4 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $5,581.61 – $5,745.77 | 4 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $3,591.42 – $3,697.05 | 4 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $6,064.13 – $6,242.48 | 4 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $3,591.42 – $3,697.05 | 4 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $3,591.42 – $3,697.05 | 4 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $3,591.42 – $3,697.05 | 4 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $6,493.74 – $6,684.73 | 4 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $3,591.42 – $3,697.05 | 4 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,784.20 – $2,866.09 | 4 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $59.17 – $60.91 | 4 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $3,591.42 – $3,697.05 | 4 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $10,150.50 | $20,301.00 | $7,278.54 – $7,492.61 | 4 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $234.05 – $240.94 | 4 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Rsv assay w/optic CPT 87807 | $79.50 | $159.00 | $11.40 – $13.76 | 4 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $61.50 | $123.00 | $133.55 – $137.47 | 4 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $37.44 – $38.54 | 4 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $110.50 | $221.00 | $37.44 – $38.54 | 4 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $37.44 – $38.54 | 4 |
| Rtm tx mgmt 1st 20 min CPT 98980 | $99.50 | $199.00 | not published | 0 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | $81.00 | $162.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $21.50 | $43.00 | $12.52 – $15.11 | 4 |
| Rubeola ag if CPT 87283 | not published | not published | $16.42 – $63.69 | 4 |
| Rubeola antibody igg CPT 86765 | $74.00 | $148.00 | $11.21 – $13.52 | 4 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $286.67 – $345.99 | 4 |
| Russell viper venom diluted CPT 85613 | $26.50 | $53.00 | $8.33 – $10.06 | 4 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $797.86 – $962.93 | 4 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $37.53 – $38.64 | 4 |
| Salivary gland function exam CPT 78232 | not published | not published | $359.23 – $411.81 | 4 |
| Salivary gland imaging CPT 78230 | not published | not published | $359.23 – $411.81 | 4 |
| Salivary glnd img serial img CPT 78231 | $696.50 | $1,393.00 | $359.23 – $411.81 | 4 |
| Salmonella antibody CPT 86768 | $65.00 | $130.00 | $11.48 – $13.85 | 4 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $3,247.09 – $3,342.59 | 4 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $133.55 – $137.47 | 4 |
| Sargramostim injection HCPCS J2820 | not published | not published | $63.13 – $64.98 | 4 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $44.74 – $53.87 | 4 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $316.62 – $316.62 | 1 |
| Sarscov coronavirus ag ia CPT 87426 | $17.66 | $35.33 | $30.74 – $37.10 | 4 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $31.80 | $63.59 | $61.15 – $73.80 | 4 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $101.90 – $104.90 | 4 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $1,319.50 | $2,639.00 | $239.34 – $246.38 | 4 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $834.50 | $1,669.00 | $104.87 – $107.95 | 4 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $647.50 | $1,295.00 | $239.34 – $246.38 | 4 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $429.50 | $859.00 | $104.87 – $107.95 | 4 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $524.00 | $1,048.00 | $104.87 – $107.95 | 4 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $648.00 | $1,296.00 | $104.87 – $107.95 | 4 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $971.50 | $1,943.00 | $239.34 – $246.38 | 4 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $682.50 | $1,365.00 | $104.87 – $107.95 | 4 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $682.50 | $1,365.00 | $104.87 – $107.95 | 4 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,415.00 | $4,830.00 | $1,656.68 – $1,705.40 | 4 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $15.58 – $19.42 | 4 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $36.83 – $36.83 | 1 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $20.81 – $33.46 | 4 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $29.25 – $46.06 | 4 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $45.00 | $90.00 | $23.05 – $27.81 | 4 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $23.53 – $28.40 | 4 |
| Screen cerv/vag thin layer HCPCS G0123 | $94.50 | $189.00 | $17.63 – $21.27 | 4 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $36.83 – $36.83 | 1 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $932.82 – $960.25 | 4 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $932.82 – $960.25 | 4 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $107.00 | $214.00 | $15.70 – $18.95 | 4 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $24.59 – $29.68 | 4 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $23.33 – $48.55 | 4 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $47.50 | $95.00 | $20.95 – $25.28 | 4 |
| Screening Mammogram CPT 77067 | $311.50 | $623.00 | $91.33 – $94.02 | 4 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $36.83 – $36.83 | 1 |
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.