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 |
|---|---|---|---|---|
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $29.00 | $58.00 | $3.71 – $4.48 | 4 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | not published | not published | $129.07 – $132.87 | 4 |
| Assistive tech assessment, ot CPT 97755 | not published | not published | $38.11 – $39.23 | 4 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $61.38 – $829.95 | 4 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $61.38 – $175.50 | 4 |
| Ast/sgot CPT 84450 | $34.50 | $69.00 | $4.51 – $5.44 | 4 |
| Asxl1 full gene sequence CPT 81175 | not published | not published | $588.55 – $710.32 | 4 |
| Asxl1 gene target seq alys CPT 81176 | not published | not published | $210.45 – $254.00 | 4 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $95.88 – $98.70 | 4 |
| Athletic trn eval high cmplx CPT 97171 | $326.00 | $652.00 | not published | 0 |
| Athletic trn eval low cmplx CPT 97169 | $286.50 | $573.00 | not published | 0 |
| Athletic trn eval mod cmplx CPT 97170 | $306.00 | $612.00 | not published | 0 |
| Athletic trn re-eval plan cr CPT 97172 | $195.50 | $391.00 | not published | 0 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $19,592.50 | $39,185.00 | not published | 0 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $19,592.50 | $39,185.00 | not published | 0 |
| Atn1 gene detc abnor alleles CPT 81177 | not published | not published | $119.19 – $143.85 | 4 |
| Atomic absorption CPT 82190 | not published | not published | $13.83 – $16.70 | 4 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $5,017.84 – $5,165.42 | 4 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $34.00 | $68.00 | not published | 0 |
| Atxn10 gene detc abnor allel CPT 81183 | not published | not published | $119.19 – $143.85 | 4 |
| Atxn1 gene detc abnor allele CPT 81178 | not published | not published | $119.19 – $143.85 | 4 |
| Atxn2 gene detc abnor allele CPT 81179 | not published | not published | $119.19 – $143.85 | 4 |
| Atxn3 gene detc abnor allele CPT 81180 | not published | not published | $119.19 – $143.85 | 4 |
| Atxn7 gene detc abnor allele CPT 81181 | not published | not published | $119.19 – $143.85 | 4 |
| Atxn8os gen detc abnor allel CPT 81182 | not published | not published | $119.19 – $143.85 | 4 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $129.07 – $132.87 | 4 |
| Audiometry air + bone CPT 92553 | $172.50 | $345.00 | $129.07 – $132.87 | 4 |
| Auditory function + 15 min CPT 92621 | $90.50 | $181.00 | not published | 0 |
| Auditory function 60 min CPT 92620 | $390.00 | $780.00 | $129.07 – $132.87 | 4 |
| Aud rehab pre-ling hear loss CPT 92630 | $272.50 | $545.00 | not published | 0 |
| Augmentation cheek bone CPT 21270 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Augmentation of facial bones CPT 21208 | not published | not published | $5,938.04 – $6,112.69 | 4 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $3,487.00 | $6,974.00 | not published | 0 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $5,830.00 | $11,660.00 | $7,278.54 – $7,492.61 | 4 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $502.00 | $1,004.00 | $708.73 – $880.58 | 4 |
| Autologous blood op salvage CPT 86891 | not published | not published | $25.70 – $829.95 | 4 |
| Autologous blood process CPT 86890 | $790.50 | $1,581.00 | $54.76 – $175.50 | 4 |
| Automated diff wbc count CPT 85004 | not published | not published | $5.63 – $6.79 | 4 |
| Autonomic nrv adrenrg inervj CPT 95922 | $246.50 | $493.00 | $133.46 – $137.38 | 4 |
| Autonomic nrv parasym inervj CPT 95921 | not published | not published | $129.07 – $132.87 | 4 |
| Autonomic nrv syst funj test CPT 95923 | $289.00 | $578.00 | $133.46 – $137.38 | 4 |
| Autopsy (necropsy) complete CPT 88020 | not published | not published | $367.91 – $367.91 | 1 |
| Autopsy (necropsy) complete CPT 88025 | not published | not published | $403.38 – $403.38 | 1 |
| Autopsy (necropsy) complete CPT 88027 | not published | not published | $439.31 – $439.31 | 1 |
| Autopsy (necropsy) complete CPT 88028 | not published | not published | $213.74 – $213.74 | 1 |
| Autopsy (necropsy) complete CPT 88029 | not published | not published | $213.74 – $213.74 | 1 |
| Autopsy (necropsy) gross CPT 88000 | not published | not published | $237.38 – $237.38 | 1 |
| Autopsy (necropsy) gross CPT 88005 | not published | not published | $272.86 – $272.86 | 1 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $296.96 – $296.96 | 1 |
| Autopsy (necropsy) gross CPT 88012 | not published | not published | $213.74 – $213.74 | 1 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $213.74 – $213.74 | 1 |
| Autopsy (necropsy) gross CPT 88016 | not published | not published | $272.86 – $272.86 | 1 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $107.66 – $110.82 | 4 |
| Av fistula revision CPT 36833 | not published | not published | $5,581.61 – $5,745.77 | 4 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $5,581.61 – $5,745.77 | 4 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $5,581.61 – $5,745.77 | 4 |
| Av fusion direct any site CPT 36821 | $5,691.50 | $11,383.00 | $3,167.20 – $3,260.35 | 4 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $5,581.61 – $5,745.77 | 4 |
| Avul nail plate addl CPT 11732 | $487.50 | $975.00 | not published | 0 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $261.00 | $522.00 | $201.25 – $207.17 | 4 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $56.76 – $58.43 | 4 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $0.02 – $558,441.57 | 4 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $6,064.13 – $6,242.48 | 4 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $259.85 – $267.50 | 4 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $181.61 – $186.95 | 4 |
| Baclofen eval charges CPT 97750 | $75.00 | $150.00 | $33.99 – $34.99 | 4 |
| Bacterial meningitis antigen CPT 86403 | $30.50 | $61.00 | $10.04 – $12.12 | 4 |
| Bacterial vaginosis pcr CPT 87801 | $580.00 | $1,160.00 | $61.07 – $73.71 | 4 |
| Bactericidal level serum CPT 87197 | not published | not published | $13.07 – $15.77 | 4 |
| #bac vag cand-c. albicans naa CPT 87481 | $104.50 | $209.00 | $30.53 – $36.84 | 4 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | $11.90 | $23.81 | not published | 0 |
| Balloon dilate urtrl strix CPT 50706 | $826.50 | $1,653.00 | not published | 0 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $892.69 | $1,785.38 | not published | 0 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $3,247.09 – $3,342.59 | 4 |
| Bartonella dna pcr-sendout CPT 87471 | $286.00 | $572.00 | $30.53 – $36.84 | 4 |
| Bartonella dna quant CPT 87472 | not published | not published | $37.27 – $44.98 | 4 |
| Basic vestibular evaluation CPT 92540 | $245.50 | $491.00 | $216.59 – $222.96 | 4 |
| Basiliximab HCPCS J0480 | not published | not published | $4,908.56 – $5,052.93 | 4 |
| B cells total count CPT 86355 | $289.00 | $578.00 | $32.83 – $39.62 | 4 |
| Bckdhb gene CPT 81205 | not published | not published | $82.64 – $99.74 | 4 |
| Bebtelovimab injection HCPCS M0222 | $175.25 | $350.50 | not published | 0 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $37.00 | $74.00 | $101.90 – $104.90 | 4 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $3.97 – $4.09 | 4 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $58.33 – $60.05 | 4 |
| Below knee total contact HCPCS L5637 | $278.94 | $557.87 | not published | 0 |
| Belt ostomy lg 34-65in HCPCS A4367 | $5.18 | $10.35 | not published | 0 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $2.20 – $2.27 | 4 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $14.22 – $14.64 | 4 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $13.16 – $13.55 | 4 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $32.37 – $33.32 | 4 |
| Benign lesion paring 2-4 CPT 11056 | $229.00 | $458.00 | $201.25 – $207.17 | 4 |
| Benign lesion paring 4+ CPT 11057 | $374.00 | $748.00 | $201.25 – $207.17 | 4 |
| #_benzodiazconfur CPT 80346 | not published | not published | $32.33 – $32.33 | 1 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $26.50 | $53.00 | $22.14 – $26.72 | 4 |
| Beta-2 microglobulin CPT 82232 | $161.50 | $323.00 | $14.08 – $16.99 | 4 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $112.16 – $135.37 | 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.