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 |
|---|---|---|---|---|
| T3 (triiodothyronine) total CPT 84480 | $121.50 | $243.00 | $12.34 – $14.89 | 4 |
| T4 (thyroxine) free CPT 84439 | $98.00 | $196.00 | $7.85 – $9.47 | 4 |
| T4 (thyroxine) total CPT 84436 | $98.00 | $196.00 | $5.98 – $7.21 | 4 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $265.16 – $272.95 | 4 |
| Tacrolimus therapeutic drug level CPT 80197 | $153.50 | $307.00 | $11.95 – $14.42 | 4 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $14.45 – $14.87 | 4 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $75.42 – $77.64 | 4 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $76.37 – $78.62 | 4 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,444.00 | $4,888.00 | $107.80 – $795.61 | 4 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,540.05 – $3,065.58 | 4 |
| Target gsa panel organ neop CPT 81445 | $1,362.00 | $2,724.00 | $107.80 – $626.31 | 4 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,599.07 – $1,646.10 | 4 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $741.35 – $763.15 | 4 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.25 – $0.26 | 4 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $119.19 – $143.85 | 4 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $66.45 – $66.45 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $16.61 – $16.61 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $87.29 – $89.86 | 4 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $87.29 – $89.86 | 4 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $87.00 – $104.75 | 4 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $60.00 | $120.00 | $53.92 – $65.08 | 4 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $1,586.64 – $1,586.64 | 1 |
| Tc-99m bicisate HCPCS A9557 | $952.00 | $1,904.00 | $791.03 – $814.30 | 4 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $1,002.00 | $2,004.00 | $952.81 – $980.84 | 4 |
| Tc-99m exametazime diag HCPCS A9521 | $546.00 | $1,092.00 | $1,572.59 – $1,572.59 | 1 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $335.17 – $345.03 | 4 |
| Tc-99m labeled rbc HCPCS A9560 | $121.00 | $242.00 | not published | 0 |
| Tc-99m maa HCPCS A9540 | $946.00 | $1,892.00 | not published | 0 |
| Tc-99m mebrofenin HCPCS A9537 | $103.50 | $207.00 | not published | 0 |
| Tc-99m medronate HCPCS A9503 | $63.00 | $126.00 | not published | 0 |
| Tc-99m mertiatide HCPCS A9562 | $380.00 | $760.00 | not published | 0 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $6.50 | $13.00 | $19.60 – $19.60 | 1 |
| Tc-99m oxidronate HCPCS A9561 | $26.50 | $53.00 | not published | 0 |
| Tc-99m pentetate dtpa HCPCS A9539 | $709.50 | $1,419.00 | not published | 0 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $145.50 | $291.00 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $7.50 | $15.00 | not published | 0 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $55.50 | $111.00 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $321.50 | $643.00 | not published | 0 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $384.50 | $769.00 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $99.50 | $199.00 | not published | 0 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $171.00 | $342.00 | not published | 0 |
| Tc-99m tilmanocept diag HCPCS A9520 | $474.50 | $949.00 | not published | 0 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $741.35 – $763.15 | 4 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $104.87 – $107.95 | 4 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $104.87 – $107.95 | 4 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $442.53 – $455.55 | 4 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $153.50 | $307.00 | $40.87 – $49.33 | 4 |
| T cells absolute cd 4 count CPT 86361 | $497.00 | $994.00 | $23.30 – $28.12 | 4 |
| T cells total count CPT 86359 | $162.50 | $325.00 | $32.83 – $39.62 | 4 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $216.59 – $222.96 | 4 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $216.59 – $222.96 | 4 |
| Tcran magn stim redetemine CPT 90869 | $563.00 | $1,126.00 | $216.59 – $222.96 | 4 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $226.94 – $233.62 | 4 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $786.33 – $809.46 | 4 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $786.33 – $809.46 | 4 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.17 – $7.38 | 4 |
| Telethx isodose plan cplx CPT 77307 | $905.50 | $1,811.00 | not published | 0 |
| Telethx isodose plan simple CPT 77306 | $788.00 | $1,576.00 | not published | 0 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.61 – $10.92 | 4 |
| Temperature gradient studies CPT 93740 | not published | not published | $129.07 – $132.87 | 4 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $30.68 – $31.58 | 4 |
| Tendon lengthening CPT 26476 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Tendon shortening CPT 26477 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Tendon transfer with graft CPT 26492 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $201.39 – $207.31 | 4 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Tenolysis triceps CPT 24332 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,612.94 – $1,660.38 | 4 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $2,518.50 | $5,037.00 | $1,612.94 – $1,660.38 | 4 |
| Tert gene targeted seq alys CPT 81345 | $168.00 | $336.00 | $161.12 – $194.46 | 4 |
| Test for chlorohydrocarbons CPT 82441 | $56.00 | $112.00 | $5.23 – $6.31 | 4 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.06 – $6.11 | 4 |
| Test for urine cystines CPT 82615 | not published | not published | $8.31 – $10.03 | 4 |
| Testicular imaging w/vasc flow CPT 78761 | $828.00 | $1,656.00 | $336.45 – $411.81 | 4 |
| Testosterone response panel CPT 80414 | not published | not published | $44.93 – $54.22 | 4 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.17 – $2.24 | 4 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $50.00 | $100.00 | $30.60 – $60.77 | 4 |
| Test sock wrist disart/bel e HCPCS L6680 | $172.84 | $345.69 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $751.00 | $1,502.00 | $216.59 – $222.96 | 4 |
| Test urine for lactose CPT 83633 | not published | not published | $7.54 – $11.78 | 4 |
| Test urine for porphyrins CPT 84119 | not published | not published | $11.62 – $14.03 | 4 |
| Test urine urobilinogen CPT 84578 | not published | not published | $3.89 – $4.69 | 4 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $569.28 – $586.02 | 4 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.93 – $18.46 | 4 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $119.19 – $143.85 | 4 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $660.79 – $797.51 | 4 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,540.05 – $3,065.58 | 4 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $520.18 – $627.81 | 4 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $61.38 – $175.50 | 4 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $61.38 – $175.50 | 4 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $61.38 – $175.50 | 4 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $52.27 – $53.81 | 4 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $442.53 – $455.55 | 4 |
| Theophylline therapeutic drug level CPT 80198 | $150.00 | $300.00 | $12.30 – $14.85 | 4 |
| Therapeutic procd strg endur HCPCS G0237 | $106.50 | $213.00 | $29.01 – $29.87 | 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.