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 |
|---|---|---|---|---|
| Urinalysis (with microscopy) CPT 81001 | $75.00 | $150.00 | $2.76 – $3.33 | 4 |
| Urinalysis (without microscopy) CPT 81003 | $27.50 | $55.00 | $1.96 – $2.36 | 4 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $60.02 – $60.02 | 1 |
| Urinary pouch w/barrier HCPCS A5071 | $5.70 | $11.39 | not published | 0 |
| Urinary reflex study CPT 51792 | not published | not published | $59.17 – $60.91 | 4 |
| Urine Culture Test CPT 87086 | $83.50 | $167.00 | $7.02 – $8.47 | 4 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $133.46 – $137.38 | 4 |
| Urine pregnancy test CPT 81025 | $108.00 | $216.00 | $7.49 – $9.04 | 4 |
| Urine screen for bacteria CPT 81007 | not published | not published | $3.52 – $31.40 | 4 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $2.94 – $17.82 | 3 |
| Urography, antegrade CPT 74425 | $529.50 | $1,059.00 | $237.60 – $359.38 | 4 |
| Urography inf drip &/or bolus CPT 74410 | $361.00 | $722.00 | $175.94 – $181.12 | 4 |
| Use 1st target lesion CPT 76982 | $307.00 | $614.00 | $104.87 – $107.95 | 4 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $11.86 – $12.21 | 4 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $309.05 – $309.05 | 1 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,878.18 – $13,256.95 | 4 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $72.96 | $145.92 | $316.83 – $316.83 | 1 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | $72.96 | $145.92 | $288.24 – $288.24 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | $65.55 | $131.10 | $305.56 – $305.56 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | $43.89 | $87.78 | $172.05 – $172.05 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | $32.68 | $65.36 | $128.48 – $128.48 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $147.29 – $147.29 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $137.94 – $137.94 | 1 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $348.02 – $348.02 | 1 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $62.07 – $62.07 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $163.64 – $163.64 | 1 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $163.64 – $163.64 | 1 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $42.85 – $42.85 | 1 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $43.81 – $43.81 | 1 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $36.14 – $36.14 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $133.24 – $133.24 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $38.67 – $38.67 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $18.07 – $18.07 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $48.02 – $48.02 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $126.44 – $126.44 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $72.23 – $72.23 | 1 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $21.42 – $21.42 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $261.60 – $261.60 | 1 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $505.66 – $505.66 | 1 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $511.85 – $511.85 | 1 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $613.28 – $613.28 | 1 |
| Vaccine rabies im CPT 90675 | not published | not published | $321.52 – $330.98 | 4 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.01 | 4 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $5,017.84 – $5,165.42 | 4 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $5,017.84 – $5,165.42 | 4 |
| Vag hyst including t/o CPT 58262 | not published | not published | $5,017.84 – $5,165.42 | 4 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $5,017.84 – $5,165.42 | 4 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $5,017.84 – $5,165.42 | 4 |
| Vaginal bx CPT 58999 | not published | not published | $202.79 – $208.76 | 4 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,247.09 – $3,342.59 | 4 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $5,017.84 – $5,165.42 | 4 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,247.09 – $3,342.59 | 4 |
| Valproic acid total therapeutic drug level CPT 80164 | $158.50 | $317.00 | $11.78 – $14.22 | 4 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,295.93 – $1,334.05 | 4 |
| Valvuloplasty mitral CPT 92987 | not published | not published | $11,579.71 – $11,920.29 | 4 |
| Valvuloplasty pulmonary CPT 92990 | $10,645.00 | $21,290.00 | $11,579.71 – $11,920.29 | 4 |
| Vancomycin peak therapeutic drug level CPT 80202 | $242.00 | $484.00 | $11.78 – $14.22 | 4 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $30.53 – $36.84 | 4 |
| Varicella zoster antibody igg CPT 86787 | $207.50 | $415.00 | $11.21 – $13.52 | 4 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,410.51 – $2,481.41 | 4 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $21.40 – $22.03 | 4 |
| Veeg cont 2-12 hrs CPT 95713 | $2,489.00 | $4,978.00 | $374.31 – $385.31 | 4 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $2,489.00 | $4,978.00 | $861.38 – $886.72 | 4 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $2,489.00 | $4,978.00 | $374.31 – $385.31 | 4 |
| Veeg unmon 12-26 hrs CPT 95714 | $2,489.00 | $4,978.00 | $374.31 – $385.31 | 4 |
| Veeg unmon 2-12 hrs CPT 95711 | $2,489.00 | $4,978.00 | $216.59 – $222.96 | 4 |
| Vein x-ray adrenal gland CPT 75840 | $4,703.00 | $9,406.00 | $2,047.87 – $3,252.59 | 4 |
| Vein x-ray adrenal glands CPT 75842 | $5,878.00 | $11,756.00 | $2,047.87 – $2,047.87 | 1 |
| Vein x-ray eye socket CPT 75880 | $2,912.50 | $5,825.00 | $614.32 – $646.20 | 4 |
| Vein x-ray kidney CPT 75831 | $4,703.00 | $9,406.00 | $934.91 – $3,252.59 | 4 |
| Vein x-ray liver CPT 75891 | $3,526.50 | $7,053.00 | $934.91 – $3,252.59 | 4 |
| Vein x-ray liver w/hemodynam CPT 75885 | $4,703.00 | $9,406.00 | $2,047.87 – $3,252.59 | 4 |
| Vein x-ray liver w/hemodynam CPT 75889 | $4,703.00 | $9,406.00 | $2,047.87 – $3,252.59 | 4 |
| Vein x-ray liver without hemodyn CPT 75887 | $1,862.50 | $3,725.00 | $934.91 – $3,252.59 | 4 |
| Vein x-ray skull CPT 75870 | $1,862.50 | $3,725.00 | $614.32 – $3,252.59 | 4 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $629.23 – $647.74 | 4 |
| Vein x-ray spleen/liver CPT 75810 | $3,358.00 | $6,716.00 | $934.91 – $3,252.59 | 4 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $395.92 – $407.56 | 4 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $129.07 – $132.87 | 4 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $129.07 – $132.87 | 4 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $216.59 – $222.96 | 4 |
| Ven blood coll snf/hha HCPCS G0471 | not published | not published | $9.87 – $11.91 | 4 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $239.00 | $478.00 | not published | 0 |
| Venogram ext bil s&i CPT 75822 | $2,495.00 | $4,990.00 | $614.32 – $1,621.57 | 4 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $1,665.50 | $3,331.00 | $614.32 – $1,621.57 | 4 |
| Venous mech thrombectomy CPT 37187 | $7,954.50 | $15,909.00 | $11,579.71 – $11,920.29 | 4 |
| Venous m-thrombectomy add-on CPT 37188 | $8,605.00 | $17,210.00 | $3,167.20 – $3,260.35 | 4 |
| Venous sampling s&i CPT 75893 | $4,703.00 | $9,406.00 | $614.32 – $5,732.09 | 4 |
| Venous thrombosis imaging CPT 78457 | $852.00 | $1,704.00 | $238.05 – $559.32 | 4 |
| Ven thrombosis images bilat CPT 78458 | $979.00 | $1,958.00 | $238.05 – $411.81 | 4 |
| Ventilator each subsequent day CPT 94003 | $1,350.00 | $2,700.00 | not published | 0 |
| Ventilator initial day CPT 94002 | $1,550.00 | $3,100.00 | not published | 0 |
| Version cephalic external CPT 59412 | $2,052.50 | $4,105.00 | $3,247.09 – $3,342.59 | 4 |
| Verteporfin injection HCPCS J3396 | not published | not published | $11.81 – $12.15 | 4 |
| Very long chain fatty acids CPT 82726 | not published | not published | $17.18 – $20.74 | 4 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $13.10 – $18.32 | 4 |
| Virus isolation addl studies ea CPT 87253 | not published | not published | $17.57 – $21.21 | 4 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $364.50 | $729.00 | $133.55 – $137.47 | 4 |
| Visual audiometry (vra) CPT 92579 | not published | not published | $216.59 – $222.96 | 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.