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 |
|---|---|---|---|---|
| Whole mitochondrial genome CPT 81465 | not published | not published | $814.32 – $982.80 | 4 |
| Wilate injection HCPCS J7183 | not published | not published | $1.35 – $1.39 | 4 |
| Wound pouch each HCPCS A6154 | $17.08 | $34.16 | not published | 0 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $894.00 | $1,788.00 | $407.77 – $419.76 | 4 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $894.00 | $1,788.00 | $407.77 – $419.76 | 4 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $487.50 | $975.00 | $201.25 – $207.17 | 4 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $894.00 | $1,788.00 | $407.77 – $419.76 | 4 |
| Wrist arthroscopy CPT 29840 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $3,282.07 – $3,378.60 | 4 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,612.94 – $1,660.38 | 4 |
| Wrist X-ray CPT 73110 | $214.00 | $428.00 | $69.76 – $89.65 | 4 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,314.92 – $2,383.01 | 4 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $5,337.68 – $5,494.67 | 4 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $5,337.68 – $5,494.67 | 4 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $2,209.50 | $4,419.00 | not published | 0 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $5,420.00 | $10,840.00 | not published | 0 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $795.18 – $959.70 | 4 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $795.18 – $959.70 | 4 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $13.25 – $29.79 | 4 |
| X-ray abdomen 1 view CPT 74018 | $167.00 | $334.00 | $87.29 – $89.86 | 4 |
| X-ray abdomen 2 views CPT 74019 | $265.00 | $530.00 | $104.87 – $107.95 | 4 |
| X-ray abdomen >=3 views CPT 74021 | $273.50 | $547.00 | $104.87 – $107.95 | 4 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $494.50 | $989.00 | $104.87 – $107.95 | 4 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $303.50 | $607.00 | $69.76 – $89.65 | 4 |
| X-ray ankle 2 views (both sides) CPT 73600 | $184.50 | $369.00 | $69.76 – $89.65 | 4 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $578.00 | $1,156.00 | $349.95 – $360.24 | 4 |
| X-ray assay calculus CPT 82370 | not published | not published | $10.89 – $13.15 | 4 |
| X-ray bone age studies CPT 77072 | $118.50 | $237.00 | $69.76 – $107.69 | 4 |
| X-ray bone length studies CPT 77073 | $115.50 | $231.00 | $69.76 – $107.69 | 4 |
| X-ray bone survey complete CPT 77075 | $882.50 | $1,765.00 | $104.87 – $107.95 | 4 |
| X-ray bone survey infant CPT 77076 | $201.50 | $403.00 | $69.76 – $107.69 | 4 |
| X-ray cervical spine 2-3 views CPT 72040 | $226.50 | $453.00 | $69.76 – $89.65 | 4 |
| X-ray cervical spine 4-5 views CPT 72050 | $437.00 | $874.00 | $104.87 – $107.95 | 4 |
| X-ray cervical spine >= 6 views CPT 72052 | $588.00 | $1,176.00 | $104.87 – $107.95 | 4 |
| X-ray clavicle complete (both sides) CPT 73000 | $244.00 | $488.00 | $69.76 – $89.65 | 4 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $482.50 | $965.00 | $140.58 – $180.68 | 4 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,146.00 | $2,292.00 | $175.94 – $181.12 | 4 |
| X-ray elbow 2 views (both sides) CPT 73070 | $200.00 | $400.00 | $69.76 – $89.65 | 4 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $246.50 | $493.00 | $69.76 – $89.65 | 4 |
| Xray endovasc thor ao repr CPT 75956 | $2,080.50 | $4,161.00 | not published | 0 |
| Xray endovasc thor ao repr CPT 75957 | $1,568.00 | $3,136.00 | not published | 0 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $467.00 | $934.00 | $140.58 – $180.68 | 4 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $307.00 | $614.00 | $104.87 – $107.95 | 4 |
| X-ray exam entire spi 6/> vw CPT 72084 | $353.00 | $706.00 | $104.87 – $107.95 | 4 |
| X-ray exam of arm infant CPT 73092 | $120.00 | $240.00 | $69.76 – $107.69 | 4 |
| X-ray exam of eye sockets CPT 70200 | $524.50 | $1,049.00 | $69.76 – $107.69 | 4 |
| X-ray exam of femur 1 CPT 73551 | $373.50 | $747.00 | $87.29 – $89.86 | 4 |
| X-ray exam of jaw joint CPT 70328 | $336.00 | $672.00 | $69.76 – $89.65 | 4 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $239.34 – $246.38 | 4 |
| X-ray exam of mastoids CPT 70120 | $138.00 | $276.00 | $69.76 – $107.69 | 4 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $120.22 – $562.87 | 4 |
| X-ray exam of penis CPT 74445 | not published | not published | $104.87 – $107.95 | 4 |
| X-ray exam of perineum CPT 74775 | not published | not published | $237.60 – $245.79 | 4 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $69.76 – $89.65 | 4 |
| X-ray exam of sinuses CPT 70210 | $424.50 | $849.00 | $69.76 – $89.65 | 4 |
| X-ray exam of tear duct CPT 70170 | $375.50 | $751.00 | $239.34 – $246.38 | 4 |
| X-ray exam of teeth CPT 70300 | $66.00 | $132.00 | $64.42 – $89.65 | 4 |
| X-ray exam of teeth CPT 70310 | $147.50 | $295.00 | $64.42 – $245.79 | 4 |
| X-ray exam si joints CPT 72200 | $218.00 | $436.00 | $69.76 – $107.69 | 4 |
| X-ray exam thorac spine4/>vw CPT 72074 | $579.00 | $1,158.00 | $69.76 – $107.69 | 4 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $186.00 | $372.00 | $69.76 – $89.65 | 4 |
| X-ray facial bones complete > 3 views CPT 70150 | $322.00 | $644.00 | $69.76 – $107.69 | 4 |
| X-ray fallopian tube CPT 74742 | not published | not published | $290.98 – $290.98 | 1 |
| X-ray femur >=2 views (both sides) CPT 73552 | $129.50 | $259.00 | $87.29 – $89.86 | 4 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $143.00 | $286.00 | $69.76 – $89.65 | 4 |
| X-ray foot 2 views (both sides) CPT 73620 | $186.00 | $372.00 | $69.76 – $89.65 | 4 |
| X-ray forearm 2 views (both sides) CPT 73090 | $214.00 | $428.00 | $69.76 – $89.65 | 4 |
| X-ray hand 2 views (both sides) CPT 73120 | $129.00 | $258.00 | $69.76 – $107.69 | 4 |
| X-ray head for orthodontia CPT 70350 | $141.50 | $283.00 | $69.76 – $89.65 | 4 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $247.00 | $494.00 | $69.76 – $89.65 | 4 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $334.50 | $669.00 | $104.87 – $107.95 | 4 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $237.50 | $475.00 | $104.87 – $107.95 | 4 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $351.50 | $703.00 | $104.87 – $107.95 | 4 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $410.50 | $821.00 | $104.87 – $107.95 | 4 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $172.50 | $345.00 | $87.29 – $89.86 | 4 |
| X-ray humerus >= 2 views left CPT 73060 | $220.50 | $441.00 | $69.76 – $89.65 | 4 |
| X-ray joint survey 1 view CPT 77077 | $343.50 | $687.00 | $69.76 – $107.69 | 4 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $185.50 | $371.00 | $69.76 – $89.65 | 4 |
| X-ray knee 3 views (both sides) CPT 73562 | $329.50 | $659.00 | $69.76 – $89.65 | 4 |
| X-ray knee ap standing bilateral CPT 73565 | $170.00 | $340.00 | $69.76 – $89.65 | 4 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $127.00 | $254.00 | $69.76 – $89.65 | 4 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $561.00 | $1,122.00 | $104.87 – $107.95 | 4 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $312.50 | $625.00 | $104.87 – $107.95 | 4 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $482.50 | $965.00 | $104.87 – $107.95 | 4 |
| X-ray male genital tract CPT 74440 | $617.00 | $1,234.00 | $237.60 – $245.79 | 4 |
| X-ray mandible complete > 4 views CPT 70110 | $404.00 | $808.00 | $69.76 – $107.69 | 4 |
| X-ray mandible ltd <4 views CPT 70100 | $283.00 | $566.00 | $69.76 – $89.65 | 4 |
| X-ray nasal bones complete > 3 views CPT 70160 | $293.00 | $586.00 | $69.76 – $89.65 | 4 |
| X-ray neck soft tissue CPT 70360 | $438.00 | $876.00 | $69.76 – $89.65 | 4 |
| X-ray nose to rectum for foreign body child CPT 76010 | $229.00 | $458.00 | $69.76 – $89.65 | 4 |
| X-ray of mammary ducts CPT 77054 | $651.50 | $1,303.00 | $166.77 – $245.79 | 4 |
| X-ray optic foramina CPT 70190 | not published | not published | $69.76 – $89.65 | 4 |
| X-ray pelvis 1-2 views CPT 72170 | $322.50 | $645.00 | $69.76 – $107.69 | 4 |
| X-ray pelvis complete > 3 views CPT 72190 | $427.00 | $854.00 | $69.76 – $107.69 | 4 |
| Xray place dist ext thor ao CPT 75959 | $1,041.50 | $2,083.00 | not published | 0 |
| Xray place prox ext thor ao CPT 75958 | $984.50 | $1,969.00 | not published | 0 |
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.