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 |
|---|---|---|---|---|
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $362.50 | $725.00 | $237.60 – $359.38 | 4 |
| X-ray ribs 2 views left CPT 71100 | $264.50 | $529.00 | $69.76 – $89.65 | 4 |
| X-ray ribs 3 views bilateral CPT 71110 | $545.50 | $1,091.00 | $69.76 – $107.69 | 4 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $274.50 | $549.00 | $69.76 – $107.69 | 4 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $693.50 | $1,387.00 | $104.87 – $107.95 | 4 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $413.50 | $827.00 | $69.76 – $107.69 | 4 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $234.00 | $468.00 | $69.76 – $89.65 | 4 |
| X-ray scapula complete (both sides) CPT 73010 | $381.50 | $763.00 | $69.76 – $107.69 | 4 |
| X-ray sella turcica CPT 70240 | $141.50 | $283.00 | $69.76 – $89.65 | 4 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $198.00 | $396.00 | $69.76 – $89.65 | 4 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $790.50 | $1,581.00 | $69.76 – $89.65 | 4 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $334.50 | $669.00 | $166.77 – $562.87 | 4 |
| X-ray skull < 4 views CPT 70250 | $520.50 | $1,041.00 | $69.76 – $107.69 | 4 |
| X-ray skull > 4 views complete CPT 70260 | $693.00 | $1,386.00 | $104.87 – $107.95 | 4 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $158.50 | $317.00 | $104.87 – $107.95 | 4 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $569.00 | $1,138.00 | $140.58 – $180.68 | 4 |
| X-ray small intestine follow-through study CPT 74248 | $510.50 | $1,021.00 | not published | 0 |
| X-ray spine single view CPT 72020 | $146.50 | $293.00 | $69.76 – $89.65 | 4 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $393.00 | $786.00 | $69.76 – $89.65 | 4 |
| X-ray sternum > 2 views CPT 71120 | $283.00 | $566.00 | $69.76 – $89.65 | 4 |
| X-ray surgical specimen CPT 76098 | $242.00 | $484.00 | $69.76 – $562.87 | 4 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $175.00 | $350.00 | $140.58 – $180.68 | 4 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $359.50 | $719.00 | $69.76 – $89.65 | 4 |
| X-ray thoracic spine 2 views CPT 72070 | $264.00 | $528.00 | $69.76 – $107.69 | 4 |
| X-ray thoracic spine 3 views CPT 72072 | $362.00 | $724.00 | $69.76 – $107.69 | 4 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $472.00 | $944.00 | $69.76 – $89.65 | 4 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $232.00 | $464.00 | $87.29 – $89.86 | 4 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $267.00 | $534.00 | $104.87 – $107.95 | 4 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $214.00 | $428.00 | $69.76 – $89.65 | 4 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $191.50 | $383.00 | $69.76 – $89.65 | 4 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,056.00 | $2,112.00 | $140.58 – $180.68 | 4 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $686.00 | $1,372.00 | $140.58 – $180.68 | 4 |
| X-ray wrist 2 views (both sides) CPT 73100 | $250.50 | $501.00 | $69.76 – $89.65 | 4 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $140.58 – $180.68 | 4 |
| Xylose absorption test blood &/or urine CPT 84620 | $101.00 | $202.00 | $11.23 – $13.56 | 4 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.52 – $1.57 | 4 |
| Yersinia antibody CPT 86793 | not published | not published | $11.48 – $13.85 | 4 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $57,961.04 – $59,665.78 | 4 |
| Ziconotide injection HCPCS J2278 | not published | not published | $10.67 – $10.99 | 4 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $44.64 – $53.88 | 4 |
| Zika virus igm antibody CPT 86794 | $101.00 | $202.00 | $14.66 – $17.69 | 4 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $7.24 | $14.49 | not published | 0 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.78 – $9.04 | 4 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $34.32 – $35.33 | 4 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $168.13 – $202.91 | 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.