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 |
|---|---|---|---|---|
| Block tap inj(s) w/wo img uni CPT 64486 | $1,511.50 | $3,023.00 | not published | 0 |
| Blood clot lysis time CPT 85175 | not published | not published | $6.22 – $21.34 | 4 |
| Blood clot retraction CPT 85170 | not published | not published | $3.21 – $17.07 | 4 |
| Blood Clotting (PT/INR) Test CPT 85610 | $29.50 | $59.00 | $3.73 – $4.50 | 4 |
| Blood Clotting (PTT) Test CPT 85730 | $43.00 | $86.00 | $5.23 – $6.31 | 4 |
| Blood Count (CBC) Test CPT 85025 | $72.50 | $145.00 | $6.76 – $8.16 | 4 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $50.50 | $101.00 | $5.63 – $6.79 | 4 |
| Blood count spun microhematocrit CPT 85013 | $8.50 | $17.00 | $3.24 – $7.33 | 4 |
| Blood Culture Test CPT 87040 | $123.50 | $247.00 | $8.98 – $10.84 | 4 |
| Blood draw capillary 36416 CPT 36416 | $28.00 | $56.00 | $5.00 – $5.00 | 1 |
| Blood gases o2 saturation direct measurement CPT 82805 | not published | not published | $38.86 – $82.51 | 4 |
| Blood gases ph venous CPT 82800 | not published | not published | $4.13 – $11.55 | 4 |
| Blood mucoprotein HCPCS P2038 | not published | not published | $4.31 – $5.20 | 4 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $80.50 | $161.00 | $13.85 – $16.72 | 4 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $16.00 | $32.00 | $3.68 – $4.44 | 4 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $17.00 | $34.00 | $3.81 – $4.60 | 4 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $15.00 | $30.00 | $4.63 – $5.57 | 4 |
| Blood smear interpretation CPT 85060 | $161.00 | $322.00 | $27.73 – $27.73 | 1 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $0.50 | $1.00 | $3.31 – $3.99 | 4 |
| Blood split unit HCPCS P9011 | $341.00 | $682.00 | not published | 0 |
| Blood thymol turbidity HCPCS P2033 | not published | not published | $4.31 – $5.20 | 4 |
| Blood typing abo CPT 86900 | $207.00 | $414.00 | $4.09 – $134.77 | 4 |
| Blood typing ag donor ea ag CPT 86902 | $218.50 | $437.00 | $6.46 – $363.07 | 4 |
| Blood typing antigen system CPT 86911 | not published | not published | $19.56 – $19.56 | 1 |
| Blood typing paternity test CPT 86910 | not published | not published | $22.74 – $22.74 | 1 |
| Blood typing patient serum CPT 86904 | $46.00 | $92.00 | $13.01 – $59.75 | 4 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $218.50 | $437.00 | $5.23 – $363.07 | 4 |
| Blood typing rh (d) CPT 86901 | $75.00 | $150.00 | $5.00 – $37.83 | 4 |
| Blood typing rh phenotype complete reference CPT 86906 | $248.50 | $497.00 | $10.61 – $37.83 | 4 |
| Blood volume CPT 78122 | not published | not published | $369.42 – $559.32 | 4 |
| Bone biopsy open superficial CPT 20240 | $6,686.50 | $13,373.00 | $2,913.65 – $2,999.35 | 4 |
| Bone Density Scan (DEXA) CPT 77080 | $578.50 | $1,157.00 | $104.87 – $107.95 | 4 |
| Bone imaging multiple areas CPT 78305 | $1,043.00 | $2,086.00 | $385.26 – $411.81 | 4 |
| Bone/joint imaging ltd area CPT 78300 | $1,013.50 | $2,027.00 | $385.26 – $411.81 | 4 |
| Bone marrow;aspiration only 38220 CPT 38220 | $1,456.50 | $2,913.00 | $1,656.68 – $1,705.40 | 4 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $1,636.00 | $3,272.00 | $1,656.68 – $1,705.40 | 4 |
| Bone marrow imaging body CPT 78104 | $1,247.00 | $2,494.00 | $384.27 – $411.81 | 4 |
| Bone marrow imaging ltd CPT 78102 | $867.50 | $1,735.00 | $384.27 – $411.81 | 4 |
| Bone marrow imaging mult CPT 78103 | $999.50 | $1,999.00 | $384.27 – $411.81 | 4 |
| Bone marrow interpretation CPT 85097 | not published | not published | $38.44 – $829.95 | 4 |
| Bone mineral dual photon CPT 78351 | not published | not published | $23.04 – $23.04 | 1 |
| Bone mineral single photon CPT 78350 | not published | not published | $69.76 – $69.76 | 1 |
| Bone/skin graft great toe CPT 20973 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Bone/skin graft iliac crest CPT 20970 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Bone/skin graft metatarsal CPT 20972 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Bone/skin graft microvasc CPT 20969 | not published | not published | $7,278.54 – $7,492.61 | 4 |
| Bone survey-lead poisoning CPT 77074 | $749.50 | $1,499.00 | $104.87 – $107.95 | 4 |
| Boot heel care softcare one sz HCPCS E0191 | $10.87 | $21.74 | not published | 0 |
| Boot j walker l HCPCS L4386 | $128.86 | $257.72 | not published | 0 |
| Boot mlti podous univ xlg HCPCS L4396 | $235.98 | $471.96 | not published | 0 |
| Boot softgait shrt m HCPCS L4387 | $120.58 | $241.16 | not published | 0 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $411.93 | $823.86 | not published | 0 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $173.88 | $347.76 | not published | 0 |
| Borrelia antibody CPT 86619 | not published | not published | $11.64 – $14.05 | 4 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $58.50 | $117.00 | $14.82 – $17.88 | 4 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $30.53 – $36.84 | 4 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $2.98 – $3.60 | 4 |
| Bowel imaging CPT 78290 | $1,043.00 | $2,086.00 | $359.23 – $411.81 | 4 |
| Brace adj motion lerman type HCPCS L2186 | $145.94 | $291.87 | not published | 0 |
| Brace afo lg left 6607 HCPCS L1930 | $182.16 | $364.32 | not published | 0 |
| Brace afopos solid ankle cust HCPCS L1960 | $449.19 | $898.38 | not published | 0 |
| Brace afo spiral prefab HCPCS L1951 | $496.28 | $992.57 | not published | 0 |
| Brace ank aftr bioskn med lg HCPCS L1906 | $128.34 | $256.68 | not published | 0 |
| Brace ank air stirrup univ HCPCS L4350 | $50.72 | $101.43 | not published | 0 |
| Brace ankle joint dflxn assist HCPCS L2210 | $55.38 | $110.75 | not published | 0 |
| Brace ankle stablizing lg HCPCS L1902 | $125.76 | $251.51 | not published | 0 |
| Brace back epic tslo 456 HCPCS L0457 | $618.42 | $1,236.83 | not published | 0 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $327.06 | $654.12 | not published | 0 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $780.91 | $1,561.82 | not published | 0 |
| Brace back t-lso custom HCPCS L0486 | $1,427.78 | $2,855.57 | not published | 0 |
| Brace cust back lso HCPCS L0631 | $813.00 | $1,625.99 | not published | 0 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $158.36 | $316.71 | not published | 0 |
| Brace halo bremer l2830 HCPCS L2830 | $74.00 | $148.01 | not published | 0 |
| Brace knee extender plus 22-30in HCPCS L1832 | $943.40 | $1,886.81 | not published | 0 |
| Brace knee hing pat open med HCPCS L1820 | $125.76 | $251.51 | not published | 0 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | $828.52 | $1,657.04 | not published | 0 |
| Brace knee postop tscope xl HCPCS L1845 | $541.82 | $1,083.65 | not published | 0 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | $383.98 | $767.97 | not published | 0 |
| Brace m arm board HCPCS L3809 | $117.00 | $234.00 | not published | 0 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $850.77 | $1,701.54 | not published | 0 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $522.68 | $1,045.35 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $151.63 | $303.26 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $62.62 | $125.24 | not published | 0 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $2,913.65 – $2,999.35 | 4 |
| Brach/thor cath 1st CPT 36215 | $2,820.50 | $5,641.00 | not published | 0 |
| Brach/thor cath 2nd CPT 36216 | $2,863.00 | $5,726.00 | not published | 0 |
| Brach/thor cath 3rd CPT 36217 | $2,494.50 | $4,989.00 | not published | 0 |
| Brach/thor cath addl CPT 36218 | $1,532.00 | $3,064.00 | not published | 0 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $473.52 | $947.03 | not published | 0 |
| Brachytx isodose complex CPT 77318 | $2,544.50 | $5,089.00 | not published | 0 |
| Brachytx isodose intermed CPT 77317 | $2,105.00 | $4,210.00 | not published | 0 |
| Brachytx isodose plan simple CPT 77316 | $1,664.00 | $3,328.00 | not published | 0 |
| Braf gene CPT 81210 | $704.50 | $1,409.00 | $152.60 – $184.17 | 4 |
| Brain flow imaging only CPT 78610 | $467.00 | $934.00 | $456.51 – $559.32 | 4 |
| Brain image < 4 views CPT 78600 | not published | not published | $401.00 – $412.80 | 4 |
| Brain image 4+ views CPT 78605 | $3,189.50 | $6,379.00 | $456.51 – $559.32 | 4 |
| Brain image w/flow < 4 views CPT 78601 | $2,774.00 | $5,548.00 | $401.00 – $412.80 | 4 |
| Brain image w/flow 4 + views CPT 78606 | $3,667.50 | $7,335.00 | $456.51 – $559.32 | 4 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,906.00 | $5,812.00 | $349.95 – $360.24 | 4 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,708.00 | $5,416.00 | $349.95 – $360.24 | 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.