Sentara Obici Hospital
2800 Godwin Boulevard, Suffolk, VA · Sentara · · NPI 1376540138
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 |
|---|---|---|---|---|
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $685.87 – $706.04 | 4 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,499.62 – $1,543.73 | 4 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $670.17 – $689.88 | 4 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $105.50 – $108.60 | 4 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $259.71 – $267.35 | 4 |
| Ak/knee disartic silesian ba HCPCS L5698 | $88.50 | $176.99 | $131.21 – $135.07 | 4 |
| Ak open end sach HCPCS L5321 | not published | not published | $4,104.20 – $4,224.92 | 4 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $171.43 – $176.47 | 4 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $226.54 – $233.20 | 4 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | $157.84 | $315.68 | $237.64 – $244.63 | 4 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $1,695.97 – $1,745.86 | 4 |
| Albumin body fluid quantitative each specimen CPT 82042 | $37.50 | $75.00 | $7.78 – $33.48 | 6 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.66 – $22.29 | 4 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $54.14 – $55.73 | 4 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $251.71 | 6 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $82.00 | $164.00 | $5.78 – $41.52 | 6 |
| Albumin serum plasma or whole blood CPT 82040 | $36.00 | $72.00 | $4.95 – $35.67 | 6 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $259.00 | $518.00 | $0.02 – $18.13 | 5 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $0.02 – $17.64 | 2 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | $37.50 | $75.00 | not published | 0 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $3,405.65 – $3,505.81 | 4 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $125.50 – $934.67 | 6 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,478.49 – $2,551.39 | 4 |
| Alginate dressing <=16 sq in HCPCS A6196 | $20.18 | $40.37 | not published | 0 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $36.22 | $72.45 | not published | 0 |
| Alginate drsg wound filler HCPCS A6199 | $38.82 | $77.63 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $82.00 | $164.00 | $5.18 – $38.82 | 6 |
| Allergen alpha lactalbumin ige CPT 86008 | $42.00 | $84.00 | $17.93 – $37.27 | 5 |
| Allergen egg white ige CPT 86003 | $38.00 | $76.00 | $5.22 – $37.89 | 6 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $18.50 | $37.00 | $7.97 – $51.40 | 6 |
| Allergy injections; 2 or more 95117 CPT 95117 | $35.00 | $70.00 | $46.60 – $47.97 | 4 |
| Allergy injection; single 95115 CPT 95115 | $24.50 | $49.00 | $46.60 – $47.97 | 4 |
| Allergy Skin Testing CPT 95004 | not published | not published | $854.62 – $879.75 | 4 |
| Allg patch or app # of tests 95044 CPT 95044 | $589.00 | $1,178.00 | $854.62 – $879.75 | 4 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $5,220.00 – $13,152.83 | 5 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $230.75 | $461.50 | not published | 0 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $287.73 | $575.46 | not published | 0 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $2,641.00 | $5,282.00 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $28.64 | $57.27 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $205.45 | $410.90 | not published | 0 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $940.50 | $1,881.00 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $122.13 | $244.26 | not published | 0 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $173.36 | $346.73 | not published | 0 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $37.17 – $38.26 | 4 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.57 – $5.73 | 4 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $307.00 | $614.00 | $64.41 – $467.63 | 6 |
| Alpha-fetoprotein amniotic CPT 82106 | $129.00 | $258.00 | $17.00 – $121.67 | 6 |
| Alpha-fetoprotein tumor marker CPT 82105 | $106.00 | $212.00 | $16.77 – $121.67 | 6 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $96.34 – $99.17 | 4 |
| Alt/sgpt CPT 84460 | $36.00 | $72.00 | $5.30 – $39.56 | 6 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.76 – $4.90 | 4 |
| Aluminum - quest CPT 82108 | $156.50 | $313.00 | $25.48 – $176.53 | 6 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $3,299.54 – $5,220.00 | 5 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $614.00 | $1,228.00 | $94.61 – $97.40 | 4 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $0.02 – $26.59 | 2 |
| Ambl bp mntr w/sw a/r CPT 93788 | $572.00 | $1,144.00 | $132.41 – $136.30 | 4 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $5.99 – $26.07 | 6 |
| Amino acid screen, urine CPT 82128 | not published | not published | $13.87 – $103.18 | 6 |
| Amino acid single qual CPT 82127 | not published | not published | $14.18 – $103.18 | 6 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $19.61 – $109.57 | 6 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.83 – $1.88 | 4 |
| Aminolevulinic acid delta CPT 82135 | $123.50 | $247.00 | $16.45 – $122.18 | 6 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $399.93 – $411.69 | 4 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $0.02 – $29.23 | 2 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $22.99 – $23.67 | 4 |
| Ammonia CPT 82140 | $63.00 | $126.00 | $14.57 – $106.39 | 6 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $2,039.50 | $4,079.00 | $916.63 – $5,220.00 | 5 |
| Amniocentesis therapeutic CPT 59001 | $4,579.50 | $9,159.00 | $303.27 – $5,220.00 | 5 |
| Amniotic fluid scan CPT 82143 | not published | not published | $9.35 – $50.75 | 6 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $3,045.00 | $6,090.00 | $3,256.29 – $6,448.00 | 5 |
| Amphetamine confirm urine -sendout CPT 80324 | not published | not published | $0.02 – $25.38 | 2 |
| Amphetamines 5 or more CPT 80326 | not published | not published | $0.02 – $25.38 | 2 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $10.50 – $10.81 | 4 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | not published | not published | $21.91 – $22.56 | 4 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.99 – $491.79 | 5 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $3,256.29 – $4,564.00 | 5 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Amputate hand at wrist CPT 25922 | not published | not published | $1,600.27 – $5,220.00 | 5 |
| Amputate hand at wrist CPT 25920 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Amputate leg at thigh CPT 27591 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Amputate leg at thigh CPT 27592 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Amputate lower leg at knee CPT 27598 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Amputate upper arm & implant CPT 24931 | not published | not published | $5,220.00 – $13,152.83 | 5 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $2,053.37 – $5,220.00 | 5 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Amputation follow-up surgery CPT 24930 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Amputation follow-up surgery CPT 25924 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Amputation of foot at ankle CPT 27888 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Amputation of forearm CPT 25900 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Amputation of forearm CPT 25905 | not published | not published | $5,220.00 – $7,433.77 | 5 |
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.