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 |
|---|---|---|---|---|
| Ghs pt - work hardening/int 2hrs CPT 97545 | $292.50 | $585.00 | $224.88 – $224.88 | 1 |
| Ghs quinidine CPT 80194 | $114.00 | $228.00 | $14.60 – $109.31 | 6 |
| Ghs refill of implantable pump CPT 95990 | $194.50 | $389.00 | $328.72 – $338.39 | 4 |
| Ghs removal intranasal foreign body CPT 30300 | $131.00 | $262.00 | $132.41 – $5,220.00 | 5 |
| Ghs removal pharyngeal foreign body CPT 42809 | $597.00 | $1,194.00 | $444.58 – $3,408.00 | 5 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $2,517.00 | $5,034.00 | $1,600.27 – $5,220.00 | 5 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $5,110.50 | $10,221.00 | $3,256.29 – $6,448.00 | 5 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $84.50 | $169.00 | $15.89 – $90.31 | 6 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $4.31 – $32.15 | 6 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $13.91 – $86.99 | 6 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $4.27 – $26.67 | 6 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $12.31 – $88.30 | 6 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $9.84 – $60.35 | 6 |
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $7.48 – $51.26 | 6 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $938.50 | $1,877.00 | $404.56 – $4,564.00 | 5 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $886.50 | $1,773.00 | $404.56 – $4,564.00 | 5 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $1,033.50 | $2,067.00 | $404.56 – $4,564.00 | 5 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $1,019.00 | $2,038.00 | $404.56 – $4,564.00 | 5 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $701.50 | $1,403.00 | $199.67 – $5,220.00 | 5 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $854.00 | $1,708.00 | $199.67 – $5,220.00 | 5 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $771.00 | $1,542.00 | $199.67 – $5,220.00 | 5 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $1,136.00 | $2,272.00 | $199.67 – $4,564.00 | 5 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $1,172.00 | $2,344.00 | $199.67 – $4,564.00 | 5 |
| Ghs sleep study unattended CPT 95800 | $483.00 | $966.00 | $214.89 – $294.62 | 5 |
| Ghs somatosensory testing lower extremit CPT 95926 | $716.00 | $1,432.00 | $214.89 – $221.21 | 4 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,429.50 | $2,859.00 | $854.62 – $879.75 | 4 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $165.50 | $331.00 | $48.30 – $49.72 | 4 |
| Ghs sphenopalatine ganglion block CPT 64505 | $570.00 | $1,140.00 | $305.48 – $3,408.00 | 5 |
| Ghs spont nystagmus CPT 92541 | $251.50 | $503.00 | $132.41 – $136.30 | 4 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $331.00 | $662.00 | $103.59 – $106.64 | 4 |
| Ghs st - eval for alt comm CPT 92567 | $46.50 | $93.00 | $14.19 – $38.26 | 4 |
| Ghs strapping shoulder - 29240 CPT 29240 | $486.50 | $973.00 | $132.41 – $5,220.00 | 5 |
| Ghs st - re-eval for alt comm CPT 92597 | $454.00 | $908.00 | $71.86 – $73.97 | 4 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $107.00 | $214.00 | $46.60 – $47.97 | 4 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $366.00 | $732.00 | $211.68 – $217.91 | 4 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,075.00 | $2,150.00 | $735.52 – $3,408.00 | 5 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $737.50 | $1,475.00 | $404.56 – $3,408.00 | 5 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,049.50 | $2,099.00 | $1,544.13 – $3,408.00 | 5 |
| Ghs trypsin (fecal) CPT 84488 | $190.00 | $380.00 | $7.30 – $51.18 | 6 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $401.00 | $802.00 | $245.48 – $5,220.00 | 5 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $245.48 – $5,220.00 | 5 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $24.30 – $180.03 | 6 |
| Ghs urine, porphyrins quant CPT 84120 | $142.00 | $284.00 | $14.71 – $108.23 | 6 |
| Ghs vaginal delivery only CPT 59409 | $2,101.00 | $4,202.00 | $3,221.58 – $5,220.00 | 5 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $2,592.00 | $5,184.00 | $371.37 – $382.29 | 4 |
| Ghs windowing of cast CPT 29730 | not published | not published | $161.72 – $5,220.00 | 5 |
| Giardia ag if CPT 87269 | not published | not published | $13.61 – $86.99 | 6 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $14.72 – $107.47 | 6 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $237.46 – $445.24 | 5 |
| Gi inhouse confirmation CPT 87045 | $122.50 | $245.00 | $9.44 – $68.50 | 6 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $3,299.54 – $5,220.00 | 5 |
| Gi protein loss CPT 78282 | not published | not published | $397.85 – $682.48 | 5 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,481.00 | $4,962.00 | $902.63 – $929.18 | 4 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $925.49 – $952.71 | 4 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $902.63 – $929.18 | 4 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $902.63 – $929.18 | 4 |
| Gjb2 gene full sequence CPT 81252 | $586.50 | $1,173.00 | $101.12 – $189.09 | 5 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $115.04 | 5 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $65.45 | 5 |
| Glassia injection HCPCS J0257 | not published | not published | $5.75 – $5.92 | 4 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $37.17 – $38.26 | 4 |
| Glaucoma surgery CPT 66150 | not published | not published | $4,113.58 – $6,448.00 | 5 |
| Glaucoma surgery CPT 66155 | not published | not published | $4,113.58 – $6,448.00 | 5 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,296.74 – $4,564.00 | 5 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,296.74 – $6,448.00 | 5 |
| Glove finger flexion right lg xl HCPCS L3912 | $42.96 | $85.91 | $133.66 – $137.59 | 4 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $186.10 – $191.57 | 4 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $151.97 – $156.44 | 4 |
| Glucagon plasma - sendout CPT 82943 | $134.00 | $268.00 | $14.29 – $100.22 | 6 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $342.67 | 6 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $367.41 | 6 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.77 – $101.64 | 6 |
| Glucose 1 hr post dose CPT 82950 | $32.00 | $64.00 | $4.75 – $35.33 | 6 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $44.87 | 6 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $18.00 | $36.00 | $3.28 – $16.84 | 6 |
| Glucose blood quantitative CPT 82947 | $55.00 | $110.00 | $3.93 – $29.45 | 6 |
| Glucose body fluid CPT 82945 | $96.50 | $193.00 | $3.93 – $29.45 | 6 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $198.00 | $396.00 | $58.71 – $60.44 | 4 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $65.50 | $131.00 | $12.87 – $91.05 | 6 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $33.00 | $66.00 | $3.92 – $26.92 | 6 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $1.11 – $1.11 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.26 – $11.59 | 4 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $65.50 | $131.00 | $18.58 – $138.85 | 6 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $1,108.37 | 6 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $158.00 | $316.00 | $18.52 – $138.25 | 6 |
| Gonioscopy CPT 92020 | $76.00 | $152.00 | $132.41 – $136.30 | 4 |
| Goniotomy CPT 65820 | not published | not published | $3,408.00 – $4,234.56 | 5 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $748.34 – $770.35 | 4 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $83.32 | $166.64 | not published | 0 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $263.74 | $527.47 | not published | 0 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $101.24 | $202.48 | not published | 0 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $6,479.00 | $12,958.00 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $7,730.04 | $15,460.09 | not published | 0 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $163.02 | $326.03 | not published | 0 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $198.64 | $397.29 | not published | 0 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $202.64 | $405.29 | not published | 0 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $90.56 | $181.13 | not published | 0 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $7,381.50 | $14,763.00 | 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.