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 |
|---|---|---|---|---|
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $180.50 | $361.00 | $17.90 – $129.93 | 6 |
| Hymenotomy CPT 56442 | not published | not published | $3,221.58 – $3,408.00 | 5 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $17.97 – $18.50 | 4 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $3,408.00 – $6,064.68 | 5 |
| #hypersens-actinomyces ab CPT 86602 | $54.00 | $108.00 | $10.18 – $70.09 | 6 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $693.13 – $1,330.78 | 5 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $383.84 – $747.03 | 5 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $549.89 – $849.31 | 5 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $549.89 – $1,228.50 | 5 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $549.89 – $1,903.13 | 5 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $18.51 – $19.06 | 4 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $5,220.00 – $16,996.00 | 2 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $5,220.00 – $16,996.00 | 2 |
| Hysteroplasty 58540 CPT 58540 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $5,220.00 – $5,220.00 | 1 |
| Hysterosalpingography s&i CPT 74740 | $825.50 | $1,651.00 | $123.79 – $244.44 | 5 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $4,978.43 – $13,700.00 | 5 |
| Hysteroscopy biopsy CPT 58558 | $4,493.50 | $8,987.00 | $3,221.58 – $5,220.00 | 5 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $3,221.58 – $3,408.00 | 5 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $4,564.00 – $5,124.85 | 5 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $3,221.58 – $5,220.00 | 5 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $4,978.43 – $5,220.00 | 5 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $4,978.43 – $5,220.00 | 5 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $4,978.43 – $5,220.00 | 5 |
| I-123 iobenguane diag HCPCS A9582 | $2,164.00 | $4,328.00 | $2,363.85 – $2,433.38 | 4 |
| I-123 ioflupane diag HCPCS A9584 | $2,286.50 | $4,573.00 | $1,415.49 – $1,457.13 | 4 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $89.00 | $178.00 | not published | 0 |
| I131 iodide cap, rx HCPCS A9517 | $107.00 | $214.00 | $24.55 – $25.27 | 4 |
| I131 iodide sol, rx HCPCS A9530 | $20.00 | $40.00 | $21.19 – $21.81 | 4 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $13.42 – $86.99 | 6 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $137.50 | $275.00 | $35.09 – $249.69 | 6 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $90.50 | $181.00 | $18.09 – $97.38 | 6 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $23.00 | $46.00 | $45.28 – $99.51 | 5 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,448.56 – $4,578.82 | 5 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $175.75 – $180.92 | 4 |
| Icatibant injection HCPCS J1744 | not published | not published | $300.34 – $300.34 | 1 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $45,186.03 | $90,372.06 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $45,186.03 | $90,372.06 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $10,898.55 | $21,797.10 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $21,576.13 | $43,152.26 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $214.89 – $221.21 | 4 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $37.17 – $38.26 | 4 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $58.71 – $60.44 | 4 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $3,193.50 | $6,387.00 | $3,299.54 – $3,408.00 | 5 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,643.67 – $5,220.00 | 5 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $0.03 – $585,183.83 | 4 |
| Identify sperm tissue CPT 89264 | not published | not published | $51.86 – $463.98 | 6 |
| Idet 1 or more levels CPT 22527 | not published | not published | $13,700.00 – $16,996.00 | 2 |
| Idet single level CPT 22526 | not published | not published | $13,700.00 – $16,996.00 | 2 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $5,121.00 | $10,242.00 | $3,256.29 – $3,408.00 | 5 |
| Idh1 common variants CPT 81120 | not published | not published | $193.25 – $361.37 | 5 |
| Idh2 common variants CPT 81121 | not published | not published | $295.79 – $553.12 | 5 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $2,071.50 | $4,143.00 | $2,762.33 – $4,564.00 | 5 |
| I&d lacrimal gland CPT 68400 | not published | not published | $992.09 – $3,408.00 | 5 |
| I&d lacrimal sac CPT 68420 | $1,402.00 | $2,804.00 | $2,366.07 – $7,337.00 | 5 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $2,264.50 | $4,529.00 | $2,890.77 – $3,408.00 | 5 |
| Idursulfase injection HCPCS J1743 | not published | not published | $569.63 – $586.38 | 4 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $2,890.77 – $3,408.00 | 5 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $2,890.77 – $5,220.00 | 5 |
| Ifnl3 gene CPT 81283 | $367.00 | $734.00 | $73.37 – $137.19 | 5 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $207.31 – $387.66 | 5 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $68.55 – $128.19 | 5 |
| Igh gene rearrange amp meth CPT 81261 | $260.50 | $521.00 | $197.99 – $411.38 | 5 |
| Igh@ var region somatic mutation analy CPT 81263 | $934.00 | $1,868.00 | $294.52 – $611.93 | 5 |
| Igk rearrangeabn clonal pop CPT 81264 | $417.00 | $834.00 | $172.73 – $323.00 | 5 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $129.00 | $258.00 | $54.56 – $118.95 | 2 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $165.00 | $330.00 | $92.36 – $366.34 | 5 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $129.00 | $258.00 | $42.88 – $400.13 | 6 |
| Ikbkap gene CPT 81260 | not published | not published | $39.31 – $73.50 | 5 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,376.00 | $2,752.00 | not published | 0 |
| Iliac revasc add-on 37222 CPT 37222 | $5,950.50 | $11,901.00 | $5,220.00 – $26,244.00 | 2 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $58.17 – $59.88 | 4 |
| Img rta detcj/mntr ds staff CPT 92227 | $81.00 | $162.00 | $58.71 – $60.44 | 4 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $37.17 – $38.26 | 4 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $58.71 – $60.44 | 4 |
| Immob elbow child sm HCPCS L3762 | $85.39 | $170.78 | $119.73 – $123.25 | 4 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $33.64 | $67.28 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $150.49 | $300.98 | $155.78 – $160.37 | 4 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $59.52 | $119.03 | $78.77 – $81.09 | 4 |
| Immobilizer shldr sling med HCPCS L3660 | not published | not published | $117.88 – $121.35 | 4 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $4,564.00 – $8,373.38 | 5 |
| Immune complex assay CPT 86332 | $280.50 | $561.00 | $24.37 – $178.89 | 6 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $46.22 – $47.58 | 4 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $80.37 – $82.73 | 4 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $48.48 – $49.90 | 4 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $102.00 | $204.00 | $20.81 – $150.63 | 6 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $102.00 | $204.00 | $20.81 – $150.63 | 6 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $25.57 – $130.55 | 6 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $67.50 | $135.00 | $11.98 – $87.95 | 6 |
| Immunodiffusion nes CPT 86329 | $195.50 | $391.00 | $14.05 – $100.65 | 6 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $29.92 – $169.49 | 3 |
| Immunofixation electrophoresis serum CPT 86334 | $47.00 | $94.00 | $22.34 – $167.39 | 6 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $122.50 | $245.00 | $52.45 – $89.72 | 2 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $165.00 | $330.00 | $42.88 – $368.49 | 6 |
| Immunoglobulin assay CPT 86023 | $47.00 | $94.00 | $12.46 – $89.12 | 6 |
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.