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 |
|---|---|---|---|---|
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $820.50 | $1,641.00 | $2,350.00 – $5,220.00 | 2 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $820.50 | $1,641.00 | $2,350.00 – $5,220.00 | 2 |
| Intubation endotracheal emergency procedure CPT 31500 | $1,132.00 | $2,264.00 | $235.71 – $3,408.00 | 5 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $58.71 – $60.44 | 4 |
| Ionm in operatng room 15 min CPT 95940 | $110.00 | $220.00 | not published | 0 |
| Ionm remote/>1 pt or per hr CPT 95941 | $420.00 | $840.00 | not published | 0 |
| Io radiation tx management CPT 77469 | not published | not published | $629.55 – $629.55 | 1 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $457.62 – $7,545.51 | 5 |
| Io rad tx delivery by x-ray CPT 77424 | $3,906.50 | $7,813.00 | $648.49 – $7,545.51 | 5 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $187.15 – $192.65 | 4 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $67.32 – $69.30 | 4 |
| Iron CPT 83540 | $262.00 | $524.00 | $6.47 – $47.97 | 6 |
| Iron binding capacity CPT 83550 | $85.00 | $170.00 | $8.74 – $64.47 | 6 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $18.47 – $19.01 | 4 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $47.57 | 6 |
| Irradiation of blood product each unit reference CPT 86945 | $52.50 | $105.00 | $17.76 – $111.67 | 6 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $85.00 | $170.00 | $58.71 – $66.13 | 5 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,544.13 – $3,408.00 | 5 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $58.71 – $5,220.00 | 5 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $83.54 – $86.00 | 4 |
| Island pedicle flap graft CPT 15740 | not published | not published | $2,053.37 – $4,564.00 | 5 |
| Ivc venogram s&i CPT 75825 | $3,919.00 | $7,838.00 | $146.06 – $3,234.74 | 5 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $185.50 | $371.00 | $71.65 – $73.76 | 4 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $229.50 | $459.00 | not published | 0 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $202.00 | $404.00 | $46.60 – $47.97 | 4 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $365.00 | $730.00 | $211.68 – $217.91 | 4 |
| IV inj ra drug dx study CPT 78808 | $197.50 | $395.00 | $77.99 – $409.55 | 5 |
| IV njx tst vasc flo flap/grf CPT 15860 | $904.50 | $1,809.00 | $444.58 – $5,220.00 | 5 |
| Ivp w/nephrotomography CPT 74415 | $1,350.00 | $2,700.00 | $174.56 – $234.41 | 5 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $1,198.50 | $2,397.00 | $174.56 – $185.02 | 5 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $142.00 – $146.17 | 4 |
| Jak2 targeted sequence analysis CPT 81279 | $533.00 | $1,066.00 | $185.20 – $346.32 | 5 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Jejunstmy tube plcmt CPT 44372 | $2,329.50 | $4,659.00 | $1,909.69 – $4,564.00 | 5 |
| John cunningham antibody CPT 86711 | $172.50 | $345.00 | $16.89 – $105.96 | 6 |
| J-tube placement CPT 44015 | $2,098.00 | $4,196.00 | $5,169.00 – $5,220.00 | 2 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | $944.96 | $1,889.91 | $1,453.91 – $1,496.67 | 4 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $1,319.82 – $1,358.64 | 4 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $2,181.84 – $2,246.01 | 4 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $1,262.27 – $1,299.40 | 4 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $1,540.78 – $1,586.10 | 4 |
| Kafo femoral fx cast rigid HCPCS L2136 | $980.66 | $1,961.33 | $1,506.60 – $1,550.91 | 4 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $1,182.92 – $1,217.72 | 4 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $2,492.87 – $2,566.19 | 4 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $2,102.43 – $2,164.27 | 4 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $214.09 – $220.38 | 4 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $1,237.79 – $1,274.20 | 4 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $5,013.51 – $5,160.97 | 4 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $1,154.70 – $1,188.66 | 4 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $2,135.74 – $2,198.55 | 4 |
| Keratomileusis CPT 65760 | $591.50 | $1,183.00 | $5,220.00 – $12,599.00 | 2 |
| Keratophakia CPT 65765 | not published | not published | $5,220.00 – $12,599.00 | 2 |
| Keratoprosthesis CPT 65770 | not published | not published | $5,220.00 – $14,861.06 | 5 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $0.02 – $25.87 | 2 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $15.47 – $106.19 | 6 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $73.50 | $147.00 | $8.17 – $59.02 | 6 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | not published | not published | $0.31 – $0.32 | 4 |
| Kidney endoscopy CPT 50551 | not published | not published | $3,408.00 – $5,479.92 | 5 |
| Kidney endoscopy CPT 50553 | not published | not published | $3,408.00 – $5,492.99 | 5 |
| Kidney endoscopy CPT 50570 | not published | not published | $3,408.00 – $3,602.64 | 5 |
| Kidney endoscopy CPT 50575 | not published | not published | $5,220.00 – $5,492.99 | 5 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $3,408.00 – $9,675.01 | 5 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $3,408.00 – $3,602.64 | 5 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $3,408.00 – $9,698.10 | 5 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $3,408.00 – $5,492.99 | 5 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $5,169.00 – $9,675.01 | 5 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $5,169.00 – $5,479.92 | 5 |
| Kidney function study CPT 78725 | not published | not published | $180.05 – $409.55 | 5 |
| Kidney imaging morphology CPT 78700 | $776.00 | $1,552.00 | $299.02 – $409.55 | 5 |
| Kidney imag w/bld flow multi CPT 78709 | $1,031.50 | $2,063.00 | $540.36 – $602.32 | 5 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,031.50 | $2,063.00 | $373.47 – $556.26 | 5 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $758.50 | $1,517.00 | $104.04 – $148.15 | 5 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | $95.74 | $191.48 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $5,875.00 | $11,750.00 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $422.00 | $844.00 | $124.87 – $233.51 | 5 |
| Kit hfx iq ipg bundle HCPCS C1822 | $16,648.75 | $33,297.50 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $3,296.66 | $6,593.33 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $420.73 | $841.46 | not published | 0 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $2,111.12 – $2,173.22 | 4 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $1,095.92 | $2,191.84 | not published | 0 |
| Knee Arthroscopy (Cartilage Repair) CPT 29877 | not published | not published | $3,256.29 – $6,448.00 | 5 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Knee Arthroscopy (Meniscus Repair) CPT 29881 | not published | not published | $3,256.29 – $6,448.00 | 5 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,600.27 – $6,448.00 | 5 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,600.27 – $6,448.00 | 5 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $3,256.29 – $6,448.00 | 5 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $3,256.29 – $6,448.00 | 5 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $3,256.29 – $6,448.00 | 5 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $5,220.00 – $13,152.83 | 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.