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 |
|---|---|---|---|---|
| Ligation of salivary duct CPT 42665 | not published | not published | $3,299.54 – $10,181.00 | 5 |
| Ligation of shunt CPT 49428 | $2,258.50 | $4,517.00 | $5,169.00 – $5,220.00 | 2 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $3,142.32 – $5,220.00 | 5 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $5,981.50 | $11,963.00 | $3,142.32 – $5,220.00 | 5 |
| Lig/band angioaccess av fistula CPT 37607 | $4,676.50 | $9,353.00 | $3,142.32 – $5,220.00 | 5 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $3,142.32 – $5,220.00 | 5 |
| Limb exercise test CPT 95875 | not published | not published | $128.06 – $131.82 | 4 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $2,350.00 – $4,564.00 | 2 |
| Limited ankle motion ea jnt HCPCS L2200 | $40.36 | $80.73 | $55.72 – $57.36 | 4 |
| Limited autopsy CPT 88036 | not published | not published | $118.21 – $634.57 | 3 |
| Limited autopsy CPT 88037 | not published | not published | $94.39 – $563.91 | 3 |
| Limited motion knee joint HCPCS L2184 | not published | not published | $159.25 – $163.94 | 4 |
| Limited visual field xm CPT 92081 | not published | not published | $58.71 – $60.44 | 4 |
| Lipase CPT 83690 | $129.00 | $258.00 | $6.89 – $50.10 | 6 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $3,299.54 – $4,564.00 | 5 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $33.86 – $165.77 | 6 |
| Lipoprotein blood quant CPT 83704 | $109.50 | $219.00 | $34.19 – $219.82 | 6 |
| Lipoprotein direct measurement hdl CPT 83718 | $56.50 | $113.00 | $8.19 – $60.52 | 6 |
| Lipoprotein direct measurement ldl CPT 83721 | $47.00 | $94.00 | $10.50 – $70.46 | 6 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $65.56 | 5 |
| Lip surgery procedure CPT 40799 | $334.50 | $669.00 | $235.71 – $5,220.00 | 5 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $0.03 – $590,665.09 | 4 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $91.99 | 6 |
| Lith ion batt cid, ear level HCPCS L8624 | not published | not published | $197.70 – $203.51 | 4 |
| Lith ion batt cid,non-earlvl HCPCS L8623 | not published | not published | $79.31 – $81.64 | 4 |
| Lithium ion battery charger HCPCS L7368 | not published | not published | $618.69 – $636.89 | 4 |
| Lithium therapeutic drug level CPT 80178 | $117.00 | $234.00 | $6.61 – $49.56 | 6 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $115.50 | $231.00 | not published | 0 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $5,169.00 – $5,169.00 | 1 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $5,169.00 – $5,169.00 | 1 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $177.50 | $355.00 | $176.19 – $329.47 | 5 |
| Liver elastography 91200 CPT 91200 | not published | not published | $128.06 – $131.82 | 4 |
| Liver Function Test CPT 80076 | $155.00 | $310.00 | $8.17 – $59.36 | 6 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Liver imaging CPT 78201 | $1,143.00 | $2,286.00 | $340.05 – $556.26 | 5 |
| Liver imag w/vasclr flow CPT 78202 | $1,143.00 | $2,286.00 | $358.16 – $556.26 | 5 |
| Liver/spleen imag static only CPT 78215 | $1,123.00 | $2,246.00 | $342.14 – $409.55 | 5 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $1,208.00 | $2,416.00 | $201.61 – $409.55 | 5 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,366.07 – $2,435.66 | 4 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Lockingelbow forearm cntrbal HCPCS L6693 | not published | not published | $3,480.27 – $3,582.63 | 4 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $221.24 – $227.75 | 4 |
| Long tongue stirrup HCPCS L2265 | not published | not published | $138.04 – $142.10 | 4 |
| Lo rig pos pnl l1-l5 pre ots HCPCS L0641 | not published | not published | $61.76 – $63.58 | 4 |
| Lo sag rig pnl stays pre cst HCPCS L0626 | not published | not published | $95.35 – $98.15 | 4 |
| Loudness balance test CPT 92562 | not published | not published | $214.89 – $221.21 | 4 |
| Low back disk surgery CPT 63030 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Low cost skin substitute app HCPCS C5271 | $1,130.50 | $2,261.00 | $2,350.00 – $2,350.00 | 1 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $5,169.00 – $5,169.00 | 1 |
| Low cost skin substitute app HCPCS C5275 | $1,012.00 | $2,024.00 | $2,350.00 – $2,350.00 | 1 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $2,350.00 – $2,350.00 | 1 |
| Low cost skin substitute app HCPCS C5272 | $568.00 | $1,136.00 | $2,350.00 – $2,350.00 | 1 |
| Low cost skin substitute app HCPCS C5274 | not published | not published | $2,350.00 – $2,350.00 | 1 |
| Low cost skin substitute app HCPCS C5276 | not published | not published | $2,350.00 – $2,350.00 | 1 |
| Low cost skin substitute app HCPCS C5278 | not published | not published | $2,350.00 – $2,350.00 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $2,140.00 | $4,280.00 | $174.56 – $5,224.75 | 6 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,862.00 | $3,724.00 | $347.20 – $4,714.07 | 6 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,608.50 | $3,217.00 | $104.04 – $2,753.72 | 6 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $3,315.50 | $6,631.00 | $347.20 – $8,716.76 | 6 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,644.00 | $5,288.00 | $347.20 – $7,211.20 | 6 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $2,000.00 | $4,000.00 | $237.46 – $5,369.86 | 6 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $366.50 | $733.00 | $49.35 – $107.10 | 5 |
| Lower jaw bone graft CPT 21215 | not published | not published | $5,891.41 – $10,181.00 | 5 |
| Low frequency non-thermal Ultrasound CPT 97610 | $508.50 | $1,017.00 | $199.67 – $205.54 | 4 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $10,578.79 – $13,700.00 | 5 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $10,578.79 – $13,700.00 | 5 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $10,578.79 – $13,700.00 | 5 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $10,578.79 – $13,700.00 | 5 |
| Lso corset front HCPCS L0972 | $94.70 | $189.41 | $141.57 – $145.73 | 4 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $66.47 – $68.43 | 4 |
| Lso full corset HCPCS L0976 | not published | not published | $187.42 – $192.94 | 4 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | $131.44 | $262.89 | $198.15 – $203.97 | 4 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,613.66 – $1,661.12 | 4 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $941.20 – $968.89 | 4 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $128.33 – $132.10 | 4 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,121.93 – $1,154.93 | 4 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,660.88 – $1,709.73 | 4 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | $230.29 | $460.58 | $350.85 – $361.17 | 4 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $227.23 – $233.91 | 4 |
| Lso s/c shell/panel custom HCPCS L0640 | $829.04 | $1,658.07 | $1,280.29 – $1,317.95 | 4 |
| Lso s/c shell/panel prefab HCPCS L0639 | $850.77 | $1,701.54 | $1,314.37 – $1,353.03 | 4 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.99 – $162.73 | 6 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $74.56 – $76.76 | 4 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $101.52 – $104.51 | 4 |
| Lumbar diskogram s&i CPT 72295 | $2,089.50 | $4,179.00 | $116.14 – $2,000.51 | 5 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $97.59 – $100.46 | 4 |
| Lumbar sling HCPCS L1090 | not published | not published | $138.68 – $142.76 | 4 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $5,220.00 – $17,962.85 | 5 |
| Lumizyme injection HCPCS J0221 | not published | not published | $210.72 – $216.92 | 4 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $58.71 – $60.44 | 4 |
| Lung Function Test (Spirometry) CPT 94010 | $326.00 | $652.00 | $214.89 – $221.21 | 4 |
| Lung perfusion imaging CPT 78580 | $494.00 | $988.00 | $397.85 – $409.55 | 5 |
| Lung transplant double CPT 32853 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Lung transplant single CPT 32851 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Lung transplant with bypass CPT 32852 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Lung transplant with bypass CPT 32854 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $211.27 – $217.48 | 4 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $42.82 – $44.08 | 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.