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 |
|---|---|---|---|---|
| Lutetium lu 177 dotatat ther HCPCS A9513 | $238.50 | $477.00 | $323.33 – $332.84 | 4 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $19,657.58 | $39,315.15 | $260.96 – $268.63 | 4 |
| Lvad shower bag heartmate HCPCS Q0501 | $411.42 | $822.83 | $626.02 – $644.44 | 4 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $28.78 – $5,220.00 | 5 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $346.18 – $356.36 | 4 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $146.86 | 6 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $5,220.00 – $8,373.38 | 5 |
| Lymphatics/lymph node imaging CPT 78195 | $1,392.50 | $2,785.00 | $540.36 – $598.14 | 5 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $412.94 | 6 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $49.03 – $358.61 | 6 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $89.87 – $368.01 | 6 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $332.73 | 6 |
| Lymph vessel x-ray arm/leg CPT 75801 | $1,096.00 | $2,192.00 | $624.29 – $1,196.67 | 5 |
| Lymph vessel x-ray arms/legs CPT 75803 | $1,096.00 | $2,192.00 | $1,566.60 – $2,111.60 | 5 |
| Lymph vessel x-ray trunk CPT 75805 | $1,782.50 | $3,565.00 | $2,111.60 – $3,234.74 | 5 |
| Lymph vessel x-ray trunk CPT 75807 | $1,782.50 | $3,565.00 | $3,142.32 – $5,099.91 | 5 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $536.74 – $4,564.00 | 5 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,221.58 – $3,408.00 | 5 |
| Lysis penil circumic lesion CPT 54162 | $3,503.00 | $7,006.00 | $2,080.35 – $4,564.00 | 5 |
| Macro exam dissect molec study ea CPT 88387 | $65.50 | $131.00 | $7.74 – $33.48 | 3 |
| Macroscopic exam arthropod CPT 87168 | $60.50 | $121.00 | $4.27 – $31.64 | 6 |
| Macroscopic exam parasite CPT 87169 | $14.00 | $28.00 | $4.31 – $31.64 | 6 |
| Magnesium CPT 83735 | $83.50 | $167.00 | $6.70 – $50.27 | 6 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $237.46 – $5,369.86 | 6 |
| Malaria antibody CPT 86750 | $148.50 | $297.00 | $13.19 – $92.67 | 6 |
| Male sling procedure CPT 53440 | not published | not published | $4,564.00 – $13,516.29 | 5 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Manipulate finger w/anesth CPT 26340 | $2,514.00 | $5,028.00 | $1,600.27 – $3,408.00 | 5 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,600.27 – $5,220.00 | 5 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $99.00 | $198.00 | $132.41 – $136.30 | 4 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $149.00 | $298.00 | $132.41 – $136.30 | 4 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,600.27 – $4,564.00 | 5 |
| Manipulation of spine CPT 22505 | not published | not published | $1,600.27 – $4,564.00 | 5 |
| Manipulat palm cord post inj CPT 26341 | $1,186.00 | $2,372.00 | $245.48 – $3,408.00 | 5 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $80.06 – $82.41 | 4 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $5.07 – $27.04 | 6 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $671.50 | $1,343.00 | not published | 0 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $2,350.00 – $5,220.00 | 2 |
| Map tachycard site(s) CPT 93609 | $3,695.00 | $7,390.00 | $25,050.00 – $25,050.00 | 1 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $53.54 – $55.11 | 4 |
| Marker biop eviva buckle ss HCPCS A4648 | $417.10 | $834.21 | not published | 0 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $1,279.08 – $1,316.70 | 4 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Mastectomy form HCPCS L8020 | not published | not published | $312.43 – $321.62 | 4 |
| Mastectomy partial CPT 19301 | not published | not published | $3,896.63 – $5,220.00 | 5 |
| Mast mod rad CPT 19307 | not published | not published | $6,608.28 – $13,700.00 | 5 |
| Mastoidectomy CPT 69501 | not published | not published | $5,891.41 – $10,181.00 | 5 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $5,891.41 – $10,181.00 | 5 |
| Mastoids complete CPT 70130 | $299.50 | $599.00 | $77.88 – $107.10 | 5 |
| Mastoid surgery revision CPT 69603 | not published | not published | $5,891.41 – $10,181.00 | 5 |
| Mastopexy CPT 19316 | not published | not published | $6,448.00 – $6,802.65 | 5 |
| Mast radical CPT 19305 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Mast rad urban type CPT 19306 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Mast simple complete CPT 19303 | not published | not published | $6,448.00 – $6,802.65 | 5 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $35.09 – $249.69 | 6 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $27.29 – $146.86 | 6 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $42.84 – $310.78 | 6 |
| Maxillofacial fixation CPT 21100 | not published | not published | $4,564.00 – $6,064.68 | 5 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $92.00 | $184.00 | $14.46 – $107.89 | 6 |
| Mayo aathr protein s free CPT 85306 | $37.50 | $75.00 | $15.32 – $111.07 | 6 |
| Mayo activated protein c resistance assay CPT 85307 | $96.50 | $193.00 | $15.32 – $111.07 | 6 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $209.50 | $419.00 | $38.57 – $72.12 | 5 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $0.02 – $17.64 | 2 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $0.02 – $28.22 | 2 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $177.50 | $355.00 | $14.78 – $107.81 | 6 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $0.02 – $49.02 | 2 |
| Mayo alpha 1 antitrypsin CPT 82103 | $86.00 | $172.00 | $13.44 – $99.37 | 6 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $104.00 | $208.00 | $15.08 – $110.82 | 6 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $0.02 – $25.38 | 2 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $0.02 – $25.44 | 2 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $502.50 | $1,005.00 | $121.63 – $252.71 | 5 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $361.50 | $723.00 | $91.66 – $190.45 | 5 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $601.00 | $1,202.00 | $137.00 – $256.19 | 5 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $2,910.00 | $5,820.00 | $1,160.00 – $2,169.20 | 5 |
| Mayo androstenedione CPT 82157 | $181.00 | $362.00 | $29.28 – $218.11 | 6 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $154.50 | $309.00 | $14.60 – $108.57 | 6 |
| Mayo antithrombin iii antigen CPT 85301 | $21.50 | $43.00 | $10.81 – $81.28 | 6 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $79.00 | $158.00 | $15.05 – $100.42 | 6 |
| Mayo avwpr vw factor activity CPT 85397 | $377.00 | $754.00 | $30.86 – $159.32 | 6 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $426.00 | $852.00 | $35.09 – $65.63 | 5 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $0.02 – $18.70 | 2 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $49.00 | $98.00 | $10.18 – $70.09 | 6 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $51.50 | $103.00 | $144.84 – $300.94 | 5 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $214.62 – $401.35 | 5 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $83.50 | $167.00 | $12.90 – $86.34 | 6 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $0.02 – $28.03 | 2 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $69.00 | $138.00 | $13.19 – $93.75 | 6 |
| Mayo brcmg brucella antibody igm CPT 86622 | $49.00 | $98.00 | $8.93 – $63.39 | 6 |
| Mayo c1 esterase inhibitor CPT 83883 | $105.50 | $211.00 | $13.60 – $93.18 | 6 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $0.02 – $29.32 | 2 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $115.50 | $231.00 | $16.87 – $106.70 | 6 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $210.00 | $420.00 | $26.78 – $162.53 | 6 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $379.50 | $759.00 | $122.22 – $253.95 | 5 |
| Mayo ceruloplasmin CPT 82390 | $106.00 | $212.00 | $10.74 – $78.87 | 6 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $310.50 | $621.00 | $14.12 – $96.36 | 6 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $148.50 | $297.00 | $12.88 – $89.20 | 6 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $25.50 | $51.00 | $11.82 – $82.73 | 6 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $25.50 | $51.00 | $12.68 – $89.97 | 6 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $277.00 | $554.00 | $116.49 – $686.74 | 6 |
| Mayo chromium CPT 82495 | $128.50 | $257.00 | $20.28 – $135.10 | 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.