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 |
|---|---|---|---|---|
| Mobilization of colon 44139 CPT 44139 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Modification of contact lens CPT 92325 | $165.50 | $331.00 | $132.41 – $136.30 | 4 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $473.00 | $946.00 | $14.46 – $38.86 | 5 |
| Molded inner boot HCPCS L2280 | not published | not published | $533.56 – $549.26 | 4 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $2,985.38 – $3,073.18 | 4 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $4,385.16 – $4,514.14 | 4 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,520.26 – $1,564.97 | 4 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $4,769.64 – $4,909.93 | 4 |
| Molecular pathology interpr HCPCS G0452 | $35.00 | $70.00 | $22.45 – $45.10 | 2 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.57 – $11.91 | 4 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $358.68 – $369.23 | 4 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $430.92 – $443.59 | 4 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $22,984.60 – $23,660.62 | 4 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $7,518.24 | $15,036.48 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $649.32 – $668.42 | 4 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $132.50 – $136.39 | 4 |
| Mopath procedure level 1 CPT 81400 | $190.00 | $380.00 | $63.96 – $119.61 | 5 |
| Mopath procedure level 3 CPT 81402 | $410.00 | $820.00 | $150.33 – $281.12 | 5 |
| Mopath procedure level 5 CPT 81404 | $989.50 | $1,979.00 | $274.83 – $513.94 | 5 |
| Mopath procedure level 6 CPT 81405 | $1,701.50 | $3,403.00 | $301.35 – $563.53 | 5 |
| Mopath procedure level 7 CPT 81406 | $2,197.00 | $4,394.00 | $282.88 – $528.99 | 5 |
| Mopath procedure level 8 CPT 81407 | $1,709.50 | $3,419.00 | $846.27 – $1,582.53 | 5 |
| Mopath procedure level 9 CPT 81408 | $2,856.50 | $5,713.00 | $2,000.00 – $3,740.00 | 5 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $97.00 | $194.00 | $169.55 – $524.90 | 5 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $210.50 | $421.00 | $64.93 – $543.43 | 6 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $454.50 | $909.00 | $42.88 – $409.41 | 6 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $667.72 – $687.36 | 4 |
| Motion analysis video/3d CPT 96000 | not published | not published | $371.37 – $382.29 | 4 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $854.62 – $879.75 | 4 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $444.58 – $457.66 | 4 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $3,299.54 – $4,564.00 | 5 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $46.82 – $88.37 | 2 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $108.00 | $216.00 | $169.55 – $602.60 | 5 |
| M/phmtrc alysishquant/semiq CPT 88369 | $71.50 | $143.00 | $58.43 – $146.15 | 2 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $42.88 – $547.13 | 6 |
| Mpl gene analysis common variants CPT 81338 | $632.00 | $1,264.00 | $150.33 – $281.12 | 5 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.05 – $146.86 | 6 |
| M.pneumon dna quant CPT 87582 | not published | not published | $71.75 – $565.91 | 6 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $812.57 – $6,260.42 | 3 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $812.57 – $6,189.10 | 3 |
| MRA chest w IV cont HCPCS C8909 | $1,859.50 | $3,719.00 | $347.20 – $7,211.20 | 5 |
| MRA chest wo IV cont HCPCS C8910 | $1,617.00 | $3,234.00 | $237.46 – $5,369.86 | 5 |
| MRA chest wwo IV cont HCPCS C8911 | $2,138.50 | $4,277.00 | $347.20 – $8,716.76 | 5 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $812.57 – $6,298.87 | 3 |
| MRA pelvis CPT 72198 | not published | not published | $812.57 – $6,265.83 | 3 |
| MRA pelvis w IV cont HCPCS C8918 | $2,300.00 | $4,600.00 | $347.20 – $7,211.20 | 5 |
| MRA pelvis wo IV cont HCPCS C8919 | $2,101.00 | $4,202.00 | $237.46 – $5,369.86 | 5 |
| MRA spinal canal CPT 72159 | not published | not published | $812.57 – $6,386.71 | 3 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $812.57 – $6,458.03 | 3 |
| MRA w/cont, abd HCPCS C8900 | $2,438.00 | $4,876.00 | $347.20 – $7,211.20 | 5 |
| MRA w/cont, lwr ext HCPCS C8912 | $2,415.00 | $4,830.00 | $347.20 – $7,211.20 | 5 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $347.20 – $7,211.20 | 5 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $347.20 – $7,211.20 | 5 |
| MRA without cont, abd HCPCS C8901 | $2,121.50 | $4,243.00 | $237.46 – $5,369.86 | 5 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $237.46 – $5,369.86 | 5 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $237.46 – $5,369.86 | 5 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $237.46 – $5,369.86 | 5 |
| MRA without fol w/cont, abd HCPCS C8902 | $2,805.00 | $5,610.00 | $347.20 – $8,716.76 | 5 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $2,777.00 | $5,554.00 | $347.20 – $8,716.76 | 5 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $2,777.00 | $5,554.00 | $347.20 – $8,716.76 | 5 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $2,242.00 | $4,484.00 | $347.20 – $8,716.76 | 5 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $2,242.00 | $4,484.00 | $347.20 – $8,716.76 | 5 |
| Mr elastography CPT 76391 | $1,128.00 | $2,256.00 | $237.46 – $353.39 | 5 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $11,089.19 – $11,415.35 | 4 |
| MRI brain w/dye CPT 70558 | $989.00 | $1,978.00 | $174.56 – $7,211.20 | 6 |
| MRI brain without dye CPT 70557 | $937.00 | $1,874.00 | $543.79 – $5,369.86 | 6 |
| MRI brain without & w/dye CPT 70559 | $1,041.00 | $2,082.00 | $174.56 – $8,716.76 | 6 |
| MRI breast c- unilateral CPT 77046 | $2,753.00 | $5,506.00 | $237.46 – $345.05 | 5 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $568.33 – $568.33 | 1 |
| MRI breast without cont bi CPT 77047 | $3,075.00 | $6,150.00 | $237.46 – $342.96 | 5 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $565.55 – $565.55 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,522.00 | $3,044.00 | $237.46 – $5,369.86 | 6 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $2,148.00 | $4,296.00 | $347.20 – $8,716.76 | 6 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $2,444.00 | $4,888.00 | $780.16 – $8,716.76 | 6 |
| MRI chest without contrast CPT 71550 | $1,818.00 | $3,636.00 | $237.46 – $5,369.86 | 6 |
| MRI chest without & w/contrast CPT 71552 | $2,691.50 | $5,383.00 | $347.20 – $8,716.76 | 6 |
| MRI chest w IV cont CPT 71551 | $2,091.50 | $4,183.00 | $780.16 – $7,211.20 | 6 |
| MRI compatible system HCPCS L0859 | $1,042.24 | $2,084.49 | $1,613.85 – $1,661.32 | 4 |
| MRI fetal ea addl gestation CPT 74713 | $426.50 | $853.00 | $812.57 – $812.57 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | $538.00 | $1,076.00 | $237.46 – $812.57 | 5 |
| MRI guid ndl plc s&i CPT 77021 | $1,416.00 | $2,832.00 | $812.57 – $812.57 | 1 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $812.57 – $812.57 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | $2,555.50 | $5,111.00 | $347.20 – $7,211.20 | 6 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,932.50 | $3,865.00 | $237.46 – $5,369.86 | 6 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,940.00 | $5,880.00 | $347.20 – $8,716.76 | 6 |
| MRI orbit/face/neck without contrast CPT 70540 | $2,467.00 | $4,934.00 | $237.46 – $5,369.86 | 6 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $3,546.50 | $7,093.00 | $347.20 – $8,716.76 | 6 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,838.50 | $5,677.00 | $347.20 – $7,211.20 | 6 |
| MRI tmj CPT 70336 | $2,272.50 | $4,545.00 | $237.46 – $5,369.86 | 6 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,920.50 | $3,841.00 | $237.46 – $5,369.86 | 6 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,539.00 | $5,078.00 | $347.20 – $8,716.76 | 6 |
| MRI upper extremity w/dye CPT 73219 | $2,207.50 | $4,415.00 | $347.20 – $7,211.20 | 6 |
| MRI w/cont, breast, bi HCPCS C8906 | $3,383.00 | $6,766.00 | $347.20 – $7,211.20 | 5 |
| MRI w/cont, breast, uni HCPCS C8903 | $3,028.50 | $6,057.00 | $174.56 – $7,211.20 | 5 |
| MRI without fol w/cont, breast HCPCS C8908 | $3,552.00 | $7,104.00 | $347.20 – $8,716.76 | 5 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $3,198.00 | $6,396.00 | $347.20 – $8,716.76 | 5 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $84.46 – $89.15 | 5 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $94.61 – $149.42 | 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.