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 |
|---|---|---|---|---|
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $5,891.41 – $6,448.00 | 5 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $5,891.41 – $6,448.00 | 5 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $5,891.41 – $7,337.00 | 5 |
| Optx mndblr/max alv ridge fx CPT 21445 | $3,416.00 | $6,832.00 | $5,891.41 – $6,448.00 | 5 |
| Optx palatal/max fracture CPT 21422 | $3,108.00 | $6,216.00 | $5,220.00 – $6,064.68 | 5 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $5,220.00 – $6,064.68 | 5 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $7,337.00 – $13,152.83 | 5 |
| Optx post ankle fx CPT 27769 | not published | not published | $7,221.37 – $13,700.00 | 5 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $6,448.00 – $13,152.83 | 5 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $6,448.00 – $17,962.85 | 5 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $4,564.00 – $7,433.77 | 5 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $6,448.00 – $7,433.77 | 5 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $7,221.37 – $7,433.77 | 5 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Optx sho dislc fx CPT 23670 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $5,220.00 – $13,152.83 | 5 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $6,448.00 – $7,433.77 | 5 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Optx thigh fx CPT 27269 | not published | not published | $5,169.00 – $7,416.07 | 5 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $3,299.54 – $5,220.00 | 5 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Oral busulfan HCPCS J8510 | not published | not published | $10.32 – $10.63 | 4 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.98 – $24.90 | 5 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.84 – $19.39 | 4 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $23.13 – $23.81 | 4 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $431.35 – $444.04 | 4 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Orchiectomy partial CPT 54522 | not published | not published | $3,508.06 – $5,220.00 | 5 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $3,563.21 – $5,220.00 | 5 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $3,563.21 – $6,448.00 | 5 |
| Organic acids total quant ea spec CPT 83918 | $67.00 | $134.00 | $23.60 – $122.52 | 6 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $43.33 – $44.60 | 4 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $29.25 – $30.11 | 4 |
| Oropharyngeal biopsy 42800 CPT 42800 | $2,443.00 | $4,886.00 | $1,544.13 – $5,220.00 | 5 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $30.52 – $31.42 | 4 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $138.69 | $277.38 | $321.51 – $330.97 | 4 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $634.46 | $1,268.91 | $556.82 – $573.20 | 4 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $613.76 | $1,227.51 | $1,427.76 – $1,469.75 | 4 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $348.80 | $697.59 | $781.61 – $804.59 | 4 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $129.90 | $259.79 | $297.28 – $310.44 | 4 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $154.74 | $309.47 | $357.67 – $368.19 | 4 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $54.34 | $108.68 | $117.68 – $121.14 | 4 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $129.90 | $259.79 | $297.28 – $310.44 | 4 |
| Orthopantogram CPT 70355 | $375.50 | $751.00 | $17.34 – $89.15 | 5 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $35.79 – $36.84 | 4 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $58.71 – $60.44 | 4 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $62.26 – $64.09 | 4 |
| Ortho shoe add half sole HCPCS L3530 | $18.63 | $37.26 | $38.87 – $40.02 | 4 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $35.79 – $36.84 | 4 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $51.34 – $52.85 | 4 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $159.39 – $164.07 | 4 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $309.98 | $619.97 | $473.93 – $487.87 | 4 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $116.83 – $120.26 | 4 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $179.58 | $359.15 | $410.44 – $428.63 | 4 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $474.55 | $949.10 | $1,104.27 – $1,136.75 | 4 |
| Oscillation chest wall mechanical per session CPT 94669 | not published | not published | $217.93 – $224.34 | 4 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $38.87 – $40.02 | 4 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $28.03 – $28.85 | 4 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $104.31 – $107.37 | 4 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $79.37 – $81.70 | 4 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $10.86 – $11.18 | 4 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $65.35 – $67.27 | 4 |
| Osmolality blood CPT 83930 | $193.50 | $387.00 | $6.61 – $48.76 | 6 |
| Osmolality urine CPT 83935 | $193.50 | $387.00 | $6.82 – $50.41 | 6 |
| Ostectomy complete 1st metatarsal head 28111 CPT 28111 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Ostectomy scapula partial CPT 23190 | not published | not published | $3,256.29 – $6,448.00 | 5 |
| Osteoart algrft w/surf & b1 CPT 20932 | not published | not published | $2,350.00 – $5,220.00 | 2 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $5,220.00 – $13,152.83 | 5 |
| Osteochondral knee autograft CPT 27416 | not published | not published | $7,221.37 – $13,700.00 | 5 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $7,221.37 – $13,700.00 | 5 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $56.00 | $112.00 | $21.49 – $22.12 | 4 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | not published | not published | $21.49 – $22.12 | 4 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | not published | not published | $21.49 – $22.12 | 4 |
| Osteoplasty humerus CPT 24420 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Osteot dsc ant 1 vrt sgm crv CPT 22220 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Osteot dsc ant 1vrt sgm ea CPT 22226 | not published | not published | $2,350.00 – $5,220.00 | 2 |
| Osteot dsc ant 1vrt sgm lmbr CPT 22224 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Osteot dsc ant 1vrt sgm thrc CPT 22222 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Osteot humerus w/wo int fixj CPT 24400 | not published | not published | $6,448.00 – $7,433.77 | 5 |
| Osteot mlt relignmt imed rod CPT 27712 | not published | not published | $5,220.00 – $13,152.83 | 5 |
| Osteotomy/graft tarsal/calcaneus/talus 28305 CPT 28305 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Ot evaluation high complexity patient/family CPT 97167 | $289.50 | $579.00 | $100.84 – $131.76 | 5 |
| Ot evaluation low complexity patient/family CPT 97165 | $216.00 | $432.00 | $100.84 – $131.76 | 5 |
| Ot evaluation moderate complexity patient/family CPT 97166 | $263.50 | $527.00 | $100.84 – $131.76 | 5 |
| Other bone graft microvasc CPT 20962 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Other immunoelectrophoresis CPT 86325 | not published | not published | $23.13 – $167.56 | 6 |
| Oth resp proc, group HCPCS G0239 | $58.00 | $116.00 | $37.17 – $38.26 | 4 |
| Oth resp proc, indiv HCPCS G0238 | $58.00 | $116.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $131.00 | $262.00 | $50.42 – $117.81 | 5 |
| Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes CPT 97760 | $102.50 | $205.00 | $46.41 – $68.88 | 5 |
| Ot manual therpy techniques >=1 region each 15 minutes CPT 97140 | $88.00 | $176.00 | $27.95 – $40.41 | 5 |
| Otoplasty 69300 CPT 69300 | not published | not published | $3,299.54 – $5,220.00 | 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.