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 |
|---|---|---|---|---|
| Partial removal of ulna CPT 25150 | not published | not published | $3,256.29 – $4,564.00 | 5 |
| Partial removal of ulna CPT 25240 | not published | not published | $3,256.29 – $6,448.00 | 5 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,221.58 – $5,220.00 | 5 |
| Partial removal tear gland CPT 68505 | not published | not published | $3,912.52 – $5,220.00 | 5 |
| Partial thyroid excision CPT 60210 | not published | not published | $5,220.00 – $6,193.46 | 5 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $5,220.00 – $6,193.46 | 5 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $682.24 | $1,364.48 | not published | 0 |
| Part removal hip bone deep CPT 27071 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Part removal of metatarsal CPT 28110 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Part removal of metatarsal CPT 28113 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Part remove hip bone super CPT 27070 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Passy muir valve metal trach HCPCS L8501 | $110.23 | $220.46 | $150.84 – $155.27 | 4 |
| Paste skin barrier .5oz adapt HCPCS A4406 | $15.52 | $31.05 | not published | 0 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $168.63 – $174.54 | 5 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $89.47 – $174.54 | 5 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $51.91 – $80.50 | 2 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $41.87 – $53.39 | 5 |
| Patient recorded spirometry CPT 94014 | not published | not published | $444.58 – $457.66 | 4 |
| Patient recorded spirometry CPT 94015 | not published | not published | $214.89 – $221.21 | 4 |
| Patten bottom HCPCS L2370 | not published | not published | $392.97 – $404.52 | 4 |
| Pca3/klk3 antigen CPT 81313 | $273.50 | $547.00 | $240.18 – $476.94 | 5 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $845.96 – $845.96 | 1 |
| Pdgfra gene CPT 81314 | $472.00 | $944.00 | $329.51 – $616.18 | 5 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | $11.38 | $22.77 | $28.03 – $28.85 | 4 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $199.67 – $205.54 | 4 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $2,053.37 – $5,220.00 | 5 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $128.06 – $131.82 | 4 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $128.06 – $131.82 | 4 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $7,651.47 – $7,876.51 | 4 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $2,018.37 – $2,077.73 | 4 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $2,053.37 – $5,220.00 | 5 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $1,622.16 – $1,669.87 | 4 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $1,915.23 – $1,971.56 | 4 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $1,517.44 – $1,562.07 | 4 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $824.16 – $848.40 | 4 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $28,992.54 – $29,845.26 | 4 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $91.13 – $93.81 | 4 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $133.78 – $137.72 | 4 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $108.46 – $111.65 | 4 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $188.61 – $194.15 | 4 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $101.11 – $104.08 | 4 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $140.72 – $144.86 | 4 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,734.05 – $3,843.88 | 4 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $232.72 – $239.56 | 4 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $604.58 – $622.37 | 4 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $479.96 – $494.08 | 4 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $393.89 – $405.48 | 4 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $290.24 – $298.78 | 4 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $354.78 – $365.21 | 4 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $543.99 – $559.99 | 4 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,753.50 | $3,507.00 | $174.56 – $5,224.75 | 6 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,694.00 | $3,388.00 | $174.56 – $4,714.07 | 6 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,474.00 | $2,948.00 | $104.04 – $2,753.72 | 6 |
| Pelvic exenteration CPT 45126 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,428.11 – $1,470.12 | 4 |
| Pelvic MRI (with and without contrast) CPT 72197 | $3,166.00 | $6,332.00 | $347.20 – $8,716.76 | 6 |
| Pelvic MRI (with contrast) CPT 72196 | $2,891.00 | $5,782.00 | $347.20 – $7,211.20 | 6 |
| Pelvic MRI (without contrast) CPT 72195 | $1,862.00 | $3,724.00 | $237.46 – $5,369.86 | 6 |
| Pelvic ring fracture uni/bil HCPCS G0413 | $4,599.00 | $9,198.00 | $7,221.37 – $13,700.00 | 5 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Pelvic Ultrasound (complete) CPT 76856 | $737.00 | $1,474.00 | $104.04 – $146.76 | 5 |
| Pelvic Ultrasound (limited) CPT 76857 | $430.00 | $860.00 | $46.55 – $107.10 | 5 |
| Pelv & thor control gluteal HCPCS L2650 | not published | not published | $167.71 – $172.64 | 4 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $61.50 – $63.31 | 4 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $4.44 – $4.57 | 4 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $19.91 – $20.50 | 4 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $30.61 – $31.51 | 4 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $121.75 – $121.75 | 1 |
| Penile injection CPT 54235 | $578.50 | $1,157.00 | $248.65 – $5,220.00 | 5 |
| Penile vascular study CPT 93980 | $1,035.00 | $2,070.00 | $104.04 – $107.10 | 4 |
| Penile vascular study CPT 93981 | $575.00 | $1,150.00 | $104.04 – $107.10 | 4 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,508.06 – $5,220.00 | 5 |
| Penis plastic surgery CPT 54360 | not published | not published | $3,508.06 – $5,220.00 | 5 |
| Penis study CPT 54240 | not published | not published | $214.89 – $5,220.00 | 5 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,660.32 – $2,738.56 | 4 |
| Perc cryo ablate renal tum CPT 50593 | $15,110.00 | $30,220.00 | $10,578.79 – $13,700.00 | 5 |
| Perc d-e cor revasc chro add HCPCS C9608 | $11,044.00 | $22,088.00 | $5,220.00 – $36,037.00 | 2 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $11,044.00 | $22,088.00 | $5,220.00 – $18,780.19 | 5 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $11,044.00 | $22,088.00 | $2,350.00 – $5,220.00 | 2 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $11,044.00 | $22,088.00 | $5,220.00 – $11,826.66 | 5 |
| Perc d-e cor stent ather br HCPCS C9603 | $12,719.00 | $25,438.00 | $2,350.00 – $5,220.00 | 2 |
| Perc d-e cor stent ather s HCPCS C9602 | $14,416.50 | $28,833.00 | $5,220.00 – $18,780.19 | 5 |
| Perc drug-el cor stent bran HCPCS C9601 | $11,044.00 | $22,088.00 | $2,350.00 – $5,220.00 | 2 |
| Perc drug-el cor stent sing HCPCS C9600 | $16,566.00 | $33,132.00 | $5,220.00 – $11,826.66 | 5 |
| Perc rf ablate renal tumor CPT 50592 | $6,241.50 | $12,483.00 | $3,408.00 – $6,193.46 | 5 |
| Percut ablate liver rf CPT 47382 | $5,379.00 | $10,758.00 | $5,220.00 – $6,193.46 | 5 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $5,220.00 – $5,220.00 | 1 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,640.50 | $3,281.00 | $1,566.60 – $5,220.00 | 5 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $954.00 | $1,908.00 | $5,169.00 – $5,220.00 | 2 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $3,896.63 – $6,448.00 | 5 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $3,221.58 – $7,337.00 | 5 |
| Peripheral vascular rehab CPT 93668 | $85.00 | $170.00 | $58.71 – $60.44 | 4 |
| Peri-proc device eval icd CPT 93287 | $277.50 | $555.00 | not published | 0 |
| Peri-proc device eval pm CPT 93286 | $139.00 | $278.00 | not published | 0 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $3,408.00 – $5,700.64 | 5 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $543.79 – $960.10 | 5 |
| Perit-vens shunt pat tst CPT 78291 | $651.00 | $1,302.00 | $397.85 – $429.81 | 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.