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 |
|---|---|---|---|---|
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,028.00 | $8,056.00 | $3,256.29 – $5,220.00 | 5 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $4,035.50 | $8,071.00 | $3,256.29 – $5,220.00 | 5 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $400.48 – $412.26 | 4 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $1,935.00 | $3,870.00 | $3,256.29 – $4,564.00 | 5 |
| Pr application of long arm splint CPT 29105 | $489.00 | $978.00 | $161.72 – $5,220.00 | 5 |
| Pr application splint static short arm CPT 29125 | $422.00 | $844.00 | $132.41 – $5,220.00 | 5 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $31.00 | $62.00 | $37.17 – $38.26 | 4 |
| Pr biopsy skin punch single lesion CPT 11104 | $393.50 | $787.00 | $404.56 – $5,220.00 | 5 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $5,220.00 – $13,152.83 | 5 |
| Pr correction hammertoe CPT 28285 | $5,445.00 | $10,890.00 | $3,256.29 – $5,220.00 | 5 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $46.50 | $93.00 | not published | 0 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Prcrd drg 6+yr without anomly CPT 33017 | $1,640.50 | $3,281.00 | $5,169.00 – $5,220.00 | 2 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $4,284.50 | $8,569.00 | $3,508.06 – $4,564.00 | 5 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $338.00 | $676.00 | $199.67 – $205.54 | 4 |
| Prealbumin CPT 84134 | $158.50 | $317.00 | $14.59 – $93.66 | 6 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $212.39 – $218.64 | 4 |
| Pregabalin - sendout CPT 80366 | not published | not published | $0.02 – $25.87 | 2 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | not published | not published | $1,909.69 – $4,564.00 | 5 |
| Pregnancy associated plasma protein-a CPT 84163 | $111.50 | $223.00 | $15.05 – $101.27 | 6 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $604.50 | $1,209.00 | $104.04 – $176.66 | 5 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $514.00 | $1,028.00 | $104.04 – $141.88 | 5 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | not published | not published | $214.89 – $221.21 | 4 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | not published | not published | $371.37 – $382.29 | 4 |
| Pre-op service lvrs complete HCPCS G0302 | not published | not published | $371.37 – $382.29 | 4 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $2,523.24 – $2,597.45 | 4 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $3,001.87 – $3,090.16 | 4 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $2,427.02 – $2,498.40 | 4 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $2,945.70 – $3,032.34 | 4 |
| Preparation for bladder xray CPT 51605 | $1,620.00 | $3,240.00 | $2,350.00 – $5,220.00 | 2 |
| Preparation palate mold CPT 42280 | not published | not published | $536.74 – $5,220.00 | 5 |
| Prepare donor heart CPT 33944 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Prepare donor heart/lung CPT 33933 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Prepare donor intestine CPT 44715 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Prepare donor lung double CPT 32856 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Prepare donor lung single CPT 32855 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $51.86 – $500.30 | 6 |
| Prepare fecal microbiota CPT 44705 | not published | not published | $5,220.00 – $5,220.00 | 1 |
| Prepare heart-aorta conduit CPT 33404 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Prepare penis study CPT 54230 | not published | not published | $2,350.00 – $5,220.00 | 2 |
| Prepare sperm duct x-ray CPT 55300 | not published | not published | $2,350.00 – $5,220.00 | 2 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $2,365.40 – $2,434.97 | 4 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $2,240.06 – $2,305.95 | 4 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $1,817.99 – $1,871.46 | 4 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $2,273.05 – $2,339.90 | 4 |
| Prep cadaver renal allograft CPT 50323 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Prep corneal endo allograft CPT 65757 | not published | not published | $2,350.00 – $5,220.00 | 2 |
| Prep donor intestine/artery CPT 44721 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Prep donor intestine/venous CPT 44720 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Prep donor liver 3-segment CPT 47144 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Prep donor liver/arterial CPT 47147 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Prep donor liver lobe split CPT 47145 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Prep donor liver/venous CPT 47146 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Prep donor liver whole CPT 47143 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Prep donor pancreas CPT 48551 | not published | not published | $5,220.00 – $5,220.00 | 1 |
| Prep donor pancreas/venous CPT 48552 | not published | not published | $5,220.00 – $5,220.00 | 1 |
| Prep donor renal graft CPT 50325 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Prepj skn cll ssp agrft 1st CPT 15013 | not published | not published | $7,062.71 – $7,270.44 | 4 |
| Prepj tum cav iort prtl mast CPT 19294 | not published | not published | $2,350.00 – $5,220.00 | 2 |
| Pre-plan 3d model w/ccta HCPCS C9793 | not published | not published | $854.62 – $879.75 | 4 |
| Prep renal graft/arterial CPT 50328 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Prep renal graft/ureteral CPT 50329 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Prep renal graft/venous CPT 50327 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Prep skin to 100cm2 other CPT 15004 | $1,214.50 | $2,429.00 | $404.56 – $4,564.00 | 5 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $3,101.50 | $6,203.00 | $735.52 – $4,564.00 | 5 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | not published | not published | $2,350.00 – $3,408.00 | 2 |
| Pressure max expiratory/inspiratory CPT 94799 | $325.00 | $650.00 | $128.06 – $131.82 | 4 |
| Pressure treatment esophagus CPT 43460 | $2,181.50 | $4,363.00 | $5,169.00 – $5,220.00 | 2 |
| Pressure velocity wire add ves CPT 93572 | $576.00 | $1,152.00 | $2,350.00 – $2,350.00 | 1 |
| Pre-tibial shell molded to p HCPCS L2340 | $439.88 | $879.75 | $674.74 – $694.59 | 4 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $59.72 – $174.12 | 6 |
| Pretreat rbc absorption reference CPT 86978 | $138.50 | $277.00 | $30.20 – $132.12 | 6 |
| Pretreat rbc density gradient separation reference CPT 86972 | $148.50 | $297.00 | $17.76 – $174.12 | 6 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $115.50 | $231.00 | $17.76 – $111.67 | 6 |
| Pretreat rbc w enzyme reference CPT 86971 | $84.50 | $169.00 | $17.76 – $174.12 | 6 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $333.50 | $667.00 | not published | 0 |
| Prev med cnsl indiv apprx 15 CPT 99401 | $123.00 | $246.00 | not published | 0 |
| Pr exam init preventive phys new visit during 1st 12 mo of mcare enrollment HCPCS G0402 | $243.50 | $487.00 | $132.50 – $136.39 | 4 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $2,050.00 | $4,100.00 | $1,643.67 – $3,408.00 | 5 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $4,357.50 | $8,715.00 | $1,643.67 – $3,408.00 | 5 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $684.00 | $1,368.00 | $404.56 – $3,408.00 | 5 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $3,836.96 – $5,220.00 | 5 |
| Prgrmg dev eval impltbl sys CPT 93260 | $63.50 | $127.00 | not published | 0 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $389.00 | $778.00 | not published | 0 |
| Prgrmg dev eval scrms ip CPT 93285 | $224.00 | $448.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93282 | $233.50 | $467.00 | $37.14 – $38.23 | 4 |
| Prgrmg eval implantable dfb CPT 93283 | $233.50 | $467.00 | $37.14 – $38.23 | 4 |
| Prgrmg eval implantable dfb CPT 93284 | $233.50 | $467.00 | not published | 0 |
| Prgr stim/pace a/iv drug CPT 93623 | $3,725.00 | $7,450.00 | $25,050.00 – $25,050.00 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $7,396.50 | $14,793.00 | $13,700.00 – $18,780.19 | 5 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $5,969.00 | $11,938.00 | $2,350.00 – $13,700.00 | 2 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $750.50 | $1,501.00 | $404.56 – $3,408.00 | 5 |
| Pr incision & drainage abscess simple/single CPT 10060 | $652.50 | $1,305.00 | $199.67 – $5,220.00 | 5 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $490.50 | $981.00 | $303.27 – $4,564.00 | 5 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $690.50 | $1,381.00 | $404.56 – $5,220.00 | 5 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $132.50 – $136.39 | 4 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $132.50 – $136.39 | 4 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $323.00 | $646.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,943.35 – $4,564.00 | 5 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $1,037.59 | $2,075.18 | not published | 0 |
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.