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 |
|---|---|---|---|---|
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $775.50 | $1,551.00 | $199.67 – $5,220.00 | 5 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $5,220.00 – $5,220.00 | 1 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $3,010.00 | $6,020.00 | $2,053.37 – $4,564.00 | 5 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $3,256.29 – $4,564.00 | 5 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $439.06 – $451.97 | 4 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $6,448.00 – $7,433.77 | 5 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $6,448.00 – $7,433.77 | 5 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,298.00 | $2,596.00 | $1,566.60 – $3,408.00 | 5 |
| PSA (Prostate) Test CPT 84153 | $86.00 | $172.00 | $18.39 – $137.46 | 6 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | $18.50 | $37.00 | not published | 0 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $150.50 | $301.00 | not published | 0 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $207.00 | $414.00 | not published | 0 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $219.50 | $439.00 | not published | 0 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $305.50 | $611.00 | $214.89 – $221.21 | 4 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $204.50 | $409.00 | not published | 0 |
| Psycl/nrpsyc tech 1st CPT 96138 | $238.00 | $476.00 | $444.58 – $457.66 | 4 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $73.50 | $147.00 | $132.41 – $136.30 | 4 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $49.00 | $98.00 | not published | 0 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $19.50 | $39.00 | not published | 0 |
| Psytx complex interactive CPT 90785 | $38.00 | $76.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $87.00 | $174.00 | $14.79 – $21.47 | 5 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | not published | not published | $7.73 – $9.15 | 2 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $69.00 | $138.00 | $19.15 – $30.12 | 5 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $90.50 | $181.00 | $14.42 – $19.93 | 5 |
| Pt application of modality traction mechanical CPT 97012 | $75.00 | $150.00 | $14.44 – $21.47 | 5 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $105.12 – $561.00 | 5 |
| Pten gene full sequence CPT 81321 | not published | not published | $600.00 – $1,122.00 | 5 |
| Pten gene known fam variant CPT 81322 | not published | not published | $46.60 – $88.95 | 5 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $5,220.00 – $6,064.68 | 5 |
| Pt evaluation high complexity patient/family CPT 97163 | $289.50 | $579.00 | $98.92 – $122.63 | 5 |
| Pt evaluation low complexity patient/family CPT 97161 | $216.00 | $432.00 | $98.92 – $122.63 | 5 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $263.50 | $527.00 | $98.92 – $122.63 | 5 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $24.89 – $25.62 | 4 |
| Pt prgrm for implt neurostim HCPCS L8681 | not published | not published | $1,347.13 – $1,386.76 | 4 |
| Pt re-evaluation patient/family CPT 97164 | $123.50 | $247.00 | $68.12 – $83.25 | 5 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $112.50 | $225.00 | $30.04 – $30.92 | 4 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $104.50 | $209.00 | $12.74 – $13.11 | 4 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $89.00 | $178.00 | $29.30 – $43.93 | 5 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $79.00 | $158.00 | $29.92 – $41.38 | 5 |
| Pt wheelchair management each 15 minutes CPT 97542 | $89.00 | $178.00 | $31.32 – $48.03 | 5 |
| Pul art balloon repr percut CPT 92997 | $7,506.50 | $15,013.00 | $11,488.76 – $11,826.66 | 4 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $26,244.00 – $26,244.00 | 1 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $5,445.00 – $10,285.00 | 5 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $325.51 – $409.55 | 5 |
| Pulse ox continuous overnight monitoring CPT 94762 | $344.00 | $688.00 | $128.06 – $131.82 | 4 |
| Pulse ox multiple CPT 94761 | $344.00 | $688.00 | not published | 0 |
| Pulse ox single CPT 94760 | $89.50 | $179.00 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $499.50 | $999.00 | $702.49 – $3,408.00 | 5 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $120.00 | $240.00 | $132.41 – $5,220.00 | 5 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $315.00 | $630.00 | $404.56 – $5,220.00 | 5 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $3,299.54 – $3,408.00 | 5 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,485.00 | $2,970.00 | $702.49 – $3,408.00 | 5 |
| Puraply 1 sq cm HCPCS Q4195 | $90.04 | $180.09 | not published | 0 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $86.00 | $172.00 | $2,350.00 – $5,220.00 | 2 |
| Pvb thoracic cont infusion CPT 64463 | $1,403.50 | $2,807.00 | $702.49 – $5,220.00 | 5 |
| Pvb thoracic single inj site CPT 64461 | $1,403.50 | $2,807.00 | $702.49 – $5,220.00 | 5 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $841.17 – $865.91 | 4 |
| Pwr pck base combo vad, rep HCPCS Q0489 | $7,009.54 | $14,019.08 | $19,926.38 – $20,512.45 | 4 |
| Pyelotomy complicated CPT 50135 | not published | not published | $5,220.00 – $5,220.00 | 1 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Pyruvate CPT 84210 | $70.00 | $140.00 | $14.48 – $79.61 | 6 |
| Pyruvate kinase CPT 84220 | $149.50 | $299.00 | $9.44 – $68.76 | 6 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $423.01 – $435.46 | 4 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $132.41 – $136.30 | 4 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,268.00 | $2,536.00 | $530.64 – $556.26 | 5 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,268.00 | $2,536.00 | $332.46 – $409.55 | 5 |
| Quest t3 uptake CPT 84479 | $149.50 | $299.00 | $6.47 – $47.63 | 6 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $684.85 – $704.99 | 4 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $10.99 – $10.99 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $359.49 – $370.06 | 4 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $226.69 – $233.36 | 4 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $285.45 – $293.85 | 4 |
| Rabies vaccine id CPT 90676 | not published | not published | $241.60 – $248.70 | 4 |
| Radial keratotomy CPT 65771 | not published | not published | $5,220.00 – $12,599.00 | 2 |
| Radiation handling CPT 77790 | $251.50 | $503.00 | $11.84 – $11.84 | 1 |
| Radiation physics consult CPT 77336 | $639.00 | $1,278.00 | $133.76 – $156.90 | 5 |
| Radiation therapy dose plan CPT 77300 | $413.50 | $827.00 | $66.75 – $137.70 | 5 |
| Radiation therapy management CPT 77431 | not published | not published | $207.02 – $207.02 | 1 |
| Radiation treatment aid(s) CPT 77332 | $389.50 | $779.00 | $56.30 – $137.70 | 5 |
| Radiation treatment aid(s) CPT 77333 | $448.00 | $896.00 | $133.76 – $137.70 | 5 |
| Radiation treatment aid(s) CPT 77334 | $514.00 | $1,028.00 | $133.54 – $383.59 | 5 |
| Radiation treatment delivery CPT 77401 | not published | not published | $48.64 – $48.64 | 1 |
| Radiation treatment delivery CPT 77402 | $371.00 | $742.00 | $101.54 – $281.73 | 5 |
| Radiation treatment delivery CPT 77412 | $564.50 | $1,129.00 | $518.30 – $566.06 | 5 |
| Radiation tx management x5 CPT 77427 | not published | not published | $375.63 – $375.63 | 1 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Radical resection of elbow CPT 24149 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $2,890.77 – $10,181.00 | 5 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,890.77 – $13,700.00 | 5 |
| Radiesse injection HCPCS Q2026 | not published | not published | $356.17 – $366.65 | 4 |
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.