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 |
|---|---|---|---|---|
| Revision of horseshoe kidney CPT 50540 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Revision of ileostomy complicated 44314 CPT 44314 | not published | not published | $3,526.71 – $5,220.00 | 5 |
| Revision of ileostomy; simple 44312 CPT 44312 | not published | not published | $3,408.00 – $3,630.44 | 5 |
| Revision of infusion pump CPT 36261 | not published | not published | $3,719.02 – $4,564.00 | 5 |
| Revision of iris CPT 66761 | $1,077.50 | $2,155.00 | $547.36 – $3,408.00 | 5 |
| Revision of iris CPT 66762 | $762.50 | $1,525.00 | $547.36 – $3,408.00 | 5 |
| Revision of jaw muscle/bone CPT 21295 | not published | not published | $1,544.13 – $3,408.00 | 5 |
| Revision of jaw muscle/bone CPT 21296 | not published | not published | $3,299.54 – $3,408.00 | 5 |
| Revision of kidney/ureter CPT 50400 | not published | not published | $5,220.00 – $16,996.00 | 2 |
| Revision of kidney/ureter CPT 50405 | not published | not published | $5,220.00 – $16,996.00 | 2 |
| Revision of knee joint CPT 27440 | not published | not published | $7,337.00 – $13,152.83 | 5 |
| Revision of knee joint CPT 27441 | not published | not published | $7,337.00 – $13,152.83 | 5 |
| Revision of knee joint CPT 27442 | not published | not published | $7,337.00 – $13,152.83 | 5 |
| Revision of knee joint CPT 27443 | not published | not published | $7,337.00 – $13,152.83 | 5 |
| Revision of knee joint CPT 27446 | not published | not published | $5,220.00 – $13,152.83 | 5 |
| Revision of knee joint CPT 27445 | not published | not published | $5,220.00 – $26,244.00 | 2 |
| Revision of larynx CPT 31400 | not published | not published | $4,564.00 – $6,064.68 | 5 |
| Revision of leg vein 37780 CPT 37780 | not published | not published | $3,142.32 – $5,220.00 | 5 |
| Revision of lung CPT 32940 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Revision of mitral valve CPT 33420 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Revision of mitral valve CPT 33422 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Revision of neck muscle CPT 21700 | not published | not published | $4,564.00 – $7,433.77 | 5 |
| Revision of neck muscle CPT 21720 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Revision of neck muscle CPT 21725 | not published | not published | $704.73 – $5,220.00 | 5 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Revision of nose CPT 30120 | not published | not published | $3,299.54 – $3,408.00 | 5 |
| Revision of nose CPT 30430 | not published | not published | $5,220.00 – $6,064.68 | 5 |
| Revision of nose CPT 30435 | not published | not published | $5,891.41 – $7,337.00 | 5 |
| Revision of nose CPT 30450 | not published | not published | $5,891.41 – $10,181.00 | 5 |
| Revision of nose CPT 30460 | not published | not published | $5,891.41 – $10,181.00 | 5 |
| Revision of nose CPT 30462 | not published | not published | $5,891.41 – $13,700.00 | 5 |
| Revision of pelvis CPT 27158 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Revision of penis CPT 54300 | not published | not published | $3,508.06 – $5,220.00 | 5 |
| Revision of penis CPT 54304 | not published | not published | $3,508.06 – $5,220.00 | 5 |
| Revision of penis CPT 54420 | not published | not published | $3,508.06 – $6,448.00 | 5 |
| Revision of penis CPT 54430 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Revision of penis CPT 54435 | not published | not published | $3,508.06 – $6,448.00 | 5 |
| Revision of pharyngeal walls CPT 42892 | not published | not published | $5,891.41 – $10,181.00 | 5 |
| Revision of pharyngeal walls CPT 42894 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Revision of pulmonary artery CPT 33788 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Revision of pulmonary valve CPT 33474 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Revision of radius CPT 25350 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Revision of radius CPT 25355 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $1,943.35 – $4,564.00 | 5 |
| Revision of scrotum CPT 55175 | not published | not published | $3,408.00 – $3,611.23 | 5 |
| Revision of scrotum CPT 55180 | not published | not published | $4,564.00 – $5,492.99 | 5 |
| Revision of spinal shunt CPT 63744 | not published | not published | $3,399.75 – $5,220.00 | 5 |
| Revision of testis CPT 54660 | not published | not published | $4,564.00 – $5,492.99 | 5 |
| Revision of thigh muscles CPT 27430 | not published | not published | $6,448.00 – $7,433.77 | 5 |
| Revision of toe CPT 28312 | not published | not published | $3,256.29 – $5,220.00 | 5 |
| Revision of tricuspid valve CPT 33468 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Revision of tricuspid valve w/bypass 33460 CPT 33460 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Revision of ulna CPT 25360 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $7,221.37 – $10,181.00 | 5 |
| Revision of upper arm CPT 24940 | not published | not published | $5,220.00 – $13,152.83 | 5 |
| Revision of ureter CPT 50700 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Revision of urethra CPT 53450 | not published | not published | $3,408.00 – $3,611.23 | 5 |
| Revision of urethra CPT 53460 | not published | not published | $3,408.00 – $3,611.23 | 5 |
| Revision of urethra CPT 57220 | not published | not published | $4,978.43 – $5,220.00 | 5 |
| Revision of urinary tract CPT 51820 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Revision open av fistula without thromb CPT 36832 | $3,830.00 | $7,660.00 | $5,537.77 – $6,448.00 | 5 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $5,891.41 – $10,181.00 | 5 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $5,220.00 – $7,433.77 | 5 |
| Revision tips CPT 37183 | $7,560.50 | $15,121.00 | $5,220.00 – $5,830.83 | 5 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $5,220.00 – $13,152.83 | 5 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $5,220.00 – $13,152.83 | 5 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $5,537.77 – $13,700.00 | 5 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $5,537.77 – $13,700.00 | 5 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $5,891.41 – $10,181.00 | 5 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $5,891.41 – $10,181.00 | 5 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $5,220.00 – $5,492.99 | 5 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $3,479.32 – $3,581.65 | 4 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $5,891.41 – $10,181.00 | 5 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $3,408.00 – $3,581.65 | 5 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $3,408.00 – $3,581.65 | 5 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $3,408.00 – $3,581.65 | 5 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $5,220.00 – $17,962.85 | 5 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $5,220.00 – $17,962.85 | 5 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $30,709.54 – $31,537.49 | 4 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $5,169.00 – $17,920.08 | 4 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $11,089.19 – $11,415.35 | 4 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $5,220.00 – $26,244.00 | 2 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.84 – $11.16 | 4 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $3,188.50 | $6,377.00 | $1,943.35 – $5,220.00 | 5 |
| Rheumatoid factor qualitative CPT 86430 | $25.00 | $50.00 | $6.14 – $42.43 | 6 |
| Rheumatoid factor quantitative CPT 86431 | $31.00 | $62.00 | $5.67 – $42.43 | 6 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $5,891.41 – $6,448.00 | 5 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $25.97 – $26.73 | 4 |
| R hrt cath chd abnl nt cnj CPT 93594 | $6,933.50 | $13,867.00 | $3,226.37 – $3,321.26 | 4 |
| R hrt cath chd nml nt cnj CPT 93593 | $12,217.00 | $24,434.00 | $3,226.37 – $3,321.26 | 4 |
| Rib cartilage graft CPT 21230 | not published | not published | $5,891.41 – $10,181.00 | 5 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $121.12 – $124.69 | 4 |
| Right heart cath congenital CPT 93530 | not published | not published | $5,220.00 – $5,220.00 | 1 |
| Right ventric recording CPT 93603 | $2,361.50 | $4,723.00 | $1,211.69 – $1,247.33 | 4 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $299.36 – $308.16 | 4 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $221.47 – $227.99 | 4 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $80.50 | $161.00 | 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.