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 |
|---|---|---|---|---|
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $902.63 – $3,408.00 | 5 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,909.69 – $5,220.00 | 5 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $6,041.75 – $13,700.00 | 5 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.01 | 4 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $76.50 | $153.00 | $5.39 – $39.31 | 6 |
| Smear gram stain CPT 87205 | $46.00 | $92.00 | $4.27 – $31.33 | 6 |
| Smear nasal eosinophil CPT 89190 | $85.00 | $170.00 | $5.79 – $34.68 | 6 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $23.50 | $47.00 | $5.99 – $43.51 | 6 |
| Smear wet mount CPT 87210 | $76.50 | $153.00 | $5.82 – $31.64 | 6 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $563.53 | 5 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $346.32 | 5 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $87.89 | 5 |
| Snrpn/ube3a gene CPT 81331 | $382.50 | $765.00 | $51.07 – $95.50 | 5 |
| So airplane w/wo joint cf HCPCS L3674 | $650.50 | $1,301.00 | $1,316.18 – $1,354.89 | 4 |
| So cap design without jnts cf HCPCS L3671 | $248.92 | $497.84 | $1,003.35 – $1,032.86 | 4 |
| Socket insert above knee HCPCS L5658 | not published | not published | $481.03 – $495.18 | 4 |
| Socket insert below knee HCPCS L5655 | $174.92 | $349.83 | $350.64 – $360.95 | 4 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $493.95 – $508.47 | 4 |
| Socket insert symes HCPCS L5654 | not published | not published | $414.14 – $426.32 | 4 |
| Socket insert without lock mech HCPCS L5679 | $477.66 | $955.31 | $731.07 – $752.58 | 4 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $877.30 – $903.10 | 4 |
| Sock fracture or equal each HCPCS L3995 | $30.02 | $60.03 | $40.91 – $42.12 | 4 |
| Sock wool above knee HCPCS L8430 | $21.22 | $42.44 | $27.64 – $28.46 | 4 |
| Sodium 24 hour urine CPT 84300 | $32.50 | $65.00 | $5.06 – $35.44 | 6 |
| Sodium serum/plasma/whole blood CPT 84295 | $61.50 | $123.00 | $4.81 – $35.84 | 6 |
| Soft interface below knee se HCPCS L2820 | $69.86 | $139.73 | $101.79 – $104.78 | 4 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $86.61 – $89.15 | 4 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $2,515.72 | 5 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $2,236.21 | 5 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $6,149.53 | 5 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $1,956.68 | 5 |
| Somatosensory testing CPT 95927 | not published | not published | $214.89 – $221.21 | 4 |
| Somatropin injection HCPCS J2941 | not published | not published | $126.21 – $126.21 | 1 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $5,590.46 | 5 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $1,677.15 | 5 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $25.55 – $26.30 | 4 |
| So vest canvas/web pre ots HCPCS L3675 | $94.70 | $189.41 | $195.41 – $201.16 | 4 |
| Spacer bag/reservoir HCPCS A4627 | $20.18 | $40.37 | not published | 0 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $5,220.00 – $16,996.00 | 2 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $5,220.00 – $16,996.00 | 2 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $2,350.00 – $5,220.00 | 2 |
| Special physics consult CPT 77370 | $575.50 | $1,151.00 | $133.76 – $244.24 | 5 |
| Special radiation dosimetry CPT 77331 | $378.50 | $757.00 | $37.51 – $137.70 | 5 |
| Special radiation treatment CPT 77470 | $1,850.00 | $3,700.00 | $50.05 – $566.06 | 5 |
| Special supplies phys/qhp CPT 99070 | $18.63 | $37.26 | not published | 0 |
| Special teletx port plan CPT 77321 | $919.00 | $1,838.00 | $86.22 – $383.59 | 5 |
| Specific gravity body fluid CPT 84315 | $59.00 | $118.00 | $3.28 – $18.18 | 6 |
| Specimen fat stain CPT 89125 | not published | not published | $5.88 – $30.56 | 6 |
| Speech audiometry complete CPT 92556 | not published | not published | $58.71 – $60.44 | 4 |
| Speech evaluation complex CPT 70371 | not published | not published | $108.48 – $244.44 | 5 |
| Speech recep thresh CPT 92555 | not published | not published | $58.71 – $60.44 | 4 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $77.33 | 6 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $151.23 | 6 |
| Sperm identification CPT 89257 | not published | not published | $51.86 – $444.75 | 6 |
| Sperm isolation complex CPT 89261 | not published | not published | $51.86 – $208.46 | 6 |
| Sperm isolation simple CPT 89260 | not published | not published | $51.86 – $208.46 | 6 |
| Sperm washing 58323 CPT 58323 | not published | not published | $30.18 – $3,408.00 | 6 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $5,891.41 – $6,448.00 | 5 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,762.33 – $5,220.00 | 5 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $2,350.00 – $5,220.00 | 2 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $5,220.00 – $16,996.00 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,938.00 | $3,876.00 | $702.49 – $5,220.00 | 5 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $5,220.00 – $13,152.83 | 5 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $214.89 – $221.21 | 4 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $475.00 | $950.00 | $371.37 – $382.29 | 4 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $128.06 – $131.82 | 4 |
| Spleen imaging CPT 78185 | $679.00 | $1,358.00 | $305.27 – $409.55 | 5 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Splicing of ureters CPT 50770 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Splint arm vnyl coated padded lft med HCPCS Q4051 | $28.98 | $57.96 | not published | 0 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $211.14 | $422.28 | $483.30 – $504.69 | 4 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $25.88 | $51.75 | $57.64 – $59.34 | 4 |
| Splint finger 4 prong foam sm HCPCS A4570 | $34.16 | $68.31 | not published | 0 |
| Splint finger fold over sm HCPCS L3924 | $77.62 | $155.25 | $105.93 – $110.64 | 4 |
| Splint finger frog med HCPCS L3927 | $18.63 | $37.26 | $38.93 – $40.08 | 4 |
| Splint fing stax assort 1-7in HCPCS Q4049 | $8.28 | $16.56 | not published | 0 |
| Splint func pos polyflex ii med HCPCS L3999 | $32.60 | $65.21 | not published | 0 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $63.66 | $127.31 | $107.48 – $110.64 | 4 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $4,958.50 | $9,917.00 | $3,526.71 – $4,564.00 | 5 |
| Split blood or products CPT 86985 | $92.00 | $184.00 | $17.76 – $174.12 | 6 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $89.93 – $92.58 | 4 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $2,350.00 – $5,220.00 | 2 |
| Sprchoroidal spc njx rx agt CPT 67516 | not published | not published | $328.72 – $338.39 | 4 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $920.95 – $948.03 | 4 |
| Sputum specimen collection CPT 89220 | not published | not published | $20.08 – $174.12 | 6 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $4,229.26 – $4,353.65 | 4 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $5,220.00 – $26,244.00 | 2 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $5,220.00 – $26,244.00 | 2 |
| Srs cran les complex addl CPT 61799 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Srs cran les simple addl CPT 61797 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $328.00 | 5 |
| Srs linear based CPT 77372 | $10,508.50 | $21,017.00 | $2,103.11 – $7,545.51 | 5 |
| Srs multisource CPT 77371 | $14,869.00 | $29,738.00 | $2,388.23 – $7,545.51 | 5 |
| Srs spinal lesion CPT 63620 | not published | not published | $5,220.00 – $26,244.00 | 2 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Staggered spondaic word test CPT 92572 | not published | not published | $128.06 – $131.82 | 4 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $269.13 – $277.04 | 4 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $328.50 | $657.00 | $110.68 – $175.74 | 5 |
| Stance phase only HCPCS L5858 | not published | not published | $22,783.20 – $23,453.29 | 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.