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 |
|---|---|---|---|---|
| Susceptibility mic per plate CPT 87186 | $238.50 | $477.00 | $8.65 – $63.05 | 6 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.64 – $47.46 | 6 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Suspension of testis CPT 54620 | not published | not published | $3,508.06 – $5,220.00 | 5 |
| Suspension of uterus CPT 58410 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $5,220.00 – $16,996.00 | 2 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $142.87 – $147.07 | 4 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Svc venogram s&i CPT 75827 | $1,736.00 | $3,472.00 | $154.40 – $1,612.67 | 5 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $5.26 – $53.26 | 6 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $2,612.18 – $2,689.01 | 4 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $3,449.01 – $3,550.45 | 4 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $318.18 – $327.54 | 4 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $379.85 – $391.02 | 4 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $277.27 – $285.42 | 4 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $560.43 – $576.91 | 4 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,943.35 – $4,564.00 | 5 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,943.35 – $5,220.00 | 5 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $3,256.29 – $4,564.00 | 5 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Synthetic sentence id test CPT 92576 | not published | not published | $37.17 – $38.26 | 4 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $8.11 – $8.35 | 4 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $66.50 | $133.00 | $4.40 – $33.09 | 6 |
| System cardiomems hosp electronics HCPCS C2624 | $13,118.62 | $26,237.25 | not published | 0 |
| System pacing micra av HCPCS C1786 | $8,453.36 | $16,906.73 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $16,721.46 | $33,442.92 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $244.50 | $489.00 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $103.00 | $206.00 | $16.94 – $119.93 | 6 |
| T3 (triiodothyronine) total CPT 84480 | $187.00 | $374.00 | $14.18 – $101.81 | 6 |
| T4 (thyroxine) free CPT 84439 | $77.50 | $155.00 | $9.02 – $66.65 | 6 |
| T4 (thyroxine) total CPT 84436 | $128.00 | $256.00 | $6.87 – $50.47 | 6 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $268.41 – $276.31 | 4 |
| Tacrolimus therapeutic drug level CPT 80197 | $134.00 | $268.00 | $13.73 – $97.27 | 6 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $14.60 – $15.03 | 4 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $75.41 – $77.63 | 4 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $74.07 – $76.25 | 4 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $2,350.00 – $5,220.00 | 2 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $2,350.00 – $5,220.00 | 2 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,342.00 | $4,684.00 | $107.80 – $1,420.32 | 5 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,919.60 – $5,459.65 | 5 |
| Target gsa panel organ neop CPT 81445 | $1,387.50 | $2,775.00 | $107.80 – $1,118.08 | 5 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,595.93 – $1,642.87 | 4 |
| Tas congenital car anomal CPT 33741 | $2,802.00 | $5,604.00 | $5,169.00 – $5,169.00 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $735.52 – $5,220.00 | 5 |
| Tavr perq femoral CPT 33361 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.29 – $0.29 | 4 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $137.00 – $256.19 | 5 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $80.76 – $80.76 | 1 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $20.22 – $20.22 | 1 |
| Tbs techl calculation only CPT 77091 | not published | not published | $55.90 – $89.15 | 5 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $4.64 – $89.15 | 5 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $100.00 – $558.43 | 6 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $49.50 | $99.00 | $61.98 – $459.74 | 6 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $2,088.54 – $2,088.54 | 1 |
| Tc-99m bicisate HCPCS A9557 | $948.00 | $1,896.00 | $791.03 – $814.30 | 4 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $998.00 | $1,996.00 | $952.81 – $980.84 | 4 |
| Tc-99m exametazime diag HCPCS A9521 | $543.50 | $1,087.00 | $946.26 – $974.10 | 4 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $335.17 – $345.03 | 4 |
| Tc-99m labeled rbc HCPCS A9560 | $120.50 | $241.00 | not published | 0 |
| Tc-99m maa HCPCS A9540 | $941.50 | $1,883.00 | not published | 0 |
| Tc-99m mebrofenin HCPCS A9537 | $103.50 | $207.00 | not published | 0 |
| Tc-99m medronate HCPCS A9503 | $63.00 | $126.00 | not published | 0 |
| Tc-99m mertiatide HCPCS A9562 | $378.00 | $756.00 | not published | 0 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $6.50 | $13.00 | $25.80 – $25.80 | 1 |
| Tc-99m oxidronate HCPCS A9561 | $26.00 | $52.00 | not published | 0 |
| Tc-99m pentetate dtpa HCPCS A9539 | $706.00 | $1,412.00 | not published | 0 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $145.00 | $290.00 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $7.50 | $15.00 | not published | 0 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $63.50 | $127.00 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $367.50 | $735.00 | not published | 0 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $383.00 | $766.00 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $99.00 | $198.00 | not published | 0 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $170.00 | $340.00 | not published | 0 |
| Tc-99m tilmanocept diag HCPCS A9520 | $472.50 | $945.00 | not published | 0 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $735.52 – $5,220.00 | 5 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $104.04 – $107.10 | 4 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $104.04 – $107.10 | 4 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $439.06 – $3,408.00 | 5 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $127.50 | $255.00 | $46.98 – $310.18 | 6 |
| T cells absolute cd 4 count CPT 86361 | $117.50 | $235.00 | $26.78 – $162.53 | 6 |
| T cells total count CPT 86359 | $135.50 | $271.00 | $37.73 – $247.08 | 6 |
| Tcranial magn stim tx deli CPT 90868 | $494.50 | $989.00 | $214.89 – $221.21 | 4 |
| Tcranial magn stim tx plan CPT 90867 | $494.50 | $989.00 | $214.89 – $221.21 | 4 |
| Tcran magn stim redetemine CPT 90869 | $469.00 | $938.00 | $214.89 – $221.21 | 4 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $5,169.00 – $5,220.00 | 2 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $221.43 – $227.94 | 4 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $780.16 – $803.10 | 4 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $780.16 – $803.10 | 4 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $65.54 – $67.46 | 4 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.26 – $7.47 | 4 |
| Telethx isodose plan cplx CPT 77307 | $905.50 | $1,811.00 | $271.19 – $383.59 | 5 |
| Telethx isodose plan simple CPT 77306 | $788.00 | $1,576.00 | $150.17 – $383.59 | 5 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.60 – $10.91 | 4 |
| Temperature gradient studies CPT 93740 | not published | not published | $128.06 – $131.82 | 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.