Sentara Williamsburg Regional Medical Center
100 Sentara Circle, Williamsburg, VA · Sentara · · NPI 1619938149
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 |
|---|---|---|---|---|
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | not published | not published | $2,890.77 – $2,975.79 | 4 |
| Idursulfase injection HCPCS J1743 | not published | not published | $569.63 – $586.38 | 4 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $2,890.77 – $2,975.79 | 4 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $2,890.77 – $2,975.79 | 4 |
| Ifnl3 gene CPT 81283 | not published | not published | $73.37 – $77.04 | 4 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $207.31 – $217.68 | 4 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $68.55 – $71.46 | 4 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $197.99 – $207.89 | 4 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $294.52 – $309.25 | 4 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $172.73 – $181.37 | 4 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | not published | not published | $54.56 – $54.56 | 1 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | not published | not published | $92.36 – $366.34 | 4 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | not published | not published | $42.88 – $174.12 | 4 |
| Ikbkap gene CPT 81260 | not published | not published | $39.31 – $41.28 | 4 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $7,221.37 – $7,433.77 | 4 |
| Iliac revasc add-on 37222 CPT 37222 | not published | not published | $26,537.00 – $26,537.00 | 1 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $58.17 – $59.88 | 4 |
| Img rta detcj/mntr ds staff CPT 92227 | not published | not published | $58.71 – $60.44 | 4 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $37.17 – $38.26 | 4 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $58.71 – $60.44 | 4 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $8,134.14 – $8,373.38 | 4 |
| Immune complex assay CPT 86332 | not published | not published | $24.37 – $25.59 | 4 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $46.22 – $47.58 | 4 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $80.37 – $82.73 | 4 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $48.48 – $49.90 | 4 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | not published | not published | $20.81 – $21.85 | 4 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | not published | not published | $20.81 – $21.85 | 4 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $25.57 – $26.85 | 4 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | not published | not published | $11.98 – $12.58 | 4 |
| Immunodiffusion nes CPT 86329 | not published | not published | $14.05 – $14.75 | 4 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $29.92 – $39.00 | 2 |
| Immunofixation electrophoresis serum CPT 86334 | not published | not published | $22.34 – $23.46 | 4 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $52.45 – $52.45 | 1 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | not published | not published | $42.88 – $174.12 | 4 |
| Immunoglobulin assay CPT 86023 | not published | not published | $12.46 – $13.08 | 4 |
| Impedence cardiogram CPT 93701 | not published | not published | $132.41 – $136.30 | 4 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $17,449.63 – $17,962.85 | 4 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $16,381.79 – $16,863.61 | 4 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Implant brain electrodes CPT 61531 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Implant brain electrodes CPT 61533 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Implant brain electrodes CPT 61760 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Implant cochlear device CPT 69930 | not published | not published | $32,813.81 – $33,778.92 | 4 |
| Implant eye drug system CPT 67027 | not published | not published | $13,885.96 – $14,294.37 | 4 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $444.58 – $457.66 | 4 |
| Implant nerve end CPT 64787 | not published | not published | $2,375.00 – $2,375.00 | 1 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Implant neuroelectrode CPT 61863 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Implant neuroelectrode CPT 61867 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $19,306.96 – $19,874.82 | 4 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $11,089.19 – $11,415.35 | 4 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $6,342.39 – $6,528.94 | 4 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $6,342.39 – $6,528.94 | 4 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Implant neurostim arrays CPT 61886 | not published | not published | $30,709.54 – $31,612.76 | 4 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $21,639.00 – $21,639.00 | 1 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Implant spinal canal cath CPT 62351 | not published | not published | $7,221.37 – $7,433.77 | 4 |
| Implant spine infusion pump CPT 62361 | not published | not published | $17,937.31 – $18,464.88 | 4 |
| Implant spine infusion pump CPT 62362 | not published | not published | $17,937.31 – $18,464.88 | 4 |
| Implant tcat pulm vlv perq CPT 33477 | $24,934.50 | $49,869.00 | $5,226.00 – $5,226.00 | 1 |
| Implant ureter in bowel CPT 50800 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,858.83 – $1,913.50 | 4 |
| Impl neurostim electr perc CPT 63650 | not published | not published | $6,342.39 – $6,528.94 | 4 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $2,375.00 – $2,375.00 | 1 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $8,733.71 – $8,990.59 | 4 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $12,777.04 – $13,152.83 | 4 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $12,777.04 – $13,152.83 | 4 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $12,777.04 – $13,152.83 | 4 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $4,113.58 – $4,234.56 | 4 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $304.71 – $313.68 | 4 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $3,299.54 – $3,396.58 | 4 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $3,299.54 – $3,396.58 | 4 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $3,299.54 – $3,396.58 | 4 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $3,299.54 – $3,396.58 | 4 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $5,891.41 – $6,064.68 | 4 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $5,891.41 – $6,064.68 | 4 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $235.71 – $242.65 | 4 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $5,891.41 – $6,064.68 | 4 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $3,299.54 – $3,396.58 | 4 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $3,299.54 – $3,396.58 | 4 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $3,299.54 – $3,396.58 | 4 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $1,544.13 – $1,589.55 | 4 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $44.05 – $45.35 | 4 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $1,125.25 – $1,158.35 | 4 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $2,609.53 – $2,609.53 | 1 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | not published | not published | $848.09 – $873.03 | 4 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | not published | not published | $760.53 – $782.90 | 4 |
| In-111 pentetreotide HCPCS A9572 | not published | not published | $2,040.96 – $2,100.99 | 4 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $3,256.29 – $3,352.06 | 4 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $7,221.37 – $7,433.77 | 4 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $3,256.29 – $3,352.06 | 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.