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 |
|---|---|---|---|---|
| Ligation major artery neck CPT 37615 | not published | not published | $3,142.32 – $3,234.74 | 4 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $3,142.32 – $3,234.74 | 4 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $5,537.77 – $5,700.64 | 4 |
| Ligation of femoral vein CPT 37650 | not published | not published | $3,142.32 – $3,234.74 | 4 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $5,537.77 – $5,700.64 | 4 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,142.32 – $3,234.74 | 4 |
| Ligation of salivary duct CPT 42665 | not published | not published | $3,299.54 – $3,396.58 | 4 |
| Ligation of shunt CPT 49428 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $3,142.32 – $3,234.74 | 4 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $3,142.32 – $3,234.74 | 4 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $3,142.32 – $3,234.74 | 4 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $3,142.32 – $3,234.74 | 4 |
| Limb exercise test CPT 95875 | not published | not published | $128.06 – $131.82 | 4 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $2,375.00 – $2,375.00 | 1 |
| Limited autopsy CPT 88036 | not published | not published | $118.21 – $118.21 | 1 |
| Limited autopsy CPT 88037 | not published | not published | $94.39 – $94.39 | 1 |
| Limited visual field xm CPT 92081 | not published | not published | $58.71 – $60.44 | 4 |
| Lipase CPT 83690 | not published | not published | $6.89 – $7.23 | 4 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $3,299.54 – $3,396.58 | 4 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $33.86 – $35.55 | 4 |
| Lipoprotein blood quant CPT 83704 | not published | not published | $34.19 – $35.90 | 4 |
| Lipoprotein direct measurement hdl CPT 83718 | not published | not published | $8.19 – $8.60 | 4 |
| Lipoprotein direct measurement ldl CPT 83721 | not published | not published | $10.50 – $11.02 | 4 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.19 – $35.90 | 4 |
| Lip surgery procedure CPT 40799 | not published | not published | $235.71 – $242.65 | 4 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $0.03 – $590,665.09 | 4 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.19 – $13.85 | 4 |
| Lithium therapeutic drug level CPT 80178 | not published | not published | $6.61 – $6.94 | 4 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $185.00 | 4 |
| Liver elastography 91200 CPT 91200 | not published | not published | $128.06 – $131.82 | 4 |
| Liver Function Test CPT 80076 | not published | not published | $8.17 – $8.58 | 4 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Liver imaging CPT 78201 | not published | not published | $540.36 – $556.26 | 4 |
| Liver imag w/vasclr flow CPT 78202 | not published | not published | $540.36 – $556.26 | 4 |
| Liver/spleen imag static only CPT 78215 | not published | not published | $397.85 – $409.55 | 4 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $397.85 – $409.55 | 4 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,366.07 – $2,435.66 | 4 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $3,256.29 – $3,352.06 | 4 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $221.24 – $227.75 | 4 |
| Loudness balance test CPT 92562 | not published | not published | $214.89 – $221.21 | 4 |
| Low back disk surgery CPT 63030 | not published | not published | $7,221.37 – $7,433.77 | 4 |
| Low cost skin substitute app HCPCS C5271 | not published | not published | $2,375.00 – $2,375.00 | 1 |
| Low cost skin substitute app HCPCS C5273 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Low cost skin substitute app HCPCS C5275 | not published | not published | $2,375.00 – $2,375.00 | 1 |
| Low cost skin substitute app HCPCS C5277 | not published | not published | $2,375.00 – $2,375.00 | 1 |
| Low cost skin substitute app HCPCS C5272 | not published | not published | $2,375.00 – $2,375.00 | 1 |
| Low cost skin substitute app HCPCS C5274 | not published | not published | $2,375.00 – $2,375.00 | 1 |
| Low cost skin substitute app HCPCS C5276 | not published | not published | $2,375.00 – $2,375.00 | 1 |
| Low cost skin substitute app HCPCS C5278 | not published | not published | $2,375.00 – $2,375.00 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | not published | not published | $174.56 – $179.69 | 4 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | not published | not published | $347.20 – $357.41 | 4 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | not published | not published | $104.04 – $107.10 | 4 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | not published | not published | $347.20 – $357.41 | 4 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | not published | not published | $347.20 – $357.41 | 4 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | not published | not published | $237.46 – $244.44 | 4 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | not published | not published | $104.04 – $107.10 | 4 |
| Lower jaw bone graft CPT 21215 | not published | not published | $5,891.41 – $6,064.68 | 4 |
| Low frequency non-thermal Ultrasound CPT 97610 | not published | not published | $199.67 – $205.54 | 4 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $10,578.79 – $10,889.94 | 4 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $10,578.79 – $10,889.94 | 4 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $10,578.79 – $10,889.94 | 4 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $10,578.79 – $10,889.94 | 4 |
| L/s ratio fetal lung CPT 83661 | not published | not published | $21.99 – $23.09 | 4 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $1,943.35 – $2,000.51 | 4 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $17,449.63 – $17,962.85 | 4 |
| Lumizyme injection HCPCS J0221 | not published | not published | $210.72 – $216.92 | 4 |
| Lung function test (mbc/mvv) CPT 94200 | not published | not published | $58.71 – $60.44 | 4 |
| Lung Function Test (Spirometry) CPT 94010 | not published | not published | $214.89 – $221.21 | 4 |
| Lung perfusion imaging CPT 78580 | not published | not published | $397.85 – $409.55 | 4 |
| Lung transplant double CPT 32853 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Lung transplant single CPT 32851 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Lung transplant with bypass CPT 32852 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Lung transplant with bypass CPT 32854 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $211.27 – $217.48 | 4 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $42.82 – $44.08 | 4 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | not published | not published | $323.33 – $332.84 | 4 |
| Lutetium lu 177 vipivotide HCPCS A9607 | not published | not published | $260.96 – $268.63 | 4 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $28.78 – $29.63 | 4 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $21.05 | 4 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $8,134.14 – $8,373.38 | 4 |
| Lymphatics/lymph node imaging CPT 78195 | not published | not published | $540.36 – $556.26 | 4 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $38.39 | 4 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $49.03 – $51.48 | 4 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $89.87 – $195.20 | 4 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $49.97 | 4 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $624.29 – $642.65 | 4 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $1,566.60 – $1,612.67 | 4 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $3,142.32 – $3,234.74 | 4 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $3,142.32 – $3,234.74 | 4 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $536.74 – $552.53 | 4 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $3,221.58 – $3,316.33 | 4 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $2,080.35 – $2,141.53 | 4 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $7.74 – $7.74 | 1 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $4.27 – $4.48 | 4 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $4.31 – $4.53 | 4 |
| Magnesium CPT 83735 | not published | not published | $6.70 – $7.04 | 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.