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 |
|---|---|---|---|---|
| Pcv21 vaccine im CPT 90684 | not published | not published | $1,072.20 – $1,072.20 | 1 |
| Pdgfra gene CPT 81314 | not published | not published | $329.51 – $345.99 | 4 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | not published | not published | $199.67 – $205.54 | 4 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $2,053.37 – $2,113.77 | 4 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $128.06 – $131.82 | 4 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $128.06 – $131.82 | 4 |
| Pedicle enel/ntroral 15576 CPT 15576 | not published | not published | $2,053.37 – $2,113.77 | 4 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $28,992.54 – $29,845.26 | 4 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $91.13 – $93.81 | 4 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $133.78 – $137.72 | 4 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $108.46 – $111.65 | 4 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $188.61 – $194.15 | 4 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $101.11 – $104.08 | 4 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $140.72 – $144.86 | 4 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,734.05 – $3,843.88 | 4 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $232.72 – $239.56 | 4 |
| Pelvic CT scan (with and without contrast) CPT 72194 | not published | not published | $174.56 – $179.69 | 4 |
| Pelvic CT scan (with contrast) CPT 72193 | not published | not published | $174.56 – $179.69 | 4 |
| Pelvic CT scan (without contrast) CPT 72192 | not published | not published | $104.04 – $107.10 | 4 |
| Pelvic exenteration CPT 45126 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Pelvic MRI (with and without contrast) CPT 72197 | not published | not published | $347.20 – $357.41 | 4 |
| Pelvic MRI (with contrast) CPT 72196 | not published | not published | $347.20 – $357.41 | 4 |
| Pelvic MRI (without contrast) CPT 72195 | not published | not published | $237.46 – $244.44 | 4 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $7,221.37 – $7,433.77 | 4 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $7,221.37 – $7,433.77 | 4 |
| Pelvic Ultrasound (complete) CPT 76856 | not published | not published | $104.04 – $107.10 | 4 |
| Pelvic Ultrasound (limited) CPT 76857 | not published | not published | $104.04 – $107.10 | 4 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $61.50 – $63.31 | 4 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $4.44 – $4.57 | 4 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $19.91 – $20.50 | 4 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $30.61 – $31.51 | 4 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $154.31 – $154.31 | 1 |
| Penile injection CPT 54235 | not published | not published | $248.65 – $255.96 | 4 |
| Penile vascular study CPT 93980 | not published | not published | $104.04 – $107.10 | 4 |
| Penile vascular study CPT 93981 | not published | not published | $104.04 – $107.10 | 4 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,508.06 – $3,611.23 | 4 |
| Penis plastic surgery CPT 54360 | not published | not published | $3,508.06 – $3,611.23 | 4 |
| Penis study CPT 54240 | not published | not published | $214.89 – $221.21 | 4 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,660.32 – $2,738.56 | 4 |
| Perc cryo ablate renal tum CPT 50593 | not published | not published | $10,578.79 – $10,889.94 | 4 |
| Perc d-e cor revasc chro add HCPCS C9608 | not published | not published | $36,037.00 – $36,037.00 | 1 |
| Perc d-e cor revasc chro sin HCPCS C9607 | not published | not published | $18,243.62 – $18,780.19 | 4 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | not published | not published | $2,375.00 – $2,375.00 | 1 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | not published | not published | $11,488.76 – $11,826.66 | 4 |
| Perc d-e cor stent ather br HCPCS C9603 | not published | not published | $2,375.00 – $2,375.00 | 1 |
| Perc d-e cor stent ather s HCPCS C9602 | not published | not published | $18,243.62 – $18,780.19 | 4 |
| Perc drug-el cor stent bran HCPCS C9601 | not published | not published | $2,375.00 – $2,375.00 | 1 |
| Perc drug-el cor stent sing HCPCS C9600 | not published | not published | $11,488.76 – $11,826.66 | 4 |
| Perc rf ablate renal tumor CPT 50592 | not published | not published | $6,016.50 – $6,193.46 | 4 |
| Percut ablate liver rf CPT 47382 | not published | not published | $6,016.50 – $6,193.46 | 4 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Pericardiocentesis wwo imaging CPT 33016 | not published | not published | $1,566.60 – $1,612.67 | 4 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $3,896.63 – $4,011.24 | 4 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $3,221.58 – $3,316.33 | 4 |
| Peripheral vascular rehab CPT 93668 | not published | not published | $58.71 – $60.44 | 4 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $5,537.77 – $5,700.64 | 4 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $543.79 – $559.79 | 4 |
| Perit-vens shunt pat tst CPT 78291 | not published | not published | $397.85 – $409.55 | 4 |
| Perq art m-thrombect &/nfs CPT 61645 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Perq clsr tcat l atr apndge CPT 33340 | not published | not published | $21,639.00 – $21,639.00 | 1 |
| Perq dev breast 1st mr guide CPT 19287 | not published | not published | $704.73 – $725.46 | 4 |
| Perq dev breast 1st strtctc CPT 19283 | not published | not published | $704.73 – $725.46 | 4 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $9,421.01 – $9,698.10 | 4 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $9,421.01 – $9,698.10 | 4 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $11,488.76 – $11,826.66 | 4 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $18,243.62 – $18,780.19 | 4 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $11,488.76 – $11,826.66 | 4 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $11,488.76 – $11,826.66 | 4 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $2,375.00 – $2,375.00 | 1 |
| Perq plmt bile duct stent CPT 47538 | not published | not published | $6,016.50 – $6,193.46 | 4 |
| Perq plmt bile duct stent CPT 47539 | not published | not published | $6,016.50 – $6,193.46 | 4 |
| Perq plmt bile duct stent CPT 47540 | not published | not published | $6,016.50 – $6,193.46 | 4 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | not published | not published | $248.65 – $255.96 | 4 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $3,256.29 – $3,352.06 | 4 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $3,256.29 – $3,352.06 | 4 |
| Perq transcath closure each CPT 93592 | not published | not published | $2,375.00 – $2,375.00 | 1 |
| Perq transcath closure pda CPT 93582 | not published | not published | $18,243.62 – $18,780.19 | 4 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $18,243.62 – $18,780.19 | 4 |
| Perq transcath cls mitral CPT 93590 | not published | not published | $18,243.62 – $18,780.19 | 4 |
| Perq transcath septal reduxn CPT 93583 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $3,256.29 – $3,352.06 | 4 |
| Perq tx malar fracture CPT 21355 | not published | not published | $3,299.54 – $3,396.58 | 4 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $5,226.00 – $6,050.24 | 4 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $3,299.54 – $3,396.58 | 4 |
| Pertussis ag if CPT 87265 | not published | not published | $11.98 – $12.58 | 4 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $17.36 – $17.87 | 4 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $63.34 – $65.20 | 4 |
| Pet CT skull-mid thgh initial CPT 78815 | not published | not published | $1,423.08 – $1,464.94 | 4 |
| Pet CT whole body initial CPT 78816 | not published | not published | $1,423.08 – $1,464.94 | 4 |
| Pet fdg brain metoblic eval sb CPT 78608 | not published | not published | $1,423.08 – $1,464.94 | 4 |
| Pet image full body CPT 78813 | not published | not published | $1,423.08 – $1,464.94 | 4 |
| Pet image ltd area CPT 78811 | not published | not published | $1,288.43 – $1,326.33 | 4 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,423.08 – $1,464.94 | 4 |
| Pet image w/ct lmtd CPT 78814 | not published | not published | $1,423.08 – $1,464.94 | 4 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $397.85 – $409.55 | 4 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $20.20 – $20.79 | 4 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $29.39 – $30.25 | 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.