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 |
|---|---|---|---|---|
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | not published | not published | $4.40 – $4.62 | 4 |
| T3 (triiodothyronine) free CPT 84481 | not published | not published | $16.94 – $17.79 | 4 |
| T3 (triiodothyronine) total CPT 84480 | not published | not published | $14.18 – $14.89 | 4 |
| T4 (thyroxine) free CPT 84439 | not published | not published | $9.02 – $9.47 | 4 |
| T4 (thyroxine) total CPT 84436 | not published | not published | $6.87 – $7.21 | 4 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $268.41 – $276.31 | 4 |
| Tacrolimus therapeutic drug level CPT 80197 | not published | not published | $13.73 – $14.42 | 4 |
| 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 | $5,226.00 – $5,226.00 | 1 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| 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 | $2,375.00 – $2,375.00 | 1 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $2,375.00 – $2,375.00 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $107.80 – $782.32 | 4 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $2,919.60 – $3,065.58 | 4 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $107.80 – $615.85 | 4 |
| 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 | $5,226.00 – $5,226.00 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $735.52 – $757.16 | 4 |
| Tavr perq femoral CPT 33361 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| 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 – $143.85 | 4 |
| Tbs techl calculation only CPT 77091 | not published | not published | $86.61 – $89.15 | 4 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $86.61 – $89.15 | 4 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $100.00 – $104.66 | 4 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | not published | not published | $61.98 – $65.08 | 4 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $2,647.10 – $2,647.10 | 1 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $791.03 – $814.30 | 4 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $952.81 – $980.84 | 4 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $946.26 – $974.10 | 4 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $335.17 – $345.03 | 4 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $32.70 – $32.70 | 1 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $735.52 – $757.16 | 4 |
| 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 – $451.97 | 4 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | not published | not published | $46.98 – $49.33 | 4 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $26.78 – $28.12 | 4 |
| T cells total count CPT 86359 | not published | not published | $37.73 – $39.62 | 4 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $214.89 – $221.21 | 4 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $214.89 – $221.21 | 4 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $214.89 – $221.21 | 4 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| 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 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.26 – $7.47 | 4 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $372.63 – $383.59 | 4 |
| 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 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $27.25 – $28.05 | 4 |
| Tendon lengthening CPT 26476 | not published | not published | $3,256.29 – $3,352.06 | 4 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $3,256.29 – $3,352.06 | 4 |
| Tendon shortening CPT 26477 | not published | not published | $3,256.29 – $3,352.06 | 4 |
| Tendon transfer with graft CPT 26492 | not published | not published | $3,256.29 – $3,352.06 | 4 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $175.67 – $180.83 | 4 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $7,221.37 – $7,433.77 | 4 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $3,256.29 – $3,352.06 | 4 |
| Tenolysis triceps CPT 24332 | not published | not published | $3,256.29 – $3,352.06 | 4 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $7,221.37 – $7,433.77 | 4 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,600.27 – $1,647.34 | 4 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $3,256.29 – $3,352.06 | 4 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $3,256.29 – $3,352.06 | 4 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $1,600.27 – $1,647.34 | 4 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.20 – $194.46 | 4 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $6.01 – $6.31 | 4 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.82 – $6.11 | 4 |
| Test for urine cystines CPT 82615 | not published | not published | $9.55 – $10.03 | 4 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $397.85 – $409.55 | 4 |
| Testosterone response panel CPT 80414 | not published | not published | $51.64 – $54.22 | 4 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.11 – $2.17 | 4 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $30.60 – $60.29 | 4 |
| Test stress cardiovascular tracing only CPT 93017 | not published | not published | $214.89 – $221.21 | 4 |
| Test urine for lactose CPT 83633 | not published | not published | $9.46 – $11.59 | 4 |
| Test urine for porphyrins CPT 84119 | not published | not published | $13.36 – $14.03 | 4 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.47 – $4.69 | 4 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $604.86 – $622.65 | 4 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $18.37 – $18.91 | 4 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $143.85 | 4 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $797.51 | 4 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,919.60 – $3,065.58 | 4 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $627.81 | 4 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $64.93 – $174.12 | 4 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $64.93 – $174.12 | 4 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $64.93 – $174.12 | 4 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $51.86 – $53.39 | 4 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $439.06 – $451.97 | 4 |
| Theophylline therapeutic drug level CPT 80198 | not published | not published | $14.14 – $14.85 | 4 |
| Therapeutic procd strg endur HCPCS G0237 | not published | not published | $28.78 – $29.63 | 4 |
| Therapy activation ipnss CPT 93150 | not published | not published | $94.61 – $97.40 | 4 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | not published | not published | $26.67 – $27.46 | 4 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | not published | not published | $22.27 – $22.92 | 4 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $199.67 – $205.54 | 4 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $3,299.54 – $3,396.58 | 4 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $174.56 – $179.69 | 4 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $211.68 – $217.91 | 4 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $5,226.00 – $5,226.00 | 1 |
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.