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 |
|---|---|---|---|---|
| Unlisted ultrasound procedure CPT 76999 | not published | not published | $86.61 – $89.15 | 4 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $624.29 – $642.65 | 4 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $397.85 – $409.55 | 4 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $6,016.50 – $6,193.46 | 4 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $6,016.50 – $6,193.46 | 4 |
| Unsched dialysis esrd pt hos HCPCS G0257 | not published | not published | $683.02 – $703.11 | 4 |
| Upgrade pm system CPT 33214 | not published | not published | $10,401.81 – $10,707.75 | 4 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | not published | not published | $347.20 – $357.41 | 4 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | not published | not published | $347.20 – $357.41 | 4 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | not published | not published | $237.46 – $244.44 | 4 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $902.63 – $929.18 | 4 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | not published | not published | $902.63 – $929.18 | 4 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $902.63 – $929.18 | 4 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $6,016.50 – $6,193.46 | 4 |
| Urea nitrogen CPT 84520 | not published | not published | $3.95 – $4.15 | 4 |
| Urea nitrogen 24 hour urine CPT 84540 | not published | not published | $5.56 – $5.84 | 4 |
| Urea nitrogen clearance CPT 84545 | not published | not published | $7.20 – $7.56 | 4 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $5.39 | 4 |
| Ureteral embolization/occl CPT 50705 | not published | not published | $2,375.00 – $2,375.00 | 1 |
| Ureteral reflux study CPT 78740 | not published | not published | $397.85 – $409.55 | 4 |
| Ureter endoscopy CPT 50970 | not published | not published | $3,499.00 – $3,602.64 | 4 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $5,336.05 – $5,492.99 | 4 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $5,226.00 – $5,479.92 | 4 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $3,499.00 – $3,602.64 | 4 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $5,336.05 – $5,492.99 | 4 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $5,336.05 – $5,492.99 | 4 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $5,226.00 – $5,479.92 | 4 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $5,336.05 – $5,492.99 | 4 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $12,739.00 – $12,739.00 | 1 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | not published | not published | $237.46 – $244.44 | 4 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,508.06 – $3,611.23 | 4 |
| Urethrocystography void s&i CPT 74455 | not published | not published | $237.46 – $244.44 | 4 |
| Uric acid blood CPT 84550 | not published | not published | $4.52 – $4.75 | 4 |
| Uric acid urine CPT 84560 | not published | not published | $5.08 – $5.33 | 4 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $4.94 | 4 |
| Urinalysis microscopic only CPT 81015 | not published | not published | $3.05 – $3.20 | 4 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | not published | not published | $2.17 – $2.28 | 4 |
| Urinalysis (with microscopy) CPT 81001 | not published | not published | $3.17 – $3.33 | 4 |
| Urinalysis (without microscopy) CPT 81003 | not published | not published | $2.25 – $2.36 | 4 |
| Urinary reflex study CPT 51792 | not published | not published | $58.71 – $60.44 | 4 |
| Urine Culture Test CPT 87086 | not published | not published | $8.07 – $8.47 | 4 |
| Urine flow measurement 51736 CPT 51736 | not published | not published | $132.41 – $136.30 | 4 |
| Urine pregnancy test CPT 81025 | not published | not published | $8.61 – $9.04 | 4 |
| Urine screen for bacteria CPT 81007 | not published | not published | $4.42 – $30.88 | 4 |
| Urine shunt to intestine CPT 50815 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $3.60 – $9.09 | 2 |
| Urography, antegrade CPT 74425 | not published | not published | $347.20 – $357.41 | 4 |
| Urography inf drip &/or bolus CPT 74410 | not published | not published | $174.56 – $179.69 | 4 |
| Use 1st target lesion CPT 76982 | not published | not published | $104.04 – $107.10 | 4 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $13.25 – $13.64 | 4 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $515.61 – $515.61 | 1 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $12,777.04 – $13,152.83 | 4 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $528.60 – $528.60 | 1 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $480.89 – $480.89 | 1 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $509.79 – $509.79 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $287.04 – $287.04 | 1 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $214.35 – $214.35 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $245.74 – $245.74 | 1 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $230.14 – $230.14 | 1 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $580.62 – $580.62 | 1 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $103.56 – $103.56 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $273.01 – $273.01 | 1 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $273.01 – $273.01 | 1 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $71.48 – $71.48 | 1 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $73.08 – $73.08 | 1 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $60.30 – $60.30 | 1 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $222.29 – $222.29 | 1 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $64.52 – $64.52 | 1 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $30.15 – $30.15 | 1 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $80.12 – $80.12 | 1 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $210.95 – $210.95 | 1 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $120.50 – $120.50 | 1 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $35.74 – $35.74 | 1 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $436.45 – $436.45 | 1 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $843.63 – $843.63 | 1 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $853.96 – $853.96 | 1 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $1,023.18 – $1,023.18 | 1 |
| Vaccine rabies im CPT 90675 | not published | not published | $319.95 – $329.36 | 4 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.01 | 4 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $4,978.43 – $5,124.85 | 4 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $4,978.43 – $5,124.85 | 4 |
| Vag hyst including t/o CPT 58262 | not published | not published | $4,978.43 – $5,124.85 | 4 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $7,379.83 – $7,596.88 | 4 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $4,978.43 – $5,124.85 | 4 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $4,978.43 – $5,124.85 | 4 |
| Vaginal bx CPT 58999 | not published | not published | $201.20 – $207.12 | 4 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,221.58 – $3,316.33 | 4 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $4,978.43 – $5,124.85 | 4 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,221.58 – $3,316.33 | 4 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $1,673.11 – $1,722.32 | 4 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $17,187.00 – $17,187.00 | 1 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $5,226.00 – $5,226.00 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | not published | not published | $13.54 – $14.22 | 4 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,349.81 – $1,389.51 | 4 |
| Valvuloplasty aortic CPT 92986 | $6,018.50 | $12,037.00 | $5,664.24 – $5,830.83 | 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.