Sentara Northern Virginia Medical Center
2300 Opitz Boulevard, Woodbridge, VA · Sentara · · NPI 1548366404
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $224.00 | $448.00 | $25.64 – $154.17 | 6 |
| 17-hydroxypregnenolone CPT 84143 | $225.00 | $450.00 | $19.99 – $120.85 | 6 |
| 17-ketosteroids CPT 83586 | $73.00 | $146.00 | $11.21 – $68.07 | 6 |
| 1st hosp/birthing center care per day nml nb 99460 CPT 99460 | not published | not published | $132.50 – $136.39 | 4 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $21.55 – $42.18 | 5 |
| 24 hr ambulatory b/p monitor CPT 93786 | $210.00 | $420.00 | $132.41 – $136.30 | 4 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $2,043.00 | $4,086.00 | $780.16 – $803.10 | 4 |
| 2d tte w or without fol w/con,co HCPCS C8923 | not published | not published | $780.16 – $803.10 | 4 |
| 2nd order venous cath CPT 36012 | $2,652.50 | $5,305.00 | $484.00 – $3,988.00 | 3 |
| 3d anat seg imaging preop HCPCS C8001 | not published | not published | $128.06 – $131.82 | 4 |
| 3d bn img algor drvd fr MRI HCPCS G0566 | not published | not published | $128.06 – $131.82 | 4 |
| 3-d radiotherapy plan CPT 77295 | $4,340.00 | $8,680.00 | $1,377.48 – $4,745.49 | 5 |
| 3d recon without postprocess indpndt CPT 76376 | $701.00 | $1,402.00 | $285.90 – $285.90 | 1 |
| 5' nucleotidase - sendout CPT 83915 | $73.50 | $147.00 | $9.77 – $58.35 | 6 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $46.00 | $92.00 | $9.90 – $86.20 | 3 |
| Aa graft w/bp/aortic root replace 33863 CPT 33863 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $44.99 – $59.81 | 5 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $104.50 | $209.00 | $10.52 – $63.88 | 6 |
| Abd aorta w/runoff s&i CPT 75630 | $2,939.00 | $5,878.00 | $2,177.47 – $3,234.74 | 5 |
| Abd exp/postop hem/throm/infec 35840 CPT 35840 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Abd/low ext cath 1st CPT 36245 | $2,698.00 | $5,396.00 | $484.00 – $3,988.00 | 3 |
| Abd/low ext cath 2nd CPT 36246 | $2,519.00 | $5,038.00 | $484.00 – $3,988.00 | 3 |
| Abd/low ext cath 3rd CPT 36247 | $2,716.00 | $5,432.00 | $484.00 – $3,988.00 | 3 |
| Abd/low ext cath addl CPT 36248 | $2,293.50 | $4,587.00 | $484.00 – $3,988.00 | 3 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,890.50 | $3,781.00 | $174.56 – $1,442.91 | 5 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,642.50 | $3,285.00 | $174.56 – $1,188.79 | 5 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,427.50 | $2,855.00 | $104.04 – $1,006.31 | 5 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,853.50 | $5,707.00 | $347.20 – $3,882.60 | 6 |
| Abdominal MRI (with contrast) CPT 74182 | $2,150.00 | $4,300.00 | $347.20 – $2,246.39 | 6 |
| Abdominal MRI (without contrast) CPT 74181 | $1,625.50 | $3,251.00 | $237.46 – $1,825.84 | 6 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,907.50 | $3,815.00 | $902.63 – $2,603.00 | 6 |
| Abdominal Ultrasound (complete) CPT 76700 | $868.50 | $1,737.00 | $104.04 – $418.63 | 5 |
| Abdominal Ultrasound (limited) CPT 76705 | $722.50 | $1,445.00 | $104.04 – $302.05 | 5 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $999.50 | $1,999.00 | $902.63 – $2,603.00 | 6 |
| Abl1 gene CPT 81170 | $1,129.50 | $2,259.00 | $197.71 – $1,277.95 | 6 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | not published | not published | $484.00 – $484.00 | 1 |
| Ablate arrhythmia add on CPT 93655 | $6,769.00 | $13,538.00 | $484.00 – $484.00 | 1 |
| Ablate atria lmtd endo 33265 CPT 33265 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Ablate atria w/bypass exten 33256 CPT 33256 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Ablate atria without bypass ext CPT 33255 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Ablate atria x10sv add-on 33258 CPT 33258 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Ablate atria x10sv endo 33266 CPT 33266 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $9,238.00 | $18,476.00 | $3,988.00 – $9,860.00 | 6 |
| Ablate bone tumor(s) perq CPT 20982 | $8,152.00 | $16,304.00 | $3,988.00 – $17,920.08 | 6 |
| Ablate heart dysrhythm focus CPT 93650 | $4,631.50 | $9,263.00 | $7,762.21 – $7,990.51 | 4 |
| Ablate heart dysrhythm focus CPT 33250 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Ablate heart dysrhythm focus CPT 33251 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Ablate heart dysrhythm focus CPT 33261 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Ablate inf turbinate submuc 30802 CPT 30802 | not published | not published | $1,544.13 – $2,603.00 | 6 |
| Ablate inf turbinate superf 30801 CPT 30801 | $1,587.50 | $3,175.00 | $1,544.13 – $2,603.00 | 6 |
| Ablate pulm tumor perq crybl CPT 32994 | $8,326.00 | $16,652.00 | $3,988.00 – $10,889.94 | 6 |
| Ablate pulm tumor perq rf CPT 32998 | $6,598.00 | $13,196.00 | $6,016.50 – $10,469.00 | 6 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $193.00 | $386.00 | $128.06 – $131.82 | 4 |
| Ablation cryo abd perit om CPT 49999 | $4,786.00 | $9,572.00 | $902.63 – $3,988.00 | 6 |
| Ablation cryo adrenal tumor CPT 60699 | $5,115.00 | $10,230.00 | $2,587.00 – $6,193.46 | 6 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $346.50 | $693.00 | $245.48 – $5,047.00 | 6 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $8,762.50 | $17,525.00 | $3,988.00 – $10,889.94 | 6 |
| Ablation cryo retro lymph node CPT 38999 | $672.00 | $1,344.00 | $439.06 – $3,988.00 | 6 |
| Ablation cryo thigh/knee CPT 27599 | $3,068.00 | $6,136.00 | $245.48 – $6,310.00 | 6 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | not published | not published | $10,578.79 – $10,889.94 | 4 |
| Ablation of upper extremity nerves rf CPT 64999 | $435.50 | $871.00 | $305.48 – $3,988.00 | 6 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | not published | not published | $1,643.67 – $1,692.01 | 4 |
| Abltj mal prst8 tiss hifu CPT 55880 | not published | not published | $5,620.00 – $9,675.01 | 5 |
| Ablt trurl prst8 tis thrm Ultrasound CPT 55881 | not published | not published | $1,972.00 – $1,972.00 | 1 |
| Ablt trurl prst8 tis trnsdcr CPT 55882 | not published | not published | $12,301.00 – $13,484.11 | 4 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.93 – $11.92 | 5 |
| Abortion CPT 59850 | not published | not published | $778.00 – $3,486.00 | 3 |
| Abortion (mpr) CPT 59866 | not published | not published | $303.27 – $2,603.00 | 6 |
| Abrasion lesions add-on CPT 15787 | not published | not published | $484.00 – $3,988.00 | 3 |
| Abrasion lesion single CPT 15786 | not published | not published | $199.67 – $3,988.00 | 6 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,569.00 | $5,138.00 | $1,643.67 – $3,988.00 | 6 |
| Absorpt drg >16<=48 in w/bdr HCPCS A6255 | $5.70 | $11.39 | not published | 0 |
| Absorpt drg >16 <=48 without bdr HCPCS A6252 | $5.70 | $11.39 | not published | 0 |
| Absorpt drg <=16 sq in w/bdr HCPCS A6254 | $5.18 | $10.35 | not published | 0 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | $3.62 | $7.25 | not published | 0 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | $7.76 | $15.53 | not published | 0 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | not published | not published | $484.00 – $3,988.00 | 3 |
| Access thoracic lymph duct CPT 38794 | not published | not published | $484.00 – $3,988.00 | 3 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.07 – $0.07 | 1 |
| Acetaminophen level CPT 80143 | $169.00 | $338.00 | $11.18 – $62.82 | 5 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | not published | not published | $32.87 – $32.87 | 1 |
| Acetone qualitative CPT 82009 | $69.00 | $138.00 | $3.95 – $23.60 | 6 |
| Acetylcholine receptor modulating antibody CPT 86043 | $82.00 | $164.00 | $7.23 – $40.61 | 5 |
| Acetylcholinesterase assay CPT 82013 | not published | not published | $9.79 – $58.35 | 6 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | not published | not published | $0.78 – $0.78 | 1 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $12.46 – $12.46 | 1 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $371.37 – $382.29 | 4 |
| Acne surgery 10040 CPT 10040 | $223.00 | $446.00 | $199.67 – $3,988.00 | 6 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | $476.50 | $953.00 | $174.72 – $179.85 | 4 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | $319.50 | $639.00 | $137.86 – $141.92 | 4 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $91.00 | $182.00 | not published | 0 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | $91.00 | $182.00 | not published | 0 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $51.50 | $103.00 | not published | 0 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | $103.00 | $206.00 | not published | 0 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $443.50 | $887.00 | $132.50 – $136.39 | 4 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | $25.50 | $51.00 | not published | 0 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $29.50 | $59.00 | $12.44 – $12.81 | 4 |
| Acoustic immitance testing CPT 92570 | not published | not published | $128.06 – $131.82 | 4 |
| Acoustic refl threshold tst CPT 92568 | $145.50 | $291.00 | $37.17 – $38.26 | 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.