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 |
|---|---|---|---|---|
| Tympanolysis transcanal 69450 CPT 69450 | not published | not published | $2,603.00 – $3,396.58 | 6 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $214.89 – $221.21 | 4 |
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $818.00 | $1,636.00 | $484.00 – $2,603.00 | 6 |
| Tympp antrt/mastoidotomy prosthesis torp 69637 CPT 69637 | not published | not published | $5,891.41 – $9,860.00 | 6 |
| Tympp antrt/mastoid without ossic chain recnst 69635 CPT 69635 | not published | not published | $5,891.41 – $7,778.00 | 6 |
| Tyms gene com variants CPT 81346 | not published | not published | $104.89 – $183.11 | 4 |
| U2af1 gene common variants CPT 81357 | not published | not published | $115.95 – $202.43 | 4 |
| Ua w/micro/comp poc CPT 81000 | $10.00 | $20.00 | $2.78 – $16.68 | 6 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $72.17 – $95.83 | 5 |
| Ugt1a1 gene analy common variants CPT 81350 | $855.50 | $1,711.00 | $140.40 – $415.70 | 6 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $691.50 | $1,383.00 | $104.04 – $378.29 | 5 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $104.04 – $127.22 | 5 |
| Ultrasound breast complete CPT 76641 | $561.00 | $1,122.00 | $104.04 – $240.93 | 5 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $548.00 | $1,096.00 | $86.61 – $240.93 | 5 |
| Ultrasound chest CPT 76604 | $389.00 | $778.00 | $104.04 – $278.79 | 5 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $417.00 | $834.00 | $104.04 – $321.57 | 5 |
| Ultrasound dx ophth b-scan CPT 76512 | $337.00 | $674.00 | $104.04 – $429.57 | 5 |
| Ultrasound elastography ea l target les CPT 76983 | $332.00 | $664.00 | not published | 0 |
| Ultrasound elastography parenchyma CPT 76981 | $332.00 | $664.00 | $104.04 – $336.40 | 5 |
| Ultrasound encephalogram CPT 76506 | $771.50 | $1,543.00 | $104.04 – $315.74 | 5 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $595.50 | $1,191.00 | $104.04 – $285.13 | 5 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $405.50 | $811.00 | $104.04 – $363.88 | 5 |
| Ultrasound guidance for vascular access CPT 76937 | $864.50 | $1,729.00 | $115.00 – $115.00 | 1 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | $827.50 | $1,655.00 | $508.03 – $508.03 | 1 |
| Ultrasound guide intraoperative CPT 76998 | $894.50 | $1,789.00 | not published | 0 |
| Ultrasound guide tissue ablation CPT 76940 | $560.00 | $1,120.00 | $595.64 – $595.64 | 1 |
| Ultrasound hips infant dynamic CPT 76885 | $269.50 | $539.00 | $86.61 – $342.50 | 5 |
| Ultrasound infant hips ltd without stress CPT 76886 | $163.50 | $327.00 | $86.61 – $306.98 | 5 |
| Ultrasound joint complete left CPT 76881 | $784.00 | $1,568.00 | $104.04 – $302.05 | 5 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $306.50 | $613.00 | $104.04 – $302.05 | 5 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | $392.00 | $784.00 | $104.04 – $191.27 | 5 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $862.50 | $1,725.00 | $334.04 – $334.04 | 1 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $467.00 | $934.00 | $298.88 – $298.88 | 1 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $710.00 | $1,420.00 | $237.46 – $860.79 | 5 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $223.50 | $447.00 | $104.04 – $307.28 | 5 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | $499.50 | $999.00 | $104.04 – $314.67 | 5 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $423.50 | $847.00 | $104.04 – $342.24 | 5 |
| Ultrasound prostate/transrectal CPT 76872 | $662.00 | $1,324.00 | $104.04 – $403.32 | 5 |
| Ultrasound retroperitoneal limited CPT 76775 | $559.00 | $1,118.00 | $104.04 – $300.85 | 5 |
| Ultrasound scrotum and contents CPT 76870 | $708.50 | $1,417.00 | $104.04 – $326.51 | 5 |
| Ultrasound spinal canal and contents CPT 76800 | $546.00 | $1,092.00 | $104.04 – $388.88 | 5 |
| Ultrasound transabd ea addl gest CPT 76812 | $378.00 | $756.00 | $497.06 – $497.06 | 1 |
| Ultrasound transvaginal non obstetric CPT 76830 | $583.50 | $1,167.00 | $104.04 – $335.21 | 5 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $677.50 | $1,355.00 | $347.20 – $603.20 | 5 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | $434.00 | $868.00 | not published | 0 |
| Ultraviolet therapy CPT 97028 | not published | not published | $8.32 – $56.43 | 5 |
| Umbilical artery cath newborn 36660 CPT 36660 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Umbilical cord occlud w/us CPT 59072 | not published | not published | $303.27 – $2,603.00 | 6 |
| Umbilicoplasty 15847 CPT 15847 | not published | not published | $484.00 – $3,988.00 | 3 |
| Unit mobile power mpu HCPCS Q0479 | $5,151.20 | $10,302.39 | not published | 0 |
| Unlistd noninvas vasc dx std CPT 93998 | not published | not published | $28.78 – $29.63 | 4 |
| Unlisted all/immlg svc/px CPT 95199 | not published | not published | $28.78 – $29.63 | 4 |
| Unlisted chemotherapy px CPT 96549 | $395.50 | $791.00 | $46.60 – $47.97 | 4 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | not published | not published | $235.71 – $4,039.00 | 6 |
| Unlisted CT procedure CPT 76497 | not published | not published | $86.61 – $120.38 | 5 |
| Unlisted cv px dx nuc med CPT 78499 | not published | not published | $397.85 – $1,087.64 | 5 |
| Unlisted cytogenetic study CPT 88299 | not published | not published | $6.04 – $153.76 | 6 |
| Unlisted cytopathology px CPT 88199 | not published | not published | $6.04 – $153.76 | 6 |
| Unlisted dialysis procedure CPT 90999 | $443.00 | $886.00 | not published | 0 |
| Unlisted dx gi procedure CPT 91299 | $389.50 | $779.00 | $128.06 – $131.82 | 4 |
| Unlisted endocrine px dx nuc CPT 78099 | not published | not published | $397.85 – $563.59 | 5 |
| Unlisted fetal invas px w/us CPT 59897 | not published | not published | $201.20 – $3,988.00 | 6 |
| Unlisted fluoroscopic px CPT 76496 | not published | not published | $86.61 – $114.07 | 5 |
| Unlisted gi px dx nuc med CPT 78299 | not published | not published | $397.85 – $840.34 | 5 |
| Unlisted gu px dx nuc med CPT 78799 | not published | not published | $397.85 – $804.16 | 5 |
| Unlisted hematology&coagj px CPT 85999 | not published | not published | $13.72 – $40.89 | 2 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $201.20 – $3,988.00 | 6 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $3,988.00 – $15,406.00 | 6 |
| Unlisted laps px endoc sys CPT 60659 | not published | not published | $3,988.00 – $12,325.00 | 6 |
| Unlisted laps px esoph CPT 43289 | not published | not published | $3,988.00 – $15,406.00 | 6 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $3,988.00 – $9,860.00 | 6 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $3,988.00 – $6,193.46 | 6 |
| Unlisted laps px renal CPT 50549 | not published | not published | $3,988.00 – $15,406.00 | 6 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $3,988.00 – $12,325.00 | 6 |
| Unlisted laps px testis CPT 54699 | not published | not published | $778.00 – $6,193.46 | 6 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $3,988.00 – $15,406.00 | 6 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $3,988.00 – $9,860.00 | 6 |
| Unlisted maaa CPT 81599 | not published | not published | $751.42 – $751.42 | 1 |
| Unlisted maxlfcl prosth px CPT 21089 | not published | not published | $235.71 – $3,988.00 | 6 |
| Unlisted misc path test CPT 89240 | not published | not published | $6.04 – $153.76 | 6 |
| Unlisted mr procedure CPT 76498 | $1,163.00 | $2,326.00 | $86.61 – $1,400.71 | 6 |
| Unlisted muscskel px dx nuc CPT 78399 | not published | not published | $331.26 – $409.55 | 5 |
| Unlisted muscskel px head CPT 21499 | $2,676.50 | $5,353.00 | $235.71 – $5,047.00 | 6 |
| Unlisted neurological dx px CPT 95999 | not published | not published | $128.06 – $131.82 | 4 |
| Unlisted nrvs sys px dx nuc CPT 78699 | not published | not published | $397.85 – $734.61 | 5 |
| Unlisted oph svc/procedure CPT 92499 | not published | not published | $28.78 – $29.63 | 4 |
| Unlisted orl service/px CPT 92700 | not published | not published | $28.78 – $29.63 | 4 |
| Unlisted procedure colon CPT 45399 | $1,403.50 | $2,807.00 | $925.49 – $3,988.00 | 6 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $902.63 – $4,039.00 | 6 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $315.88 – $3,988.00 | 6 |
| Unlisted procedure larynx CPT 31599 | not published | not published | $235.71 – $3,988.00 | 6 |
| Unlisted procedure liver CPT 47399 | not published | not published | $704.73 – $6,310.00 | 6 |
| Unlisted procedure microbiology CPT 87999 | $3,243.50 | $6,487.00 | $40.89 – $1,079.33 | 2 |
| Unlisted procedure orbit CPT 67599 | $437.00 | $874.00 | $315.88 – $3,988.00 | 6 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $704.73 – $4,039.00 | 6 |
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.