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 |
|---|---|---|---|---|
| X-ray exam of jaw joint CPT 70328 | $341.50 | $683.00 | $86.61 – $99.84 | 5 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $237.46 – $394.77 | 5 |
| X-ray exam of mastoids CPT 70120 | $140.00 | $280.00 | $104.04 – $119.72 | 5 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $162.75 – $559.79 | 5 |
| X-ray exam of penis CPT 74445 | not published | not published | $104.04 – $354.46 | 5 |
| X-ray exam of perineum CPT 74775 | not published | not published | $237.46 – $313.83 | 5 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $86.61 – $125.37 | 5 |
| X-ray exam of sinuses CPT 70210 | $476.50 | $953.00 | $86.61 – $118.52 | 5 |
| X-ray exam of tear duct CPT 70170 | $367.50 | $735.00 | $186.73 – $244.44 | 5 |
| X-ray exam of teeth CPT 70300 | $74.00 | $148.00 | $57.47 – $89.15 | 5 |
| X-ray exam of teeth CPT 70310 | $165.50 | $331.00 | $90.60 – $244.44 | 5 |
| X-ray exam si joints CPT 72200 | $244.50 | $489.00 | $102.74 – $107.10 | 5 |
| X-ray exam thorac spine4/>vw CPT 72074 | $588.50 | $1,177.00 | $104.04 – $167.65 | 5 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $181.50 | $363.00 | $86.61 – $89.15 | 5 |
| X-ray facial bones complete > 3 views CPT 70150 | $534.00 | $1,068.00 | $104.04 – $154.91 | 5 |
| X-ray fallopian tube CPT 74742 | not published | not published | $552.04 – $552.04 | 1 |
| X-ray femur >=2 views (both sides) CPT 73552 | $334.00 | $668.00 | $86.61 – $111.68 | 5 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $202.00 | $404.00 | $81.57 – $89.15 | 5 |
| X-ray foot 2 views (both sides) CPT 73620 | $296.00 | $592.00 | $86.61 – $96.07 | 5 |
| X-ray forearm 2 views (both sides) CPT 73090 | $329.50 | $659.00 | $86.61 – $100.19 | 5 |
| X-ray hand 2 views (both sides) CPT 73120 | $244.00 | $488.00 | $96.07 – $107.10 | 5 |
| X-ray head for orthodontia CPT 70350 | $158.50 | $317.00 | $84.95 – $89.15 | 5 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $280.00 | $560.00 | $86.61 – $93.35 | 5 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $340.50 | $681.00 | $104.04 – $122.50 | 5 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $352.00 | $704.00 | $104.04 – $140.17 | 5 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $357.50 | $715.00 | $104.04 – $140.17 | 5 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $417.50 | $835.00 | $104.04 – $140.17 | 5 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $219.50 | $439.00 | $86.61 – $122.50 | 5 |
| X-ray humerus >= 2 views left CPT 73060 | $337.00 | $674.00 | $86.61 – $111.68 | 5 |
| X-ray joint survey 1 view CPT 77077 | $386.50 | $773.00 | $104.04 – $139.06 | 5 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $262.00 | $524.00 | $86.61 – $102.74 | 5 |
| X-ray knee 3 views (both sides) CPT 73562 | $335.00 | $670.00 | $86.61 – $112.87 | 5 |
| X-ray knee ap standing bilateral CPT 73565 | $216.00 | $432.00 | $86.61 – $98.64 | 5 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $238.50 | $477.00 | $86.61 – $96.07 | 5 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $570.50 | $1,141.00 | $104.04 – $164.90 | 5 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $528.00 | $1,056.00 | $104.04 – $182.45 | 5 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $779.50 | $1,559.00 | $104.04 – $230.50 | 5 |
| X-ray male genital tract CPT 74440 | $603.50 | $1,207.00 | $224.67 – $244.44 | 5 |
| X-ray mandible complete > 4 views CPT 70110 | $411.00 | $822.00 | $104.04 – $130.78 | 5 |
| X-ray mandible ltd <4 views CPT 70100 | $193.50 | $387.00 | $86.61 – $103.93 | 5 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $207.60 – $207.60 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | $298.00 | $596.00 | $86.61 – $102.74 | 5 |
| X-ray neck soft tissue CPT 70360 | $438.50 | $877.00 | $86.61 – $89.15 | 5 |
| X-ray nose to rectum for foreign body child CPT 76010 | $165.50 | $331.00 | $86.61 – $103.93 | 5 |
| X-ray of mammary ducts CPT 77054 | $715.00 | $1,430.00 | $237.46 – $468.02 | 5 |
| X-ray optic foramina CPT 70190 | not published | not published | $86.61 – $124.65 | 5 |
| X-ray pelvis 1-2 views CPT 72170 | $328.00 | $656.00 | $102.74 – $107.10 | 5 |
| X-ray pelvis complete > 3 views CPT 72190 | $434.00 | $868.00 | $104.04 – $131.50 | 5 |
| Xray place dist ext thor ao CPT 75959 | $868.00 | $1,736.00 | not published | 0 |
| Xray place prox ext thor ao CPT 75958 | $820.00 | $1,640.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $965.00 | $1,930.00 | $347.20 – $434.63 | 5 |
| X-ray ribs 2 views left CPT 71100 | $336.50 | $673.00 | $86.61 – $119.00 | 5 |
| X-ray ribs 3 views bilateral CPT 71110 | $612.50 | $1,225.00 | $104.04 – $157.48 | 5 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $446.50 | $893.00 | $104.04 – $141.37 | 5 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $705.00 | $1,410.00 | $104.04 – $180.90 | 5 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $420.50 | $841.00 | $104.04 – $120.92 | 5 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $419.50 | $839.00 | $86.61 – $111.68 | 5 |
| X-ray scapula complete (both sides) CPT 73010 | $388.00 | $776.00 | $102.74 – $107.10 | 5 |
| X-ray sella turcica CPT 70240 | $158.50 | $317.00 | $86.61 – $91.43 | 5 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $222.50 | $445.00 | $86.61 – $92.15 | 5 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $803.50 | $1,607.00 | $86.61 – $153.75 | 5 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $326.50 | $653.00 | $240.93 – $559.79 | 5 |
| X-ray skull < 4 views CPT 70250 | $529.00 | $1,058.00 | $104.04 – $129.59 | 5 |
| X-ray skull > 4 views complete CPT 70260 | $704.50 | $1,409.00 | $104.04 – $185.68 | 5 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $154.50 | $309.00 | $104.04 – $276.55 | 5 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $788.50 | $1,577.00 | $174.56 – $265.15 | 5 |
| X-ray small intestine follow-through study CPT 74248 | $499.50 | $999.00 | $519.90 – $519.90 | 1 |
| X-ray spine single view CPT 72020 | $281.00 | $562.00 | $85.30 – $89.15 | 5 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $399.50 | $799.00 | $86.61 – $138.17 | 5 |
| X-ray sternum > 2 views CPT 71120 | $347.00 | $694.00 | $86.61 – $127.58 | 5 |
| X-ray surgical specimen CPT 76098 | $610.00 | $1,220.00 | $86.50 – $559.79 | 5 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $486.00 | $972.00 | $174.56 – $275.02 | 5 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $365.50 | $731.00 | $86.61 – $160.74 | 5 |
| X-ray thoracic spine 2 views CPT 72070 | $362.50 | $725.00 | $104.04 – $129.95 | 5 |
| X-ray thoracic spine 3 views CPT 72072 | $360.50 | $721.00 | $104.04 – $141.97 | 5 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $480.00 | $960.00 | $86.61 – $132.70 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $134.50 | $269.00 | $86.61 – $142.56 | 5 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $169.50 | $339.00 | $104.04 – $222.04 | 5 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $311.00 | $622.00 | $86.61 – $102.74 | 5 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $251.00 | $502.00 | $81.57 – $89.15 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $852.50 | $1,705.00 | $174.56 – $351.62 | 5 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $852.50 | $1,705.00 | $174.56 – $324.89 | 5 |
| X-ray wrist 2 views (both sides) CPT 73100 | $254.50 | $509.00 | $86.61 – $96.07 | 5 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $174.56 – $230.50 | 5 |
| Xylose absorption test blood &/or urine CPT 84620 | $134.00 | $268.00 | $10.37 – $62.50 | 6 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.71 – $1.94 | 5 |
| Yersinia antibody CPT 86793 | not published | not published | $11.55 – $69.46 | 6 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $57,961.04 – $59,665.78 | 4 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $123.85 – $346.80 | 5 |
| Ziconotide injection HCPCS J2278 | not published | not published | $10.34 – $13.37 | 5 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.54 – $2.07 | 5 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $38.01 – $146.00 | 5 |
| Zika virus igm antibody CPT 86794 | $96.50 | $193.00 | $12.48 – $36.97 | 5 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | $7.24 | $14.49 | not published | 0 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $11.05 – $11.05 | 1 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $8.04 – $9.70 | 5 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $34.38 – $35.39 | 4 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $7.83 – $7.83 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $115.95 – $202.43 | 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.