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 |
|---|---|---|---|---|
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $3,256.29 – $5,607.00 | 6 |
| Acth stimulation panel CPT 80402 | not published | not published | $76.16 – $488.96 | 6 |
| Acth stimulation panel CPT 80406 | not published | not published | $68.56 – $513.94 | 6 |
| Actigraphy testing CPT 95803 | not published | not published | $58.71 – $60.44 | 4 |
| Actinotherapy uv light CPT 96900 | $137.00 | $274.00 | $37.17 – $222.65 | 5 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $107.50 | $215.00 | $28.78 – $29.63 | 4 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | $107.50 | $215.00 | not published | 0 |
| Acup 1/> without estim ea add 15 CPT 97811 | $91.50 | $183.00 | not published | 0 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $91.50 | $183.00 | $28.78 – $29.63 | 4 |
| Acute hepatitis panel CPT 80074 | $273.00 | $546.00 | $37.00 – $287.55 | 6 |
| Acute venous thrombus image CPT 78456 | not published | not published | $744.84 – $1,326.33 | 5 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.06 – $0.06 | 1 |
| #acylcarnitineprfl CPT 82017 | $432.00 | $864.00 | $14.78 – $88.90 | 6 |
| Acylcarnitines qual CPT 82016 | not published | not published | $12.14 – $73.61 | 6 |
| Adapter b 8 channel 10cm HCPCS C1883 | $485.94 | $971.87 | not published | 0 |
| Adding walker to prev cast CPT 29440 | $167.50 | $335.00 | $161.72 – $3,988.00 | 6 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.58 – $0.58 | 1 |
| Adenovirus ag ia CPT 87301 | not published | not published | $10.51 – $63.88 | 6 |
| Adenovirus antibody,serum - quest CPT 86603 | $54.00 | $108.00 | $11.27 – $68.07 | 6 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $10.51 – $63.88 | 6 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $3,988.00 – $5,620.00 | 2 |
| Adhesive, liquid or equal HCPCS A4364 | $18.63 | $37.26 | not published | 0 |
| Adh-sendout CPT 84588 | $211.00 | $422.00 | $29.74 – $179.19 | 6 |
| Adj gastric band via subq port CPT 43999 | $1,313.00 | $2,626.00 | $805.00 – $3,988.00 | 6 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $3,988.00 – $7,433.77 | 6 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $2,053.37 – $3,988.00 | 6 |
| Adjustment gastric band HCPCS S2083 | not published | not published | $3,988.00 – $3,988.00 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $252.50 | $505.00 | $71.65 – $73.76 | 4 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $524.50 | $1,049.00 | $71.65 – $73.76 | 4 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $737.50 | $1,475.00 | $328.72 – $338.39 | 4 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $448.00 | $896.00 | $328.72 – $338.39 | 4 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $225.50 | $451.00 | $71.65 – $73.76 | 4 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $283.50 | $567.00 | $71.65 – $73.76 | 4 |
| Administration immunization 1 vaccine CPT 90471 | $48.00 | $96.00 | $71.65 – $73.76 | 4 |
| Administration immunization each additional vaccine CPT 90472 | $48.00 | $96.00 | not published | 0 |
| Administration immunization first component each vaccine CPT 90460 | $48.00 | $96.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $71.65 – $73.76 | 4 |
| Administration vaccine hepatitis b HCPCS G0010 | $48.00 | $96.00 | $46.60 – $47.97 | 4 |
| Administration vaccine influenza virus HCPCS G0008 | $48.00 | $96.00 | $46.60 – $47.97 | 4 |
| Administration vaccine pneumococcal HCPCS G0009 | $48.00 | $96.00 | $46.60 – $47.97 | 4 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $43.00 – $54.78 | 5 |
| Adrenal cortex & medulla img CPT 78075 | $1,261.50 | $2,523.00 | $899.03 – $1,326.33 | 5 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Adrenalin epinephrine inject HCPCS J0171 | not published | not published | $1.10 – $1.10 | 1 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $107.50 | $215.00 | not published | 0 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $214.89 – $221.21 | 4 |
| Aep neurodiagnostic i&r CPT 92653 | $916.50 | $1,833.00 | $214.89 – $221.21 | 4 |
| Aep thrshld est mlt freq i&r CPT 92652 | $916.50 | $1,833.00 | $214.89 – $221.21 | 4 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $3,002.29 – $3,090.59 | 4 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $0.02 – $809,151.00 | 4 |
| _afb id by dna probe rflx ast CPT 87149 | $67.50 | $135.00 | $17.56 – $105.58 | 6 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $4.95 – $30.56 | 6 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $170.00 | $340.00 | $22.30 – $609.80 | 6 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $82.20 – $143.51 | 4 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $164.90 – $287.88 | 4 |
| Aflibercept injection HCPCS J0178 | not published | not published | $786.99 – $1,142.76 | 5 |
| Afo molded to patient plasti HCPCS L1940 | $436.77 | $873.54 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $706.39 | $1,412.78 | not published | 0 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | $385.02 | $770.04 | not published | 0 |
| Afo, walk boot type, cus fab HCPCS L4631 | $1,180.94 | $2,361.87 | not published | 0 |
| Afo w/ankle joint, prefab HCPCS L1971 | $275.31 | $550.62 | not published | 0 |
| After cataract laser surgery CPT 66821 | $1,077.50 | $2,155.00 | $547.36 – $3,486.00 | 6 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $234.76 – $304.95 | 5 |
| Ag detect nos ia single CPT 87450 | not published | not published | $51.39 – $51.39 | 1 |
| Air conduction bilat CPT 92552 | $138.00 | $276.00 | $132.41 – $136.30 | 4 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $484.00 – $3,988.00 | 3 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | not published | not published | $128.06 – $131.82 | 4 |
| Ak/knee disartic silesian ba HCPCS L5698 | $88.50 | $176.99 | not published | 0 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | $157.84 | $315.68 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $37.50 | $75.00 | $4.54 – $27.79 | 6 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $54.14 – $72.60 | 5 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.66 – $29.04 | 5 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $54.14 – $72.60 | 5 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.83 – $14.51 | 5 |
| Albumin ischemia modified CPT 82045 | not published | not published | $10.83 – $179.19 | 6 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $82.00 | $164.00 | $5.07 – $30.56 | 6 |
| Albumin serum plasma or whole blood CPT 82040 | $36.00 | $72.00 | $4.34 – $26.40 | 6 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.26 – $0.26 | 1 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.23 – $0.23 | 1 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.10 – $0.10 | 1 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $259.00 | $518.00 | $10.36 – $51.36 | 5 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $8.82 – $46.06 | 2 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $28.78 – $29.63 | 4 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | $37.50 | $75.00 | not published | 0 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $3,405.65 – $3,505.81 | 4 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $109.94 – $559.80 | 6 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,478.49 – $3,213.03 | 5 |
| Alginate dressing <=16 sq in HCPCS A6196 | $20.18 | $40.37 | not published | 0 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $36.22 | $72.45 | not published | 0 |
| Alginate drsg wound filler HCPCS A6199 | $38.82 | $77.63 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $82.00 | $164.00 | $4.54 – $27.79 | 6 |
| Allergen alpha lactalbumin ige CPT 86008 | $42.00 | $84.00 | $13.28 – $18.78 | 4 |
| Allergen egg white ige CPT 86003 | $38.00 | $76.00 | $4.57 – $27.79 | 6 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $18.50 | $37.00 | $6.98 – $41.67 | 6 |
| Allergy injections; 2 or more 95117 CPT 95117 | $35.00 | $70.00 | $46.60 – $47.97 | 4 |
| Allergy injection; single 95115 CPT 95115 | $24.50 | $49.00 | $46.60 – $47.97 | 4 |
| Allg patch or app # of tests 95044 CPT 95044 | $589.00 | $1,178.00 | not published | 0 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $3,988.00 – $13,121.51 | 6 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | $230.75 | $461.50 | $108.07 – $127.49 | 5 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $287.73 | $575.46 | $123.85 – $143.17 | 5 |
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.