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 |
|---|---|---|---|---|
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,274.50 | $2,549.00 | $174.56 – $1,845.46 | 5 |
| CT bone density axial CPT 77078 | $302.00 | $604.00 | $86.61 – $218.03 | 5 |
| CT cerebral perf w cont & prcssng CPT 70473 | not published | not published | $174.56 – $179.69 | 4 |
| CT colonography dx CPT 74261 | $408.00 | $816.00 | $104.04 – $892.93 | 5 |
| CT colonography dx w/dye CPT 74262 | $452.50 | $905.00 | $174.56 – $1,106.54 | 5 |
| CT colonography screening CPT 74263 | $408.00 | $816.00 | $237.46 – $244.44 | 4 |
| CT guidance for needle placement CPT 77012 | $1,395.00 | $2,790.00 | $699.48 – $699.48 | 1 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $2,119.50 | $4,239.00 | $649.10 – $649.10 | 1 |
| CT guid cryo ablat intramuscular CPT 20999 | $3,479.00 | $6,958.00 | $245.48 – $3,988.00 | 6 |
| CT guid parench tis ablat CPT 77013 | $1,664.00 | $3,328.00 | not published | 0 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $293.00 | $586.00 | $86.61 – $170.97 | 5 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,007.00 | $2,014.00 | $347.20 – $2,228.63 | 5 |
| CT hrt w/3d image CPT 75572 | $1,007.00 | $2,014.00 | $347.20 – $1,225.60 | 5 |
| CT limited or localized follow-up study CPT 76380 | $650.00 | $1,300.00 | $86.61 – $662.46 | 5 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $1,500.00 | $3,000.00 | $174.56 – $1,036.66 | 5 |
| CT lower extremity without contrast (both sides) CPT 73700 | $1,296.00 | $2,592.00 | $104.04 – $889.26 | 5 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,723.50 | $3,447.00 | $174.56 – $1,261.60 | 5 |
| CT neck soft tissue w/contrast CPT 70491 | $1,678.00 | $3,356.00 | $174.56 – $1,038.16 | 5 |
| CT neck soft tissue without contrast CPT 70490 | $642.50 | $1,285.00 | $104.04 – $888.24 | 5 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,940.00 | $3,880.00 | $174.56 – $1,249.58 | 5 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $1,863.00 | $3,726.00 | $174.56 – $1,250.93 | 5 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,620.50 | $3,241.00 | $174.56 – $1,038.16 | 5 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,360.00 | $2,720.00 | $104.04 – $888.24 | 5 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $273.00 | $546.00 | $235.71 – $2,603.00 | 6 |
| CT scan for localization CPT 77011 | $1,395.00 | $2,790.00 | $2,425.79 – $2,425.79 | 1 |
| CT scan for therapy guide CPT 77014 | $440.00 | $880.00 | $654.12 – $654.12 | 1 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,834.50 | $7,669.00 | $347.20 – $3,818.17 | 5 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,334.00 | $6,668.00 | $347.20 – $3,410.81 | 5 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,900.50 | $5,801.00 | $237.46 – $2,496.17 | 5 |
| CT thoracic spine w/contrast CPT 72129 | $1,862.00 | $3,724.00 | $174.56 – $1,212.65 | 5 |
| CT thoracic spine without contrast CPT 72128 | $1,608.50 | $3,217.00 | $104.04 – $1,036.66 | 5 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $421.00 | $842.00 | $104.04 – $241.89 | 5 |
| CT t-spine w /wo contrast CPT 72130 | $2,140.00 | $4,280.00 | $174.56 – $1,474.43 | 5 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,500.00 | $3,000.00 | $347.20 – $1,036.66 | 5 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,296.00 | $2,592.00 | $104.04 – $889.26 | 5 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,723.50 | $3,447.00 | $174.56 – $1,262.65 | 5 |
| Cuffs adj lock with active con HCPCS L3740 | $723.98 | $1,447.97 | not published | 0 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $32.59 – $3,964.43 | 5 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $32.59 – $4,122.79 | 5 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $3,486.00 – $9,860.00 | 6 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $2,053.37 – $15,406.00 | 6 |
| Culture aerobic additional method definitive id each CPT 87077 | $94.50 | $189.00 | $7.08 – $43.05 | 6 |
| Culture afb any source CPT 87116 | $129.50 | $259.00 | $9.47 – $56.96 | 6 |
| Culture anaerobic additional method definitive id each CPT 87076 | $49.50 | $99.00 | $7.08 – $43.05 | 6 |
| Culture anaerobic except blood CPT 87075 | $114.00 | $228.00 | $8.29 – $50.01 | 6 |
| Culture bacteria anaerobic CPT 87073 | not published | not published | $8.26 – $50.01 | 6 |
| Culture bacterial urine HCPCS P7001 | not published | not published | $9.31 – $9.31 | 1 |
| Culture bact stool aero addl path ea CPT 87046 | $16.50 | $33.00 | $8.26 – $50.01 | 6 |
| Culture body fluid CPT 87070 | $53.50 | $107.00 | $7.54 – $45.85 | 6 |
| Culture fungi definitive id mold CPT 87107 | $14.00 | $28.00 | $9.04 – $54.16 | 6 |
| Culture fungi definitive id yeast CPT 87106 | $48.50 | $97.00 | $9.04 – $54.16 | 6 |
| Culture fungi other (except blood) CPT 87102 | $131.00 | $262.00 | $7.36 – $44.44 | 6 |
| Culture fungi skin/hair/nail CPT 87101 | not published | not published | $6.76 – $40.28 | 6 |
| Culture mycobacteria definitive id each isolate CPT 87118 | not published | not published | $9.59 – $58.35 | 6 |
| Culture mycoplasma any source CPT 87109 | $72.00 | $144.00 | $13.48 – $81.95 | 6 |
| Culture of specimen by kit CPT 87084 | $49.00 | $98.00 | $7.54 – $45.85 | 6 |
| Culture quantitative aerobic other source CPT 87071 | $15.00 | $30.00 | $8.26 – $50.01 | 6 |
| Culture screening strep group a CPT 87081 | $37.00 | $74.00 | $5.81 – $34.71 | 6 |
| Culture type pulse field gel CPT 87152 | not published | not published | $4.58 – $27.79 | 6 |
| Culture typing added method CPT 87158 | not published | not published | $4.58 – $27.79 | 6 |
| Culture typing glc/hplc CPT 87143 | not published | not published | $10.97 – $66.69 | 6 |
| Culture typing immunologic CPT 87147 | $30.00 | $60.00 | $4.54 – $27.79 | 6 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $109.50 | $219.00 | $130.84 – $498.34 | 5 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $105.00 | $210.00 | $30.16 – $186.15 | 6 |
| Culture urine each isolate CPT 87088 | not published | not published | $7.09 – $43.05 | 6 |
| Culture virus isolation CPT 87250 | not published | not published | $17.13 – $102.78 | 6 |
| Curette/treat cornea CPT 65435 | not published | not published | $992.09 – $2,603.00 | 6 |
| Curette/treat cornea CPT 65436 | not published | not published | $2,366.07 – $3,988.00 | 6 |
| Cutter lead HCPCS C1773 | $3,071.88 | $6,143.76 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $871.50 | $1,743.00 | $1,377.00 – $2,603.00 | 6 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $175.50 | $351.00 | $12.55 – $75.03 | 6 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | not published | not published | $1.52 – $1.52 | 1 |
| Cyclic citrullinated peptide antibody CPT 86200 | $68.00 | $136.00 | $11.35 – $68.07 | 6 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.49 – $1.51 | 5 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $1.32 – $1.32 | 1 |
| Cyclosporine 2 hour CPT 80158 | $123.50 | $247.00 | $15.82 – $95.86 | 6 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $1.09 – $1.09 | 1 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $3.00 – $3.00 | 1 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $123.85 – $373.72 | 5 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $72.21 – $127.49 | 5 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $12,175.20 | $24,350.40 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | $433.00 | $866.00 | $175.08 – $1,130.70 | 6 |
| Cyp2c9 gene com variants CPT 81227 | $133.00 | $266.00 | $105.05 – $677.87 | 6 |
| Cyp2d6 gene com variants CPT 81226 | $554.00 | $1,108.00 | $270.95 – $1,748.85 | 6 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $104.89 – $183.11 | 4 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $104.89 – $183.11 | 4 |
| Cystatin c CPT 82610 | $346.00 | $692.00 | $11.91 – $72.22 | 6 |
| Cystic fibrosis cftr CPT 81223 | not published | not published | $299.40 – $957.92 | 6 |
| Cystine urine quantitative CPT 82131 | $56.00 | $112.00 | $14.78 – $88.90 | 6 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $3,231.00 – $3,988.00 | 6 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $654.00 | $1,308.00 | $203.86 – $357.41 | 5 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $3,231.00 – $9,698.10 | 5 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $5,620.00 – $9,675.01 | 4 |
| Cysto, litho, vacuum kidney HCPCS C9761 | not published | not published | $4,039.00 – $9,675.01 | 5 |
| Cystometrogram w/up 51727 CPT 51727 | not published | not published | $693.95 – $3,988.00 | 6 |
| Cystorrhaphy wound comp 51865 CPT 51865 | not published | not published | $3,988.00 – $8,137.00 | 3 |
| Cystorrhaphy wound simple 51860 CPT 51860 | not published | not published | $3,988.00 – $9,675.01 | 6 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $5,336.05 – $5,492.99 | 4 |
| Cystoscopy and biopsy CPT 52007 | not published | not published | $3,486.00 – $5,047.00 | 6 |
| Cystoscopy and radiotracer CPT 52250 | not published | not published | $3,508.06 – $5,047.00 | 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.