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 |
|---|---|---|---|---|
| Cystoscopy and treatment CPT 52214 | not published | not published | $3,231.00 – $3,611.23 | 6 |
| Cystoscopy and treatment CPT 52224 | not published | not published | $3,231.00 – $3,611.23 | 6 |
| Cystoscopy and treatment CPT 52234 | not published | not published | $3,486.00 – $4,039.00 | 6 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $3,508.06 – $4,039.00 | 6 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $3,988.00 – $5,492.99 | 6 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $2,080.35 – $3,486.00 | 6 |
| Cystoscopy and treatment CPT 52265 | not published | not published | $1,377.00 – $2,603.00 | 6 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $2,080.35 – $3,988.00 | 6 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $3,486.00 – $4,039.00 | 6 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $2,080.35 – $3,486.00 | 6 |
| Cystoscopy and treatment CPT 52285 | not published | not published | $693.95 – $3,486.00 | 6 |
| Cystoscopy and treatment CPT 52290 | not published | not published | $2,080.35 – $3,486.00 | 6 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $3,231.00 – $3,611.23 | 6 |
| Cystoscopy and treatment CPT 52301 | not published | not published | $3,508.06 – $4,039.00 | 6 |
| Cystoscopy and treatment CPT 52305 | not published | not published | $3,486.00 – $5,492.99 | 6 |
| Cystoscopy and treatment CPT 52310 | $2,147.00 | $4,294.00 | $2,080.35 – $3,486.00 | 6 |
| Cystoscopy and treatment CPT 52315 | $3,203.50 | $6,407.00 | $2,080.35 – $3,486.00 | 6 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $3,508.06 – $5,607.00 | 6 |
| Cystoscopy and treatment CPT 52330 | not published | not published | $3,486.00 – $5,047.00 | 6 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,432.00 | $2,864.00 | $693.95 – $2,603.00 | 6 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $2,080.35 – $5,607.00 | 6 |
| Cystoscopy & duct catheter CPT 52010 | not published | not published | $693.95 – $7,889.00 | 6 |
| Cystoscopy implant stent CPT 52282 | not published | not published | $3,508.06 – $10,469.00 | 6 |
| Cystoscopy inject material CPT 52327 | not published | not published | $3,486.00 – $5,492.99 | 6 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $3,231.00 – $5,492.99 | 5 |
| Cystoscopy removal of clots CPT 52001 | $4,861.50 | $9,723.00 | $2,464.00 – $4,039.00 | 6 |
| Cystoscopy & revise urethra CPT 52270 | not published | not published | $2,080.35 – $3,486.00 | 6 |
| Cystoscopy & revise urethra CPT 52275 | not published | not published | $2,080.35 – $3,486.00 | 6 |
| Cystoscopy stone removal CPT 52325 | not published | not published | $4,926.00 – $6,310.00 | 6 |
| Cystoscopy & ureter catheter CPT 52005 | $4,861.50 | $9,723.00 | $2,080.35 – $3,486.00 | 6 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | not published | not published | $2,080.35 – $4,926.00 | 6 |
| Cystotomy/cystostomy fulg+/insj radact matrl 51020 CPT 51020 | not published | not published | $3,508.06 – $4,926.00 | 6 |
| Cystotomy excise/incise/repair 51535 CPT 51535 | not published | not published | $3,231.00 – $3,988.00 | 6 |
| Cystouretero & or pyeloscope CPT 52351 | $2,174.00 | $4,348.00 | $3,231.00 – $3,988.00 | 6 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $3,508.06 – $5,047.00 | 6 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $4,926.00 – $6,310.00 | 6 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $4,926.00 – $6,310.00 | 6 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $3,988.00 – $6,310.00 | 6 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $4,926.00 – $5,492.99 | 6 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $3,988.00 – $6,310.00 | 6 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $3,508.06 – $5,047.00 | 6 |
| Cysto/uretero w/up stricture CPT 52345 | not published | not published | $3,508.06 – $5,047.00 | 6 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $3,508.06 – $4,039.00 | 6 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $3,015.50 | $6,031.00 | $2,080.35 – $3,486.00 | 6 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | not published | not published | $2,080.35 – $3,486.00 | 6 |
| Cystourethro w/addl implant 52442 CPT 52442 | not published | not published | $484.00 – $3,988.00 | 2 |
| Cystourethro w/implant CPT 52441 | not published | not published | $484.00 – $3,988.00 | 2 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $1,972.00 – $1,972.00 | 1 |
| Cysto w/renal stricture tx CPT 52343 | not published | not published | $2,587.00 – $3,988.00 | 6 |
| Cysto w/up stricture tx CPT 52342 | not published | not published | $3,508.06 – $5,047.00 | 6 |
| Cysto w/ureter stricture tx CPT 52341 | $5,319.00 | $10,638.00 | $3,508.06 – $4,039.00 | 6 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $1.04 – $1.04 | 1 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $696.00 – $1,254.84 | 4 |
| Cytogenetics 25-99 CPT 88274 | not published | not published | $30.49 – $183.35 | 6 |
| Cytogenetics 3-5 CPT 88272 | not published | not published | $23.45 – $141.68 | 6 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $696.00 – $1,215.10 | 4 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $207.31 – $1,294.15 | 6 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $1,900.48 – $1,956.38 | 4 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $10.51 – $63.88 | 6 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $110.50 | $221.00 | $12.61 – $76.41 | 6 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $18.00 | $36.00 | $14.76 – $88.90 | 6 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $10.51 – $63.88 | 6 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,844.82 – $2,478.86 | 5 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $17.56 – $105.58 | 6 |
| Cyto/molecular report CPT 88291 | not published | not published | $17.74 – $67.46 | 2 |
| Cytopath c/v auto in fluid CPT 88174 | $20.00 | $40.00 | $18.71 – $112.51 | 6 |
| Cytopath c/v automated CPT 88147 | not published | not published | $9.97 – $59.73 | 6 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $9.25 – $55.58 | 6 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $13.31 – $80.56 | 6 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $5.25 – $31.94 | 6 |
| Cytopath c/v manual CPT 88150 | $20.00 | $40.00 | $9.25 – $55.58 | 6 |
| Cytopath c/v redo CPT 88153 | not published | not published | $9.25 – $55.58 | 6 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $17.75 – $106.97 | 6 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $9.90 – $214.00 | 6 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $172.50 | $345.00 | $20.73 – $168.18 | 6 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $15.50 | $31.00 | $23.21 – $140.30 | 6 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $129.00 | $258.00 | $17.75 – $106.97 | 6 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $144.00 | $288.00 | $9.90 – $191.78 | 6 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $257.50 | $515.00 | $9.90 – $180.67 | 6 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $106.50 | $213.00 | $6.62 – $29.17 | 2 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $194.00 | $388.00 | $20.73 – $174.12 | 6 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $219.00 | $438.00 | $20.73 – $315.50 | 6 |
| Cytopath smear other source CPT 88160 | $57.50 | $115.00 | $9.90 – $177.87 | 6 |
| Cytopath smear other source CPT 88162 | not published | not published | $9.90 – $250.19 | 6 |
| Cytopath smear oth prep screen & interp CPT 88161 | $57.50 | $115.00 | $9.90 – $152.89 | 6 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $9.25 – $55.58 | 6 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $9.25 – $55.58 | 6 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $9.25 – $55.58 | 6 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $9.25 – $55.58 | 6 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $34.66 – $209.75 | 6 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $26.00 – $156.98 | 6 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $793.00 | $1,586.00 | $33.85 – $1,965.62 | 6 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $4.92 – $4.92 | 1 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $334.90 – $543.76 | 5 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $15.93 – $21.61 | 5 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $22.29 – $22.29 | 1 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.03 – $0.03 | 1 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.10 – $0.45 | 2 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $56.68 – $69.76 | 5 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $2.98 – $4.19 | 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.