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 |
|---|---|---|---|---|
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $364.50 | $729.00 | $199.67 – $3,988.00 | 6 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $663.00 | $1,326.00 | $199.67 – $3,988.00 | 6 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $663.00 | $1,326.00 | $199.67 – $3,988.00 | 6 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $199.67 – $3,988.00 | 6 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $364.50 | $729.00 | $199.67 – $3,988.00 | 6 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $364.50 | $729.00 | $199.67 – $3,988.00 | 6 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $273.50 | $547.00 | $199.67 – $3,988.00 | 6 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $364.50 | $729.00 | $199.67 – $3,988.00 | 6 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $364.50 | $729.00 | $199.67 – $3,988.00 | 6 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $364.50 | $729.00 | $199.67 – $3,988.00 | 6 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $1,904.50 | $3,809.00 | $1,943.35 – $2,603.00 | 6 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,256.00 | $2,512.00 | $484.00 – $2,603.00 | 3 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | $1,305.00 | $2,610.00 | $1,190.90 – $5,607.00 | 6 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $145.00 | $290.00 | $199.67 – $3,988.00 | 6 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $2,053.37 – $3,988.00 | 6 |
| Destroy vulva lesion simple 56501 CPT 56501 | $3,239.50 | $6,479.00 | $2,053.37 – $3,988.00 | 6 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $223.50 | $447.00 | $199.67 – $3,988.00 | 6 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $484.00 – $2,603.00 | 6 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $404.56 – $2,603.00 | 6 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $1,723.00 – $2,603.00 | 6 |
| Destruction 2-14 lesions 17003 CPT 17003 | $94.50 | $189.00 | $484.00 – $3,988.00 | 3 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $2,053.37 – $3,988.00 | 6 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $2,603.00 – $3,231.00 | 6 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $645.00 | $1,290.00 | $404.56 – $2,603.00 | 6 |
| Destruction benign lesions < 14 lesions CPT 17110 | $137.00 | $274.00 | $199.67 – $3,988.00 | 6 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $802.50 | $1,605.00 | $880.23 – $3,486.00 | 6 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,904.50 | $3,809.00 | $484.00 – $2,603.00 | 3 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $2,747.50 | $5,495.00 | $1,943.35 – $5,607.00 | 6 |
| Destruction ciliary body CPT 66700 | not published | not published | $2,296.74 – $3,486.00 | 6 |
| Destruction ciliary body CPT 66720 | not published | not published | $2,366.07 – $3,486.00 | 6 |
| Destruction ciliary body CPT 66740 | not published | not published | $2,366.07 – $3,486.00 | 6 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | $364.50 | $729.00 | $199.67 – $3,988.00 | 6 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $2,603.00 – $4,039.00 | 6 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $2,366.07 – $2,603.00 | 6 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | $663.00 | $1,326.00 | $404.56 – $3,988.00 | 6 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $404.56 – $2,603.00 | 6 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $364.50 | $729.00 | $404.56 – $3,988.00 | 6 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | $364.50 | $729.00 | $404.56 – $2,603.00 | 6 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $348.50 | $697.00 | $404.56 – $3,988.00 | 6 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $2,053.37 – $2,603.00 | 6 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $663.00 | $1,326.00 | $404.56 – $2,603.00 | 6 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $2,762.33 – $10,469.00 | 6 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $2,603.00 – $3,316.33 | 6 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $3,221.58 – $3,988.00 | 6 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $3,249.00 | $6,498.00 | $2,053.37 – $3,988.00 | 6 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $17.56 – $105.58 | 6 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $35.14 – $212.52 | 6 |
| Determine refractive state CPT 92015 | $26.50 | $53.00 | not published | 0 |
| Devel tst phys/qhp 1st hr CPT 96112 | $238.00 | $476.00 | $128.06 – $131.82 | 4 |
| Device ablt adv novasure HCPCS C1886 | $2,324.10 | $4,648.19 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $2,214.23 | $4,428.46 | not published | 0 |
| Device sut capio slim opn HCPCS C2631 | $917.34 | $1,834.69 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $1,142.30 | $2,284.59 | not published | 0 |
| Devise bowel pouch CPT 44316 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $119.50 | $239.00 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $331.50 | $663.00 | $86.61 – $98.28 | 5 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $104.99 – $108.08 | 4 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.09 – $0.09 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.16 – $0.16 | 1 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $208.70 – $281.18 | 5 |
| Dexamethasone panel CPT 80420 | not published | not published | $63.11 – $400.05 | 6 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $1.24 – $1.24 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $61.93 – $137.71 | 5 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $1.58 – $1.58 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $2.29 – $2.29 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | not published | not published | $4.60 – $4.60 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $156.50 | $313.00 | $19.48 – $118.08 | 6 |
| Diabetes (HbA1c) Test CPT 83036 | $109.50 | $219.00 | $8.50 – $51.39 | 6 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | $37.00 | $74.00 | not published | 0 |
| Diab manage trn ind/group HCPCS G0109 | $24.00 | $48.00 | $16.13 – $16.60 | 4 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,771.35 – $3,486.00 | 6 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $3,988.00 – $6,193.46 | 6 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $444.58 – $3,988.00 | 6 |
| Diagnostic anoscopy & biopsy CPT 46607 | $1,586.50 | $3,173.00 | $1,190.90 – $3,988.00 | 6 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $195.50 | $391.00 | $132.41 – $3,988.00 | 6 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $70.12 – $70.12 | 1 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $70.12 – $70.12 | 1 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $104.50 | $209.00 | $198.65 – $3,988.00 | 6 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $392.50 | $785.00 | $198.65 – $3,988.00 | 6 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $487.50 | $975.00 | $110.66 – $373.18 | 5 |
| Diagnostic Mammogram (one breast) CPT 77065 | $383.00 | $766.00 | $86.31 – $293.95 | 5 |
| Diagnostic radio unlisted proc CPT 76499 | not published | not published | $59.59 – $89.15 | 5 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $869.50 | $1,739.00 | $484.00 – $484.00 | 1 |
| Dialysis one evaluation CPT 90945 | $514.00 | $1,028.00 | $415.26 – $427.47 | 4 |
| Dialysis repeated eval CPT 90947 | $514.00 | $1,028.00 | not published | 0 |
| Diathermy eg microwave CPT 97024 | $59.00 | $118.00 | $7.30 – $51.85 | 5 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $7.45 – $7.45 | 1 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $27.81 – $27.81 | 1 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.15 – $0.15 | 1 |
| Diffusing capacity CPT 94729 | $375.50 | $751.00 | not published | 0 |
| Digital analysis of eeg CPT 95957 | $463.00 | $926.00 | not published | 0 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $484.00 – $3,486.00 | 3 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $9.82 – $9.82 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $5,271.59 – $6,535.18 | 5 |
| Digoxin total therapeutic drug level CPT 80162 | $119.50 | $239.00 | $11.63 – $70.84 | 6 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $64.45 – $64.45 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | $460.50 | $921.00 | $484.00 – $3,988.00 | 3 |
| Dilate esophagus CPT 43453 | not published | not published | $1,909.69 – $2,603.00 | 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.