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 |
|---|---|---|---|---|
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $2,641.00 | $5,282.00 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $28.64 | $57.27 | $42.24 – $127.49 | 5 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $205.45 | $410.90 | $123.85 – $211.57 | 5 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $940.50 | $1,881.00 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $122.13 | $244.26 | $123.85 – $177.74 | 5 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $173.36 | $346.73 | $123.85 – $334.44 | 5 |
| Alloskin HCPCS Q4115 | not published | not published | $21.26 – $127.49 | 5 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $58.46 – $127.49 | 5 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $37.17 – $38.26 | 4 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $28.78 – $29.63 | 4 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.57 – $6.61 | 5 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $307.00 | $614.00 | $56.42 – $340.32 | 6 |
| Alpha-fetoprotein amniotic CPT 82106 | $129.00 | $258.00 | $14.69 – $88.90 | 6 |
| Alpha-fetoprotein tumor marker CPT 82105 | $106.00 | $212.00 | $14.69 – $88.90 | 6 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $96.34 – $124.95 | 5 |
| Alt/sgpt CPT 84460 | $36.00 | $72.00 | $4.64 – $27.79 | 6 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.76 – $6.44 | 5 |
| Aluminum - quest CPT 82108 | $156.50 | $313.00 | $22.32 – $134.72 | 6 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $2,464.00 – $4,039.00 | 6 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $614.00 | $1,228.00 | not published | 0 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $13.30 – $75.12 | 2 |
| Ambl bp mntr w/sw a/r CPT 93788 | $572.00 | $1,144.00 | $132.41 – $136.30 | 4 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $1.07 – $1.07 | 1 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $3.29 – $19.45 | 6 |
| Amino acid screen, urine CPT 82128 | not published | not published | $12.14 – $73.61 | 6 |
| Amino acid single qual CPT 82127 | not published | not published | $12.14 – $73.61 | 6 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $14.78 – $88.90 | 6 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.83 – $2.38 | 5 |
| Aminolevulinic acid delta CPT 82135 | $123.50 | $247.00 | $14.42 – $87.52 | 6 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $399.93 – $540.65 | 5 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | not published | not published | $18.02 – $18.02 | 1 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $3.31 – $3.31 | 1 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $14.62 – $84.28 | 2 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $22.99 – $28.13 | 5 |
| Ammonia CPT 82140 | $63.00 | $126.00 | $12.77 – $76.41 | 6 |
| Amnioarmor 1 sq cm HCPCS Q4188 | not published | not published | $123.85 – $743.05 | 5 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $2,039.50 | $4,079.00 | $916.63 – $3,988.00 | 6 |
| Amniocentesis therapeutic CPT 59001 | $4,579.50 | $9,159.00 | $303.27 – $3,988.00 | 6 |
| Amniocore per sq cm HCPCS Q4227 | not published | not published | $123.85 – $1,421.00 | 5 |
| Amnio-maxx or lite per sq cm HCPCS Q4239 | not published | not published | $123.85 – $3,262.50 | 5 |
| Amniotic fluid scan CPT 82143 | not published | not published | $6.02 – $36.13 | 6 |
| Amniowrap2 per sq cm HCPCS Q4221 | not published | not published | $123.85 – $2,537.50 | 5 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $3,045.00 | $6,090.00 | $2,464.00 – $4,926.00 | 6 |
| Amphetamine confirm urine -sendout CPT 80324 | not published | not published | $12.69 – $73.20 | 2 |
| Amphetamines 5 or more CPT 80326 | not published | not published | $12.69 – $66.25 | 2 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $64.15 – $64.15 | 1 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $10.50 – $10.81 | 4 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | not published | not published | $21.91 – $29.59 | 5 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | not published | not published | $1.20 – $1.20 | 1 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | not published | not published | $2.65 – $2.65 | 1 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $268.25 – $276.14 | 4 |
| Amp metatarsal w/toe single 28810 CPT 28810 | not published | not published | $3,231.00 – $3,486.00 | 6 |
| Amp thigh through femur re-amp 27596 CPT 27596 | not published | not published | $3,256.29 – $9,860.00 | 6 |
| Amputate hand at wrist CPT 25922 | not published | not published | $778.00 – $3,988.00 | 6 |
| Amputate hand at wrist CPT 25920 | not published | not published | $3,256.29 – $9,860.00 | 6 |
| Amputate leg at thigh CPT 27591 | not published | not published | $3,256.29 – $22,146.00 | 6 |
| Amputate leg at thigh CPT 27592 | not published | not published | $3,256.29 – $22,146.00 | 6 |
| Amputate lower leg at knee CPT 27598 | not published | not published | $3,256.29 – $19,258.00 | 6 |
| Amputate metacarpal bone 26910 CPT 26910 | not published | not published | $3,256.29 – $4,039.00 | 6 |
| Amputate thigh through femur 27590 CPT 27590 | not published | not published | $3,256.29 – $22,146.00 | 6 |
| Amputate upper arm & implant CPT 24931 | not published | not published | $3,988.00 – $19,258.00 | 6 |
| Amputation follow-up surgery CPT 24925 | not published | not published | $3,256.29 – $5,047.00 | 6 |
| Amputation follow-up surgery CPT 25907 | not published | not published | $3,256.29 – $5,047.00 | 6 |
| Amputation follow-up surgery CPT 25909 | not published | not published | $3,988.00 – $7,416.07 | 6 |
| Amputation follow-up surgery CPT 25929 | not published | not published | $778.00 – $3,988.00 | 6 |
| Amputation follow-up surgery CPT 25931 | not published | not published | $3,256.29 – $4,039.00 | 6 |
| Amputation follow-up surgery CPT 27594 | not published | not published | $3,256.29 – $4,039.00 | 6 |
| Amputation follow-up surgery CPT 27884 | not published | not published | $3,256.29 – $4,039.00 | 6 |
| Amputation follow-up surgery CPT 24930 | not published | not published | $3,988.00 – $9,860.00 | 6 |
| Amputation follow-up surgery CPT 25924 | not published | not published | $3,256.29 – $9,860.00 | 6 |
| Amputation leg thr tib/fib 27880 CPT 27880 | not published | not published | $3,988.00 – $22,146.00 | 6 |
| Amputation leg; tib/fib f/u 27886 CPT 27886 | not published | not published | $3,256.29 – $9,860.00 | 6 |
| Amputation of foot at ankle CPT 27889 | not published | not published | $3,988.00 – $7,433.77 | 6 |
| Amputation of foot at ankle CPT 27888 | not published | not published | $3,256.29 – $19,258.00 | 6 |
| Amputation of forearm CPT 25900 | not published | not published | $3,988.00 – $19,258.00 | 6 |
| Amputation of forearm CPT 25905 | not published | not published | $3,988.00 – $19,258.00 | 6 |
| Amputation of forearm CPT 25915 | not published | not published | $3,988.00 – $9,860.00 | 6 |
| Amputation of hand CPT 25927 | not published | not published | $3,256.29 – $4,039.00 | 6 |
| Amputation of leg at hip CPT 27290 | not published | not published | $3,988.00 – $22,146.00 | 6 |
| Amputation of leg at hip CPT 27295 | not published | not published | $3,988.00 – $22,146.00 | 6 |
| Amputation of lower leg CPT 27882 | not published | not published | $3,256.29 – $9,860.00 | 6 |
| Amputation of lower leg CPT 27881 | not published | not published | $3,256.29 – $9,860.00 | 6 |
| Amputation of midtarsal 28800 CPT 28800 | not published | not published | $3,256.29 – $4,039.00 | 6 |
| Amputation of upper arm CPT 24900 | not published | not published | $3,988.00 – $19,258.00 | 6 |
| Amputation of upper arm CPT 24920 | not published | not published | $3,988.00 – $19,258.00 | 6 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $3,256.29 – $5,047.00 | 6 |
| Amputation toe interphalangeal joint CPT 28825 | $4,196.50 | $8,393.00 | $2,587.00 – $3,486.00 | 6 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $4,196.50 | $8,393.00 | $2,587.00 – $3,486.00 | 6 |
| Amylase CPT 82150 | $115.50 | $231.00 | $5.68 – $34.71 | 6 |
| Anabolic steroid 1 or 2 CPT 80327 | not published | not published | $21.08 – $66.25 | 2 |
| Anabolic steroid 3 or more CPT 80328 | not published | not published | $21.08 – $110.01 | 2 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $59.47 – $61.22 | 4 |
| Ana ds-dna CPT 86226 | $65.00 | $130.00 | $10.61 – $63.88 | 6 |
| Analgesics non-opioid 3-5 CPT 80330 | not published | not published | $16.52 – $86.25 | 2 |
| Analgesics non-opioid 6/more CPT 80331 | not published | not published | $16.52 – $86.25 | 2 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | not published | not published | $16.52 – $95.30 | 2 |
| Anal pressure record CPT 91122 | $420.00 | $840.00 | $484.00 – $484.00 | 1 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $128.06 – $3,988.00 | 6 |
| Anal/urinary muscle study CPT 51785 | $552.00 | $1,104.00 | $248.65 – $2,603.00 | 6 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $264.50 | $529.00 | not published | 0 |
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.