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 |
|---|---|---|---|---|
| Free omental flap microvasc CPT 49906 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Free skin flap microvasc CPT 15757 | not published | not published | $778.00 – $5,620.00 | 3 |
| Frenectomy 41115 CPT 41115 | not published | not published | $1,544.13 – $2,603.00 | 6 |
| Frenotomy 40806 CPT 40806 | not published | not published | $484.00 – $3,988.00 | 6 |
| Frenulotomy of penis CPT 54164 | not published | not published | $2,080.35 – $3,486.00 | 6 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $270.00 | $540.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | not published | not published | $8.69 – $174.12 | 6 |
| Frozen blood freeze/thaw CPT 86932 | not published | not published | $17.86 – $373.65 | 6 |
| Frozen blood prep CPT 86930 | not published | not published | $29.08 – $438.95 | 6 |
| Frozen blood thaw CPT 86931 | not published | not published | $29.08 – $329.21 | 6 |
| Frozen cell preparation CPT 88241 | not published | not published | $8.85 – $52.78 | 6 |
| Frozen plasma, pooled, sd HCPCS P9023 | $270.00 | $540.00 | not published | 0 |
| Fructosamine glycated protein CPT 82985 | $95.50 | $191.00 | $13.21 – $79.18 | 6 |
| Ft arch suprt premold longit HCPCS L3040 | $28.46 | $56.93 | not published | 0 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | $1,368.50 | $2,737.00 | $484.00 – $3,486.00 | 3 |
| Fth/gft fr trnk each addl CPT 15201 | $1,368.50 | $2,737.00 | $484.00 – $3,486.00 | 3 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $138.59 – $1,558.02 | 5 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $41.71 – $230.26 | 5 |
| Ftl cgen abnor four anal CPT 81511 | $133.00 | $266.00 | $92.10 – $160.79 | 5 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $33.32 – $209.40 | 5 |
| Ftl cgen abnor two proteins CPT 81508 | $109.00 | $218.00 | $32.58 – $147.77 | 5 |
| Full field erg w/i&r CPT 92273 | not published | not published | $214.89 – $221.21 | 4 |
| Full mouth x-ray of teeth CPT 70320 | $165.50 | $331.00 | $150.16 – $244.44 | 5 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $2,703.50 | $5,407.00 | $2,053.37 – $3,486.00 | 6 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $2,703.50 | $5,407.00 | $2,053.37 – $3,486.00 | 6 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | $1,368.50 | $2,737.00 | $484.00 – $3,486.00 | 3 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $2,703.50 | $5,407.00 | $2,053.37 – $3,988.00 | 6 |
| Fundus photography with i&r 92250 CPT 92250 | $163.50 | $327.00 | $132.41 – $136.30 | 4 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $0.59 – $0.59 | 1 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Fuse/graft added joint CPT 26863 | not published | not published | $484.00 – $3,988.00 | 3 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $3,988.00 – $3,988.00 | 1 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Fuse upper gi structures CPT 47721 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $3,256.29 – $5,047.00 | 6 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $4,926.00 – $13,121.51 | 6 |
| Fusion of big toe joint CPT 28750 | not published | not published | $4,926.00 – $7,433.77 | 6 |
| Fusion of big toe joint CPT 28755 | not published | not published | $4,926.00 – $7,416.07 | 6 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $484.00 – $3,486.00 | 3 |
| Fusion of finger joint CPT 26860 | not published | not published | $3,256.29 – $5,047.00 | 6 |
| Fusion of finger tendons CPT 26471 | not published | not published | $2,464.00 – $4,039.00 | 6 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,600.27 – $4,039.00 | 6 |
| Fusion of foot bones CPT 28730 | not published | not published | $4,926.00 – $13,121.51 | 6 |
| Fusion of foot bones CPT 28735 | not published | not published | $4,926.00 – $13,121.51 | 6 |
| Fusion of foot bones CPT 28740 | not published | not published | $4,926.00 – $7,889.00 | 6 |
| Fusion of hand joint CPT 26843 | not published | not published | $3,988.00 – $15,406.00 | 6 |
| Fusion of knee CPT 27580 | not published | not published | $3,988.00 – $13,121.51 | 6 |
| Fusion of knuckle CPT 26850 | not published | not published | $4,926.00 – $7,889.00 | 6 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $2,603.00 – $4,039.00 | 6 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $3,256.29 – $4,039.00 | 6 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $3,988.00 – $7,433.77 | 6 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $4,926.00 – $7,889.00 | 6 |
| Fusion of skull arteries CPT 61711 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $778.00 – $4,926.00 | 6 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $778.00 – $4,926.00 | 6 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $3,256.29 – $4,039.00 | 6 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $3,256.29 – $5,047.00 | 6 |
| Fusion of thumb CPT 26841 | not published | not published | $4,926.00 – $7,433.77 | 6 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $4,926.00 – $13,121.51 | 6 |
| Fusion of toes CPT 28280 | not published | not published | $2,587.00 – $3,486.00 | 6 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $164.90 – $287.88 | 4 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $82.20 – $143.51 | 4 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $164.90 – $287.88 | 4 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $111.12 – $194.00 | 4 |
| G6pc gene CPT 81250 | not published | not published | $35.09 – $253.27 | 6 |
| G6pd full gene sequence CPT 81249 | not published | not published | $360.00 – $628.50 | 4 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $104.89 – $183.11 | 4 |
| G6pd known familial variant CPT 81248 | not published | not published | $225.15 – $393.07 | 4 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $47.50 | $95.00 | not published | 0 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $44.50 | $89.00 | $50.62 – $52.11 | 4 |
| Gabapentin non-blood CPT 80355 | not published | not published | $10.78 – $10.78 | 1 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.42 – $0.42 | 1 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | not published | not published | $2.06 – $2.06 | 1 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.16 – $0.16 | 1 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | not published | not published | $20.16 – $20.16 | 1 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $154.50 | $309.00 | $18.45 – $111.12 | 6 |
| Galactokinase - sendout CPT 82759 | not published | not published | $18.82 – $113.89 | 6 |
| Galactose transferase test CPT 82776 | not published | not published | $7.34 – $44.44 | 6 |
| Galectin-3 CPT 82777 | not published | not published | $10.68 – $116.69 | 6 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $3,988.00 – $6,310.00 | 6 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $3.68 – $3.79 | 4 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $370.77 – $381.68 | 4 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $561.13 – $577.64 | 4 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $488.09 – $502.45 | 4 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $369.75 – $380.62 | 4 |
| Galsulfase injection HCPCS J1458 | not published | not published | $518.93 – $650.69 | 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.