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 |
|---|---|---|---|---|
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $173.89 – $684.94 | 5 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $50.01 – $68.50 | 5 |
| Gammaglobulin iga CPT 82784 | $55.50 | $111.00 | $8.15 – $48.62 | 6 |
| Gammaglobulin ige CPT 82785 | $69.50 | $139.00 | $14.43 – $87.52 | 6 |
| Gamma glutamyltransferase CPT 82977 | $106.00 | $212.00 | $6.31 – $37.51 | 6 |
| Gammagraft HCPCS Q4111 | not published | not published | $9.77 – $127.49 | 5 |
| Gammaplex injection HCPCS J1557 | not published | not published | $64.96 – $74.65 | 5 |
| Gamunex-c/gammaked HCPCS J1561 | not published | not published | $49.94 – $67.82 | 5 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | not published | not published | $43.79 – $43.79 | 1 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $30.75 – $186.15 | 6 |
| Gardner vag dna quant CPT 87512 | not published | not published | $36.57 – $220.86 | 6 |
| Gastric analy w/ph ea spec CPT 82930 | $31.50 | $63.00 | $4.60 – $30.84 | 6 |
| Gastric emptying imag study CPT 78265 | $1,364.00 | $2,728.00 | $397.85 – $994.62 | 5 |
| Gastric emptying imag study CPT 78266 | $1,544.00 | $3,088.00 | $540.36 – $1,319.67 | 5 |
| Gastric motility studies CPT 91020 | not published | not published | $371.37 – $382.29 | 4 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $397.85 – $702.32 | 5 |
| Gastrin test CPT 82938 | not published | not published | $15.50 – $93.06 | 6 |
| Gastroduodenostomy CPT 43810 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Gastroesophageal reflux study CPT 78262 | $651.00 | $1,302.00 | $397.85 – $720.29 | 5 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $371.37 – $382.29 | 4 |
| Gastrointestinal repair CPT 43360 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Gastrointestinal repair CPT 43361 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Gastrojejunostomy;w/o vagotomy 43820 CPT 43820 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Gastrojejunostomy w/vagotomy CPT 43825 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Gastro/jejuno tube, std HCPCS B4087 | $379.50 | $759.00 | not published | 0 |
| Gastroplasty duodenal switch CPT 43845 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $778.00 – $3,988.00 | 6 |
| Gated heart multiple CPT 78473 | not published | not published | $397.85 – $1,425.57 | 5 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | $3.62 | $7.25 | not published | 0 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | $3.62 | $7.25 | not published | 0 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | $3.62 | $7.25 | not published | 0 |
| Gba gene CPT 81251 | not published | not published | $28.35 – $333.91 | 6 |
| Gel-one HCPCS J7326 | not published | not published | $539.84 – $712.68 | 5 |
| Gel-syn injection 0.1 mg HCPCS J7328 | not published | not published | $0.71 – $0.75 | 5 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | not published | not published | $4.51 – $4.51 | 1 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | not published | not published | $241.35 – $314.17 | 5 |
| General health panel CPT 80050 | not published | not published | $24.23 – $176.42 | 2 |
| Generator barostim neo2 2014 HCPCS C1767 | $24,546.10 | $49,092.20 | not published | 0 |
| Generator emblem MRI sicd subq HCPCS C1722 | $45,186.03 | $90,372.06 | not published | 0 |
| Generator stim baroreceptor neo legacy implant pulse HCPCS C1825 | $23,287.50 | $46,575.00 | not published | 0 |
| Genetic tstg severe inh cond CPT 81443 | $2,949.50 | $5,899.00 | $1,469.14 – $2,564.87 | 4 |
| Genioplasty augmentation CPT 21120 | not published | not published | $5,620.00 – $12,325.00 | 6 |
| Geniop sldg augmentation CPT 21123 | not published | not published | $3,299.54 – $15,406.00 | 6 |
| Geniop sldg osteot 1 CPT 21121 | not published | not published | $3,299.54 – $7,778.00 | 6 |
| Geniop sldg osteot 2/> CPT 21122 | not published | not published | $5,620.00 – $9,860.00 | 6 |
| Gen, neuro, clo loop, rechg HCPCS C1826 | $18,952.50 | $37,905.00 | not published | 0 |
| Genome re-evaluation CPT 81427 | not published | not published | $1,402.59 – $2,448.69 | 4 |
| Genome sequence analysis CPT 81425 | not published | not published | $3,018.72 – $5,270.18 | 4 |
| Genome sequence analysis CPT 81426 | not published | not published | $1,625.97 – $2,838.67 | 4 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | not published | not published | $2.83 – $2.83 | 1 |
| Gentamicin peak therapeutic drug level CPT 80170 | $151.00 | $302.00 | $14.36 – $86.14 | 6 |
| Genvisc 850, inj, 1mg HCPCS J7320 | not published | not published | $5.89 – $7.00 | 5 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $484.00 – $877.66 | 4 |
| Gfrg autol fat lipo ea addl CPT 15774 | not published | not published | $484.00 – $3,988.00 | 3 |
| Ghs abscess perianal iandd CPT 46050 | $1,648.50 | $3,297.00 | $925.49 – $2,603.00 | 6 |
| Ghs abscess postoperative iandd complex CPT 10180 | $5,118.00 | $10,236.00 | $2,890.77 – $3,486.00 | 6 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $124.00 | $248.00 | $6.73 – $40.28 | 6 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $87.00 | $174.00 | $14.08 – $84.72 | 6 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $232.00 | $464.00 | $61.36 – $455.47 | 6 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $326.00 | $652.00 | $132.41 – $136.30 | 4 |
| Ghs antibodies (torch) igm CPT 86694 | $94.50 | $189.00 | $12.61 – $76.41 | 6 |
| Ghs aspiration bladder - needle CPT 51100 | not published | not published | $248.65 – $3,988.00 | 6 |
| Ghs bladder cath - complex-foley CPT 51703 | $234.00 | $468.00 | $128.06 – $2,603.00 | 6 |
| Ghs bleeding time (ivy) CPT 85002 | not published | not published | $3.94 – $23.60 | 6 |
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $1,160.00 | $2,320.00 | $702.49 – $2,603.00 | 6 |
| Ghs central line insert < age 5, failed CPT 36555 | $1,971.00 | $3,942.00 | $805.00 – $3,227.04 | 6 |
| Ghs change cysto/gastrost CPT 43762 | $967.00 | $1,934.00 | $248.65 – $3,988.00 | 6 |
| Ghs chemo >8 hrs CPT 96416 | $1,215.00 | $2,430.00 | $328.72 – $338.39 | 4 |
| Ghs chemo infusion >8 hrs CPT 96425 | not published | not published | $328.72 – $338.39 | 4 |
| Ghs chemo IV push, ea addtl CPT 96411 | $269.00 | $538.00 | $71.65 – $73.76 | 4 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | not published | not published | $30.75 – $186.15 | 6 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $212.00 | $424.00 | $245.48 – $3,988.00 | 6 |
| Ghs closed reduction ankle dislocation CPT 27840 | $732.00 | $1,464.00 | $245.48 – $2,603.00 | 6 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $838.50 | $1,677.00 | $1,377.00 – $2,603.00 | 6 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $198.00 | $396.00 | $245.48 – $2,603.00 | 6 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $4,266.50 | $8,533.00 | $1,600.27 – $2,603.00 | 6 |
| Ghs closure surg wound/dehiscence-13160 CPT 13160 | $3,086.00 | $6,172.00 | $2,464.00 – $3,621.79 | 6 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $263.00 | $526.00 | $245.48 – $2,603.00 | 6 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $2,320.00 | $4,640.00 | $1,600.27 – $2,603.00 | 6 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $2,863.50 | $5,727.00 | $1,600.27 – $3,486.00 | 6 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $263.00 | $526.00 | $245.48 – $2,603.00 | 6 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $377.00 | $754.00 | $245.48 – $3,988.00 | 6 |
| Ghs community re-entry 15 minutes CPT 97537 | $89.00 | $178.00 | $32.33 – $73.20 | 5 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $410.50 | $821.00 | $444.58 – $3,988.00 | 6 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $398.50 | $797.00 | $132.41 – $3,988.00 | 6 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $238.50 | $477.00 | $444.58 – $3,988.00 | 6 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $172.50 | $345.00 | $132.41 – $3,988.00 | 6 |
| Ghs cricothyroidotomy CPT 31605 | $1,066.50 | $2,133.00 | $235.71 – $2,603.00 | 6 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $444.58 – $5,047.00 | 6 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $132.41 – $3,988.00 | 5 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $20.00 | $40.00 | $13.33 – $80.56 | 6 |
| Ghs dislocation elbow closed treatment CPT 24600 | $379.00 | $758.00 | $245.48 – $2,603.00 | 6 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $900.50 | $1,801.00 | $902.63 – $2,603.00 | 6 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $523.00 | $1,046.00 | $278.35 – $3,988.00 | 6 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,938.00 | $3,876.00 | $702.49 – $3,988.00 | 6 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $2,592.00 | $5,184.00 | $214.89 – $221.21 | 4 |
| Ghs electrostagmgraphy CPT 92537 | $295.50 | $591.00 | $128.06 – $131.82 | 4 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $128.06 – $131.82 | 4 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $364.50 | $729.00 | $404.56 – $3,988.00 | 6 |
| Ghs excision ingrown nail CPT 11765 | $259.00 | $518.00 | $404.56 – $3,988.00 | 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.