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 |
|---|---|---|---|---|
| Ghs eye exam CPT 92002 | not published | not published | $132.50 – $136.39 | 4 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $881.00 | $1,762.00 | $315.88 – $3,988.00 | 6 |
| Ghs fat & muscle CPT 89160 | not published | not published | $3.23 – $19.45 | 6 |
| Ghs fb removal foot - deep - left CPT 28192 | $2,723.00 | $5,446.00 | $1,643.67 – $3,486.00 | 6 |
| Ghs fb removal from muscle - complicated CPT 20525 | $5,758.00 | $11,516.00 | $2,587.00 – $3,988.00 | 6 |
| Ghs fb removal - incisional CPT 10121 | $3,401.50 | $6,803.00 | $1,643.67 – $3,486.00 | 6 |
| Ghs fb removal - non-incisional CPT 20520 | $876.50 | $1,753.00 | $1,377.00 – $2,603.00 | 6 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $26.50 | $53.00 | $6.11 – $37.51 | 6 |
| Ghs fish cytogen CPT 88271 | $343.00 | $686.00 | $18.76 – $112.51 | 6 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $211.00 | $422.00 | $35.18 – $212.52 | 6 |
| Ghs flow volume loop CPT 94375 | not published | not published | $214.89 – $221.21 | 4 |
| Ghs gastric intub aspiration lavage CPT 43753 | $207.00 | $414.00 | $214.89 – $2,603.00 | 6 |
| Ghs hcv amplificaiton CPT 87521 | $141.00 | $282.00 | $30.75 – $186.15 | 6 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $15.08 – $90.29 | 6 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $13.57 – $81.95 | 6 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $7.42 – $44.44 | 6 |
| Ghs histoplasma antigen CPT 87385 | $142.00 | $284.00 | $10.51 – $63.88 | 6 |
| Ghs HIV antibody CPT 86703 | not published | not published | $12.01 – $72.22 | 6 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $56.40 – $340.32 | 6 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $2,076.50 | $4,153.00 | $2,080.35 – $3,486.00 | 6 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $2,798.50 | $5,597.00 | $1,190.90 – $3,988.00 | 6 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $2,919.50 | $5,839.00 | $704.73 – $3,988.00 | 6 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $475.00 | $950.00 | $704.73 – $3,988.00 | 6 |
| Ghs immun0electrophoresis CPT 86320 | $18.50 | $37.00 | $19.63 – $118.08 | 6 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $397.00 | $794.00 | $248.65 – $2,603.00 | 6 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | not published | not published | $198.65 – $3,486.00 | 6 |
| Ghs inf midline insertion CPT 36140 | $2,332.50 | $4,665.00 | $484.00 – $3,988.00 | 3 |
| Ghs inhibitor screen CPT 85335 | $181.50 | $363.00 | $11.28 – $68.07 | 6 |
| Ghs init tx 1st degree burn CPT 16000 | $243.00 | $486.00 | $199.67 – $3,988.00 | 6 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $1,913.00 | $3,826.00 | $880.23 – $2,603.00 | 6 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $1,121.00 | $2,242.00 | $880.23 – $2,603.00 | 6 |
| Ghs inj tendon origin/insertion CPT 20551 | $313.50 | $627.00 | $305.48 – $2,603.00 | 6 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $977.50 | $1,955.00 | $484.00 – $2,603.00 | 3 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $2,120.00 | $4,240.00 | $880.23 – $2,603.00 | 6 |
| Ghs insertion of needle - bone CPT 36680 | $356.50 | $713.00 | $444.58 – $3,988.00 | 6 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $625.00 | $1,250.00 | $404.56 – $3,486.00 | 6 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $947.00 | $1,894.00 | $484.00 – $3,486.00 | 6 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $3,098.00 | $6,196.00 | $2,053.37 – $4,039.00 | 6 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $430.00 | $860.00 | $484.00 – $3,988.00 | 3 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $1,723.50 | $3,447.00 | $248.65 – $2,603.00 | 6 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $84.00 | $168.00 | $46.60 – $47.97 | 4 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $291.00 | $582.00 | not published | 0 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $229.00 | $458.00 | not published | 0 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $225.00 | $450.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,347.00 | $2,694.00 | $328.72 – $2,603.00 | 6 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $273.00 | $546.00 | $444.58 – $3,486.00 | 6 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $625.00 | $1,250.00 | $404.56 – $3,988.00 | 6 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $259.00 | $518.00 | $404.56 – $3,988.00 | 6 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $259.00 | $518.00 | $404.56 – $3,988.00 | 6 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $259.00 | $518.00 | $404.56 – $3,988.00 | 6 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $259.00 | $518.00 | $404.56 – $3,988.00 | 6 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $259.00 | $518.00 | $404.56 – $3,988.00 | 6 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $625.00 | $1,250.00 | $404.56 – $3,486.00 | 6 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $405.50 | $811.00 | $484.00 – $3,486.00 | 6 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $261.50 | $523.00 | $404.56 – $3,486.00 | 6 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $405.50 | $811.00 | $484.00 – $3,486.00 | 6 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $365.00 | $730.00 | $404.56 – $3,486.00 | 6 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $735.52 – $3,486.00 | 6 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $420.00 | $840.00 | $404.56 – $3,486.00 | 6 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,297.00 | $2,594.00 | $2,053.37 – $5,047.00 | 6 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $483.50 | $967.00 | $404.56 – $3,486.00 | 6 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $144.00 | $288.00 | $7.54 – $45.85 | 6 |
| Ghs mbp CPT 83873 | $151.00 | $302.00 | $15.07 – $90.29 | 6 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $323.00 | $646.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $323.00 | $646.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $323.00 | $646.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $323.00 | $646.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $246.00 | $492.00 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $326.00 | $652.00 | not published | 0 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $173.00 | $346.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $425.50 | $851.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $650.00 | $1,300.00 | $484.00 – $3,988.00 | 6 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $1,506.50 | $3,013.00 | $880.23 – $2,603.00 | 6 |
| Ghs nerve blk intercostal, single level CPT 64420 | $1,160.00 | $2,320.00 | $702.49 – $2,603.00 | 6 |
| Ghs nerve block axillary nerve CPT 64417 | $758.00 | $1,516.00 | $880.23 – $2,603.00 | 6 |
| Ghs nerve block brachial plexus CPT 64415 | $506.00 | $1,012.00 | $880.23 – $2,603.00 | 6 |
| Ghs nerve block celiac plexus CPT 64530 | $1,683.00 | $3,366.00 | $880.23 – $2,603.00 | 6 |
| Ghs nerve block interscaline CPT 64510 | $1,402.50 | $2,805.00 | $880.23 – $2,603.00 | 6 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $1,402.50 | $2,805.00 | $880.23 – $2,603.00 | 6 |
| Ghs nerve block sciatic nerve CPT 64445 | $733.00 | $1,466.00 | $702.49 – $2,603.00 | 6 |
| Ghs nerve block suprascapular CPT 64418 | $871.50 | $1,743.00 | $702.49 – $2,603.00 | 6 |
| Ghs ng placement w fluoro guidance CPT 43752 | $425.00 | $850.00 | $444.58 – $3,988.00 | 6 |
| Ghs o2 saturation CPT 82810 | $65.00 | $130.00 | $7.64 – $45.85 | 6 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $128.06 – $131.82 | 4 |
| Ghs o2 uptake rest & indirect CPT 94690 | $208.00 | $416.00 | $58.71 – $60.44 | 4 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $46.60 – $47.97 | 4 |
| Ghs opcc repair cvp without subq port CPT 36575 | $949.00 | $1,898.00 | $624.29 – $3,486.00 | 6 |
| Ghs opcc repair cvp w subq port CPT 36576 | $949.00 | $1,898.00 | $1,377.00 – $3,486.00 | 6 |
| Ghs optokenetic CPT 92544 | $325.00 | $650.00 | $128.06 – $131.82 | 4 |
| Ghs oscillating trac CPT 92545 | not published | not published | $214.89 – $221.21 | 4 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $74.00 | $148.00 | $21.49 – $22.12 | 4 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $74.00 | $148.00 | $21.49 – $22.12 | 4 |
| Ghs ot dds rom CPT 95851 | not published | not published | $6.69 – $6.89 | 4 |
| Ghs ot group caregiver training CPT 97552 | $15.00 | $30.00 | $9.41 – $9.69 | 4 |
| Ghs ot prosthetic training/15 min CPT 97761 | $136.50 | $273.00 | $40.72 – $100.65 | 5 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $89.00 | $178.00 | $61.14 – $87.93 | 5 |
| Ghs ot work hardening-additional hours CPT 97546 | $95.50 | $191.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $499.50 | $999.00 | $657.77 – $677.12 | 4 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $1,435.50 | $2,871.00 | $484.00 – $2,603.00 | 3 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $2,151.00 | $4,302.00 | $484.00 – $2,603.00 | 3 |
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.