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 path - pap (papanicolau) smear - vagina CPT 88141 | $21.50 | $43.00 | $19.13 – $68.94 | 3 |
| Ghs peritonsillar abscess i andd CPT 42700 | $675.00 | $1,350.00 | $235.71 – $2,603.00 | 6 |
| Ghs phenylketonurid CPT 84030 | $305.00 | $610.00 | $4.82 – $29.17 | 6 |
| Ghs picc line insert < 5 CPT 36568 | $2,161.00 | $4,322.00 | $1,377.00 – $2,603.00 | 6 |
| Ghs plngl fx pm cl CPT 26725 | $308.00 | $616.00 | $245.48 – $3,988.00 | 6 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $3.77 – $22.22 | 6 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $132.41 – $136.30 | 4 |
| Ghs ppd (tb intradermal) CPT 86580 | $20.50 | $41.00 | $3.31 – $30.65 | 6 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $55.00 | $110.00 | $8.46 – $51.39 | 6 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $4.54 – $27.79 | 6 |
| Ghs protoporphyrins fract CPT 84202 | $92.00 | $184.00 | $12.57 – $76.41 | 6 |
| Ghs pr without cont pulse ox CPT 94625 | $105.00 | $210.00 | $58.71 – $60.44 | 4 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $96.00 | $192.00 | $10.73 – $65.30 | 6 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $292.50 | $585.00 | not published | 0 |
| Ghs quinidine CPT 80194 | $114.00 | $228.00 | $12.79 – $77.80 | 6 |
| Ghs refill of implantable pump CPT 95990 | $194.50 | $389.00 | $328.72 – $338.39 | 4 |
| Ghs removal intranasal foreign body CPT 30300 | $131.00 | $262.00 | $132.41 – $3,988.00 | 6 |
| Ghs removal pharyngeal foreign body CPT 42809 | $597.00 | $1,194.00 | $444.58 – $2,603.00 | 6 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $2,517.00 | $5,034.00 | $1,600.27 – $3,988.00 | 6 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $5,110.50 | $10,221.00 | $3,256.29 – $4,926.00 | 6 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $84.50 | $169.00 | $11.29 – $68.07 | 6 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $3.77 – $22.22 | 6 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $10.51 – $63.88 | 6 |
| Ghs sedimentation rate CPT 85651 | not published | not published | $3.11 – $18.06 | 6 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $10.56 – $63.88 | 6 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $7.81 – $47.24 | 6 |
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $6.04 – $36.13 | 6 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $938.50 | $1,877.00 | $404.56 – $3,486.00 | 6 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $886.50 | $1,773.00 | $404.56 – $3,486.00 | 6 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $1,033.50 | $2,067.00 | $404.56 – $3,486.00 | 6 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $1,019.00 | $2,038.00 | $404.56 – $3,486.00 | 6 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $701.50 | $1,403.00 | $199.67 – $3,988.00 | 6 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $854.00 | $1,708.00 | $199.67 – $3,988.00 | 6 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $771.00 | $1,542.00 | $199.67 – $3,988.00 | 6 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $1,136.00 | $2,272.00 | $199.67 – $3,486.00 | 6 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $1,172.00 | $2,344.00 | $199.67 – $3,486.00 | 6 |
| Ghs sleep study unattended CPT 95800 | $483.00 | $966.00 | $214.89 – $221.21 | 4 |
| Ghs somatosensory testing lower extremit CPT 95926 | $716.00 | $1,432.00 | $214.89 – $221.21 | 4 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,429.50 | $2,859.00 | not published | 0 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $165.50 | $331.00 | $48.30 – $49.72 | 4 |
| Ghs sphenopalatine ganglion block CPT 64505 | $570.00 | $1,140.00 | $305.48 – $2,603.00 | 6 |
| Ghs spont nystagmus CPT 92541 | $251.50 | $503.00 | $132.41 – $136.30 | 4 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $331.00 | $662.00 | $103.59 – $106.64 | 4 |
| Ghs st - eval for alt comm CPT 92567 | $46.50 | $93.00 | $37.17 – $38.26 | 4 |
| Ghs strapping shoulder - 29240 CPT 29240 | $486.50 | $973.00 | $132.41 – $3,988.00 | 6 |
| Ghs st - re-eval for alt comm CPT 92597 | $454.00 | $908.00 | $71.86 – $222.65 | 5 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $107.00 | $214.00 | $46.60 – $47.97 | 4 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $366.00 | $732.00 | $211.68 – $217.91 | 4 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,075.00 | $2,150.00 | $484.00 – $2,603.00 | 6 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $737.50 | $1,475.00 | $404.56 – $2,603.00 | 6 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $1,049.50 | $2,099.00 | $1,544.13 – $2,603.00 | 6 |
| Ghs trypsin (fecal) CPT 84488 | $190.00 | $380.00 | $6.40 – $38.90 | 6 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $401.00 | $802.00 | $245.48 – $3,988.00 | 6 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $245.48 – $3,988.00 | 6 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $21.29 – $129.19 | 6 |
| Ghs urine, porphyrins quant CPT 84120 | $142.00 | $284.00 | $12.88 – $77.80 | 6 |
| Ghs vaginal delivery only CPT 59409 | $2,101.00 | $4,202.00 | $3,221.58 – $3,988.00 | 6 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $2,592.00 | $5,184.00 | $371.37 – $382.29 | 4 |
| Ghs windowing of cast CPT 29730 | not published | not published | $161.72 – $3,988.00 | 6 |
| Giardia ag if CPT 87269 | not published | not published | $10.51 – $63.88 | 6 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $12.90 – $77.80 | 6 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $237.46 – $357.36 | 5 |
| Gi inhouse confirmation CPT 87045 | $122.50 | $245.00 | $8.26 – $50.01 | 6 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $3,299.54 – $5,047.00 | 6 |
| Gi protein loss CPT 78282 | not published | not published | $397.85 – $850.83 | 5 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $2,481.00 | $4,962.00 | $902.63 – $929.18 | 4 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $925.49 – $952.71 | 4 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $902.63 – $929.18 | 4 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $902.63 – $929.18 | 4 |
| Gjb2 gene full sequence CPT 81252 | $586.50 | $1,173.00 | $60.67 – $635.96 | 6 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $36.91 – $337.71 | 6 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $21.00 – $204.28 | 6 |
| Glassia injection HCPCS J0257 | not published | not published | $5.75 – $7.37 | 5 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $28.78 – $29.63 | 4 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $37.17 – $38.26 | 4 |
| Glaucoma surgery CPT 66150 | not published | not published | $4,039.00 – $4,926.00 | 6 |
| Glaucoma surgery CPT 66155 | not published | not published | $4,039.00 – $4,926.00 | 6 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,296.74 – $3,486.00 | 6 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,296.74 – $4,926.00 | 6 |
| Glove finger flexion right lg xl HCPCS L3912 | $42.96 | $85.91 | not published | 0 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $186.10 – $259.17 | 5 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $151.97 – $177.38 | 5 |
| Glucagon plasma - sendout CPT 82943 | $134.00 | $268.00 | $12.52 – $75.03 | 6 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $40.36 – $272.25 | 6 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $44.24 – $272.25 | 6 |
| Glucagon tolerance test CPT 82946 | not published | not published | $13.21 – $79.18 | 6 |
| Glucose 1 hr post dose CPT 82950 | $32.00 | $64.00 | $4.16 – $25.02 | 6 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $5.30 – $31.94 | 6 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $18.00 | $36.00 | $2.05 – $12.49 | 6 |
| Glucose blood quantitative CPT 82947 | $55.00 | $110.00 | $3.44 – $20.83 | 6 |
| Glucose body fluid CPT 82945 | $96.50 | $193.00 | $3.44 – $20.83 | 6 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $198.00 | $396.00 | $58.71 – $60.44 | 4 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $65.50 | $131.00 | $11.28 – $68.07 | 6 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $33.00 | $66.00 | $3.43 – $20.83 | 6 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.62 – $0.83 | 2 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.26 – $15.56 | 5 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $65.50 | $131.00 | $16.28 – $98.63 | 6 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $130.03 – $751.48 | 6 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $158.00 | $316.00 | $16.22 – $97.24 | 6 |
| Gonioscopy CPT 92020 | $76.00 | $152.00 | $132.41 – $136.30 | 4 |
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.