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 |
|---|---|---|---|---|
| Goniotomy CPT 65820 | not published | not published | $2,603.00 – $4,234.56 | 6 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $748.34 – $902.19 | 5 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $83.32 | $166.64 | $41.91 – $127.49 | 5 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $123.85 – $1,790.68 | 5 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $263.74 | $527.47 | not published | 0 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,256.29 – $5,047.00 | 6 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $101.24 | $202.48 | not published | 0 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $6,479.00 | $12,958.00 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $7,730.04 | $15,460.09 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $60.41 – $127.49 | 5 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $163.02 | $326.03 | $123.85 – $141.91 | 5 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $198.64 | $397.29 | $123.85 – $193.78 | 5 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $202.64 | $405.29 | $63.32 – $127.49 | 5 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $90.56 | $181.13 | $123.85 – $133.12 | 5 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $7,381.50 | $14,763.00 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,813.84 | $3,627.68 | not published | 0 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.41 – $0.41 | 1 |
| Great toe-hand transfer CPT 26551 | not published | not published | $778.00 – $7,433.77 | 6 |
| Great toe with reduction 28495 CPT 28495 | $577.50 | $1,155.00 | $245.48 – $3,988.00 | 6 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,053.37 – $3,988.00 | 6 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,526.71 – $4,039.00 | 6 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $484.00 – $3,988.00 | 3 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,526.71 – $4,039.00 | 6 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $27.50 | $55.00 | $12.44 – $12.81 | 4 |
| Group train without patient HCPCS G0543 | not published | not published | $28.78 – $29.63 | 4 |
| Growth hormone antibody CPT 86277 | not published | not published | $13.79 – $83.33 | 6 |
| Growth hormone panel CPT 80428 | not published | not published | $58.42 – $415.35 | 6 |
| Growth hormone panel CPT 80430 | not published | not published | $68.73 – $415.35 | 6 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $17.96 – $116.69 | 6 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $778.00 – $10,423.00 | 3 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,909.69 – $3,988.00 | 6 |
| G-tube reposition CPT 43761 | $1,023.50 | $2,047.00 | $248.65 – $2,603.00 | 6 |
| Gu dilat ureter/urethra s&i CPT 74485 | $2,295.50 | $4,591.00 | $539.64 – $2,141.53 | 5 |
| Guided cath fluid drainage 10030 CPT 10030 | $2,322.50 | $4,645.00 | $704.73 – $3,988.00 | 6 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $926.67 | $1,853.34 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $627.90 | $1,255.80 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $474.50 | $949.00 | $402.84 – $402.84 | 1 |
| Gum graft CPT 41870 | not published | not published | $1,544.13 – $3,988.00 | 6 |
| Gw stiffened micro access kit HCPCS C1894 | $2,085.25 | $4,170.50 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $3,896.63 – $4,926.00 | 6 |
| Hair analysis HCPCS P2031 | not published | not published | $3.67 – $18.64 | 3 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $484.00 – $3,988.00 | 6 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $404.56 – $3,988.00 | 6 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $404.56 – $3,988.00 | 6 |
| Halo cervical into jckt vest HCPCS L0810 | $1,975.30 | $3,950.60 | not published | 0 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $8.93 – $8.93 | 1 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | not published | not published | $1.58 – $1.58 | 1 |
| Hand-held pefr meter a4614 HCPCS A4614 | $26.40 | $52.79 | not published | 0 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $12.00 | $24.00 | $3.68 – $3.68 | 1 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | $49.16 | $98.33 | not published | 0 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $2,375.00 | $4,750.00 | not published | 0 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $3,256.29 – $4,039.00 | 6 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $2,464.00 – $7,416.07 | 6 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $3,256.29 – $5,047.00 | 6 |
| Hand X-ray CPT 73130 | $281.50 | $563.00 | $86.61 – $104.11 | 5 |
| Haptoglobin quantitative CPT 83010 | $133.00 | $266.00 | $11.02 – $66.69 | 6 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $484.00 – $3,988.00 | 3 |
| Harvest auto stem cells CPT 38206 | $3,208.50 | $6,417.00 | $1,549.95 – $3,988.00 | 6 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $1,723.00 – $3,486.00 | 6 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $2,366.07 – $3,486.00 | 6 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $484.00 – $3,988.00 | 3 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $439.06 – $2,603.00 | 6 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $484.00 – $3,988.00 | 3 |
| Hast w/i&r phys/qhp CPT 94452 | $299.00 | $598.00 | $132.41 – $136.30 | 4 |
| Hast w/oxygen titrate CPT 94453 | $348.00 | $696.00 | $132.41 – $136.30 | 4 |
| Hba1/hba2 full gene sequence CPT 81259 | $230.50 | $461.00 | $360.00 – $628.50 | 4 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $121.44 – $212.01 | 4 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $225.15 – $393.07 | 4 |
| Hbb full gene sequence CPT 81364 | $697.50 | $1,395.00 | $194.75 – $340.00 | 4 |
| Hbb gene com variants CPT 81361 | not published | not published | $104.89 – $183.11 | 4 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $121.44 – $212.01 | 4 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $225.15 – $393.07 | 4 |
| Hb glycosylated a1c home dev CPT 83037 | $14.50 | $29.00 | $8.50 – $51.39 | 6 |
| Hbot, full body chamber, 30m HCPCS G0277 | $563.50 | $1,127.00 | $136.95 – $140.98 | 4 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $1,117.00 | $2,234.00 | $174.56 – $303.31 | 5 |
| Hcg free betachain test CPT 84704 | not published | not published | $13.19 – $79.18 | 6 |
| Hcg qualitative CPT 84703 | $105.50 | $211.00 | $6.58 – $40.28 | 6 |
| Hcg quantitative CPT 84702 | $277.00 | $554.00 | $13.19 – $79.18 | 6 |
| Hc hearing aid exam both ears CPT 92591 | $216.00 | $432.00 | not published | 0 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $27.00 | $54.00 | not published | 0 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $1,600.27 – $2,603.00 | 6 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $484.00 – $2,603.00 | 6 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | not published | not published | $484.00 – $2,603.00 | 3 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $484.00 – $2,603.00 | 6 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | not published | not published | $484.00 – $2,603.00 | 3 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | not published | not published | $484.00 – $2,603.00 | 3 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $540.36 – $913.86 | 5 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $397.85 – $736.83 | 5 |
| Hc nm kidney imaging with flow CPT 78701 | $776.00 | $1,552.00 | $397.85 – $588.43 | 5 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $540.36 – $898.85 | 5 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $1,288.43 – $3,165.93 | 5 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | not published | not published | $484.00 – $778.00 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $2,374.00 | $4,748.00 | $693.13 – $3,831.03 | 5 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $2,729.00 | $5,458.00 | $693.13 – $3,831.03 | 5 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $2,957.00 | $5,914.00 | $693.13 – $3,831.03 | 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.