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 |
|---|---|---|---|---|
| Hysteroscopy ablation CPT 58563 | not published | not published | $4,978.43 – $10,469.00 | 6 |
| Hysteroscopy biopsy CPT 58558 | $4,493.50 | $8,987.00 | $3,221.58 – $3,988.00 | 6 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $2,603.00 – $3,316.33 | 6 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $3,486.00 – $5,124.85 | 6 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $3,221.58 – $3,988.00 | 6 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $3,988.00 – $5,124.85 | 6 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $3,988.00 – $5,124.85 | 6 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $778.00 – $5,124.85 | 6 |
| I-123 iobenguane diag HCPCS A9582 | $2,164.00 | $4,328.00 | $2,363.85 – $2,433.38 | 4 |
| I-123 ioflupane diag HCPCS A9584 | $2,286.50 | $4,573.00 | $1,415.49 – $1,457.13 | 4 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $89.00 | $178.00 | not published | 0 |
| I131 iodide cap, rx HCPCS A9517 | $107.00 | $214.00 | $24.55 – $25.27 | 4 |
| I131 iodide sol, rx HCPCS A9530 | $20.00 | $40.00 | $21.19 – $21.81 | 4 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $10.51 – $63.88 | 6 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $137.50 | $275.00 | $30.75 – $186.15 | 6 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $90.50 | $181.00 | $11.35 – $68.07 | 6 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $23.00 | $46.00 | $27.17 – $96.69 | 5 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $39.30 – $39.30 | 1 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $1,469.14 – $2,564.87 | 4 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $175.75 – $180.92 | 4 |
| Icatibant injection HCPCS J1744 | not published | not published | $224.67 – $224.67 | 1 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $45,186.03 | $90,372.06 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $45,186.03 | $90,372.06 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $10,898.55 | $21,797.10 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $21,576.13 | $43,152.26 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $214.89 – $221.21 | 4 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $37.17 – $38.26 | 4 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $58.71 – $60.44 | 4 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $28.78 – $29.63 | 4 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $3,988.00 – $9,860.00 | 6 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $3,193.50 | $6,387.00 | $2,464.00 – $5,047.00 | 6 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $62.00 – $62.00 | 1 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,643.67 – $3,988.00 | 6 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $0.02 – $688,687.80 | 5 |
| Identify sperm tissue CPT 89264 | not published | not published | $32.59 – $329.08 | 6 |
| Idet 1 or more levels CPT 22527 | not published | not published | $778.00 – $10,469.00 | 3 |
| Idet single level CPT 22526 | not published | not published | $778.00 – $10,469.00 | 3 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $5,121.00 | $10,242.00 | $2,603.00 – $3,352.06 | 6 |
| Idh1 common variants CPT 81120 | not published | not published | $115.95 – $202.43 | 4 |
| Idh2 common variants CPT 81121 | not published | not published | $177.47 – $309.84 | 4 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $2,071.50 | $4,143.00 | $2,762.33 – $3,486.00 | 6 |
| I&d lacrimal gland CPT 68400 | not published | not published | $805.00 – $2,603.00 | 6 |
| I&d lacrimal sac CPT 68420 | $1,402.00 | $2,804.00 | $1,377.00 – $5,607.00 | 6 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $2,264.50 | $4,529.00 | $2,587.00 – $2,975.79 | 6 |
| Idursulfase injection HCPCS J1743 | not published | not published | $569.63 – $745.42 | 5 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $2,603.00 – $4,039.00 | 6 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $1,723.00 – $3,988.00 | 6 |
| Ifnl3 gene CPT 81283 | $367.00 | $734.00 | $45.26 – $76.86 | 4 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $35.18 – $35.18 | 1 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $124.39 – $601.43 | 5 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $35.73 – $241.80 | 6 |
| Igh gene rearrange amp meth CPT 81261 | $260.50 | $521.00 | $162.07 – $1,045.98 | 6 |
| Igh@ var region somatic mutation analy CPT 81263 | $934.00 | $1,868.00 | $218.84 – $1,557.16 | 6 |
| Igk rearrangeabn clonal pop CPT 81264 | $417.00 | $834.00 | $122.23 – $789.00 | 6 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $129.00 | $258.00 | $27.28 – $241.69 | 2 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $165.00 | $330.00 | $46.18 – $516.81 | 6 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $129.00 | $258.00 | $20.73 – $272.35 | 6 |
| Ikbkap gene CPT 81260 | not published | not published | $23.59 – $273.17 | 6 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,376.00 | $2,752.00 | not published | 0 |
| Iliac revasc add-on 37222 CPT 37222 | $5,950.50 | $11,901.00 | $3,988.00 – $11,640.00 | 3 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $201.32 – $201.32 | 1 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $58.17 – $59.88 | 4 |
| Img rta detcj/mntr ds staff CPT 92227 | $81.00 | $162.00 | $58.71 – $60.44 | 4 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $37.17 – $38.26 | 4 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $58.71 – $60.44 | 4 |
| Immob elbow child sm HCPCS L3762 | $85.39 | $170.78 | not published | 0 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $33.64 | $67.28 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $150.49 | $300.98 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $59.52 | $119.03 | not published | 0 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $3,486.00 – $9,860.00 | 6 |
| Immune complex assay CPT 86332 | $280.50 | $561.00 | $21.35 – $129.19 | 6 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $46.22 – $61.65 | 5 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $80.37 – $109.30 | 5 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $48.48 – $65.31 | 5 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $102.00 | $204.00 | $18.23 – $109.74 | 6 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $102.00 | $204.00 | $18.23 – $109.74 | 6 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $17.18 – $104.17 | 6 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $67.50 | $135.00 | $10.50 – $63.88 | 6 |
| Immunodiffusion nes CPT 86329 | $195.50 | $391.00 | $12.31 – $73.61 | 6 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $19.88 – $119.46 | 4 |
| Immunofixation electrophoresis serum CPT 86334 | $47.00 | $94.00 | $19.57 – $118.08 | 6 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $122.50 | $245.00 | $26.23 – $169.47 | 3 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $165.00 | $330.00 | $20.73 – $215.39 | 6 |
| Immunoglobulin assay CPT 86023 | $47.00 | $94.00 | $10.91 – $65.30 | 6 |
| Immunology procedure CPT 86849 | $44.50 | $89.00 | $40.89 – $164.49 | 2 |
| Impact tooth remov part bony HCPCS D7230 | not published | not published | $643.38 – $3,988.00 | 5 |
| Impedence cardiogram CPT 93701 | not published | not published | $132.41 – $136.30 | 4 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $12,301.00 – $17,920.08 | 4 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $1,972.00 – $1,972.00 | 1 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | $2,044.40 | $4,088.80 | not published | 0 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $3,609.56 | $7,219.13 | not published | 0 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $10,423.00 – $16,823.46 | 4 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Implant brain electrodes CPT 61531 | not published | not published | $2,464.00 – $3,988.00 | 2 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Implant brain electrodes CPT 61760 | not published | not published | $2,464.00 – $3,988.00 | 2 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $1,267.50 | $2,535.00 | not published | 0 |
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.