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 |
|---|---|---|---|---|
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $382.00 | $764.00 | $702.49 – $2,603.00 | 6 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,157.00 | $2,314.00 | $702.49 – $2,603.00 | 6 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $1,824.50 | $3,649.00 | $880.23 – $2,603.00 | 6 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,526.00 | $3,052.00 | $484.00 – $2,603.00 | 3 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $1,967.50 | $3,935.00 | $880.23 – $2,603.00 | 6 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,964.00 | $3,928.00 | $484.00 – $2,603.00 | 3 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $1,867.00 | $3,734.00 | $880.23 – $2,603.00 | 6 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,938.00 | $3,876.00 | $702.49 – $3,988.00 | 6 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,685.00 | $3,370.00 | $702.49 – $3,988.00 | 6 |
| Injection, siltuximab HCPCS J2860 | not published | not published | $169.15 – $209.51 | 5 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $367.50 | $735.00 | $305.48 – $2,603.00 | 6 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $622.00 | $1,244.00 | $305.48 – $2,603.00 | 6 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $454.00 | $908.00 | $305.48 – $2,603.00 | 6 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $220.50 | $441.00 | $46.60 – $47.97 | 4 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $220.50 | $441.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $271.00 | $542.00 | $211.68 – $217.91 | 4 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $93.50 | $187.00 | $71.65 – $73.76 | 4 |
| Injection treatment of eye CPT 66020 | not published | not published | $2,296.74 – $2,603.00 | 6 |
| Injection treatment of eye CPT 66030 | $1,381.00 | $2,762.00 | $2,296.74 – $2,603.00 | 6 |
| Injection treatment of nerve CPT 64605 | not published | not published | $1,943.35 – $3,231.00 | 6 |
| Injection treatment of nerve CPT 64610 | not published | not published | $1,943.35 – $3,231.00 | 6 |
| Injection treatment of nerve CPT 64681 | not published | not published | $880.23 – $3,486.00 | 6 |
| Injection treatment of nose CPT 30200 | not published | not published | $484.00 – $2,603.00 | 6 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $484.00 – $3,988.00 | 3 |
| Inject/treat eye socket CPT 67500 | not published | not published | $315.88 – $3,988.00 | 6 |
| Inject/treat eye socket CPT 67505 | not published | not published | $315.88 – $2,603.00 | 6 |
| Inject/treat eye socket CPT 67515 | $548.50 | $1,097.00 | $315.88 – $2,603.00 | 6 |
| Inj, eculizumab-aagh, 2 mg HCPCS Q5151 | not published | not published | $31.98 – $32.92 | 4 |
| Inj, eculizumab-aeeb, 2 mg HCPCS Q5152 | not published | not published | $41.12 – $42.33 | 4 |
| Inj efgart-alfa 2mg hya-qvfc HCPCS J9334 | not published | not published | $34.57 – $45.31 | 5 |
| Inj eflapegrastim-xnst 0.1mg HCPCS J1449 | not published | not published | $21.29 – $35.80 | 5 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | not published | not published | $392.54 – $501.58 | 5 |
| Inj., emicizumab-kxwh 0.5 mg HCPCS J7170 | not published | not published | $57.22 – $71.91 | 5 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,683.00 | $3,366.00 | $702.49 – $3,988.00 | 6 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,938.00 | $3,876.00 | $880.23 – $3,988.00 | 6 |
| Inj, epinephrine (belcher) HCPCS J0173 | not published | not published | $2.54 – $2.54 | 1 |
| Inj., eravacycline, 1 mg HCPCS J0122 | not published | not published | $1.33 – $1.65 | 5 |
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $17.10 – $17.60 | 4 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $197.63 – $249.86 | 5 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $18.87 – $20.60 | 5 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $0.02 – $2,448,600.00 | 4 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.97 – $12.47 | 5 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $34.55 – $47.63 | 5 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $22.46 – $28.25 | 5 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $143.81 – $191.52 | 5 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.25 – $1.51 | 5 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $9.99 – $14.34 | 2 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.90 – $2.98 | 4 |
| Inj for ext venography CPT 36005 | $1,271.50 | $2,543.00 | $484.00 – $3,988.00 | 3 |
| Inj for mammo ductogram CPT 19030 | $1,562.50 | $3,125.00 | $484.00 – $3,988.00 | 3 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $1.05 – $2.80 | 5 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $587.01 – $939.96 | 5 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $6.41 – $28.11 | 5 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $42.50 – $43.75 | 4 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $5.35 – $5.35 | 1 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $10.64 – $10.64 | 1 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $119.71 – $153.58 | 5 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,823.24 – $3,702.44 | 5 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $3.57 – $3.57 | 1 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $4.37 – $7.70 | 5 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $77.49 – $79.77 | 4 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $0.02 – $3,869,530.00 | 4 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $4.68 – $4.68 | 1 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $62.66 – $88.38 | 5 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $70.76 – $72.84 | 4 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $2,409.00 | $4,818.00 | $484.00 – $484.00 | 1 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $1,969.00 | $3,938.00 | $484.00 – $484.00 | 1 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $1,969.00 | $3,938.00 | $484.00 – $484.00 | 1 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $1,856.00 | $3,712.00 | $484.00 – $484.00 | 1 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $1,856.00 | $3,712.00 | $484.00 – $484.00 | 1 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.55 – $1.97 | 5 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $5.29 – $5.44 | 4 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $80.84 – $105.66 | 5 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $17.22 – $17.22 | 1 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $3.44 – $5.04 | 2 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $78.94 – $102.83 | 5 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.25 – $0.29 | 2 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $505.46 – $661.85 | 5 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $880.23 – $2,603.00 | 6 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $223.00 | $446.00 | $199.67 – $3,988.00 | 6 |
| Inj intralesional > 7 lsns CPT 11901 | $349.50 | $699.00 | $199.67 – $3,988.00 | 6 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $13.26 – $17.14 | 5 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $51.75 – $66.58 | 5 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.95 – $2.35 | 5 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.70 – $3.34 | 5 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.60 – $2.00 | 5 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $2.91 – $2.91 | 1 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $30.44 – $57.93 | 5 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.35 – $1.83 | 5 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $22.60 – $29.99 | 5 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $41.77 – $41.77 | 1 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.03 – $0.03 | 1 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $6.97 – $7.17 | 4 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $9.92 – $9.92 | 1 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $19.62 – $19.62 | 1 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $0.02 – $3,410,868.00 | 4 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $335.63 – $435.68 | 5 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $23.86 – $24.56 | 4 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $0.02 – $3,152.71 | 4 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | not published | not published | $484.00 – $484.00 | 1 |
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.