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 |
|---|---|---|---|---|
| Lat retinacular release open CPT 27425 | not published | not published | $3,256.29 – $7,778.00 | 6 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $235.71 – $3,988.00 | 6 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $5,607.00 – $12,325.00 | 6 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $2,464.00 – $4,039.00 | 6 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $4,239.88 | $8,479.76 | not published | 0 |
| Lead capillary CPT 83655 | $612.00 | $1,224.00 | $10.60 – $63.88 | 6 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $2,113.47 | $4,226.94 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $15,709.23 | $31,418.46 | not published | 0 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $2,587.00 – $6,064.68 | 6 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $3,988.00 – $6,064.68 | 6 |
| Left compres band >=3" <5"/yd HCPCS A6449 | $10.87 | $21.74 | not published | 0 |
| Left compres band <3"/yd HCPCS A6448 | $5.70 | $11.39 | not published | 0 |
| Left compres band >=5"/yd HCPCS A6450 | $6.73 | $13.46 | not published | 0 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $17.56 – $105.58 | 6 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $36.57 – $220.86 | 6 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $778.00 – $3,988.00 | 6 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $1,082.00 | $2,164.00 | $237.46 – $244.44 | 4 |
| Leishmania antibody CPT 86717 | $52.00 | $104.00 | $10.73 – $65.30 | 6 |
| Lengthening of hand tendon CPT 26478 | not published | not published | $2,464.00 – $4,039.00 | 6 |
| Lengthening of palate CPT 42227 | not published | not published | $778.00 – $6,064.68 | 6 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $5,607.00 – $6,310.00 | 6 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $3,988.00 – $7,433.77 | 6 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $3,486.00 – $7,433.77 | 6 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $3,988.00 – $7,433.77 | 6 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $3,231.00 – $3,988.00 | 6 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $3,988.00 – $13,121.51 | 6 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $3,988.00 – $7,433.77 | 6 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $4,926.00 – $13,121.51 | 6 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $778.00 – $7,433.77 | 6 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $272.50 | $545.00 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $100.00 | $200.00 | not published | 0 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $6.06 – $6.06 | 1 |
| Leukacyte transfusion CPT 86950 | not published | not published | $8.69 – $284.74 | 6 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $7.00 – $41.67 | 6 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $179.98 – $246.96 | 5 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,764.93 – $2,289.81 | 5 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $6.37 – $6.37 | 1 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $419.49 – $742.00 | 5 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $76.11 – $82.86 | 5 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.38 – $0.38 | 1 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.12 – $0.12 | 1 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | not published | $0.07 – $0.07 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $138.00 | $276.00 | $10.85 – $69.46 | 6 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $1.28 – $1.28 | 1 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $3,226.37 – $3,321.26 | 4 |
| Liberta rc ipg HCPCS C1820 | $18,927.62 | $37,855.24 | not published | 0 |
| Lidocaine injection HCPCS J2001 | not published | not published | $0.03 – $0.03 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.02 – $0.02 | 1 |
| Lidocaine therapeutic drug level CPT 80176 | $31.50 | $63.00 | $12.87 – $77.80 | 6 |
| Lift heel adj small gl60404sm HCPCS L3332 | $12.94 | $25.88 | not published | 0 |
| Ligate esophagus veins CPT 43400 | not published | not published | $3,988.00 – $11,640.00 | 2 |
| Ligate leg veins open CPT 37761 | not published | not published | $1,377.00 – $3,486.00 | 6 |
| Ligate leg veins radical 37760 CPT 37760 | $6,615.50 | $13,231.00 | $3,142.32 – $3,988.00 | 6 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $3,142.32 – $5,047.00 | 6 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $3,142.32 – $4,039.00 | 6 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $3,221.58 – $5,607.00 | 6 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $4,689.00 | $9,378.00 | $1,643.67 – $3,486.00 | 6 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $3,142.32 – $4,039.00 | 6 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,142.32 – $3,988.00 | 6 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $2,587.00 – $3,988.00 | 6 |
| Ligation internal jugular vein 37565 CPT 37565 | $1,714.50 | $3,429.00 | $1,377.00 – $3,988.00 | 6 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Ligation/major artery/extremity 37618 CPT 37618 | $1,870.00 | $3,740.00 | $1,972.00 – $3,988.00 | 2 |
| Ligation major artery neck CPT 37615 | $4,150.00 | $8,300.00 | $1,377.00 – $4,039.00 | 6 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $3,142.32 – $4,039.00 | 6 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $3,988.00 – $5,700.64 | 6 |
| Ligation of femoral vein CPT 37650 | not published | not published | $3,142.32 – $4,039.00 | 6 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $3,988.00 – $5,700.64 | 6 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,142.32 – $3,988.00 | 6 |
| Ligation of salivary duct CPT 42665 | not published | not published | $3,299.54 – $7,778.00 | 6 |
| Ligation of shunt CPT 49428 | $2,258.50 | $4,517.00 | $2,464.00 – $3,988.00 | 2 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $3,142.32 – $4,039.00 | 6 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $5,981.50 | $11,963.00 | $3,142.32 – $3,988.00 | 6 |
| Lig/band angioaccess av fistula CPT 37607 | $4,676.50 | $9,353.00 | $3,142.32 – $4,039.00 | 6 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $3,142.32 – $4,039.00 | 6 |
| Limb exercise test CPT 95875 | not published | not published | $128.06 – $131.82 | 4 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $484.00 – $3,486.00 | 3 |
| Limited ankle motion ea jnt HCPCS L2200 | $40.36 | $80.73 | not published | 0 |
| Limited autopsy CPT 88036 | not published | not published | $59.08 – $243.56 | 2 |
| Limited autopsy CPT 88037 | not published | not published | $47.18 – $216.58 | 2 |
| Limited visual field xm CPT 92081 | not published | not published | $58.71 – $60.44 | 4 |
| Lincomycin injection HCPCS J2010 | not published | not published | $13.60 – $13.60 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | not published | not published | $3.58 – $3.58 | 1 |
| Lipase CPT 83690 | $129.00 | $258.00 | $6.04 – $36.13 | 6 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $3,231.00 – $3,486.00 | 6 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $21.74 – $130.57 | 6 |
| Lipoprotein blood quant CPT 83704 | $109.50 | $219.00 | $27.64 – $166.70 | 6 |
| Lipoprotein direct measurement hdl CPT 83718 | $56.50 | $113.00 | $7.18 – $43.05 | 6 |
| Lipoprotein direct measurement ldl CPT 83721 | $47.00 | $94.00 | $8.36 – $50.01 | 6 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $21.04 – $40.66 | 5 |
| Lip surgery procedure CPT 40799 | $334.50 | $669.00 | $235.71 – $3,988.00 | 6 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $0.02 – $679,024.34 | 5 |
| Listeria monocytogenes CPT 86723 | not published | not published | $11.55 – $69.46 | 6 |
| Lithium therapeutic drug level CPT 80178 | $117.00 | $234.00 | $5.79 – $34.71 | 6 |
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.