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 |
|---|---|---|---|---|
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $27.94 – $519.16 | 6 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $316.72 – $730.29 | 6 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $30.87 – $188.69 | 6 |
| Medial canthopexy CPT 21280 | $3,811.00 | $7,622.00 | $3,299.54 – $5,607.00 | 6 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $778.00 – $6,193.46 | 6 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $778.00 – $6,193.46 | 6 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $371.37 – $382.29 | 5 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $123.85 – $418.02 | 5 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $123.85 – $197.58 | 5 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $29.84 – $29.84 | 1 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $123.85 – $247.62 | 5 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | $132.48 | $264.96 | $104.60 – $127.49 | 5 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $110.69 – $127.49 | 5 |
| Meniscal trnspl knee w/scpe CPT 29868 | not published | not published | $3,988.00 – $15,406.00 | 6 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | not published | not published | $8.24 – $8.24 | 1 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $31.90 – $41.66 | 5 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | not published | not published | $0.44 – $0.44 | 1 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $484.00 – $7,778.00 | 3 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $2.44 – $2.44 | 1 |
| Metabolic Blood Panel (Basic) CPT 80048 | $200.00 | $400.00 | $7.42 – $44.44 | 6 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $246.50 | $493.00 | $9.26 – $55.58 | 6 |
| Metabolic panel ionized ca CPT 80047 | $204.00 | $408.00 | $7.42 – $44.44 | 6 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $2.03 – $2.03 | 1 |
| Methadone injection HCPCS J1230 | not published | not published | $28.30 – $28.30 | 1 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $11.08 – $11.08 | 1 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.33 – $0.33 | 1 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $3.52 – $3.52 | 1 |
| Methotrexate therapeutic drug level CPT 80204 | $262.50 | $525.00 | $23.14 – $55.17 | 5 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | not published | not published | $8.90 – $9.16 | 4 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $28.45 – $28.45 | 1 |
| Methylphenidate CPT 80360 | not published | not published | $12.94 – $12.94 | 1 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.33 – $0.33 | 1 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | not published | not published | $0.19 – $0.23 | 2 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $0.41 – $0.50 | 2 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | not published | not published | $1.26 – $1.26 | 1 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | not published | not published | $0.03 – $0.03 | 1 |
| Metyrapone panel CPT 80436 | not published | not published | $79.86 – $527.85 | 6 |
| Mgmt promoter methylation analysis CPT 81287 | $590.00 | $1,180.00 | $49.81 – $280.01 | 5 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.58 – $0.58 | 1 |
| Microalbumin urine screen CPT 82044 | not published | not published | $4.01 – $23.60 | 6 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $9.08 – $54.16 | 6 |
| Microdissection laser CPT 88380 | not published | not published | $66.20 – $337.71 | 2 |
| Microdissection manual CPT 88381 | $226.50 | $453.00 | $63.41 – $358.55 | 2 |
| Microfluid analy tears CPT 83861 | not published | not published | $14.15 – $87.52 | 6 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | $3,404.64 | $6,809.27 | not published | 0 |
| Microsatellite instability CPT 81301 | $248.50 | $497.00 | $237.02 – $1,530.76 | 6 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $484.00 – $3,988.00 | 3 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $128.06 – $131.82 | 4 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $3,988.00 – $8,137.00 | 3 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | not published | not published | $0.19 – $0.19 | 1 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.29 – $0.29 | 1 |
| Middle cerebral artery echo CPT 76821 | $396.00 | $792.00 | $104.04 – $356.29 | 5 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $1.90 – $1.90 | 1 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.72 – $2.80 | 4 |
| Miroderm HCPCS Q4175 | not published | not published | $86.00 – $127.49 | 5 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $70.88 – $91.47 | 5 |
| Mitochondrial gene CPT 81440 | not published | not published | $1,994.40 – $3,481.89 | 4 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $20.75 – $74.10 | 5 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $324.90 – $419.49 | 5 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $24.35 – $75.39 | 5 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Mlh1 gene CPT 81288 | $340.50 | $681.00 | $114.05 – $619.53 | 6 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $114.41 – $738.99 | 6 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $223.38 – $2,503.10 | 6 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $155.44 – $1,002.90 | 6 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $17.56 – $18.08 | 4 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.00 – $5.14 | 4 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $4,926.00 – $13,121.51 | 6 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $86.61 – $124.92 | 5 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $484.00 – $3,988.00 | 2 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $484.00 – $3,988.00 | 2 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $484.00 – $3,988.00 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $1,636.50 | $3,273.00 | $1,600.27 – $2,603.00 | 6 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,600.27 – $4,926.00 | 6 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,544.13 – $3,988.00 | 6 |
| Mnt subs tx for change dx HCPCS G0270 | $50.50 | $101.00 | $22.27 – $22.92 | 4 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Modification of contact lens CPT 92325 | $165.50 | $331.00 | $132.41 – $136.30 | 4 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $473.00 | $946.00 | $7.23 – $39.52 | 5 |
| Molecular pathology interpr HCPCS G0452 | $35.00 | $70.00 | $11.23 – $11.23 | 1 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.57 – $15.52 | 5 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $7,518.24 | $15,036.48 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $649.32 – $891.68 | 5 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $132.50 – $136.39 | 4 |
| Mopath procedure level 1 CPT 81400 | $190.00 | $380.00 | $38.38 – $215.41 | 6 |
| Mopath procedure level 3 CPT 81402 | $410.00 | $820.00 | $90.20 – $344.12 | 6 |
| Mopath procedure level 5 CPT 81404 | $989.50 | $1,979.00 | $164.90 – $633.21 | 6 |
| Mopath procedure level 6 CPT 81405 | $1,701.50 | $3,403.00 | $180.81 – $1,103.47 | 6 |
| Mopath procedure level 7 CPT 81406 | $2,197.00 | $4,394.00 | $169.73 – $998.69 | 6 |
| Mopath procedure level 8 CPT 81407 | $1,709.50 | $3,419.00 | $507.76 – $2,167.76 | 6 |
| Mopath procedure level 9 CPT 81408 | $2,856.50 | $5,713.00 | $1,200.00 – $3,232.27 | 6 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $4.44 – $4.44 | 1 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $6.24 – $6.24 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $14.34 – $14.34 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $97.00 | $194.00 | $96.96 – $1,162.74 | 6 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $210.50 | $421.00 | $20.73 – $366.34 | 6 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $454.50 | $909.00 | $20.73 – $252.90 | 6 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $667.72 – $871.64 | 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.