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 |
|---|---|---|---|---|
| Pelvic Ultrasound (complete) CPT 76856 | $737.00 | $1,474.00 | $104.04 – $335.21 | 5 |
| Pelvic Ultrasound (limited) CPT 76857 | $430.00 | $860.00 | $104.04 – $304.05 | 5 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | not published | not published | $61.50 – $77.50 | 5 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | not published | not published | $4.44 – $7.69 | 5 |
| Peng benzathine/procaine inj HCPCS J0558 | not published | not published | $19.91 – $26.71 | 5 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | not published | not published | $30.61 – $32.80 | 5 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | not published | not published | $1.28 – $1.28 | 1 |
| Penicillin g procaine inj HCPCS J2510 | not published | not published | $91.08 – $91.08 | 1 |
| Penile injection CPT 54235 | $578.50 | $1,157.00 | $248.65 – $3,988.00 | 6 |
| Penile vascular study CPT 93980 | $1,035.00 | $2,070.00 | $104.04 – $107.10 | 4 |
| Penile vascular study CPT 93981 | $575.00 | $1,150.00 | $104.04 – $107.10 | 4 |
| Penile venous occlusion CPT 37790 | not published | not published | $3,508.06 – $5,047.00 | 6 |
| Penis plastic surgery CPT 54360 | not published | not published | $3,508.06 – $5,047.00 | 6 |
| Penis study CPT 54240 | not published | not published | $214.89 – $3,988.00 | 6 |
| Pentamidine non-comp unit HCPCS J2545 | not published | not published | $117.39 – $117.39 | 1 |
| Pentostatin 10 mg intravenous solution HCPCS J9268 | not published | not published | $2,660.32 – $3,470.52 | 5 |
| Perc cryo ablate renal tum CPT 50593 | $15,110.00 | $30,220.00 | $9,860.00 – $10,889.94 | 6 |
| Perc d-e cor revasc chro add HCPCS C9608 | $11,044.00 | $22,088.00 | $484.00 – $3,988.00 | 2 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $11,044.00 | $22,088.00 | $3,988.00 – $18,735.48 | 5 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $11,044.00 | $22,088.00 | $484.00 – $3,988.00 | 2 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $11,044.00 | $22,088.00 | $3,988.00 – $11,826.66 | 5 |
| Perc d-e cor stent ather br HCPCS C9603 | $12,719.00 | $25,438.00 | $484.00 – $3,988.00 | 2 |
| Perc d-e cor stent ather s HCPCS C9602 | $14,416.50 | $28,833.00 | $3,988.00 – $18,735.48 | 5 |
| Perc drug-el cor stent bran HCPCS C9601 | $11,044.00 | $22,088.00 | $484.00 – $3,988.00 | 2 |
| Perc drug-el cor stent sing HCPCS C9600 | $16,566.00 | $33,132.00 | $3,988.00 – $11,826.66 | 5 |
| Perc rf ablate renal tumor CPT 50592 | $6,241.50 | $12,483.00 | $2,603.00 – $7,889.00 | 6 |
| Percut ablate liver rf CPT 47382 | $5,379.00 | $10,758.00 | $3,988.00 – $9,860.00 | 6 |
| Percutaneous islet celltrans HCPCS G0341 | not published | not published | $3,988.00 – $3,988.00 | 1 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | not published | not published | $778.00 – $3,988.00 | 3 |
| Pericardiectomy/sub or com/w bypas 33031 CPT 33031 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Pericardiocentesis wwo imaging CPT 33016 | $1,640.50 | $3,281.00 | $1,377.00 – $3,988.00 | 6 |
| Pericardiotomy/clot/for bod remove 33020 CPT 33020 | $954.00 | $1,908.00 | $1,972.00 – $3,988.00 | 2 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $3,896.63 – $5,047.00 | 6 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $3,221.58 – $5,607.00 | 6 |
| Peripheral vascular rehab CPT 93668 | $85.00 | $170.00 | $58.71 – $60.44 | 4 |
| Peri-proc device eval icd CPT 93287 | $277.50 | $555.00 | not published | 0 |
| Peri-proc device eval pm CPT 93286 | $139.00 | $278.00 | not published | 0 |
| Peritoneal cath sub q resv per CPT 49419 | not published | not published | $2,603.00 – $5,700.64 | 6 |
| Peritoneogram rs&i CPT 74190 | not published | not published | $267.72 – $559.79 | 5 |
| Perit-vens shunt pat tst CPT 78291 | $651.00 | $1,302.00 | $397.85 – $585.50 | 5 |
| Perq art m-thrombect &/nfs CPT 61645 | $32,793.50 | $65,587.00 | $1,972.00 – $3,988.00 | 2 |
| Perq clsr tcat l atr apndge CPT 33340 | $5,220.00 | $10,440.00 | $10,423.00 – $10,423.00 | 1 |
| Perq dev breast 1st mr guide CPT 19287 | $3,363.00 | $6,726.00 | $704.73 – $3,988.00 | 6 |
| Perq dev breast 1st strtctc CPT 19283 | $3,363.00 | $6,726.00 | $704.73 – $3,988.00 | 6 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | not published | not published | $3,988.00 – $15,406.00 | 6 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | not published | not published | $3,988.00 – $12,325.00 | 6 |
| Perq p-art revsc 1 abnor bi CPT 33903 | not published | not published | $9,860.00 – $11,826.66 | 5 |
| Perq p-art revsc 1 abnor uni CPT 33902 | not published | not published | $12,301.00 – $19,258.00 | 5 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | not published | not published | $9,860.00 – $11,826.66 | 5 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | not published | not published | $9,860.00 – $11,826.66 | 5 |
| Perq p-art revsc each addl CPT 33904 | not published | not published | $484.00 – $778.00 | 2 |
| Perq plmt bile duct stent CPT 47538 | $7,995.50 | $15,991.00 | $778.00 – $6,193.46 | 6 |
| Perq plmt bile duct stent CPT 47539 | $7,868.50 | $15,737.00 | $778.00 – $6,193.46 | 6 |
| Perq plmt bile duct stent CPT 47540 | $7,868.50 | $15,737.00 | $778.00 – $6,193.46 | 6 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $1,064.00 | $2,128.00 | $248.65 – $3,988.00 | 6 |
| Perq skel fix rad/uln dislc CPT 25671 | not published | not published | $2,603.00 – $3,352.06 | 6 |
| Perq skel fix ulnar styld fx CPT 25651 | not published | not published | $2,587.00 – $3,988.00 | 6 |
| Perqt bx lung/mediastinum 32405 CPT 32405 | not published | not published | $1,723.00 – $2,603.00 | 2 |
| Perq transcath closure each CPT 93592 | not published | not published | $484.00 – $484.00 | 1 |
| Perq transcath closure pda CPT 93582 | $13,795.00 | $27,590.00 | $18,243.62 – $18,780.19 | 4 |
| Perq transcath cls aortic CPT 93591 | not published | not published | $18,243.62 – $18,780.19 | 4 |
| Perq transcath cls mitral CPT 93590 | $30,045.00 | $60,090.00 | $18,243.62 – $18,780.19 | 4 |
| Perq transcath septal reduxn CPT 93583 | $15,336.50 | $30,673.00 | $1,972.00 – $1,972.00 | 1 |
| Perq trluml angp nt/recr coa CPT 33897 | not published | not published | $778.00 – $1,972.00 | 2 |
| Perq tx big toe fracture w/manip 28496 CPT 28496 | not published | not published | $2,587.00 – $3,486.00 | 6 |
| Perq tx malar fracture CPT 21355 | not published | not published | $3,299.54 – $4,039.00 | 6 |
| Perq tx mndblr fx xtrnl fixj CPT 21452 | not published | not published | $2,464.00 – $15,406.00 | 6 |
| Perq tx nasoethmoid fx CPT 21340 | not published | not published | $3,299.54 – $4,926.00 | 6 |
| Pertussis ag if CPT 87265 | $65.00 | $130.00 | $10.51 – $63.88 | 6 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | not published | not published | $17.36 – $21.81 | 5 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | not published | not published | $63.34 – $90.73 | 5 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $41.40 | $82.80 | not published | 0 |
| Pet CT skull-mid thgh initial CPT 78815 | $4,409.00 | $8,818.00 | $1,423.08 – $3,143.84 | 5 |
| Pet CT whole body initial CPT 78816 | $4,409.00 | $8,818.00 | $1,423.08 – $3,247.80 | 5 |
| Pet fdg brain metoblic eval sb CPT 78608 | $2,530.50 | $5,061.00 | $1,423.08 – $3,060.38 | 5 |
| Pet image full body CPT 78813 | $5,070.50 | $10,141.00 | $1,423.08 – $3,433.15 | 5 |
| Pet image ltd area CPT 78811 | $5,070.50 | $10,141.00 | $1,288.43 – $2,242.14 | 5 |
| Pet image skull-thigh CPT 78812 | $5,070.50 | $10,141.00 | $1,423.08 – $3,038.20 | 5 |
| Pet image w/ct lmtd CPT 78814 | $4,409.00 | $8,818.00 | $1,423.08 – $3,536.84 | 5 |
| Pet not otherwise specified HCPCS G0235 | not published | not published | $397.85 – $409.55 | 4 |
| Pet scan brain perf study CPT 78609 | not published | not published | $240.40 – $240.40 | 1 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $10,384.45 | $20,768.90 | not published | 0 |
| Ph1 assmt&mgmt nqhp 11-20 CPT 98967 | not published | not published | $20.20 – $20.79 | 4 |
| Ph1 assmt&mgmt nqhp 21-30 CPT 98968 | not published | not published | $29.39 – $30.25 | 4 |
| Ph1 assmt&mgmt nqhp 5-10 CPT 98966 | not published | not published | $10.43 – $10.74 | 4 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $3,231.00 – $3,988.00 | 6 |
| Ph body fluid CPT 83986 | $90.50 | $181.00 | $3.13 – $19.45 | 6 |
| Phencyclidine (pcp) CPT 83992 | not published | not published | $12.88 – $77.80 | 3 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $44.83 – $44.83 | 1 |
| Phenobarbital therapeutic drug level CPT 80184 | $32.00 | $64.00 | $10.03 – $61.12 | 6 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $440.66 – $546.26 | 5 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $98.85 – $101.76 | 4 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.68 – $0.68 | 1 |
| Phenytoin total therapeutic drug level CPT 80185 | $156.50 | $313.00 | $11.62 – $69.46 | 6 |
| Phlebotomy therapeutic CPT 99195 | $392.00 | $784.00 | $132.41 – $136.30 | 4 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $5,981.50 | $11,963.00 | $2,587.00 – $3,988.00 | 6 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $5,981.50 | $11,963.00 | $2,587.00 – $3,988.00 | 6 |
| Phosphorus CPT 84100 | $61.50 | $123.00 | $4.16 – $25.02 | 6 |
| Phosphorus 24 hour urine CPT 84105 | $32.50 | $65.00 | $4.54 – $27.79 | 6 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | $137.00 | $274.00 | $58.71 – $60.44 | 4 |
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.