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 |
|---|---|---|---|---|
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $684.00 | $1,368.00 | $404.56 – $2,603.00 | 6 |
| Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury CPT 43840 | not published | not published | $3,836.96 – $7,889.00 | 6 |
| Prgrmg dev eval impltbl sys CPT 93260 | $63.50 | $127.00 | $37.14 – $38.23 | 4 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $389.00 | $778.00 | $37.14 – $38.23 | 4 |
| Prgrmg dev eval scrms ip CPT 93285 | $224.00 | $448.00 | $37.14 – $38.23 | 4 |
| Prgrmg eval implantable dfb CPT 93282 | $233.50 | $467.00 | $37.14 – $38.23 | 4 |
| Prgrmg eval implantable dfb CPT 93283 | $233.50 | $467.00 | $37.14 – $38.23 | 4 |
| Prgrmg eval implantable dfb CPT 93284 | $233.50 | $467.00 | $37.14 – $38.23 | 4 |
| Prgr stim/pace a/iv drug CPT 93623 | $3,725.00 | $7,450.00 | $484.00 – $484.00 | 1 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $7,396.50 | $14,793.00 | $5,047.00 – $18,735.48 | 6 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $5,969.00 | $11,938.00 | $484.00 – $10,469.00 | 3 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $750.50 | $1,501.00 | $404.56 – $2,603.00 | 6 |
| Pr incision & drainage abscess simple/single CPT 10060 | $652.50 | $1,305.00 | $199.67 – $3,988.00 | 6 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $490.50 | $981.00 | $303.27 – $3,486.00 | 6 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $690.50 | $1,381.00 | $404.56 – $3,988.00 | 6 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | not published | not published | $132.50 – $136.39 | 4 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | not published | not published | $132.50 – $136.39 | 4 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $323.00 | $646.00 | not published | 0 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,943.35 – $3,486.00 | 6 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $1,037.59 | $2,075.18 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | $533.50 | $1,067.00 | $315.88 – $2,603.00 | 6 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $2,366.07 – $3,486.00 | 6 |
| Probe nasolacrimal duct CPT 68815 | $1,724.00 | $3,448.00 | $2,366.07 – $3,486.00 | 6 |
| Probe nl duct w/balloon CPT 68816 | not published | not published | $2,366.07 – $5,607.00 | 6 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $300.58 – $564.60 | 5 |
| Procalcitonin CPT 84145 | $462.50 | $925.00 | $16.66 – $141.68 | 6 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | not published | not published | $4.99 – $4.99 | 1 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $2,603.00 – $4,039.00 | 6 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $1,190.90 – $2,603.00 | 6 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $1,190.90 – $2,603.00 | 6 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $1,059.00 | $2,118.00 | $805.00 – $2,603.00 | 6 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $2,464.00 – $3,231.00 | 6 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,190.90 – $2,603.00 | 6 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $1,190.90 – $2,603.00 | 6 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $2,603.00 – $5,047.00 | 6 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $1,190.90 – $2,603.00 | 6 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $3,041.00 | $6,082.00 | $2,603.00 – $4,039.00 | 6 |
| Proctosigmoidoscopy w/stent CPT 45327 | $2,495.50 | $4,991.00 | $2,587.00 – $6,219.45 | 6 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $123.85 – $148.65 | 5 |
| Progesterone CPT 84144 | $181.00 | $362.00 | $18.28 – $109.74 | 6 |
| Prolactin CPT 84146 | $123.50 | $247.00 | $16.98 – $102.78 | 6 |
| Prolng clin staff svc 1st hr CPT 99415 | $23.50 | $47.00 | not published | 0 |
| Prolng clin staff svc ea add CPT 99416 | $4.00 | $8.00 | not published | 0 |
| Prolonged IV inf, req pump HCPCS C8957 | $486.50 | $973.00 | $211.68 – $217.91 | 4 |
| Prolong service without contact CPT 99358 | $133.00 | $266.00 | not published | 0 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $4.89 – $4.89 | 1 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $315.88 – $3,486.00 | 6 |
| Proph rta dtchmnt pc CPT 67145 | $1,077.50 | $2,155.00 | $547.36 – $2,603.00 | 6 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $3,988.00 – $15,406.00 | 6 |
| Prophylactic tx radius CPT 25490 | not published | not published | $3,988.00 – $7,433.77 | 6 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $778.00 – $3,988.00 | 6 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $3,988.00 – $19,258.00 | 6 |
| Propofol infusion 10 mg/ml HCPCS J2704 | not published | not published | $0.12 – $0.12 | 1 |
| _propoxygc/msur CPT 80367 | not published | not published | $14.66 – $14.66 | 1 |
| Pros sock single ply ak HCPCS L8480 | $9.84 | $19.67 | not published | 0 |
| Prostate biopsy, any mthd HCPCS G0416 | $555.50 | $1,111.00 | $210.00 – $366.34 | 4 |
| Prostate ca screening; dre HCPCS G0102 | $31.00 | $62.00 | $74.63 – $74.63 | 1 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $4,926.00 – $6,310.00 | 6 |
| Prostate laser enucleation CPT 52649 | not published | not published | $5,336.05 – $10,469.00 | 6 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $2,464.00 – $5,047.00 | 6 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $3,508.06 – $5,047.00 | 6 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $336.90 | $673.79 | not published | 0 |
| Prosthetic sock multi ply bk HCPCS L8420 | $20.70 | $41.40 | not published | 0 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | $8.80 | $17.60 | not published | 0 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $1.22 – $1.22 | 1 |
| Protect body sock ea pre ots HCPCS L0984 | $41.40 | $82.80 | not published | 0 |
| Protein analysis w/probe CPT 88372 | not published | not published | $19.93 – $120.85 | 4 |
| Protein c activity CPT 85303 | $59.00 | $118.00 | $12.11 – $73.61 | 6 |
| Protein c concentrate HCPCS J2724 | not published | not published | $2.90 – $20.53 | 5 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $170.50 | $341.00 | $9.41 – $56.96 | 6 |
| Protein s total CPT 85305 | $32.50 | $65.00 | $10.16 – $61.12 | 6 |
| Protein total 24 hour urine CPT 84156 | $65.00 | $130.00 | $3.21 – $19.45 | 6 |
| Protein total body fluid CPT 84157 | $103.00 | $206.00 | $3.21 – $19.45 | 6 |
| Protein total serum plasma whole blood CPT 84155 | $69.00 | $138.00 | $3.21 – $19.45 | 6 |
| Protein western blot tissue CPT 88371 | not published | not published | $19.46 – $118.08 | 4 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $2.18 – $2.25 | 4 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $27.00 | $54.00 | $3.45 – $20.83 | 6 |
| Proton treatment complex CPT 77525 | not published | not published | $1,243.74 – $1,426.71 | 5 |
| Proton trmt intermediate CPT 77523 | not published | not published | $1,243.74 – $4,021.25 | 5 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $1,243.74 – $3,074.02 | 5 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $549.89 – $1,013.22 | 5 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $7.54 – $45.85 | 6 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $132.50 – $136.39 | 4 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $3,563.21 – $10,469.00 | 6 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $107.50 | $215.00 | not published | 0 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $24.50 | $49.00 | not published | 0 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $21,340.00 | $42,680.00 | $12,301.00 – $18,735.48 | 4 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $12,301.00 – $18,735.48 | 4 |
| Prq card angio/athrect addl CPT 92925 | $8,736.50 | $17,473.00 | $12,301.00 – $12,301.00 | 1 |
| Prq cardiac angio addl art CPT 92921 | $6,018.50 | $12,037.00 | $11,640.00 – $11,640.00 | 1 |
| Prq card revasc chronic addl CPT 92944 | $7,924.50 | $15,849.00 | $11,640.00 – $11,640.00 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | $7,924.50 | $15,849.00 | $11,640.00 – $11,640.00 | 1 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $16,566.00 | $33,132.00 | $1,972.00 – $3,988.00 | 2 |
| Prq card stent/ath/angio CPT 92934 | $9,854.50 | $19,709.00 | $11,640.00 – $11,640.00 | 1 |
| Prq card stent w/angio addl CPT 92929 | $7,924.50 | $15,849.00 | $11,640.00 – $11,640.00 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $7,924.50 | $15,849.00 | $11,488.76 – $11,798.51 | 4 |
| Prq revasc byp graft addl CPT 92938 | $7,924.50 | $15,849.00 | $11,640.00 – $11,640.00 | 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.