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 |
|---|---|---|---|---|
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $3,486.00 – $7,889.00 | 6 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,600.27 – $5,047.00 | 6 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $3,486.00 – $7,416.07 | 6 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $3,486.00 – $7,416.07 | 6 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $3,486.00 – $7,889.00 | 6 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $7,924.50 | $15,849.00 | $11,488.76 – $11,798.51 | 4 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | not published | not published | $18,243.62 – $18,780.19 | 4 |
| Prq trlml c athrc st angiop1 CPT 92933 | $12,217.00 | $24,434.00 | $11,640.00 – $18,735.48 | 4 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | not published | not published | $11,488.76 – $11,826.66 | 4 |
| Prq trluml c angiop 1art&/br CPT 92920 | $9,402.50 | $18,805.00 | $5,664.24 – $5,830.83 | 4 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $8,736.50 | $17,473.00 | $11,488.76 – $11,826.66 | 4 |
| Prq trluml revsc ch occ ant CPT 92943 | $7,924.50 | $15,849.00 | $11,488.76 – $11,798.51 | 4 |
| Pr removal drug delivery implant CPT 11982 | $675.00 | $1,350.00 | $444.58 – $3,988.00 | 6 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $292.50 | $585.00 | $132.41 – $3,988.00 | 6 |
| Pr removal intrauterine device CPT 58301 | $333.50 | $667.00 | $303.27 – $2,603.00 | 6 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $625.00 | $1,250.00 | $404.56 – $3,988.00 | 6 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $483.50 | $967.00 | $199.67 – $3,988.00 | 6 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $639.00 | $1,278.00 | $199.67 – $3,988.00 | 6 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $461.50 | $923.00 | $199.67 – $3,988.00 | 6 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $775.50 | $1,551.00 | $199.67 – $3,988.00 | 6 |
| Pr robotic surgical system HCPCS S2900 | not published | not published | $3,988.00 – $3,988.00 | 1 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $3,010.00 | $6,020.00 | $2,053.37 – $3,486.00 | 6 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $3,231.00 – $3,486.00 | 6 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $439.06 – $805.00 | 5 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $4,926.00 – $7,433.77 | 6 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $4,926.00 – $7,433.77 | 6 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,298.00 | $2,596.00 | $1,377.00 – $2,603.00 | 6 |
| PSA (Prostate) Test CPT 84153 | $86.00 | $172.00 | $16.11 – $97.24 | 6 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | $18.50 | $37.00 | $28.78 – $29.63 | 4 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $150.50 | $301.00 | not published | 0 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $207.00 | $414.00 | not published | 0 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $219.50 | $439.00 | not published | 0 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $305.50 | $611.00 | $214.89 – $221.21 | 4 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $204.50 | $409.00 | not published | 0 |
| Psycl/nrpsyc tech 1st CPT 96138 | $238.00 | $476.00 | $444.58 – $457.66 | 4 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $73.50 | $147.00 | $132.41 – $136.30 | 4 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $49.00 | $98.00 | not published | 0 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $19.50 | $39.00 | not published | 0 |
| Psytx complex interactive CPT 90785 | $38.00 | $76.00 | not published | 0 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $87.00 | $174.00 | $14.79 – $54.90 | 5 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $69.00 | $138.00 | $19.15 – $62.53 | 5 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $90.50 | $181.00 | $14.42 – $51.85 | 5 |
| Pt application of modality traction mechanical CPT 97012 | $75.00 | $150.00 | $14.44 – $61.00 | 5 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $52.56 – $338.94 | 6 |
| Pten gene full sequence CPT 81321 | not published | not published | $360.42 – $2,326.71 | 6 |
| Pten gene known fam variant CPT 81322 | not published | not published | $35.04 – $226.43 | 6 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Pt evaluation high complexity patient/family CPT 97163 | $289.50 | $579.00 | $98.92 – $183.00 | 5 |
| Pt evaluation low complexity patient/family CPT 97161 | $216.00 | $432.00 | $98.92 – $183.00 | 5 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $263.50 | $527.00 | $98.92 – $183.00 | 5 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $24.89 – $25.62 | 4 |
| Pt re-evaluation patient/family CPT 97164 | $123.50 | $247.00 | $68.12 – $100.65 | 5 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $112.50 | $225.00 | $30.04 – $30.92 | 4 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $104.50 | $209.00 | $12.74 – $56.43 | 5 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $89.00 | $178.00 | $29.30 – $67.10 | 5 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $79.00 | $158.00 | $29.92 – $61.00 | 5 |
| Pt wheelchair management each 15 minutes CPT 97542 | $89.00 | $178.00 | $31.32 – $61.00 | 5 |
| Pul art balloon repr percut CPT 92997 | $7,506.50 | $15,013.00 | $11,488.76 – $11,798.51 | 4 |
| Pul art balloon repr percut CPT 92998 | not published | not published | $11,640.00 – $11,640.00 | 1 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $3,300.00 – $5,666.56 | 4 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Pulmonary vent imaging CPT 78579 | not published | not published | $397.85 – $797.64 | 5 |
| Pulse ox continuous overnight monitoring CPT 94762 | $344.00 | $688.00 | $128.06 – $131.82 | 4 |
| Pulse ox multiple CPT 94761 | $344.00 | $688.00 | not published | 0 |
| Pulse ox single CPT 94760 | $89.50 | $179.00 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $499.50 | $999.00 | $702.49 – $2,603.00 | 6 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $120.00 | $240.00 | $132.41 – $3,988.00 | 6 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $315.00 | $630.00 | $404.56 – $3,988.00 | 6 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $2,603.00 – $4,039.00 | 6 |
| Puncture spinal lumbar diagnostic CPT 62270 | $1,485.00 | $2,970.00 | $702.49 – $2,603.00 | 6 |
| Puraply 1 sq cm HCPCS Q4195 | $90.04 | $180.09 | not published | 0 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $123.85 – $129.20 | 5 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $86.00 | $172.00 | $484.00 – $3,988.00 | 3 |
| Pvb thoracic cont infusion CPT 64463 | $1,403.50 | $2,807.00 | $702.49 – $3,988.00 | 6 |
| Pvb thoracic single inj site CPT 64461 | $1,403.50 | $2,807.00 | $702.49 – $3,988.00 | 6 |
| Pwr pck base combo vad, rep HCPCS Q0489 | $7,009.54 | $14,019.08 | not published | 0 |
| Pyelotomy complicated CPT 50135 | not published | not published | $3,988.00 – $3,988.00 | 1 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $13.80 – $13.80 | 1 |
| Pyruvate CPT 84210 | $70.00 | $140.00 | $9.51 – $56.96 | 6 |
| Pyruvate kinase CPT 84220 | $149.50 | $299.00 | $8.26 – $50.01 | 6 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $132.41 – $136.30 | 4 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,268.00 | $2,536.00 | $540.36 – $1,220.28 | 5 |
| Quant diff pulm perf w/imaging CPT 78597 | $1,268.00 | $2,536.00 | $397.85 – $1,220.28 | 5 |
| Quest t3 uptake CPT 84479 | $149.50 | $299.00 | $5.67 – $34.71 | 6 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $8.22 – $8.22 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $359.49 – $370.06 | 4 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $226.69 – $356.25 | 5 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | not published | not published | $285.45 – $394.49 | 5 |
| Rabies vaccine id CPT 90676 | not published | not published | $241.60 – $248.70 | 4 |
| Radial keratotomy CPT 65771 | not published | not published | $3,988.00 – $5,620.00 | 2 |
| Radiation handling CPT 77790 | $251.50 | $503.00 | $247.12 – $247.12 | 1 |
| Radiation physics consult CPT 77336 | $639.00 | $1,278.00 | $133.76 – $424.70 | 5 |
| Radiation therapy dose plan CPT 77300 | $413.50 | $827.00 | $133.76 – $294.99 | 5 |
| Radiation therapy management CPT 77431 | not published | not published | $317.66 – $317.66 | 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.