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 |
|---|---|---|---|---|
| Radiation treatment aid(s) CPT 77332 | $389.50 | $779.00 | $133.76 – $281.36 | 5 |
| Radiation treatment aid(s) CPT 77333 | $448.00 | $896.00 | $133.76 – $411.24 | 5 |
| Radiation treatment aid(s) CPT 77334 | $514.00 | $1,028.00 | $372.63 – $671.14 | 5 |
| Radiation treatment delivery CPT 77401 | not published | not published | $253.82 – $253.82 | 1 |
| Radiation treatment delivery CPT 77402 | $371.00 | $742.00 | $101.54 – $253.82 | 5 |
| Radiation treatment delivery CPT 77412 | $564.50 | $1,129.00 | $332.58 – $566.06 | 5 |
| Radiation tx management x5 CPT 77427 | not published | not published | $556.38 – $556.38 | 1 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $3,988.00 – $9,860.00 | 6 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $3,988.00 – $9,860.00 | 6 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $3,988.00 – $9,860.00 | 6 |
| Radical resection of elbow CPT 24149 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $3,988.00 – $9,860.00 | 6 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $2,464.00 – $7,778.00 | 6 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,890.77 – $10,469.00 | 6 |
| Radiesse injection HCPCS Q2026 | not published | not published | $356.17 – $366.65 | 4 |
| Radiology port images(s) CPT 77417 | $200.00 | $400.00 | $84.95 – $84.95 | 1 |
| Radiotherapy dose plan imrt CPT 77301 | $4,123.50 | $8,247.00 | $1,377.48 – $5,320.56 | 5 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $175.67 – $180.83 | 4 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | not published | not published | $540.36 – $934.55 | 5 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,289.50 | $4,579.00 | $540.36 – $1,727.44 | 5 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $2,385.50 | $4,771.00 | $1,120.44 – $1,326.33 | 5 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,289.50 | $4,579.00 | $540.36 – $1,120.14 | 5 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,127.50 | $2,255.00 | $397.85 – $597.04 | 5 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $380.12 – $380.12 | 1 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $2,464.00 – $5,047.00 | 6 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,890.77 – $10,469.00 | 6 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $2,464.00 – $4,039.00 | 6 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $2,464.00 – $3,988.00 | 6 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $2,890.77 – $10,469.00 | 6 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $2,464.00 – $3,988.00 | 6 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $2,890.77 – $10,469.00 | 6 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $2,464.00 – $5,047.00 | 6 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $75.85 – $97.48 | 5 |
| Range of motion measurements CPT 95852 | not published | not published | $4.99 – $5.13 | 4 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $88.11 – $188.27 | 5 |
| Rapid desensitization CPT 95180 | not published | not published | $444.58 – $457.66 | 4 |
| Rapid Strep Test CPT 87880 | $89.50 | $179.00 | $10.51 – $63.88 | 6 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $385.07 – $507.37 | 5 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $229.61 – $302.60 | 5 |
| Rbc count only automated CPT 85041 | not published | not published | $2.64 – $15.30 | 6 |
| Rbc deglycerolized each unit HCPCS P9039 | $763.50 | $1,527.00 | not published | 0 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $439.06 – $2,603.00 | 6 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $7.54 – $45.85 | 6 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $5.86 – $34.71 | 6 |
| Rbc serum pretx incubj drugs CPT 86975 | $84.50 | $169.00 | $15.09 – $456.57 | 6 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $3,988.00 – $12,325.00 | 6 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $1,723.00 – $6,064.68 | 6 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $2,587.00 – $3,988.00 | 6 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $3,988.00 – $15,406.00 | 6 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $778.00 – $6,064.68 | 6 |
| Realignment of knee CPT 27457 | not published | not published | $3,988.00 – $7,433.77 | 6 |
| Realignment of knee CPT 27455 | not published | not published | $3,988.00 – $7,433.77 | 6 |
| Realignment of tendons CPT 26437 | not published | not published | $2,464.00 – $3,988.00 | 6 |
| Realignment of thigh bone CPT 27454 | not published | not published | $3,988.00 – $9,860.00 | 6 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $5,607.00 – $6,310.00 | 6 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $5,607.00 – $7,889.00 | 6 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $5,891.41 – $7,778.00 | 6 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $3,988.00 – $6,064.68 | 6 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $5,891.41 – $7,778.00 | 6 |
| Rechanneling of artery CPT 35361 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Rechanneling of artery CPT 35306 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Rechanneling of artery CPT 35311 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Rechanneling of artery CPT 35363 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $3,988.00 – $6,310.00 | 6 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Recipient nephrectomy CPT 50340 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $3,988.00 – $6,064.68 | 6 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $3,988.00 – $19,258.00 | 6 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $3,988.00 – $9,860.00 | 6 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $3,988.00 – $6,310.00 | 6 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $3,988.00 – $12,325.00 | 6 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $3,988.00 – $27,731.78 | 6 |
| Reconstruct bronchus CPT 31775 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $778.00 – $7,433.77 | 6 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $5,607.00 – $6,310.00 | 6 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $3,299.54 – $5,607.00 | 6 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $5,607.00 – $12,325.00 | 6 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $5,891.41 – $9,860.00 | 6 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $5,607.00 – $6,310.00 | 6 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $5,607.00 – $9,860.00 | 6 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $3,988.00 – $7,889.00 | 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.