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 |
|---|---|---|---|---|
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $11,488.76 – $11,826.66 | 4 |
| Simple cystometrogram 51725 CPT 51725 | $433.50 | $867.00 | $248.65 – $2,603.00 | 6 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $194.95 – $194.95 | 1 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $104.04 – $112.96 | 5 |
| Single transfer toe-hand CPT 26553 | not published | not published | $778.00 – $7,433.77 | 6 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,796.50 | $3,593.00 | $174.56 – $1,244.65 | 5 |
| Sinus CT scan (with contrast) CPT 70487 | $1,562.50 | $3,125.00 | $174.56 – $1,025.93 | 5 |
| Sinus CT scan (without contrast) CPT 70486 | $1,359.50 | $2,719.00 | $104.04 – $863.72 | 5 |
| Sinus/juglr venogram s&i CPT 75860 | $1,782.50 | $3,565.00 | $1,987.06 – $3,234.74 | 5 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $3,299.54 – $4,039.00 | 6 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $4,926.00 – $6,064.68 | 6 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $3,486.00 – $7,889.00 | 6 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $56,377.77 – $75,937.30 | 5 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $1.83 – $1.83 | 1 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $86.26 – $155.59 | 5 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $14.39 – $82.93 | 2 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $14.39 – $75.12 | 2 |
| Skin and muscle repair face CPT 15845 | not published | not published | $3,526.71 – $7,889.00 | 6 |
| Skin Biopsy CPT 11102 | $357.00 | $714.00 | $404.56 – $3,988.00 | 6 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $2,703.50 | $5,407.00 | $2,053.37 – $4,039.00 | 6 |
| Skin full graft add-on 15241 CPT 15241 | $1,564.50 | $3,129.00 | $484.00 – $3,988.00 | 3 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $3,526.71 – $4,039.00 | 6 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $2,053.37 – $4,039.00 | 6 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $484.00 – $3,988.00 | 3 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $3.31 – $29.56 | 6 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $104.89 – $183.11 | 4 |
| Sleep study attended CPT 95807 | $1,169.00 | $2,338.00 | $371.37 – $382.29 | 4 |
| Sleep Study (Polysomnography) CPT 95810 | $2,188.00 | $4,376.00 | not published | 0 |
| Sleep study unattended CPT 95806 | $507.00 | $1,014.00 | $214.89 – $221.21 | 4 |
| Sleeve fing rolyan med HCPCS L3933 | $24.32 | $48.65 | not published | 0 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $37.78 | $75.56 | not published | 0 |
| Sling pelv split sam med HCPCS L0621 | $54.34 | $108.68 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $6,995.42 | $13,990.84 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $778.00 – $3,611.23 | 6 |
| Slitting of prepuce CPT 54001 | $3,237.00 | $6,474.00 | $2,080.35 – $3,486.00 | 6 |
| Slp pure tone screening CPT 92551 | $127.50 | $255.00 | not published | 0 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $58.71 – $60.44 | 4 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,223.00 – $3,317.79 | 4 |
| Small animal inoculation CPT 87003 | not published | not published | $14.75 – $88.90 | 6 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,909.69 – $3,486.00 | 6 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,909.69 – $3,486.00 | 6 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,909.69 – $3,486.00 | 6 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,909.69 – $3,486.00 | 6 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,723.00 – $3,486.00 | 6 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,909.69 – $3,486.00 | 6 |
| Small bowel endoscopy CPT 44382 | not published | not published | $902.63 – $2,603.00 | 6 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,909.69 – $3,988.00 | 6 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,909.69 – $3,486.00 | 6 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,909.69 – $3,486.00 | 6 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,909.69 – $3,486.00 | 6 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,909.69 – $3,486.00 | 6 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $902.63 – $2,603.00 | 6 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,909.69 – $3,988.00 | 6 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $3,231.00 – $10,469.00 | 6 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.01 | 4 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $76.50 | $153.00 | $4.70 – $27.79 | 6 |
| Smear gram stain CPT 87205 | $46.00 | $92.00 | $3.74 – $22.22 | 6 |
| Smear nasal eosinophil CPT 89190 | $85.00 | $170.00 | $4.16 – $25.02 | 6 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $23.50 | $47.00 | $5.25 – $31.94 | 6 |
| Smear wet mount CPT 87210 | $76.50 | $153.00 | $3.74 – $22.22 | 6 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $180.81 – $315.66 | 4 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $111.12 – $194.00 | 4 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $28.20 – $470.99 | 6 |
| Snrpn/ube3a gene CPT 81331 | $382.50 | $765.00 | $30.64 – $184.89 | 6 |
| So airplane w/wo joint cf HCPCS L3674 | $650.50 | $1,301.00 | not published | 0 |
| So cap design without jnts cf HCPCS L3671 | $248.92 | $497.84 | not published | 0 |
| Socket insert below knee HCPCS L5655 | $174.92 | $349.83 | not published | 0 |
| Socket insert without lock mech HCPCS L5679 | $477.66 | $955.31 | not published | 0 |
| Sock fracture or equal each HCPCS L3995 | $30.02 | $60.03 | not published | 0 |
| Sock wool above knee HCPCS L8430 | $21.22 | $42.44 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $32.50 | $65.00 | $4.26 – $26.40 | 6 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $3.68 – $3.68 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $1.84 – $1.84 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.91 – $0.91 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $2.93 – $2.93 | 1 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $103.25 – $103.25 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $61.50 | $123.00 | $4.21 – $25.02 | 6 |
| Soft interface below knee se HCPCS L2820 | $69.86 | $139.73 | not published | 0 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $86.61 – $89.15 | 4 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,372.22 – $1,412.58 | 4 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,219.75 – $1,255.62 | 4 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,354.28 – $3,452.94 | 4 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,067.28 – $1,098.67 | 4 |
| Somatosensory testing CPT 95927 | not published | not published | $214.89 – $221.21 | 4 |
| Somatropin injection HCPCS J2941 | not published | not published | $94.42 – $94.42 | 1 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $3,049.34 – $3,139.03 | 4 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $914.81 – $941.71 | 4 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $25.55 – $26.30 | 4 |
| So vest canvas/web pre ots HCPCS L3675 | $94.70 | $189.41 | not published | 0 |
| Spacer bag/reservoir HCPCS A4627 | $20.18 | $40.37 | not published | 0 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $3,988.00 – $8,137.00 | 2 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $3,988.00 – $8,137.00 | 2 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $484.00 – $3,988.00 | 3 |
| Special physics consult CPT 77370 | $575.50 | $1,151.00 | $133.76 – $496.61 | 5 |
| Special radiation dosimetry CPT 77331 | $378.50 | $757.00 | $133.76 – $216.48 | 5 |
| Special radiation treatment CPT 77470 | $1,850.00 | $3,700.00 | $549.89 – $1,939.82 | 5 |
| Special supplies phys/qhp CPT 99070 | $18.63 | $37.26 | not published | 0 |
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.