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 |
|---|---|---|---|---|
| Subq njx fil matrl 5.1-10cc CPT 11952 | $988.00 | $1,976.00 | $484.00 – $3,988.00 | 6 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $484.00 – $3,486.00 | 3 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $3,256.29 – $10,469.00 | 6 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $3,231.00 – $10,469.00 | 6 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $3,256.29 – $10,469.00 | 6 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $10,469.00 – $15,406.00 | 6 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $3,526.71 – $4,039.00 | 6 |
| Suction lipectomy lwr extrem CPT 15879 | $5,661.00 | $11,322.00 | $3,231.00 – $3,988.00 | 6 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $3,526.71 – $4,039.00 | 6 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $2,053.37 – $3,988.00 | 6 |
| Sugars multiple quant CPT 84379 | not published | not published | $10.10 – $61.12 | 6 |
| Sugars single quant CPT 84378 | not published | not published | $10.10 – $61.12 | 6 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $14.83 – $14.83 | 1 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $46.60 – $47.97 | 4 |
| Supply of digital device HCPCS G0552 | not published | not published | $132.50 – $136.39 | 4 |
| Support clav 29.6-40.5in med HCPCS L3650 | $44.50 | $89.01 | not published | 0 |
| Supprelin la implant HCPCS J9226 | not published | not published | $45,921.06 – $60,405.16 | 5 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $2,464.00 – $3,486.00 | 6 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $3,988.00 – $8,137.00 | 2 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $3,988.00 – $8,137.00 | 2 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $3,486.00 – $5,047.00 | 6 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $3,988.00 – $15,406.00 | 6 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $3,988.00 – $7,433.77 | 6 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $3,988.00 – $7,433.77 | 6 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $3,988.00 – $5,492.99 | 6 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Surgical opening of stomach CPT 43510 | not published | not published | $805.00 – $3,988.00 | 6 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,544.13 – $3,486.00 | 6 |
| Surgical pathology level 1 gross examination only CPT 88300 | $87.50 | $175.00 | $9.90 – $41.76 | 6 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $219.00 | $438.00 | $9.90 – $98.73 | 6 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $105.00 | $210.00 | $20.73 – $133.44 | 6 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $219.00 | $438.00 | $20.73 – $133.44 | 6 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $363.00 | $726.00 | $32.59 – $872.52 | 6 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $547.50 | $1,095.00 | $32.59 – $1,239.31 | 6 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $2,603.00 – $3,231.00 | 6 |
| Susceptibility agar dilution per agent CPT 87181 | not published | not published | $4.16 – $25.02 | 6 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $81.00 | $162.00 | $4.16 – $25.02 | 6 |
| Susceptibility mic per plate CPT 87186 | $238.50 | $477.00 | $7.57 – $45.85 | 6 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $5.81 – $34.71 | 6 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Suspension of testis CPT 54620 | not published | not published | $3,508.06 – $4,039.00 | 6 |
| Suspension of uterus CPT 58410 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $3,988.00 – $8,137.00 | 2 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Suture bile duct injury 47900 CPT 47900 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Svc venogram s&i CPT 75827 | $1,736.00 | $3,472.00 | $1,566.60 – $1,985.39 | 5 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $20.73 – $90.77 | 6 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,943.35 – $7,889.00 | 6 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,943.35 – $5,047.00 | 6 |
| Sympathectomy lumbar CPT 64818 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $2,587.00 – $3,486.00 | 6 |
| Sympathectomy thoracolumbar CPT 64809 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $14.08 – $14.08 | 1 |
| Synthetic sentence id test CPT 92576 | not published | not published | $37.17 – $38.26 | 4 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $8.11 – $12.06 | 5 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $66.50 | $133.00 | $3.86 – $23.60 | 6 |
| System cardiomems hosp electronics HCPCS C2624 | $13,118.62 | $26,237.25 | not published | 0 |
| System pacing micra av HCPCS C1786 | $8,453.36 | $16,906.73 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $16,721.46 | $33,442.92 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $253.06 | $506.12 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $103.00 | $206.00 | $14.84 – $88.90 | 6 |
| T3 (triiodothyronine) total CPT 84480 | $187.00 | $374.00 | $12.42 – $75.03 | 6 |
| T4 (thyroxine) free CPT 84439 | $77.50 | $155.00 | $7.90 – $47.24 | 6 |
| T4 (thyroxine) total CPT 84436 | $128.00 | $256.00 | $6.02 – $36.13 | 6 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.77 – $0.77 | 1 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $2.42 – $2.42 | 1 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.32 – $0.32 | 1 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $268.41 – $346.91 | 5 |
| Tacrolimus therapeutic drug level CPT 80197 | $134.00 | $268.00 | $12.02 – $72.22 | 6 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $14.60 – $18.85 | 5 |
| Tah rad debulk/lymph remove 58954 CPT 58954 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Tah rad dissect for debulk 58953 CPT 58953 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Tah w/mmk 58152 CPT 58152 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $75.41 – $95.70 | 5 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $74.07 – $92.48 | 5 |
| Talymed HCPCS Q4127 | not published | not published | $92.09 – $127.49 | 5 |
| Tap block bilat cont infusion 64489 CPT 64489 | not published | not published | $484.00 – $3,988.00 | 3 |
| Tap block uni by cont infusion 64487 CPT 64487 | not published | not published | $484.00 – $3,988.00 | 3 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,342.00 | $4,684.00 | $53.90 – $2,515.63 | 6 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $1,751.76 – $3,058.28 | 4 |
| Target gsa panel organ neop CPT 81445 | $1,387.50 | $2,775.00 | $53.90 – $2,319.75 | 6 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,595.93 – $1,642.87 | 4 |
| Tas congenital car anomal CPT 33741 | $2,802.00 | $5,604.00 | $1,972.00 – $1,972.00 | 1 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $484.00 – $3,988.00 | 6 |
| Tavr perq femoral CPT 33361 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.29 – $0.55 | 5 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $82.20 – $143.51 | 4 |
| Tbs techl calculation only CPT 77091 | not published | not published | $86.61 – $89.15 | 4 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $86.61 – $89.15 | 4 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $52.33 – $395.90 | 6 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $49.50 | $99.00 | $24.19 – $327.83 | 6 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $1,562.35 – $1,562.35 | 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.