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 |
|---|---|---|---|---|
| Tc-99m bicisate HCPCS A9557 | $948.00 | $1,896.00 | $791.03 – $814.30 | 4 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $998.00 | $1,996.00 | $952.81 – $980.84 | 4 |
| Tc-99m exametazime diag HCPCS A9521 | $543.50 | $1,087.00 | $946.26 – $974.10 | 4 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $335.17 – $345.03 | 4 |
| Tc-99m labeled rbc HCPCS A9560 | $120.50 | $241.00 | not published | 0 |
| Tc-99m maa HCPCS A9540 | $941.50 | $1,883.00 | not published | 0 |
| Tc-99m mebrofenin HCPCS A9537 | $103.50 | $207.00 | not published | 0 |
| Tc-99m medronate HCPCS A9503 | $63.00 | $126.00 | not published | 0 |
| Tc-99m mertiatide HCPCS A9562 | $378.00 | $756.00 | not published | 0 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $6.50 | $13.00 | $19.30 – $19.30 | 1 |
| Tc-99m oxidronate HCPCS A9561 | $26.00 | $52.00 | not published | 0 |
| Tc-99m pentetate dtpa HCPCS A9539 | $706.00 | $1,412.00 | not published | 0 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $145.00 | $290.00 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $7.50 | $15.00 | not published | 0 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $63.50 | $127.00 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $367.50 | $735.00 | not published | 0 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $383.00 | $766.00 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $99.00 | $198.00 | not published | 0 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $170.00 | $340.00 | not published | 0 |
| Tc-99m tilmanocept diag HCPCS A9520 | $472.50 | $945.00 | not published | 0 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $484.00 – $3,988.00 | 6 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $104.04 – $107.10 | 4 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $104.04 – $107.10 | 4 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $439.06 – $2,603.00 | 6 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $127.50 | $255.00 | $41.16 – $248.65 | 6 |
| T cells absolute cd 4 count CPT 86361 | $117.50 | $235.00 | $23.45 – $141.68 | 6 |
| T cells total count CPT 86359 | $135.50 | $271.00 | $33.05 – $200.03 | 6 |
| Tcranial magn stim tx deli CPT 90868 | $494.50 | $989.00 | $214.89 – $221.21 | 4 |
| Tcranial magn stim tx plan CPT 90867 | $494.50 | $989.00 | $214.89 – $221.21 | 4 |
| Tcran magn stim redetemine CPT 90869 | $469.00 | $938.00 | $214.89 – $221.21 | 4 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $221.43 – $293.51 | 5 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $780.16 – $803.10 | 4 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $780.16 – $803.10 | 4 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.26 – $9.66 | 5 |
| Telethx isodose plan cplx CPT 77307 | $905.50 | $1,811.00 | $372.63 – $641.06 | 5 |
| Telethx isodose plan simple CPT 77306 | $788.00 | $1,576.00 | $372.63 – $509.17 | 5 |
| Temozolomide HCPCS J8700 | not published | not published | $0.32 – $0.32 | 1 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.60 – $14.22 | 5 |
| Temperature gradient studies CPT 93740 | not published | not published | $128.06 – $131.82 | 4 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $3,988.00 – $7,889.00 | 2 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $27.25 – $42.06 | 5 |
| Tendon lengthening CPT 26476 | not published | not published | $2,464.00 – $5,047.00 | 6 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $3,256.29 – $4,926.00 | 6 |
| Tendon shortening CPT 26477 | not published | not published | $2,464.00 – $3,344.08 | 6 |
| Tendon transfer with graft CPT 26492 | not published | not published | $3,256.29 – $4,039.00 | 6 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $175.67 – $215.40 | 5 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $3,988.00 – $7,889.00 | 6 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $2,464.00 – $3,988.00 | 6 |
| Tenolysis triceps CPT 24332 | not published | not published | $3,256.29 – $6,310.00 | 6 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $3,988.00 – $15,406.00 | 6 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,600.27 – $3,988.00 | 6 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $3,256.29 – $9,860.00 | 6 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $3,256.29 – $4,039.00 | 6 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $2,099.00 | $4,198.00 | $1,600.27 – $3,988.00 | 6 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | not published | not published | $5.02 – $5.02 | 1 |
| Tert gene targeted seq alys CPT 81345 | $161.00 | $322.00 | $111.12 – $194.00 | 4 |
| Test for chlorohydrocarbons CPT 82441 | $56.00 | $112.00 | $5.26 – $31.94 | 6 |
| Test for porphobilinogen CPT 84106 | not published | not published | $3.75 – $22.22 | 6 |
| Test for urine cystines CPT 82615 | not published | not published | $7.15 – $43.05 | 6 |
| Testicular imaging w/vasc flow CPT 78761 | $774.00 | $1,548.00 | $397.85 – $576.26 | 5 |
| Testosterone response panel CPT 80414 | not published | not published | $45.24 – $243.18 | 6 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.11 – $2.58 | 5 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $43.50 | $87.00 | $15.30 – $60.29 | 4 |
| Test sock wrist disart/bel e HCPCS L6680 | $172.84 | $345.69 | not published | 0 |
| Test stress cardiovascular tracing only CPT 93017 | $751.00 | $1,502.00 | $214.89 – $221.21 | 4 |
| Test urine for lactose CPT 83633 | not published | not published | $4.82 – $29.17 | 6 |
| Test urine for porphyrins CPT 84119 | not published | not published | $7.54 – $45.85 | 6 |
| Test urine urobilinogen CPT 84578 | not published | not published | $2.84 – $16.68 | 6 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $604.86 – $772.76 | 5 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $18.37 – $24.95 | 5 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $82.20 – $143.51 | 4 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $455.72 – $795.61 | 4 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $1,751.76 – $3,058.28 | 4 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $358.75 – $626.31 | 4 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $32.59 – $329.08 | 5 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $32.59 – $329.08 | 6 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $32.59 – $329.08 | 5 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $32.59 – $153.76 | 5 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $439.06 – $2,603.00 | 6 |
| Theophylline therapeutic drug level CPT 80198 | $158.50 | $317.00 | $12.40 – $75.03 | 6 |
| Therapeutic procd strg endur HCPCS G0237 | $58.00 | $116.00 | $28.78 – $169.28 | 5 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $26.00 | $52.00 | $26.67 – $27.46 | 4 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $26.00 | $52.00 | $22.27 – $22.92 | 4 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $199.67 – $205.54 | 4 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $3,231.00 – $4,926.00 | 6 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $174.56 – $705.01 | 5 |
| Ther/proph/diag inj ia CPT 96373 | $313.00 | $626.00 | $211.68 – $217.91 | 4 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $541.97 – $541.97 | 1 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $365.02 – $365.02 | 1 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $242.37 – $242.37 | 1 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | not published | not published | $2.65 – $2.65 | 1 |
| Thiotepa injection HCPCS J9340 | not published | not published | $310.87 – $310.87 | 1 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,363.00 | $4,726.00 | $624.29 – $2,603.00 | 6 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Thoracic duct procedure CPT 38380 | not published | not published | $1,972.00 – $3,988.00 | 2 |
| Thoracic duct procedure CPT 38381 | not published | not published | $1,972.00 – $3,988.00 | 2 |
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.