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Acute Care Hospital

Sentara Albemarle Medical Center

Elizabeth City, North Carolina · Pasquotank County · Emergency services listed

Summary

Sentara Albemarle Medical Center is an acute care hospital in Elizabeth City, North Carolina. Medicare data lists emergency services. CMS overall star rating: 3 of 5 stars. Its official website lists 71 services, specialties and programs. Medicare lists 534 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(252) 335‑0531 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
3 of 5 stars3 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
90Beds (hospital website)
534Doctors and clinicians
71Services listed

Quick answers

Does Sentara Albemarle Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Sentara Albemarle Medical Center. In a medical emergency, call 911.
Where is Sentara Albemarle Medical Center?
3050 Halstead Blvd Ext, Elizabeth City, NC 27909, in Pasquotank County, North Carolina.
What is the phone number of Sentara Albemarle Medical Center?
(252) 335-0531, as listed by Medicare (CMS).
What is the Medicare star rating of Sentara Albemarle Medical Center?
3 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][5][13][14]

Conditions treated[11][14]

Treatments[8][11][14]

  • Total hip replacement
  • Total knee replacement
  • Partial knee replacement
  • Total shoulder replacement
  • Arthroscopic surgery
  • Viscosupplementation injections
  • Pacemaker/ICD implants
  • Aneurysm surgery
  • Venous interventions
  • Vascular access
  • Cerebrovascular services
  • Cardiac rehabilitation
  • Pulmonary rehabilitation
  • Non-invasive diagnostic testing
  • Catheter-based diagnostic testing
  • Surgical oncology (breast and colorectal surgery)
  • Medical oncology infusion services
  • Radiation oncology

Procedures[9][10][12][15]

Programs and centers[7][8][10][13][15]

  • Emergency department (24 hours)
  • Focus Care (for less serious illness and injury in the ED)
  • Forensic nurse support
  • Women's Center maternity care
  • Childbirth and breastfeeding classes
  • Dr. Zack D. Owens Comprehensive Breast Center
  • Cancer services

Emergency care (hospital website)[4][7]

Emergency roomYes
Open 24/7Yes

Doctors and clinicians (534)

534 doctors and other clinicians list Sentara Albemarle Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (534)

And 510 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Other hospitals nearby

  • NMC Portsmouth38 mi · Portsmouth, VA · Military Hospital (Department of Defense)

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Sentara Albemarle Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well4 of 5 stars
Staff explained medicines4 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1072%National average: 72%
Would definitely recommend the hospital68%National average: 71%
Nurses “always” communicated well84%National average: 80%
Doctors “always” communicated well81%National average: 80%
Staff “always” explained medicines before giving them65%National average: 62%
Were given information about recovery at home89%National average: 86%
Room and bathroom “always” clean74%National average: 74%
Area around the room “always” quiet at night64%National average: 60%
Completed surveys852Response rate: 23%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)1.025No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)1.124No different from the national benchmark
Surgical site infections after colon surgery0No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections1.834No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients12%
Deaths within 30 days: heart failure patients10%
Deaths within 30 days: pneumonia patients17.3%
Deaths within 30 days: COPD patients7.5%
Deaths within 30 days: stroke patients14%
Deaths within 30 days: coronary bypass surgery (CABG)Not reported to Medicare
Serious complications (patient safety indicator PSI-90)1.1No different from the national rate
Complications after hip or knee replacementToo few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14%
Readmitted within 30 days: heart failure21%
Readmitted within 30 days: pneumonia16.9%
Readmitted within 30 days: COPD19.1%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacementToo few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)148 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)79%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in North CarolinaBest hospitals in North Carolina

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 71 common services exactly as Sentara Albemarle Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $260.92 – $266.14
Emergency room visit (moderate): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $260.92
  • Humana — ChoiceCare Medicare Managed Care Plan: $266.14
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Level Iii - Er Dept Visit $876 $438 Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $398.83 – $406.81
Emergency room visit (moderately high): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $398.83
  • Humana — ChoiceCare Medicare Managed Care Plan: $406.81
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Ed Level Iv - Er Dept Visit $1,619 $809.50 Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit Not listed in the file Not listed in the file $569.22 – $580.61
Emergency room visit (high): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $569.22
  • Humana — ChoiceCare Medicare Managed Care Plan: $580.61
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Ed Level V - Er Dept Visit $2,397 $1,198.50 Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg Level V - L&D Er Dept Visit $4,078 $2,039 Not listed in the file

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca Not listed in the file Not listed in the file $8.46 – $8.63
Basic metabolic panel (blood test): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $8.46
  • Humana — ChoiceCare Medicare Managed Care Plan: $8.63
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Basic Metabolic Panel $86 $43 Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $10.56 – $10.77
Comprehensive metabolic panel (blood test): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $10.56
  • Humana — ChoiceCare Medicare Managed Care Plan: $10.77
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Comprehensive Metabolic Panel $135 $67.50 Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $47.81 – $48.77
Obstetric blood test panel: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $47.81
  • Humana — ChoiceCare Medicare Managed Care Plan: $48.77
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Prenatal Panel $298 $149 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel Not listed in the file Not listed in the file $13.39 – $13.66
Cholesterol panel (lipid panel): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $13.39
  • Humana — ChoiceCare Medicare Managed Care Plan: $13.66
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl (Qu) Advanced Lipid Panel, Cardio Iq (Our Nmr Lipoprotein Profile), S/O $8 $4 Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Lipid Panel Complete $177 $88.50 Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel Not listed in the file Not listed in the file $8.68 – $8.85
Kidney function panel: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $8.68
  • Humana — ChoiceCare Medicare Managed Care Plan: $8.85
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Renal Function Panel $151 $75.50 Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel Not listed in the file Not listed in the file $8.17 – $8.33
Liver function panel: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $8.17
  • Humana — ChoiceCare Medicare Managed Care Plan: $8.33
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Hepatic Function Panel $228 $114 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $3.17 – $3.23
Urine test (automated, with microscope): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $3.17
  • Humana — ChoiceCare Medicare Managed Care Plan: $3.23
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Urinalysis W/Micro $107 $53.50 Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Auto W/Scope $179 $89.50 Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope Not listed in the file Not listed in the file $3.48 – $3.55
Urine test (manual, without microscope): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $3.48
  • Humana — ChoiceCare Medicare Managed Care Plan: $3.55
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Nonauto W/O Scope $36 $18 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $2.25 – $2.30
Urine test (automated, without microscope): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $2.25
  • Humana — ChoiceCare Medicare Managed Care Plan: $2.30
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Urinalysis $58 $29 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Bile Urine $58 $29 Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total Not listed in the file Not listed in the file $18.39 – $18.76
PSA (prostate specific antigen) blood test: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $18.39
  • Humana — ChoiceCare Medicare Managed Care Plan: $18.76
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Prostatic Spec Ag $200 $100 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone Not listed in the file Not listed in the file $16.80 – $17.14
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $16.80
  • Humana — ChoiceCare Medicare Managed Care Plan: $17.14
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl (Qu) Chronic Urticaria Panel, S/O $37 $18.50 Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Chga-Tsh $224 $112 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc Not listed in the file Not listed in the file $7.77 – $7.93
Complete blood count (CBC) with differential: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $7.77
  • Humana — ChoiceCare Medicare Managed Care Plan: $7.93
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Cbc With Diff $142 $71 Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl (Qu) Severe Combined Immunodeficiency (Scid) Panel, S/O $17 $8.50 Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated Not listed in the file Not listed in the file $6.47 – $6.60
Complete blood count (CBC), automated: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $6.47
  • Humana — ChoiceCare Medicare Managed Care Plan: $6.60
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Cbc Without Diff $66 $33 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time Not listed in the file Not listed in the file $4.29 – $4.38
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $4.29
  • Humana — ChoiceCare Medicare Managed Care Plan: $4.38
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Pt/Inr $80 $40 Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl (Qu) Arsenic, Serum/Plasma, S/O $11 $5.50 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial Not listed in the file Not listed in the file $6.01 – $6.13
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $6.01
  • Humana — ChoiceCare Medicare Managed Care Plan: $6.13
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Ptt $102 $51 Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl (Qu) Von Willebrand Screen, S/O $9 $4.50 Not listed in the file

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye Not listed in the file Not listed in the file $99.93 – $101.93
CT scan of the head or brain, without contrast: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $99.93
  • Humana — ChoiceCare Medicare Managed Care Plan: $101.93
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Ct Head Region W/O Contrast $1,979 $989.50 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye Not listed in the file Not listed in the file $333.46 – $340.13
MRI of the brain, before and after contrast: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $333.46
  • Humana — ChoiceCare Medicare Managed Care Plan: $340.13
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mr Head W/Wo Contrast $4,007 $2,003.50 Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr - Mri Screen, Iac W&W/O Contrast $4,007 $2,003.50 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views Not listed in the file Not listed in the file $83.18 – $84.84
Chest X-ray, 2 views: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $83.18
  • Humana — ChoiceCare Medicare Managed Care Plan: $84.84
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg-X-Ray Exam Chest 2 Views $309 $154.50 Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: X-Ray Exam Chest 2 Views $526 $263 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws Not listed in the file Not listed in the file $99.93 – $101.93
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $99.93
  • Humana — ChoiceCare Medicare Managed Care Plan: $101.93
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Lspine Comp $779 $389.50 Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Spine Lumbar Minimum Four View $1,056 $528 Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye Not listed in the file Not listed in the file $228.06 – $232.62
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $228.06
  • Humana — ChoiceCare Medicare Managed Care Plan: $232.62
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mr Lumbar Spine W / O Contrast $3,036 $1,518 Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye Not listed in the file Not listed in the file $167.65 – $171.01
CT scan of the pelvis, with contrast: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $167.65
  • Humana — ChoiceCare Medicare Managed Care Plan: $171.01
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Ct Pelvis W / Contrast $3,252 $1,626 Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye Not listed in the file Not listed in the file $228.06 – $232.62
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $228.06
  • Humana — ChoiceCare Medicare Managed Care Plan: $232.62
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mr Lower Ext W/O Contrast $3,003 $1,501.50 Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast Not listed in the file Not listed in the file $333.46 – $340.13
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $333.46
  • Humana — ChoiceCare Medicare Managed Care Plan: $340.13
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Ct Abd/Pelvis W/ Contrast $4,092 $2,046 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete Not listed in the file Not listed in the file $99.93 – $101.93
Ultrasound of the abdomen, complete: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $99.93
  • Humana — ChoiceCare Medicare Managed Care Plan: $101.93
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Us Abdomen Complete $1,264 $632 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Ultrasound Abdomen $1,525 $762.50 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus Not listed in the file Not listed in the file $99.93 – $101.93
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $99.93
  • Humana — ChoiceCare Medicare Managed Care Plan: $101.93
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Us Ob Complete >=14 Wks $1,120 $560 Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Us Preg Uterus After 1St Trimest 1/1St Gestation $1,419 $709.50 Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob Not listed in the file Not listed in the file $99.93 – $101.93
Transvaginal ultrasound: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $99.93
  • Humana — ChoiceCare Medicare Managed Care Plan: $101.93
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Us Transvaginal $748 $374 Not listed in the file
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Ultrasound Transvaginal $1,096 $548 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mammo Screen Conv Diag Unilat $583 $291.50 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Digital Diagnostic Mammo Unilat $583 $291.50 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Contrast Enhanced Mammogram Unilat $583 $291.50 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mammo Screen Conv Diag Bilat $755 $377.50 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Digital Diagnostic Mammogram $755 $377.50 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Contrast Enhanced Mammogram Bilat $755 $377.50 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Scr Mammo Bi Incl Cad $679 $339.50 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mammo Digital Screening Unilat $679 $339.50 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mammography Digital Implants $679 $339.50 Not listed in the file

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy Not listed in the file Not listed in the file $3,098.72 – $3,160.69
Left heart catheterization (diagnostic): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $3,098.72
  • Humana — ChoiceCare Medicare Managed Care Plan: $3,160.69
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Cd Left Hrt Cath W / Ventrclgrphy $16,071 $8,035.50 Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: Ep Study W/O Induction Of Arrh $9,237 $4,618.50 Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: Ep&Ablatn Afib Pulm Vein Isol $33,299 $16,649.50 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Sleep Study Apnea/Narco $4,066 $2,033 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Sleep Study Apnea&Eeg $4,066 $2,033 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Sleep Study-Reduce Svc $3,138 $1,569 Not listed in the file

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises Not listed in the file Not listed in the file $28.02 – $28.58
Physical therapy: therapeutic exercise (each 15 minutes): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $28.02
  • Humana — ChoiceCare Medicare Managed Care Plan: $28.58
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg-Exercise - Isokinetic $211 $105.50 Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Exercise Therapeutic -15 Min $211 $105.50 Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min Not listed in the file Not listed in the file $94.66 – $96.55
Physical therapy evaluation (low complexity): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $94.66
  • Humana — ChoiceCare Medicare Managed Care Plan: $96.55
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval Low Complex 20 Mins $399 $199.50 Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min Not listed in the file Not listed in the file $94.66 – $96.55
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $94.66
  • Humana — ChoiceCare Medicare Managed Care Plan: $96.55
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval Mod Complex 30 Mins $528 $264 Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min Not listed in the file Not listed in the file $94.66 – $96.55
Physical therapy evaluation (high complexity): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $94.66
  • Humana — ChoiceCare Medicare Managed Care Plan: $96.55
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval High Complex 45 Mins $607 $303.50 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Psytx Pt&/Family 30 Minutes $329 $164.50 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Psychotherapy,45Min W/Pt,Fmly $494 $247 Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Psytx Pt&/Family 60 Minutes $655 $327.50 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Psytx W/Pt 50 Min $452 $226 Not listed in the file

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion Not listed in the file Not listed in the file $3,742.46 – $3,817.31
Removal of breast growth (open surgery): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $3,742.46
  • Humana — ChoiceCare Medicare Managed Care Plan: $3,817.31
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Removal Of Breast Lesion $8,347 $4,173.50 Not listed in the file
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty Not listed in the file Not listed in the file $12,271.52 – $12,516.95
Total hip replacement: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $12,271.52
  • Humana — ChoiceCare Medicare Managed Care Plan: $12,516.95
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty Not listed in the file Not listed in the file $12,271.52 – $12,516.95
Total knee replacement: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $12,271.52
  • Humana — ChoiceCare Medicare Managed Care Plan: $12,516.95
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery Not listed in the file Not listed in the file $3,127.46 – $3,190
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $3,127.46
  • Humana — ChoiceCare Medicare Managed Care Plan: $3,190
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $5,658.31 – $5,771.48
Removal of tonsils and adenoids (under age 12): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $5,658.31
  • Humana — ChoiceCare Medicare Managed Care Plan: $5,771.48
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $866.92 – $884.26
Upper GI endoscopy (diagnostic): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $866.92
  • Humana — ChoiceCare Medicare Managed Care Plan: $884.26
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $866.92 – $884.26
Upper GI endoscopy with biopsy: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $866.92
  • Humana — ChoiceCare Medicare Managed Care Plan: $884.26
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $888.88 – $906.65
Colonoscopy (diagnostic): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $888.88
  • Humana — ChoiceCare Medicare Managed Care Plan: $906.65
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Diagnostic Colonoscopy $1,863 $931.50 Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $1,143.78 – $1,166.65
Colonoscopy with biopsy: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $1,143.78
  • Humana — ChoiceCare Medicare Managed Care Plan: $1,166.65
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $1,143.78 – $1,166.65
Colonoscopy with removal of polyps (snare): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $1,143.78
  • Humana — ChoiceCare Medicare Managed Care Plan: $1,166.65
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $1,143.78 – $1,166.65
Ultrasound of the lower bowel by endoscope: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $1,143.78
  • Humana — ChoiceCare Medicare Managed Care Plan: $1,166.65
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $888.88 – $906.65
Screening colonoscopy (not high risk): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $888.88
  • Humana — ChoiceCare Medicare Managed Care Plan: $906.65
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $5,778.46 – $5,894.03
Gallbladder removal by laparoscope: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $5,778.46
  • Humana — ChoiceCare Medicare Managed Care Plan: $5,894.03
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $3,422.23 – $3,490.68
Groin (inguinal) hernia repair, age 5 or older: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $3,422.23
  • Humana — ChoiceCare Medicare Managed Care Plan: $3,490.68
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Prostate/Us Or Mri/Bx $4,097 $2,048.50 Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy Not listed in the file Not listed in the file $10,160.25 – $10,363.45
Prostate removal by laparoscope (radical prostatectomy): rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $10,160.25
  • Humana — ChoiceCare Medicare Managed Care Plan: $10,363.45
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $3,094.12 – $3,156
Hysteroscopy with biopsy of the uterus lining: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $3,094.12
  • Humana — ChoiceCare Medicare Managed Care Plan: $3,156
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac Not listed in the file Not listed in the file $674.70 – $688.19
Spinal injection, lower back (epidural), with imaging guidance: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $674.70
  • Humana — ChoiceCare Medicare Managed Care Plan: $688.19
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Njx Interlaminar Lmbr/Sac, Img $2,130 $1,065 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Esi L/S,Transforamn-W/Wo Fluor $3,173 $1,586.50 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Proc-Esi L/S W/Osed Tranforamn $3,173 $1,586.50 Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $1,866.46 – $1,903.79
Carpal tunnel release: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $1,866.46
  • Humana — ChoiceCare Medicare Managed Care Plan: $1,903.79
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: Discission Cataract Yag Laser $1,897 $948.50 Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage Not listed in the file Not listed in the file $2,205.87 – $2,249.99
Cataract removal with lens implant: rates for 2 insurance plans
  • BCBS — Medicare Managed Care Plan: $2,205.87
  • Humana — ChoiceCare Medicare Managed Care Plan: $2,249.99

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc Not listed in the file Not listed in the file $72,017.48 – $73,457.83
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 8 insurance plans
  • BCBS — Medicare Managed Care Plan: $72,017.48
  • Humana — ChoiceCare Medicare Managed Care Plan: $73,457.83
  • Sentara Healthplan — Medicare Managed Care Plan: $73,457.83
  • Aetna — All Commercial Plans: 76.5% (a percentage in the contract, not a dollar amount)
  • Cigna — All Commercial Plans: 72.8% (a percentage in the contract, not a dollar amount)
  • MedCost — PPO: 78% (a percentage in the contract, not a dollar amount)
  • Multiplan/PHCS — All Commercial Plans: 90% (a percentage in the contract, not a dollar amount)
  • Sentara Health Plan — All Commercial Plans: 71.8% (a percentage in the contract, not a dollar amount)
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc Not listed in the file Not listed in the file Not listed in the file
Spinal fusion (not neck), without major complications: rates for 5 insurance plans
  • Aetna — All Commercial Plans: 76.5% (a percentage in the contract, not a dollar amount)
  • Cigna — All Commercial Plans: 72.8% (a percentage in the contract, not a dollar amount)
  • MedCost — PPO: 78% (a percentage in the contract, not a dollar amount)
  • Multiplan/PHCS — All Commercial Plans: 90% (a percentage in the contract, not a dollar amount)
  • Sentara Health Plan — All Commercial Plans: 71.8% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc Not listed in the file Not listed in the file $14,254.39 – $14,539.48
Hip or knee replacement (major joint of the leg), without major complications: rates for 8 insurance plans
  • BCBS — Medicare Managed Care Plan: $14,254.39
  • Humana — ChoiceCare Medicare Managed Care Plan: $14,539.48
  • Sentara Healthplan — Medicare Managed Care Plan: $14,539.48
  • Aetna — All Commercial Plans: 76.5% (a percentage in the contract, not a dollar amount)
  • Cigna — All Commercial Plans: 72.8% (a percentage in the contract, not a dollar amount)
  • MedCost — PPO: 78% (a percentage in the contract, not a dollar amount)
  • Multiplan/PHCS — All Commercial Plans: 90% (a percentage in the contract, not a dollar amount)
  • Sentara Health Plan — All Commercial Plans: 71.8% (a percentage in the contract, not a dollar amount)
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc Not listed in the file Not listed in the file $17,872.65 – $18,230.10
Neck (cervical) spinal fusion, without complications: rates for 8 insurance plans
  • BCBS — Medicare Managed Care Plan: $17,872.65
  • Humana — ChoiceCare Medicare Managed Care Plan: $18,230.10
  • Sentara Healthplan — Medicare Managed Care Plan: $18,230.10
  • Aetna — All Commercial Plans: 76.5% (a percentage in the contract, not a dollar amount)
  • Cigna — All Commercial Plans: 72.8% (a percentage in the contract, not a dollar amount)
  • MedCost — PPO: 78% (a percentage in the contract, not a dollar amount)
  • Multiplan/PHCS — All Commercial Plans: 90% (a percentage in the contract, not a dollar amount)
  • Sentara Health Plan — All Commercial Plans: 71.8% (a percentage in the contract, not a dollar amount)
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc Not listed in the file Not listed in the file $9,451.19 – $9,640.21
Uterus and ovary surgery (not for cancer), without complications: rates for 8 insurance plans
  • BCBS — Medicare Managed Care Plan: $9,451.19
  • Humana — ChoiceCare Medicare Managed Care Plan: $9,640.21
  • Sentara Healthplan — Medicare Managed Care Plan: $9,640.21
  • Aetna — All Commercial Plans: 76.5% (a percentage in the contract, not a dollar amount)
  • Cigna — All Commercial Plans: 72.8% (a percentage in the contract, not a dollar amount)
  • MedCost — PPO: 78% (a percentage in the contract, not a dollar amount)
  • Multiplan/PHCS — All Commercial Plans: 90% (a percentage in the contract, not a dollar amount)
  • Sentara Health Plan — All Commercial Plans: 71.8% (a percentage in the contract, not a dollar amount)

Source: Sentara Albemarle Medical Center’s standard charges file (sentara.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address3050 Halstead Blvd Ext, Elizabeth City, NC 27909
CountyPasquotank County
StateNorth Carolina
Phone(252) 335‑0531
Emergency servicesYes
OwnershipGovernment - Hospital District or Authority
Medicare overall rating3 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number340109
Name in Medicare recordsSENTARA ALBEMARLE MEDICAL CENTER
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(252) 690‑4000[4][5]
Official websitesentara.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Sentara Albemarle Medical Center — sentara.com
  2. Sentara Albemarle campus — sentara.com
  3. Sentara Albemarle Medical Center - Emergency department in Elizabeth City, NC — sentara.com
  4. Sentara Albemarle Medical Center - Cancer services — sentara.com
  5. Imaging services - Sentara Albemarle Medical Center — sentara.com
  6. Maternity services at Sentara Albemarle Medical Center — sentara.com
  7. Orthopedics - Sentara Albemarle Medical Center — sentara.com
  8. Sentara Albemarle Medical Center - Surgery — sentara.com
  9. Sentara Albemarle Medical Center - Medical services — sentara.com
  10. Sentara Albemarle Medical Center - Heart and vascular services — sentara.com
  11. Dr. Zack D. Owens Comprehensive Breast Center in Elizabeth City, NC — sentara.com