Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Acute Care Hospital

Sentara Obici Hospital

Suffolk, Virginia · Suffolk City · Emergency services listed

Summary

Sentara Obici Hospital is an acute care hospital in Suffolk, Virginia. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 101 services, specialties and programs. Medicare lists 1,193 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

Compare

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
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
175Beds (hospital website)
101Services listed

Quick answers

Does Sentara Obici Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Sentara Obici Hospital. In a medical emergency, call 911.
Where is Sentara Obici Hospital?
2800 Godwin Boulevard, Suffolk, VA 23434, in Suffolk City, Virginia.
What is the phone number of Sentara Obici Hospital?
(757) 934-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Sentara Obici Hospital?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[5][7][8][9][11][14][17][18]

Conditions treated[11][13][16][18]

Treatments[5][8][11][14][16][18]

Procedures[5][8][9][10][11][12][13][17]

  • Weight Loss Surgery
  • Non-invasive diagnostic testing
  • Catheter-based diagnostic testing
  • Pacemaker and ICD implants
  • Percutaneous coronary intervention
  • Aneurysm surgery
  • Venous interventions
  • Vascular access
  • Cardiac rehabilitation
  • Vascular rehabilitation
  • Bone densitometry
  • Breast MRI
  • Breast ultrasound
  • CT scan
  • CT lung screening
  • MRI
  • PET-CT
  • Nuclear medicine

Programs and centers[5][8][11][12][13][14]

  • Comprehensive Breast Center
  • Heartburn Treatment Center
  • Sleep Center
  • Wound Healing Center
  • Sentara Obici Hospital Stroke Program (Primary Stroke Center)
  • Sentara OrthoJoint Center
  • Sentara Spine Center
  • Sentara Foot & Ankle Center
  • Sentara Sleep Center
  • Family Maternity Center
  • Nurse Navigators (maternity)
  • Cancer Navigator
  • Sentara Comprehensive Weight Loss Solutions
  • Breastfeeding support group

Emergency care (hospital website)[4][6][12][13][16]

Emergency roomYes
Open 24/7Yes
Stroke designationPrimary Stroke Center

Visiting and practical information

VisitingVisiting section says hours are open 24 hours[15]
ParkingFree parking for patients and visitors; accessible spaces and a drop-off area at the front entrance[6]
Interpreters and languagesLanguage assistance available in about 20 languages[4]

Recognition[13][14][17]

  • Primary Stroke Center certification (DNV)
  • Accredited by National Accreditation Program for Breast Centers
  • Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) accreditation

Doctors and clinicians (1,193)

1,193 doctors and other clinicians list Sentara Obici Hospital 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 (1,193)

And 1,169 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

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

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 Obici Hospital 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 medicines3 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean3 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1073%National average: 72%
Would definitely recommend the hospital72%National average: 71%
Nurses “always” communicated well81%National average: 80%
Doctors “always” communicated well80%National average: 80%
Staff “always” explained medicines before giving them63%National average: 62%
Were given information about recovery at home85%National average: 86%
Room and bathroom “always” clean69%National average: 74%
Area around the room “always” quiet at night64%National average: 60%
Completed surveys868Response rate: 24%

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)0.677No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0No different from the national benchmark
Surgical site infections after colon surgery0.319No different from the national benchmark
Surgical site infections after abdominal hysterectomy1.254No different from the national benchmark
MRSA bloodstream infections1.6No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.209Better 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 patients10.8%
Deaths within 30 days: heart failure patients8.8%
Deaths within 30 days: pneumonia patients12.5%
Deaths within 30 days: COPD patients7.2%
Deaths within 30 days: stroke patients14.4%
Deaths within 30 days: coronary bypass surgery (CABG)Too few cases to report
Serious complications (patient safety indicator PSI-90)0.84No different from the national rate
Complications after hip or knee replacement5.6%

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 attack13.8%
Readmitted within 30 days: heart failure20.5%
Readmitted within 30 days: pneumonia17.1%
Readmitted within 30 days: COPD18.9%
Readmitted within 30 days: coronary bypass surgeryNot reported to Medicare
Readmitted within 30 days: hip or knee replacement6.8%

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)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)153 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)78%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.

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 79 common services exactly as Sentara Obici Hospital 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)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new Not listed in the file Not listed in the file $98.91
New patient office visit (about 30–44 minutes): rates for 3 insurance plans
  • Sentara Health Plan — Exchange: $98.91
  • Sentara Health Plan — Hmo/Pos: $98.91
  • Sentara Health Plan — Ppo: $98.91
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit new Not listed in the file Not listed in the file $167.47
New patient office visit (about 45–59 minutes): rates for 3 insurance plans
  • Sentara Health Plan — Exchange: $167.47
  • Sentara Health Plan — Hmo/Pos: $167.47
  • Sentara Health Plan — Ppo: $167.47
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est Not listed in the file Not listed in the file $65.81
Established patient office visit (about 20–29 minutes): rates for 3 insurance plans
  • Sentara Health Plan — Exchange: $65.81
  • Sentara Health Plan — Hmo/Pos: $65.81
  • Sentara Health Plan — Ppo: $65.81
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office/outpatient visit est Not listed in the file Not listed in the file $101.51
Established patient office visit (about 30–39 minutes): rates for 3 insurance plans
  • Sentara Health Plan — Exchange: $101.51
  • Sentara Health Plan — Hmo/Pos: $101.51
  • Sentara Health Plan — Ppo: $101.51
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 $271.67 – $1,078.71
Emergency room visit (moderate): rates for 7 insurance plans
  • Bcbs — Anthem Exchange: $968.24
  • Bcbs — Anthem Hmo: $1,035.60
  • Bcbs — Anthem Medicare Managed Care Plan: $278.99
  • Bcbs — Anthem Ppo: $1,078.71
  • Humana — Medicare Managed Care Plan: $274.33
  • Sentara Health Plan — Medicare Managed Care Plan: $271.67
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $279.66
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Level Iii - Er Dept Visit $982 $491 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 $415.26 – $1,648.87
Emergency room visit (moderately high): rates for 7 insurance plans
  • Bcbs — Anthem Exchange: $1,480.01
  • Bcbs — Anthem Hmo: $1,582.97
  • Bcbs — Anthem Medicare Managed Care Plan: $426.45
  • Bcbs — Anthem Ppo: $1,648.87
  • Humana — Medicare Managed Care Plan: $419.33
  • Sentara Health Plan — Medicare Managed Care Plan: $415.26
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $427.47
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Ed Level Iv - Er Dept Visit $1,819 $909.50 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 $592.67 – $2,353.32
Emergency room visit (high): rates for 7 insurance plans
  • Bcbs — Anthem Exchange: $2,112.32
  • Bcbs — Anthem Hmo: $2,259.27
  • Bcbs — Anthem Medicare Managed Care Plan: $608.65
  • Bcbs — Anthem Ppo: $2,353.32
  • Humana — Medicare Managed Care Plan: $598.48
  • Sentara Health Plan — Medicare Managed Care Plan: $592.67
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $610.10
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Ed Level V - Er Dept Visit $2,867 $1,433.50 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 $2,867 $1,433.50 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 – $61.68
Basic metabolic panel (blood test): 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $17.58
  • Bcbs — Anthem Exchange: $8.46
  • Bcbs — Anthem Hmo: $8.46
  • Bcbs — Anthem Medicare Managed Care Plan: $8.86
  • Bcbs — Anthem Ppo: $8.46
  • Cigna — Ppo/Pos: $61.68
  • Humana — Medicare Managed Care Plan: $8.71
  • Sentara Health Plan — Medicare Managed Care Plan: $8.63
  • Unitedhealthcare — All Commercial Plans: $14.54
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $8.88
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 – $77.84
Comprehensive metabolic panel (blood test): 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $21.96
  • Bcbs — Anthem Exchange: $10.56
  • Bcbs — Anthem Hmo: $10.56
  • Bcbs — Anthem Medicare Managed Care Plan: $11.06
  • Bcbs — Anthem Ppo: $10.56
  • Cigna — Ppo/Pos: $77.84
  • Humana — Medicare Managed Care Plan: $10.88
  • Sentara Health Plan — Medicare Managed Care Plan: $10.77
  • Unitedhealthcare — All Commercial Plans: $18.17
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $11.09
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Comprehensive Metabolic Panel $493 $246.50 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 – $325.63
Obstetric blood test panel: 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $99.33
  • Bcbs — Anthem Exchange: $47.81
  • Bcbs — Anthem Hmo: $47.81
  • Bcbs — Anthem Medicare Managed Care Plan: $50.08
  • Bcbs — Anthem Ppo: $47.81
  • Cigna — Ppo/Pos: $325.63
  • Humana — Medicare Managed Care Plan: $49.24
  • Sentara Health Plan — Medicare Managed Care Plan: $48.77
  • Unitedhealthcare — All Commercial Plans: $71.88
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $50.20
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Prenatal Panel $440 $220 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 – $97.95
Cholesterol panel (lipid panel): 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $27.83
  • Bcbs — Anthem Exchange: $13.39
  • Bcbs — Anthem Hmo: $13.39
  • Bcbs — Anthem Medicare Managed Care Plan: $14.03
  • Bcbs — Anthem Ppo: $13.39
  • Cigna — Ppo/Pos: $97.95
  • Humana — Medicare Managed Care Plan: $13.79
  • Sentara Health Plan — Medicare Managed Care Plan: $13.66
  • Unitedhealthcare — All Commercial Plans: $23.03
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $14.06
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 $170 $85 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 – $64.30
Kidney function panel: 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $18.04
  • Bcbs — Anthem Exchange: $8.68
  • Bcbs — Anthem Hmo: $8.68
  • Bcbs — Anthem Medicare Managed Care Plan: $9.09
  • Bcbs — Anthem Ppo: $8.68
  • Cigna — Ppo/Pos: $64.30
  • Humana — Medicare Managed Care Plan: $8.94
  • Sentara Health Plan — Medicare Managed Care Plan: $8.85
  • Unitedhealthcare — All Commercial Plans: $14.92
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $9.11
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Renal Function Panel $464 $232 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 – $59.36
Liver function panel: 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $16.98
  • Bcbs — Anthem Exchange: $8.17
  • Bcbs — Anthem Hmo: $8.17
  • Bcbs — Anthem Medicare Managed Care Plan: $8.56
  • Bcbs — Anthem Ppo: $8.17
  • Cigna — Ppo/Pos: $59.36
  • Humana — Medicare Managed Care Plan: $8.42
  • Sentara Health Plan — Medicare Managed Care Plan: $8.33
  • Unitedhealthcare — All Commercial Plans: $14.04
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $8.58
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Hepatic Function Panel $310 $155 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 – $23.66
Urine test (automated, with microscope): 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $6.58
  • Bcbs — Anthem Exchange: $3.17
  • Bcbs — Anthem Hmo: $3.17
  • Bcbs — Anthem Medicare Managed Care Plan: $3.32
  • Bcbs — Anthem Ppo: $3.17
  • Cigna — Ppo/Pos: $23.66
  • Humana — Medicare Managed Care Plan: $3.27
  • Sentara Health Plan — Medicare Managed Care Plan: $3.23
  • Unitedhealthcare — All Commercial Plans: $5.45
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $3.33
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Urinalysis W/Micro $179 $89.50 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 – $18.94
Urine test (manual, without microscope): 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $6.51
  • Bcbs — Anthem Exchange: $3.48
  • Bcbs — Anthem Hmo: $3.48
  • Bcbs — Anthem Medicare Managed Care Plan: $3.65
  • Bcbs — Anthem Ppo: $3.48
  • Cigna — Ppo/Pos: $18.94
  • Humana — Medicare Managed Care Plan: $3.58
  • Sentara Health Plan — Medicare Managed Care Plan: $3.55
  • Unitedhealthcare — All Commercial Plans: $4.39
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $3.65
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Nonauto W/O Scope $41 $20.50 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 – $16.93
Urine test (automated, without microscope): 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $4.66
  • Bcbs — Anthem Exchange: $2.25
  • Bcbs — Anthem Hmo: $2.25
  • Bcbs — Anthem Medicare Managed Care Plan: $2.36
  • Bcbs — Anthem Ppo: $2.25
  • Cigna — Ppo/Pos: $16.93
  • Humana — Medicare Managed Care Plan: $2.32
  • Sentara Health Plan — Medicare Managed Care Plan: $2.30
  • Unitedhealthcare — All Commercial Plans: $3.86
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $2.36
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Urinalysis $107 $53.50 Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Bile Urine $107 $53.50 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 – $137.46
PSA (prostate specific antigen) blood test: 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $38.21
  • Bcbs — Anthem Exchange: $18.39
  • Bcbs — Anthem Hmo: $18.39
  • Bcbs — Anthem Medicare Managed Care Plan: $19.26
  • Bcbs — Anthem Ppo: $18.39
  • Cigna — Ppo/Pos: $137.46
  • Humana — Medicare Managed Care Plan: $18.94
  • Sentara Health Plan — Medicare Managed Care Plan: $18.76
  • Unitedhealthcare — All Commercial Plans: $31.61
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $19.31
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Prostatic Spec Ag $172 $86 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 – $126.07
Thyroid stimulating hormone (TSH) test: 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $34.91
  • Bcbs — Anthem Exchange: $16.80
  • Bcbs — Anthem Hmo: $16.80
  • Bcbs — Anthem Medicare Managed Care Plan: $17.60
  • Bcbs — Anthem Ppo: $16.80
  • Cigna — Ppo/Pos: $126.07
  • Humana — Medicare Managed Care Plan: $17.30
  • Sentara Health Plan — Medicare Managed Care Plan: $17.14
  • Unitedhealthcare — All Commercial Plans: $28.87
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $17.64
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 $212 $106 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 – $57
Complete blood count (CBC) with differential: 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $16.15
  • Bcbs — Anthem Exchange: $7.77
  • Bcbs — Anthem Hmo: $7.77
  • Bcbs — Anthem Medicare Managed Care Plan: $8.14
  • Bcbs — Anthem Ppo: $7.77
  • Cigna — Ppo/Pos: $57
  • Humana — Medicare Managed Care Plan: $8
  • Sentara Health Plan — Medicare Managed Care Plan: $7.93
  • Unitedhealthcare — All Commercial Plans: $13.37
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $8.16
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Cbc With Diff $195 $97.50 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 – $47.57
Complete blood count (CBC), automated: 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $13.42
  • Bcbs — Anthem Exchange: $6.47
  • Bcbs — Anthem Hmo: $6.47
  • Bcbs — Anthem Medicare Managed Care Plan: $6.78
  • Bcbs — Anthem Ppo: $6.47
  • Cigna — Ppo/Pos: $47.57
  • Humana — Medicare Managed Care Plan: $6.66
  • Sentara Health Plan — Medicare Managed Care Plan: $6.60
  • Unitedhealthcare — All Commercial Plans: $11.12
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $6.79
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Cbc Without Diff $184 $92 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 – $29.37
Blood clotting time test (prothrombin time, PT): 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $8.16
  • Bcbs — Anthem Exchange: $4.29
  • Bcbs — Anthem Hmo: $4.29
  • Bcbs — Anthem Medicare Managed Care Plan: $4.49
  • Bcbs — Anthem Ppo: $4.29
  • Cigna — Ppo/Pos: $29.37
  • Humana — Medicare Managed Care Plan: $4.42
  • Sentara Health Plan — Medicare Managed Care Plan: $4.38
  • Unitedhealthcare — All Commercial Plans: $6.74
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $4.50
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Pt/Inr $184 $92 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 – $44.76
Blood clotting test (partial thromboplastin time, PTT): 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $12.47
  • Bcbs — Anthem Exchange: $6.01
  • Bcbs — Anthem Hmo: $6.01
  • Bcbs — Anthem Medicare Managed Care Plan: $6.30
  • Bcbs — Anthem Ppo: $6.01
  • Cigna — Ppo/Pos: $44.76
  • Humana — Medicare Managed Care Plan: $6.19
  • Sentara Health Plan — Medicare Managed Care Plan: $6.13
  • Unitedhealthcare — All Commercial Plans: $10.32
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $6.31
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Ptt $225 $112.50 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 $104.04 – $2,753.72
CT scan of the head or brain, without contrast: 10 of 12 insurance plan rates
  • Aetna — All Commercial Plans: $160.20
  • Bcbs — Anthem Exchange: $370.82
  • Bcbs — Anthem Hmo: $396.62
  • Bcbs — Anthem Medicare Managed Care Plan: $106.85
  • Bcbs — Anthem Ppo: $413.13
  • Cigna — Ppo/Pos: $2,753.72
  • Humana — Medicare Managed Care Plan: $105.06
  • Sentara Health Plan — Exchange: $876
  • Sentara Health Plan — Hmo/Pos: $901
  • Sentara Health Plan — Medicare Managed Care Plan: $104.04
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 $2,656 $1,328 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 $347.20 – $8,716.76
MRI of the brain, before and after contrast: 10 of 12 insurance plan rates
  • Aetna — All Commercial Plans: $812.57
  • Bcbs — Anthem Exchange: $1,237.44
  • Bcbs — Anthem Hmo: $1,323.53
  • Bcbs — Anthem Medicare Managed Care Plan: $356.56
  • Bcbs — Anthem Ppo: $1,378.62
  • Cigna — Ppo/Pos: $8,716.76
  • Humana — Medicare Managed Care Plan: $350.60
  • Sentara Health Plan — Exchange: $1,847
  • Sentara Health Plan — Hmo/Pos: $1,900
  • Sentara Health Plan — Medicare Managed Care Plan: $347.20
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 $7,331 $3,665.50 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 $3,491 $1,745.50 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 $40.30 – $343.89
Chest X-ray, 2 views: 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $40.30
  • Bcbs — Anthem Exchange: $308.67
  • Bcbs — Anthem Hmo: $330.15
  • Bcbs — Anthem Medicare Managed Care Plan: $88.94
  • Bcbs — Anthem Ppo: $343.89
  • Humana — Medicare Managed Care Plan: $87.46
  • Sentara Health Plan — Exchange: $277
  • Sentara Health Plan — Hmo/Pos: $285
  • Sentara Health Plan — Medicare Managed Care Plan: $86.61
  • Sentara Health Plan — Ppo: $286
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg-X-Ray Exam Chest 2 Views $563 $281.50 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 $563 $281.50 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 $68.82 – $463
X-ray of the lower spine, at least 4 views: 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $68.82
  • Bcbs — Anthem Exchange: $370.82
  • Bcbs — Anthem Hmo: $396.62
  • Bcbs — Anthem Medicare Managed Care Plan: $106.85
  • Bcbs — Anthem Ppo: $413.13
  • Humana — Medicare Managed Care Plan: $105.06
  • Sentara Health Plan — Exchange: $448
  • Sentara Health Plan — Hmo/Pos: $461
  • Sentara Health Plan — Medicare Managed Care Plan: $104.04
  • Sentara Health Plan — Ppo: $463
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Lspine Comp $1,056 $528 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 $237.46 – $5,369.86
MRI of the lower back (lumbar spine), without contrast: 10 of 12 insurance plan rates
  • Aetna — All Commercial Plans: $812.57
  • Bcbs — Anthem Exchange: $846.31
  • Bcbs — Anthem Hmo: $905.19
  • Bcbs — Anthem Medicare Managed Care Plan: $243.86
  • Bcbs — Anthem Ppo: $942.87
  • Cigna — Ppo/Pos: $5,369.86
  • Humana — Medicare Managed Care Plan: $239.78
  • Sentara Health Plan — Exchange: $1,551
  • Sentara Health Plan — Hmo/Pos: $1,595
  • Sentara Health Plan — Medicare Managed Care Plan: $237.46
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 $4,000 $2,000 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 $174.56 – $4,714.07
CT scan of the pelvis, with contrast: 10 of 12 insurance plan rates
  • Aetna — All Commercial Plans: $385.35
  • Bcbs — Anthem Exchange: $622.14
  • Bcbs — Anthem Hmo: $665.42
  • Bcbs — Anthem Medicare Managed Care Plan: $179.26
  • Bcbs — Anthem Ppo: $693.12
  • Cigna — Ppo/Pos: $4,714.07
  • Humana — Medicare Managed Care Plan: $176.27
  • Sentara Health Plan — Exchange: $876
  • Sentara Health Plan — Hmo/Pos: $901
  • Sentara Health Plan — Medicare Managed Care Plan: $174.56
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Ct Pelvis W / Contrast $3,388 $1,694 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 $237.46 – $5,369.86
MRI of a leg joint (such as the knee), without contrast: 10 of 12 insurance plan rates
  • Aetna — All Commercial Plans: $812.57
  • Bcbs — Anthem Exchange: $846.31
  • Bcbs — Anthem Hmo: $905.19
  • Bcbs — Anthem Medicare Managed Care Plan: $243.86
  • Bcbs — Anthem Ppo: $942.87
  • Cigna — Ppo/Pos: $5,369.86
  • Humana — Medicare Managed Care Plan: $239.78
  • Sentara Health Plan — Exchange: $1,409
  • Sentara Health Plan — Hmo/Pos: $1,450
  • Sentara Health Plan — Medicare Managed Care Plan: $237.46
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 $3,865 $1,932.50 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 $347.20 – $7,655.69
CT scan of the abdomen and pelvis, with contrast: 10 of 12 insurance plan rates
  • Aetna — All Commercial Plans: $499.49
  • Bcbs — Anthem Exchange: $1,237.44
  • Bcbs — Anthem Hmo: $1,323.53
  • Bcbs — Anthem Medicare Managed Care Plan: $356.56
  • Bcbs — Anthem Ppo: $1,378.62
  • Cigna — Ppo/Pos: $7,655.69
  • Humana — Medicare Managed Care Plan: $350.60
  • Sentara Health Plan — Exchange: $3,633
  • Sentara Health Plan — Hmo/Pos: $3,739
  • Sentara Health Plan — Medicare Managed Care Plan: $347.20
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 $6,668 $3,334 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 $104.04 – $537
Ultrasound of the abdomen, complete: 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $158.58
  • Bcbs — Anthem Exchange: $370.82
  • Bcbs — Anthem Hmo: $396.62
  • Bcbs — Anthem Medicare Managed Care Plan: $106.85
  • Bcbs — Anthem Ppo: $413.13
  • Humana — Medicare Managed Care Plan: $105.06
  • Sentara Health Plan — Exchange: $520
  • Sentara Health Plan — Hmo/Pos: $535
  • Sentara Health Plan — Medicare Managed Care Plan: $104.04
  • Sentara Health Plan — Ppo: $537
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Us Abdomen Complete $1,737 $868.50 Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Ultrasound Abdomen $1,737 $868.50 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 $104.04 – $588
Pregnancy ultrasound (after the first trimester): 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $176.66
  • Bcbs — Anthem Exchange: $370.82
  • Bcbs — Anthem Hmo: $396.62
  • Bcbs — Anthem Medicare Managed Care Plan: $106.85
  • Bcbs — Anthem Ppo: $413.13
  • Humana — Medicare Managed Care Plan: $105.06
  • Sentara Health Plan — Exchange: $569
  • Sentara Health Plan — Hmo/Pos: $586
  • Sentara Health Plan — Medicare Managed Care Plan: $104.04
  • Sentara Health Plan — Ppo: $588
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Us Ob Complete >=14 Wks $1,209 $604.50 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 $1,209 $604.50 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 $104.04 – $413.13
Transvaginal ultrasound: 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $170.41
  • Bcbs — Anthem Exchange: $370.82
  • Bcbs — Anthem Hmo: $396.62
  • Bcbs — Anthem Medicare Managed Care Plan: $106.85
  • Bcbs — Anthem Ppo: $413.13
  • Humana — Medicare Managed Care Plan: $105.06
  • Sentara Health Plan — Exchange: $364
  • Sentara Health Plan — Hmo/Pos: $374
  • Sentara Health Plan — Medicare Managed Care Plan: $104.04
  • Sentara Health Plan — Ppo: $375
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Us Transvaginal $1,167 $583.50 Not listed in the file
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Ultrasound Transvaginal $1,167 $583.50 Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni Not listed in the file Not listed in the file $86.31 – $408
Diagnostic mammogram, one breast: rates for 8 insurance plans
  • Aetna — All Commercial Plans: $181.54
  • Bcbs — Anthem Medicare Managed Care Plan: $88.64
  • Humana — Medicare Managed Care Plan: $87.16
  • Sentara Health Plan — Exchange: $396
  • Sentara Health Plan — Hmo/Pos: $407
  • Sentara Health Plan — Medicare Managed Care Plan: $86.31
  • Sentara Health Plan — Ppo: $408
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $88.85
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mammo Screen Conv Diag Unilat $766 $383 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 $766 $383 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi Not listed in the file Not listed in the file $110.66 – $509
Diagnostic mammogram, both breasts: rates for 8 insurance plans
  • Aetna — All Commercial Plans: $232.32
  • Bcbs — Anthem Medicare Managed Care Plan: $113.64
  • Humana — Medicare Managed Care Plan: $111.74
  • Sentara Health Plan — Exchange: $494
  • Sentara Health Plan — Hmo/Pos: $507
  • Sentara Health Plan — Medicare Managed Care Plan: $110.66
  • Sentara Health Plan — Ppo: $509
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $113.91
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mammo Screen Conv Diag Bilat $975 $487.50 Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Digital Diagnostic Mammogram $975 $487.50 Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad Not listed in the file Not listed in the file $91.33 – $260
Screening mammogram, both breasts: rates for 8 insurance plans
  • Aetna — All Commercial Plans: $191.97
  • Bcbs — Anthem Medicare Managed Care Plan: $93.79
  • Humana — Medicare Managed Care Plan: $92.23
  • Sentara Health Plan — Exchange: $252
  • Sentara Health Plan — Hmo/Pos: $258
  • Sentara Health Plan — Medicare Managed Care Plan: $91.33
  • Sentara Health Plan — Ppo: $260
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $94.02
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Scr Mammo Bi Incl Cad $830 $415 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 $830 $415 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 $3,226.37 – $23,971
Left heart catheterization (diagnostic): rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $11,498.96
  • Bcbs — Anthem Hmo: $12,298.96
  • Bcbs — Anthem Medicare Managed Care Plan: $3,313.35
  • Bcbs — Anthem Ppo: $12,810.92
  • Cigna — Ppo/Pos: $5,220
  • Humana — Medicare Managed Care Plan: $3,258
  • Sentara Health Plan — Medicare Managed Care Plan: $3,226.37
  • Unitedhealthcare — All Commercial Plans: $21,401
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $3,321.26
  • Unitedhealthcare — Options Ppo: $23,971
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Cd Left Hrt Cath W / Ventrclgrphy $25,716 $12,858 Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation Not listed in the file Not listed in the file $7,762.21 – $30,821.39
Heart rhythm study (electrophysiology evaluation): rates for 9 insurance plans
  • Bcbs — Anthem Exchange: $27,664.98
  • Bcbs — Anthem Hmo: $29,589.69
  • Bcbs — Anthem Medicare Managed Care Plan: $7,971.49
  • Bcbs — Anthem Ppo: $30,821.39
  • Humana — Medicare Managed Care Plan: $7,838.31
  • Sentara Health Plan — Medicare Managed Care Plan: $7,762.21
  • Unitedhealthcare — All Commercial Plans: $25,050
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $7,990.51
  • Unitedhealthcare — Options Ppo: $27,559
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: Ep Study W/O Induction Of Arrh $9,342 $4,671 Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol Not listed in the file Not listed in the file $15,654 – $103,287.17
Heart rhythm study with ablation for atrial fibrillation: rates for 9 insurance plans
  • Bcbs — Anthem Exchange: $92,709.57
  • Bcbs — Anthem Hmo: $99,159.54
  • Bcbs — Anthem Medicare Managed Care Plan: $26,713.67
  • Bcbs — Anthem Ppo: $103,287.17
  • Humana — Medicare Managed Care Plan: $26,267.38
  • Sentara Health Plan — Medicare Managed Care Plan: $26,012.36
  • Unitedhealthcare — All Commercial Plans: $15,654
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $26,777.43
  • Unitedhealthcare — Options Ppo: $17,227
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 $33,791 $16,895.50 Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param Not listed in the file Not listed in the file $854.62 – $3,393.42
Sleep study (overnight, in a sleep lab): 10 of 11 insurance plan rates
  • Aetna — All Commercial Plans: $1,140.39
  • Bcbs — Anthem Exchange: $3,045.90
  • Bcbs — Anthem Hmo: $3,257.81
  • Bcbs — Anthem Medicare Managed Care Plan: $877.66
  • Bcbs — Anthem Ppo: $3,393.42
  • Humana — Medicare Managed Care Plan: $863
  • Sentara Health Plan — Exchange: $1,850
  • Sentara Health Plan — Hmo/Pos: $1,903
  • Sentara Health Plan — Medicare Managed Care Plan: $854.62
  • Sentara Health Plan — Ppo: $1,911
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Sleep Study Apnea/Narco $4,376 $2,188 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 $4,376 $2,188 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 $29.30 – $44.46
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans
  • Aetna — All Commercial Plans: $44.46
  • Bcbs — Anthem Medicare Managed Care Plan: $30.09
  • Humana — Medicare Managed Care Plan: $29.59
  • Sentara Health Plan — Exchange: $42.08
  • Sentara Health Plan — Hmo/Pos: $42.08
  • Sentara Health Plan — Medicare Managed Care Plan: $29.30
  • Sentara Health Plan — Ppo: $42.08
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $30.17
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg-Exercise - Isokinetic $185 $92.50 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 $185 $92.50 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 $98.92 – $122.63
Physical therapy evaluation (low complexity): rates for 8 insurance plans
  • Aetna — All Commercial Plans: $122.63
  • Bcbs — Anthem Medicare Managed Care Plan: $101.59
  • Humana — Medicare Managed Care Plan: $99.89
  • Sentara Health Plan — Exchange: $104.03
  • Sentara Health Plan — Hmo/Pos: $104.03
  • Sentara Health Plan — Medicare Managed Care Plan: $98.92
  • Sentara Health Plan — Ppo: $104.03
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $101.83
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval Low Complex 20 Mins $432 $216 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 $98.92 – $122.63
Physical therapy evaluation (moderate complexity): rates for 8 insurance plans
  • Aetna — All Commercial Plans: $122.63
  • Bcbs — Anthem Medicare Managed Care Plan: $101.59
  • Humana — Medicare Managed Care Plan: $99.89
  • Sentara Health Plan — Exchange: $104.03
  • Sentara Health Plan — Hmo/Pos: $104.03
  • Sentara Health Plan — Medicare Managed Care Plan: $98.92
  • Sentara Health Plan — Ppo: $104.03
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $101.83
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval Mod Complex 30 Mins $527 $263.50 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 $98.92 – $122.63
Physical therapy evaluation (high complexity): rates for 8 insurance plans
  • Aetna — All Commercial Plans: $122.63
  • Bcbs — Anthem Medicare Managed Care Plan: $101.59
  • Humana — Medicare Managed Care Plan: $99.89
  • Sentara Health Plan — Exchange: $104.03
  • Sentara Health Plan — Hmo/Pos: $104.03
  • Sentara Health Plan — Medicare Managed Care Plan: $98.92
  • Sentara Health Plan — Ppo: $104.03
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $101.83
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval High Complex 45 Mins $579 $289.50 Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Indiv Therapy (30 Min) $301 $150.50 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 $301 $150.50 Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Indiv Therapy (45 Min) $414 $207 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 $414 $207 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 $439 $219.50 Not listed in the file
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient · Hospital (facility) fee In the file: Family Therapy W/ Patient $459 $229.50 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 $459 $229.50 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 $3,896.63 – $15,472.35
Removal of breast growth (open surgery): rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $13,887.83
  • Bcbs — Anthem Hmo: $14,854.03
  • Bcbs — Anthem Medicare Managed Care Plan: $4,001.69
  • Bcbs — Anthem Ppo: $15,472.35
  • Cigna — Ppo/Pos: $5,220
  • Humana — Medicare Managed Care Plan: $3,934.84
  • Sentara Health Plan — Medicare Managed Care Plan: $3,896.63
  • Unitedhealthcare — All Commercial Plans: $12,599
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $4,011.24
  • Unitedhealthcare — Options Ppo: $14,111
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Removal Of Breast Lesion $9,792 $4,896 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 $5,220 – $50,733.73
Total hip replacement: rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $45,538.11
  • Bcbs — Anthem Hmo: $48,706.28
  • Bcbs — Anthem Medicare Managed Care Plan: $13,121.51
  • Bcbs — Anthem Ppo: $50,733.73
  • Cigna — Ppo/Pos: $5,220
  • Humana — Medicare Managed Care Plan: $12,902.30
  • Sentara Health Plan — Medicare Managed Care Plan: $12,777.04
  • Unitedhealthcare — All Commercial Plans: $31,497
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $13,152.83
  • Unitedhealthcare — Options Ppo: $35,289
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 $5,220 – $50,733.73
Total knee replacement: rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $45,538.11
  • Bcbs — Anthem Hmo: $48,706.28
  • Bcbs — Anthem Medicare Managed Care Plan: $13,121.51
  • Bcbs — Anthem Ppo: $50,733.73
  • Cigna — Ppo/Pos: $5,220
  • Humana — Medicare Managed Care Plan: $12,902.30
  • Sentara Health Plan — Medicare Managed Care Plan: $12,777.04
  • Unitedhealthcare — All Commercial Plans: $31,497
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $13,152.83
  • Unitedhealthcare — Options Ppo: $35,289
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery Not listed in the file Not listed in the file $2,350 – $5,220
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans
  • Cigna — Ppo/Pos: $5,220
  • Unitedhealthcare — All Commercial Plans: $2,350
  • Unitedhealthcare — Options Ppo: $2,633
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 $3,256.29 – $19,040
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $11,605.61
  • Bcbs — Anthem Hmo: $12,413.03
  • Bcbs — Anthem Medicare Managed Care Plan: $3,344.08
  • Bcbs — Anthem Ppo: $12,929.74
  • Cigna — Ppo/Pos: $6,448
  • Humana — Medicare Managed Care Plan: $3,288.21
  • Sentara Health Plan — Medicare Managed Care Plan: $3,256.29
  • Unitedhealthcare — All Commercial Plans: $16,996
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $3,352.06
  • Unitedhealthcare — Options Ppo: $19,040
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 $5,220 – $23,392.98
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $20,997.32
  • Bcbs — Anthem Hmo: $22,458.14
  • Bcbs — Anthem Medicare Managed Care Plan: $6,050.24
  • Bcbs — Anthem Ppo: $23,392.98
  • Cigna — Ppo/Pos: $5,220
  • Humana — Medicare Managed Care Plan: $5,949.16
  • Sentara Health Plan — Medicare Managed Care Plan: $5,891.41
  • Unitedhealthcare — All Commercial Plans: $12,599
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $6,064.68
  • Unitedhealthcare — Options Ppo: $14,111
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 $902.63 – $5,790
Upper GI endoscopy (diagnostic): rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $3,217.03
  • Bcbs — Anthem Hmo: $3,440.84
  • Bcbs — Anthem Medicare Managed Care Plan: $926.97
  • Bcbs — Anthem Ppo: $3,584.07
  • Cigna — Ppo/Pos: $3,408
  • Humana — Medicare Managed Care Plan: $911.48
  • Sentara Health Plan — Medicare Managed Care Plan: $902.63
  • Unitedhealthcare — All Commercial Plans: $5,169
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $929.18
  • Unitedhealthcare — Options Ppo: $5,790
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 $902.63 – $5,790
Upper GI endoscopy with biopsy: rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $3,217.03
  • Bcbs — Anthem Hmo: $3,440.84
  • Bcbs — Anthem Medicare Managed Care Plan: $926.97
  • Bcbs — Anthem Ppo: $3,584.07
  • Cigna — Ppo/Pos: $4,564
  • Humana — Medicare Managed Care Plan: $911.48
  • Sentara Health Plan — Medicare Managed Care Plan: $902.63
  • Unitedhealthcare — All Commercial Plans: $5,169
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $929.18
  • Unitedhealthcare — Options Ppo: $5,790
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 $925.49 – $5,790
Colonoscopy (diagnostic): rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $3,298.51
  • Bcbs — Anthem Hmo: $3,527.99
  • Bcbs — Anthem Medicare Managed Care Plan: $950.44
  • Bcbs — Anthem Ppo: $3,674.85
  • Cigna — Ppo/Pos: $4,564
  • Humana — Medicare Managed Care Plan: $934.57
  • Sentara Health Plan — Medicare Managed Care Plan: $925.49
  • Unitedhealthcare — All Commercial Plans: $5,169
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $952.71
  • Unitedhealthcare — Options Ppo: $5,790
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Diagnostic Colonoscopy $2,329 $1,164.50 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 $1,190.90 – $5,790
Colonoscopy with biopsy: rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $4,244.42
  • Bcbs — Anthem Hmo: $4,539.71
  • Bcbs — Anthem Medicare Managed Care Plan: $1,223
  • Bcbs — Anthem Ppo: $4,728.69
  • Cigna — Ppo/Pos: $4,564
  • Humana — Medicare Managed Care Plan: $1,202.57
  • Sentara Health Plan — Medicare Managed Care Plan: $1,190.90
  • Unitedhealthcare — All Commercial Plans: $5,169
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $1,225.92
  • Unitedhealthcare — Options Ppo: $5,790
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 $1,190.90 – $5,790
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $4,244.42
  • Bcbs — Anthem Hmo: $4,539.71
  • Bcbs — Anthem Medicare Managed Care Plan: $1,223
  • Bcbs — Anthem Ppo: $4,728.69
  • Cigna — Ppo/Pos: $4,564
  • Humana — Medicare Managed Care Plan: $1,202.57
  • Sentara Health Plan — Medicare Managed Care Plan: $1,190.90
  • Unitedhealthcare — All Commercial Plans: $5,169
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $1,225.92
  • Unitedhealthcare — Options Ppo: $5,790
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 $1,190.90 – $5,790
Ultrasound of the lower bowel by endoscope: rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $4,244.42
  • Bcbs — Anthem Hmo: $4,539.71
  • Bcbs — Anthem Medicare Managed Care Plan: $1,223
  • Bcbs — Anthem Ppo: $4,728.69
  • Cigna — Ppo/Pos: $4,564
  • Humana — Medicare Managed Care Plan: $1,202.57
  • Sentara Health Plan — Medicare Managed Care Plan: $1,190.90
  • Unitedhealthcare — All Commercial Plans: $5,169
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $1,225.92
  • Unitedhealthcare — Options Ppo: $5,790
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 $925.49 – $4,564
Screening colonoscopy (not high risk): rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $3,298.51
  • Bcbs — Anthem Hmo: $3,527.99
  • Bcbs — Anthem Medicare Managed Care Plan: $950.44
  • Bcbs — Anthem Ppo: $3,674.85
  • Cigna — Ppo/Pos: $4,564
  • Humana — Medicare Managed Care Plan: $934.57
  • Sentara Health Plan — Medicare Managed Care Plan: $925.49
  • Unitedhealthcare — All Commercial Plans: $3,461
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $952.71
  • Unitedhealthcare — Options Ppo: $3,880
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 $5,220 – $29,398
Gallbladder removal by laparoscope: rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $21,443.16
  • Bcbs — Anthem Hmo: $22,935
  • Bcbs — Anthem Medicare Managed Care Plan: $6,178.71
  • Bcbs — Anthem Ppo: $23,889.69
  • Cigna — Ppo/Pos: $5,220
  • Humana — Medicare Managed Care Plan: $6,075.48
  • Sentara Health Plan — Medicare Managed Care Plan: $6,016.50
  • Unitedhealthcare — All Commercial Plans: $26,244
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $6,193.46
  • Unitedhealthcare — Options Ppo: $29,398
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 $3,563.21 – $19,040
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $12,699.49
  • Bcbs — Anthem Hmo: $13,583.01
  • Bcbs — Anthem Medicare Managed Care Plan: $3,659.28
  • Bcbs — Anthem Ppo: $14,148.42
  • Cigna — Ppo/Pos: $6,448
  • Humana — Medicare Managed Care Plan: $3,598.14
  • Sentara Health Plan — Medicare Managed Care Plan: $3,563.21
  • Unitedhealthcare — All Commercial Plans: $16,996
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $3,668.01
  • Unitedhealthcare — Options Ppo: $19,040
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate Not listed in the file Not listed in the file $4,564 – $5,790
Prostate biopsy: rates for 3 insurance plans
  • Cigna — Ppo/Pos: $4,564
  • Unitedhealthcare — All Commercial Plans: $5,169
  • Unitedhealthcare — Options Ppo: $5,790
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Prostate/Us Or Mri/Bx $4,838 $2,419 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 $5,220 – $42,005.18
Prostate removal by laparoscope (radical prostatectomy): rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $37,703.44
  • Bcbs — Anthem Hmo: $40,326.54
  • Bcbs — Anthem Medicare Managed Care Plan: $10,864.01
  • Bcbs — Anthem Ppo: $42,005.18
  • Cigna — Ppo/Pos: $5,220
  • Humana — Medicare Managed Care Plan: $10,682.51
  • Sentara Health Plan — Medicare Managed Care Plan: $10,578.79
  • Unitedhealthcare — All Commercial Plans: $31,497
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $10,889.94
  • Unitedhealthcare — Options Ppo: $35,289
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 $3,221.58 – $14,111
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $11,481.91
  • Bcbs — Anthem Hmo: $12,280.73
  • Bcbs — Anthem Medicare Managed Care Plan: $3,308.44
  • Bcbs — Anthem Ppo: $12,791.93
  • Cigna — Ppo/Pos: $5,220
  • Humana — Medicare Managed Care Plan: $3,253.17
  • Sentara Health Plan — Medicare Managed Care Plan: $3,221.58
  • Unitedhealthcare — All Commercial Plans: $12,599
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $3,316.33
  • Unitedhealthcare — Options Ppo: $14,111
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient · Hospital (facility) fee In the file: Hysteroscopy Biopsy $8,987 $4,493.50 Not listed in the file
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 $702.49 – $5,220
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $2,503.72
  • Bcbs — Anthem Hmo: $2,677.91
  • Bcbs — Anthem Medicare Managed Care Plan: $721.43
  • Bcbs — Anthem Ppo: $2,789.38
  • Cigna — Ppo/Pos: $5,220
  • Humana — Medicare Managed Care Plan: $709.38
  • Sentara Health Plan — Medicare Managed Care Plan: $702.49
  • Unitedhealthcare — All Commercial Plans: $3,461
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $723.15
  • Unitedhealthcare — Options Ppo: $3,880
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Njx Interlaminar Lmbr/Sac, Img $3,370 $1,685 Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s Not listed in the file Not listed in the file $880.23 – $3,880
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $3,137.18
  • Bcbs — Anthem Hmo: $3,355.44
  • Bcbs — Anthem Medicare Managed Care Plan: $903.96
  • Bcbs — Anthem Ppo: $3,495.11
  • Cigna — Ppo/Pos: $3,408
  • Humana — Medicare Managed Care Plan: $888.86
  • Sentara Health Plan — Medicare Managed Care Plan: $880.23
  • Unitedhealthcare — All Commercial Plans: $3,461
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $906.11
  • Unitedhealthcare — Options Ppo: $3,880
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 $3,649 $1,824.50 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 $3,649 $1,824.50 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 $1,943.35 – $14,111
Carpal tunnel release: rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $6,926.21
  • Bcbs — Anthem Hmo: $7,408.08
  • Bcbs — Anthem Medicare Managed Care Plan: $1,995.74
  • Bcbs — Anthem Ppo: $7,716.45
  • Cigna — Ppo/Pos: $4,564
  • Humana — Medicare Managed Care Plan: $1,962.40
  • Sentara Health Plan — Medicare Managed Care Plan: $1,943.35
  • Unitedhealthcare — All Commercial Plans: $12,599
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $2,000.51
  • Unitedhealthcare — Options Ppo: $14,111
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery Not listed in the file Not listed in the file $547.36 – $4,564
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $1,950.81
  • Bcbs — Anthem Hmo: $2,086.53
  • Bcbs — Anthem Medicare Managed Care Plan: $562.11
  • Bcbs — Anthem Ppo: $2,173.39
  • Cigna — Ppo/Pos: $4,564
  • Humana — Medicare Managed Care Plan: $552.72
  • Sentara Health Plan — Medicare Managed Care Plan: $547.36
  • Unitedhealthcare — All Commercial Plans: $3,461
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $563.46
  • Unitedhealthcare — Options Ppo: $3,880
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: Discission Cataract Yag Laser $2,155 $1,077.50 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 $2,296.74 – $14,111
Cataract removal with lens implant: rates for 10 insurance plans
  • Bcbs — Anthem Exchange: $8,185.73
  • Bcbs — Anthem Hmo: $8,755.22
  • Bcbs — Anthem Medicare Managed Care Plan: $2,358.66
  • Bcbs — Anthem Ppo: $9,119.67
  • Cigna — Ppo/Pos: $9,956
  • Humana — Medicare Managed Care Plan: $2,319.26
  • Sentara Health Plan — Medicare Managed Care Plan: $2,296.74
  • Unitedhealthcare — All Commercial Plans: $12,599
  • Unitedhealthcare — Dsnp Medicare Managed Care Plan: $2,364.29
  • Unitedhealthcare — Options Ppo: $14,111

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care Not listed in the file Not listed in the file $5,220
Vaginal delivery, with care before and after: rates for 1 insurance plan
  • Cigna — Ppo/Pos: $5,220
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery Not listed in the file Not listed in the file $5,220
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan
  • Cigna — Ppo/Pos: $5,220
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery Not listed in the file Not listed in the file $5,220
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan
  • Cigna — Ppo/Pos: $5,220

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 $72,345.07 – $247,348.32
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $83,910.23
  • Bcbs — Anthem Exchange: $173,546.87
  • Bcbs — Anthem Hmo: $185,589.50
  • Bcbs — Anthem Medicare Managed Care Plan: $74,295.55
  • Bcbs — Anthem Ppo: $206,250.77
  • Humana — Medicare Managed Care Plan: $73,054.34
  • Sentara Health Plan — Exchange: $234,024.14
  • Sentara Health Plan — Hmo/Pos: $200,263.70
  • Sentara Health Plan — Medicare Managed Care Plan: $72,345.07
  • Sentara Health Plan — Ppo: $220,954.32
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 $31,805.44 – $92,486.34
Spinal fusion (not neck), without major complications: rates for 3 insurance plans
  • Aetna — All Commercial Plans: $31,805.44
  • Unitedhealthcare — All Commercial Plans: $82,233.25
  • Unitedhealthcare — Options Ppo: $92,486.34
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 $14,882.32 – $48,770.31
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $16,394.42
  • Bcbs — Anthem Exchange: $34,218.69
  • Bcbs — Anthem Hmo: $36,593.16
  • Bcbs — Anthem Medicare Managed Care Plan: $15,283.56
  • Bcbs — Anthem Ppo: $40,667
  • Humana — Medicare Managed Care Plan: $15,028.23
  • Sentara Health Plan — Exchange: $46,143.15
  • Sentara Health Plan — Hmo/Pos: $39,486.51
  • Sentara Health Plan — Medicare Managed Care Plan: $14,882.32
  • Sentara Health Plan — Ppo: $43,566.14
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 $18,631.28 – $61,725.83
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $20,582.80
  • Bcbs — Anthem Exchange: $43,308.66
  • Bcbs — Anthem Hmo: $46,313.90
  • Bcbs — Anthem Medicare Managed Care Plan: $19,133.59
  • Bcbs — Anthem Ppo: $51,469.93
  • Humana — Medicare Managed Care Plan: $18,813.94
  • Sentara Health Plan — Exchange: $58,400.78
  • Sentara Health Plan — Hmo/Pos: $49,975.85
  • Sentara Health Plan — Medicare Managed Care Plan: $18,631.28
  • Sentara Health Plan — Ppo: $55,139.20
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 $9,847.13 – $31,369.86
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates
  • Aetna — All Commercial Plans: $10,421.83
  • Bcbs — Anthem Exchange: $22,010.02
  • Bcbs — Anthem Hmo: $23,537.32
  • Bcbs — Anthem Medicare Managed Care Plan: $10,112.62
  • Bcbs — Anthem Ppo: $26,157.68
  • Humana — Medicare Managed Care Plan: $9,943.67
  • Sentara Health Plan — Exchange: $29,680.03
  • Sentara Health Plan — Hmo/Pos: $25,398.37
  • Sentara Health Plan — Medicare Managed Care Plan: $9,847.13
  • Sentara Health Plan — Ppo: $28,022.45

Source: Sentara Obici Hospital’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
Address2800 Godwin Boulevard, Suffolk, VA 23434
CountySuffolk City
StateVirginia
Phone(757) 934‑4000
Emergency servicesYes
OwnershipVoluntary non-profit - Other
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number490044
Name in Medicare recordsSENTARA OBICI HOSPITAL
Profile levelMedicare data + hospital website
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 Geocoder — map position used for distances

From the hospital’s website

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

  1. Sentara Obici Hospital — sentara.com
  2. Medical services - Sentara Obici Hospital — sentara.com
  3. Location details — sentara.com
  4. Sentara Obici Hospital — sentara.com
  5. Cancer - Sentara Obici Hospital — sentara.com
  6. Heart and vascular at Sentara Obici Hospital — sentara.com
  7. Imaging services at Sentara Obici Hospital — sentara.com
  8. Orthopedics and spine at Sentara Obici Hospital — sentara.com
  9. Sentara Obici Hospital Family Maternity Center — sentara.com
  10. Sentara Obici Hospital - Neurosciences — sentara.com
  11. Weight loss surgery at Sentara Obici Hospital — sentara.com
  12. Sentara Obici Hospital - Patient and visitor information — sentara.com
  13. Behavioral health - Sentara Obici Hospital — sentara.com
  14. Sentara Obici Comprehensive Breast Center - Suffolk, Virginia — sentara.com
  15. Medical service - Sentara Wound Healing Center at Sentara Obici Hospital — sentara.com