Sentara Obici Hospital — price list

← Hospital overviewVerified from Sentara Obici Hospital’s published price file

Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

130 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Cardiac Rehabilitation Outpatient	5771 OTHER	—	—	—	$1,694
Clinic Visits and Related Services Outpatient	5012 OTHER	—	—	—	$216
Clinical Diagnostic Lab Services Outpatient	N800 OTHER	—	—	—	$10.51
Complex GI Procedures Outpatient	5331 OTHER	—	—	—	$22,456
Critical Care Outpatient	5041 OTHER	—	—	—	$4,823
Dialysis Outpatient	5401 OTHER	—	—	—	$6,179
Durable Medical Equipment Outpatient	N805 OTHER	—	—	—	$243
Hyperbaric Oxygen Outpatient	5061 OTHER	—	—	—	$26,010
Inj cefazolin sodium, hikma Outpatient	0788 OTHER	—	—	—	$4,025
Inj, bupivacaine, nos, 0.5mg Outpatient	9290 OTHER	—	—	—	$9,627
Inj, esmolol hcl, 10mg Outpatient	9363 OTHER	—	—	—	$20,307
Inj, glycopyrrolate, 0.1 mg Outpatient	0792 OTHER	—	—	—	$1,322
Inj, lidocaine in d5w, 1 mg Outpatient	0795 OTHER	—	—	—	$5,220
Ketorolac tromethamine inj Outpatient	0764 OTHER	—	—	—	$35,542
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures Outpatient	5341 OTHER	—	—	—	$12,689
Level 1 Blood Product Exchange and Related Services Outpatient	5241 OTHER	—	—	—	$4,762
Level 1 Breast/Lymphatic Surgery and Related Procedures Outpatient	5091 OTHER	—	—	—	$14,295
Level 1 Diagnostic Tests and Related Services Outpatient	5721 OTHER	—	—	—	$905
Level 1 Drug Administration Outpatient	5691 OTHER	—	—	—	$16,210
Level 1 Endovascular Procedures Outpatient	5191 OTHER	—	—	—	$4,605
Level 1 ENT Procedures Outpatient	5161 OTHER	—	—	—	$1,000
Level 1 Excision/ Biopsy/ Incision and Drainage Outpatient	5071 OTHER	—	—	—	$2,580
Level 1 Extraocular, Repair, and Plastic Eye Procedures Outpatient	5501 OTHER	—	—	—	$1,375
Level 1 Gynecologic Procedures Outpatient	5411 OTHER	—	—	—	$519
Level 1 ICD and Similar Procedures Outpatient	5231 OTHER	—	—	—	$65,315
Level 1 Imaging with Contrast Outpatient	5571 OTHER	—	—	—	$810
Level 1 Imaging without Contrast Outpatient	5521 OTHER	—	—	—	$213
Level 1 Laparoscopy and Related Services Outpatient	5361 OTHER	—	—	—	$5,145
Level 1 Lower GI Procedures Outpatient	5311 OTHER	—	—	—	$4,800
Level 1 Musculoskeletal Procedures Outpatient	5111 OTHER	—	—	—	$428