Sentara Martha Jefferson Hospital
500 Martha Jefferson Drive, Charlottesville, VA · Sentara · · NPI 1346248663
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Biopsy finger joint lining CPT 26110 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $1,571.00 – $3,344.08 | 6 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $3,118.00 | $6,236.00 | $2,004.00 – $3,276.00 | 5 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Biopsy lower leg soft tissue CPT 27613 | $2,379.50 | $4,759.00 | $1,010.00 – $1,692.01 | 6 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Biopsy muscle percutaneous needle CPT 20206 | $1,085.00 | $2,170.00 | $1,010.00 – $3,276.00 | 6 |
| Biopsy needle liver percutaneous CPT 47000 | $1,092.50 | $2,185.00 | $1,010.00 – $3,276.00 | 6 |
| Biopsy needle lymph node superficial CPT 38505 | $1,029.00 | $2,058.00 | $1,010.00 – $3,276.00 | 6 |
| Biopsy of cornea CPT 65410 | not published | not published | $1,547.00 – $2,435.66 | 6 |
| Biopsy of epididymis CPT 54800 | not published | not published | $1,010.00 – $1,692.01 | 6 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Biopsy of heart lining CPT 93505 | $1,516.00 | $3,032.00 | $2,004.00 – $8,246.00 | 5 |
| Biopsy of hip joint CPT 27052 | not published | not published | $1,600.27 – $5,978.00 | 6 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $902.63 – $3,276.00 | 6 |
| Biopsy of lip 40490 CPT 40490 | $236.50 | $473.00 | $235.71 – $2,845.00 | 6 |
| Biopsy of nail unit 11755 CPT 11755 | not published | not published | $704.73 – $1,547.00 | 6 |
| Biopsy of nerve CPT 64795 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $3,221.58 – $5,978.00 | 6 |
| Biopsy of pancreas open CPT 48100 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Biopsy of penis CPT 54105 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Biopsy of penis 54100 CPT 54100 | $2,027.50 | $4,055.00 | $1,010.00 – $3,276.00 | 6 |
| Biopsy of prostate CPT 55700 | $1,301.50 | $2,603.00 | $1,571.00 – $3,276.00 | 3 |
| Biopsy of prostate CPT 55705 | not published | not published | $1,571.00 – $3,602.64 | 6 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $1,789.00 | $3,578.00 | $1,010.00 – $3,276.00 | 6 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $1,600.27 – $5,978.00 | 6 |
| Biopsy of salivary gland 42400 CPT 42400 | $417.50 | $835.00 | $704.73 – $1,547.00 | 6 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | not published | not published | $1,544.13 – $3,276.00 | 6 |
| Biopsy of stomach CPT 43605 | not published | not published | $5,978.00 – $5,978.00 | 1 |
| Biopsy of tear gland CPT 68510 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Biopsy of tear sac CPT 68525 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Biopsy of testis CPT 54500 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Biopsy of testis CPT 54505 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $1,010.00 – $3,388.50 | 6 |
| Biopsy of urethra CPT 53200 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $52.48 – $174.54 | 5 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $52.48 – $174.54 | 5 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,077.00 | $2,154.00 | $1,010.00 – $3,276.00 | 6 |
| Biopsy roof of mouth CPT 42100 | $1,099.50 | $2,199.00 | $1,010.00 – $3,276.00 | 6 |
| Biopsy skin incisional single lesion CPT 11106 | $404.00 | $808.00 | $735.52 – $1,547.00 | 5 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $1,909.00 | $3,818.00 | $1,010.00 – $3,276.00 | 6 |
| Biopsy thigh soft tissues CPT 27324 | $2,376.00 | $4,752.00 | $1,010.00 – $5,978.00 | 6 |
| Biopsy tongue anterior two-thirds CPT 41100 | $804.00 | $1,608.00 | $511.00 – $1,010.00 | 6 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Biopsy vestibule of mouth 40808 CPT 40808 | $581.50 | $1,163.00 | $511.00 – $2,845.00 | 6 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Biospy of bladder CPT 53899 | $447.00 | $894.00 | $248.65 – $511.00 | 5 |
| Biotinidase - quest CPT 82261 | not published | not published | $17.21 – $28.28 | 5 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $128.06 – $131.82 | 4 |
| Bivalirudin HCPCS J0583 | not published | not published | $0.45 – $0.45 | 1 |
| Bk fork strap HCPCS L5684 | $41.92 | $83.84 | not published | 0 |
| Bk molded distal cushion HCPCS L5668 | $85.90 | $171.81 | not published | 0 |
| Bk waist belt webbing HCPCS L5688 | $53.30 | $106.61 | not published | 0 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $394.00 | $788.00 | $248.65 – $2,845.00 | 6 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $439.06 – $1,010.00 | 6 |
| Bld prd mix CPT 86965 | $293.00 | $586.00 | $24.52 – $174.12 | 5 |
| Bld push tfuj 2 yr/< CPT 36440 | not published | not published | $439.06 – $1,010.00 | 6 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | not published | not published | $58.19 – $58.19 | 1 |
| Blepharoplasty lower 15820 CPT 15820 | not published | not published | $2,053.37 – $3,895.00 | 6 |
| Blepharoplasty upper 15822 CPT 15822 | not published | not published | $2,053.37 – $3,895.00 | 6 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | not published | not published | $2,053.37 – $4,441.00 | 6 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $2,053.37 – $3,895.00 | 6 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $167.54 – $172.47 | 4 |
| Blind cor sinus reducer impl HCPCS C9783 | $12,930.00 | $25,860.00 | $5,980.00 – $29,725.00 | 5 |
| Blinded conv. tx mdd clin tr HCPCS G2000 | not published | not published | $371.37 – $382.29 | 4 |
| Blind interatrial shunt ide HCPCS C9758 | $25,036.50 | $50,073.00 | $17,047.24 – $62,241.00 | 5 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $17,047.24 – $62,241.00 | 5 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $5,980.00 – $29,725.00 | 5 |
| Blink reflex test CPT 95933 | $190.00 | $380.00 | $58.71 – $60.44 | 4 |
| Blm gene CPT 81209 | not published | not published | $40.10 – $47.17 | 5 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $1,850.06 | $3,700.13 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $1,425.00 | $2,850.00 | not published | 0 |
| Bln dil 900ml preperitnl HCPCS C1727 | $550.10 | $1,100.21 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $1,673.60 | $3,347.19 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $589.44 | $1,178.87 | not published | 0 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | $18.63 | $37.26 | not published | 0 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $1,367.50 | $2,735.00 | $880.23 – $1,547.00 | 6 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $1,203.00 | $2,406.00 | $880.23 – $1,547.00 | 6 |
| Block paracervical nrv CPT 64435 | $421.00 | $842.00 | $702.49 – $1,547.00 | 6 |
| Block plantar digital nerve CPT 64455 | $141.00 | $282.00 | $305.48 – $2,845.00 | 6 |
| Block tap inj(s) w/wo img bi CPT 64488 | $1,081.50 | $2,163.00 | $511.00 – $2,670.00 | 2 |
| Block tap inj(s) w/wo img uni CPT 64486 | $1,081.50 | $2,163.00 | $511.00 – $2,670.00 | 2 |
| Blood clot lysis time CPT 85175 | not published | not published | $7.62 – $21.39 | 5 |
| Blood clot retraction CPT 85170 | not published | not published | $6.06 – $17.12 | 5 |
| Blood Clotting (PT/INR) Test CPT 85610 | $25.50 | $51.00 | $4.38 – $6.59 | 5 |
| Blood Clotting (PTT) Test CPT 85730 | $36.00 | $72.00 | $6.13 – $10.06 | 5 |
| Blood Count (CBC) Test CPT 85025 | $46.50 | $93.00 | $7.93 – $13.03 | 5 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $39.00 | $78.00 | $6.60 – $10.85 | 5 |
| Blood count spun microhematocrit CPT 85013 | $23.00 | $46.00 | $3.97 – $7.35 | 5 |
| Blood Culture Test CPT 87040 | $52.00 | $104.00 | $10.53 – $17.30 | 5 |
| Blood draw capillary 36416 CPT 36416 | $17.50 | $35.00 | $4.55 – $4.55 | 1 |
| Blood gases o2 saturation direct measurement CPT 82805 | $155.00 | $310.00 | $47.58 – $82.71 | 5 |
| Blood gases ph venous CPT 82800 | not published | not published | $11.22 – $14.20 | 5 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.