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 |
|---|---|---|---|---|
| Treatment of tibia fracture CPT 27756 | not published | not published | $3,304.00 – $7,416.07 | 6 |
| Treatment of tibia fracture CPT 27758 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Treatment of tibia fracture CPT 27759 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Treatment of toe fracture 28510 CPT 28510 | $300.00 | $600.00 | $245.48 – $2,845.00 | 6 |
| Treatment of urethra lesion CPT 53220 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Treatment of urethra lesion CPT 53260 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Treatment of urethra lesion CPT 53265 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Treatment radiation delivery level 2 CPT 77407 | $405.00 | $810.00 | $383.84 – $395.13 | 4 |
| Treatment x10sv retinopathy CPT 67228 | not published | not published | $547.36 – $1,547.00 | 6 |
| Treat metacarpal fracture CPT 26608 | not published | not published | $3,256.29 – $5,978.00 | 6 |
| Treat metacarpal fracture CPT 26615 | not published | not published | $3,256.29 – $13,397.00 | 6 |
| Treat metatarsal fracture CPT 28476 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Treat metatarsal fracture CPT 28485 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Treat midfoot fracture each CPT 28455 | $1,705.00 | $3,410.00 | $511.00 – $2,845.00 | 6 |
| Treat midfoot fracture each CPT 28465 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| Treat neck spine fracture CPT 22326 | not published | not published | $4,339.00 – $13,397.00 | 5 |
| Treat odontoid fx w/graft CPT 22319 | not published | not published | $4,339.00 – $13,397.00 | 5 |
| Treat odontoid fx without graft CPT 22318 | not published | not published | $4,339.00 – $13,397.00 | 5 |
| Treat pelvic fracture(s) CPT 27215 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Treat pelvic ring fracture CPT 27216 | not published | not published | $8,246.00 – $8,246.00 | 1 |
| Treat pelvic ring fracture CPT 27217 | not published | not published | $3,276.00 – $3,276.00 | 1 |
| Treat pelvic ring fracture CPT 27218 | not published | not published | $3,276.00 – $3,276.00 | 1 |
| Treat penis lesion graft CPT 54111 | not published | not published | $1,571.00 – $10,995.00 | 6 |
| Treat penis lesion graft CPT 54112 | not published | not published | $1,571.00 – $10,995.00 | 6 |
| Treat radius fracture CPT 24665 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Treat radius fracture CPT 24666 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Treat sesamoid bone fracture CPT 28531 | not published | not published | $3,304.00 – $7,416.07 | 6 |
| Treat skull fracture CPT 62000 | not published | not published | $3,299.54 – $10,995.00 | 5 |
| Treat skull fracture CPT 62005 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Treat slipped epiphysis CPT 27176 | not published | not published | $3,256.29 – $13,397.00 | 5 |
| Treat slipped epiphysis CPT 27175 | not published | not published | $3,256.29 – $13,397.00 | 5 |
| Treat slipped epiphysis CPT 27177 | not published | not published | $3,256.29 – $13,397.00 | 5 |
| Treat slipped epiphysis CPT 27178 | not published | not published | $3,256.29 – $13,397.00 | 5 |
| Treat slipped epiphysis CPT 27181 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Treat spinal cord lesion CPT 62280 | $1,182.00 | $2,364.00 | $880.23 – $1,547.00 | 6 |
| Treat spinal cord lesion CPT 62281 | $1,237.00 | $2,474.00 | $880.23 – $1,547.00 | 6 |
| Treat spine fracture CPT 22325 | not published | not published | $4,339.00 – $13,397.00 | 5 |
| Treat sternum fracture CPT 21820 | not published | not published | $245.48 – $1,010.00 | 6 |
| Treat tail bone fracture CPT 27202 | not published | not published | $1,571.00 – $13,397.00 | 6 |
| Treat thigh fracture CPT 27230 | $406.50 | $813.00 | $245.48 – $1,010.00 | 6 |
| Treat thigh fracture CPT 27235 | not published | not published | $3,338.00 – $8,246.00 | 5 |
| Treat thigh fracture CPT 27236 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Treat thigh fracture CPT 27238 | $2,093.50 | $4,187.00 | $511.00 – $1,647.34 | 6 |
| Treat thigh fracture CPT 27245 | not published | not published | $4,007.00 – $10,995.00 | 5 |
| Treat thigh fracture CPT 27246 | $701.50 | $1,403.00 | $245.48 – $1,010.00 | 6 |
| Treat thigh fracture CPT 27248 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Treat thigh fracture CPT 27240 | $2,082.00 | $4,164.00 | $1,600.27 – $3,276.00 | 5 |
| Treat thigh fracture CPT 27244 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Treat thigh fx growth plate CPT 27516 | not published | not published | $245.48 – $1,010.00 | 6 |
| Treat thigh fx growth plate CPT 27517 | not published | not published | $511.00 – $1,647.34 | 6 |
| Treat thigh fx growth plate CPT 27519 | not published | not published | $4,007.00 – $10,995.00 | 5 |
| Treat thorax spine fracture CPT 22327 | not published | not published | $4,339.00 – $13,397.00 | 5 |
| Treat thumb fracture CPT 26650 | $1,523.50 | $3,047.00 | $1,571.00 – $5,978.00 | 6 |
| Treat thumb fracture CPT 26665 | not published | not published | $3,256.29 – $13,397.00 | 6 |
| Treat toe dislocation CPT 28636 | not published | not published | $3,256.29 – $5,978.00 | 6 |
| Treat toe dislocation CPT 28665 | $713.50 | $1,427.00 | $278.35 – $1,010.00 | 6 |
| Treat toe dislocation CPT 28666 | not published | not published | $3,256.29 – $5,978.00 | 6 |
| Treat toe fracture CPT 28525 | not published | not published | $3,256.29 – $5,978.00 | 6 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $1,943.35 – $5,978.00 | 6 |
| Treat trigeminal tract CPT 61791 | not published | not published | $1,943.35 – $5,978.00 | 6 |
| Treat ulnar fracture CPT 24675 | $783.50 | $1,567.00 | $511.00 – $1,647.34 | 6 |
| Treat ulnar fracture CPT 24685 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| Treat vaginal bleeding CPT 57180 | $371.50 | $743.00 | $201.20 – $1,010.00 | 6 |
| Treat wrist bone fracture CPT 25635 | $741.00 | $1,482.00 | $511.00 – $1,647.34 | 6 |
| Treat wrist dislocation CPT 25675 | $268.50 | $537.00 | $245.48 – $1,010.00 | 6 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | not published | not published | $143.71 – $147.94 | 4 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $12.42 – $20.11 | 5 |
| Treponema pallidum antibody CPT 86780 | $56.00 | $112.00 | $13.50 – $22.76 | 5 |
| Treprostinil injection HCPCS J3285 | not published | not published | $55.80 – $57.44 | 4 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $2,115.12 – $2,115.12 | 1 |
| Trg gene rearrangement anal CPT 81342 | $260.50 | $521.00 | $205.53 – $329.88 | 5 |
| Trh stimulation panel CPT 80439 | not published | not published | $68.55 – $112.66 | 5 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | not published | not published | $2.49 – $2.49 | 1 |
| Triamcinolone a inj prs-free HCPCS J3300 | not published | not published | $24.99 – $25.72 | 4 |
| Triamcinolone diacetate inj HCPCS J3302 | not published | not published | $0.64 – $0.64 | 1 |
| Triamcinolone hexacetonl inj HCPCS J3303 | not published | not published | $21.97 – $21.97 | 1 |
| Trichinella antibody CPT 86784 | $56.00 | $112.00 | $12.81 – $21.06 | 5 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $15.60 – $20.11 | 5 |
| #tricyclicantidprssnt CPT 80337 | not published | not published | $0.03 – $29.23 | 2 |
| Triglycerides CPT 84478 | $28.00 | $56.00 | $5.85 – $9.65 | 5 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $5.57 – $5.74 | 4 |
| Trimethobenzamide hcl inj HCPCS J3250 | not published | not published | $141.78 – $141.78 | 1 |
| Trim nail(s) HCPCS G0127 | not published | not published | $58.71 – $2,845.00 | 6 |
| Trim nondyst nails CPT 11719 | $101.50 | $203.00 | $58.71 – $2,845.00 | 6 |
| Triptorelin pamoate HCPCS J3315 | not published | not published | $484.33 – $498.58 | 4 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $4,007.00 – $10,995.00 | 6 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $4,007.00 – $10,995.00 | 6 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Trml dstrj ios bvn ea addl CPT 64629 | not published | not published | $511.00 – $2,004.00 | 2 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $432.00 | $864.00 | $245.48 – $1,010.00 | 6 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $11,524.00 | $23,048.00 | $1,547.00 – $3,304.00 | 2 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $16,590.50 | $33,181.00 | $1,547.00 – $3,304.00 | 2 |
| Trnscath plc stnt ante carotid art CPT 37218 | $9,524.00 | $19,048.00 | $1,547.00 – $3,304.00 | 2 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $6,231.50 | $12,463.00 | $2,004.00 – $13,397.00 | 2 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $6,231.50 | $12,463.00 | $2,004.00 – $13,397.00 | 2 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $17,369.00 | $34,738.00 | $3,304.00 – $29,725.00 | 5 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,300.00 | $6,600.00 | $3,142.32 – $8,246.00 | 6 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $2,641.00 | $5,282.00 | $2,004.00 – $13,397.00 | 6 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $5,316.50 | $10,633.00 | $1,547.00 – $6,716.00 | 6 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $4,418.00 | $8,836.00 | $1,547.00 – $6,716.00 | 6 |
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.