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 |
|---|---|---|---|---|
| Warde antiepileptics nos definitive assay 1-3 clobazam w metabolites CPT 80339 | not published | not published | $0.03 – $24.19 | 2 |
| Warde anti-mullerian hormone CPT 82166 | $58.50 | $117.00 | $39.39 – $46.34 | 5 |
| Warde apolipoprotein b CPT 82172 | $71.50 | $143.00 | $21.51 – $25.98 | 5 |
| Warde bile acids CPT 82239 | $75.50 | $151.00 | $17.46 – $28.73 | 5 |
| Warde cadmium blood CPT 82300 | $86.50 | $173.00 | $24.11 – $38.80 | 5 |
| Warde calcitonin CPT 82308 | $121.50 | $243.00 | $27.33 – $44.89 | 5 |
| Warde calculus (stone) infrared CPT 82365 | $58.00 | $116.00 | $13.16 – $21.61 | 5 |
| Warde clozapine therapeutic drug level CPT 80159 | $100.00 | $200.00 | $20.55 – $30.28 | 5 |
| Warde cobalt heavy metal quantitative each nes CPT 83018 | $66.00 | $132.00 | $22.40 – $36.82 | 5 |
| Warde collagen cross links c-telopeptide CPT 82523 | $98.50 | $197.00 | $19.05 – $31.33 | 5 |
| Warde complement total hemolytic CPT 86162 | $77.50 | $155.00 | $20.73 – $34.07 | 5 |
| Warde copper CPT 82525 | $58.00 | $116.00 | $12.66 – $20.81 | 5 |
| Warde cryoglobulin CPT 82595 | $42.00 | $84.00 | $6.60 – $10.85 | 5 |
| Warde erythropoietin CPT 82668 | $99.00 | $198.00 | $19.17 – $31.51 | 5 |
| Warde estrogen fractionated CPT 82671 | not published | not published | $32.95 – $54.16 | 5 |
| Warde fluorescent antibody screen endomysial iga CPT 86231 | $19.50 | $39.00 | $12.33 – $14.51 | 5 |
| Warde folic acid rbc CPT 82747 | $76.00 | $152.00 | $18.00 – $29.04 | 5 |
| Warde g6pd (glucose 6 phosphate dehydrogenase) quantitative CPT 82955 | $46.00 | $92.00 | $9.89 – $16.26 | 5 |
| Warde gastrin CPT 82941 | $80.50 | $161.00 | $17.98 – $29.57 | 5 |
| Warde growth hormone (hgh) CPT 83003 | $77.00 | $154.00 | $17.00 – $27.95 | 5 |
| Warde haloperidol therapeutic drug level CPT 80173 | $86.00 | $172.00 | $16.10 – $24.41 | 5 |
| Warde helminth antibody strongyloides igg CPT 86682 | $137.50 | $275.00 | $13.27 – $21.80 | 5 |
| Warde hemoglobin fractionation/quantitation electrophoresis CPT 83020 | $21.00 | $42.00 | $13.13 – $21.59 | 5 |
| Warde hepatitis a antibody CPT 86708 | $53.00 | $106.00 | $12.64 – $20.77 | 5 |
| Warde hepatitis be antibody CPT 86707 | $50.00 | $100.00 | $11.80 – $19.39 | 5 |
| Warde hepatitis delta agent antibody CPT 86692 | $73.50 | $147.00 | $17.50 – $28.78 | 5 |
| Warde immunofixation electrophoresis urine CPT 86335 | $125.00 | $250.00 | $29.94 – $49.20 | 5 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $57.50 | $115.00 | $11.76 – $19.32 | 5 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $1,101.50 | $2,203.00 | $262.60 – $431.63 | 5 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $87.50 | $175.00 | $24.04 – $33.18 | 5 |
| Warde lipoprotein (a) CPT 83695 | $70.50 | $141.00 | $14.61 – $21.71 | 5 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | $134.50 | $269.00 | $47.24 – $56.92 | 5 |
| Warde mitochondrial antibody each CPT 86381 | $52.50 | $105.00 | $25.96 – $30.54 | 5 |
| Warde neutralization rabies CPT 86382 | $75.00 | $150.00 | $17.25 – $28.34 | 5 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $72.00 | $144.00 | $13.52 – $21.71 | 5 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $52.50 | $105.00 | $23.43 – $27.56 | 5 |
| Warde protein c antigen CPT 85302 | $61.50 | $123.00 | $12.25 – $20.16 | 5 |
| Warde sex hormone binding globulin CPT 84270 | $95.50 | $191.00 | $22.16 – $36.43 | 5 |
| Warde somatomedin CPT 84305 | $94.00 | $188.00 | $21.69 – $35.64 | 5 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $24.00 | $48.00 | $5.61 – $9.23 | 5 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $69.50 | $139.00 | $16.08 – $26.42 | 5 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $95.50 | $191.00 | $51.88 – $85.26 | 5 |
| Warde topiramate therapeutic drug level CPT 80201 | $70.00 | $140.00 | $12.16 – $19.99 | 5 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $133.00 | $266.00 | $26.59 – $43.70 | 5 |
| Warde viscosity CPT 85810 | $61.00 | $122.00 | $11.90 – $19.58 | 5 |
| Warde vitamin a CPT 84590 | $49.00 | $98.00 | $11.84 – $19.44 | 5 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $93.50 | $187.00 | $21.65 – $35.60 | 5 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $121.50 | $243.00 | $28.66 – $47.10 | 5 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $44.50 | $89.00 | $10.09 – $16.57 | 5 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $208.50 | $417.00 | $39.27 – $64.54 | 5 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $63.50 | $127.00 | $14.46 – $23.77 | 5 |
| Warde zinc CPT 84630 | $52.50 | $105.00 | $11.62 – $19.09 | 5 |
| Warfarin respon genetic test HCPCS G9143 | not published | not published | $203.84 – $332.01 | 3 |
| Wash harvest stem cells CPT 38209 | not published | not published | $439.06 – $1,010.00 | 6 |
| Wbc automated CPT 85048 | $14.00 | $28.00 | $2.59 – $4.26 | 5 |
| Wcd device interrogate CPT 93292 | not published | not published | $37.14 – $38.23 | 4 |
| Wedge biopsy of liver 47100 CPT 47100 | not published | not published | $5,978.00 – $5,978.00 | 1 |
| Wedge rescj/bisctj ovary uni/bi 58920 CPT 58920 | not published | not published | $3,304.00 – $8,246.00 | 5 |
| Wedge resect of lung add-on 32506 CPT 32506 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Wedge resect of lung diag 32507 CPT 32507 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Wedge resect of lung initial 32505 CPT 32505 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Wedging of cast CPT 29740 | not published | not published | $278.35 – $2,845.00 | 6 |
| Wedging of clubfoot cast CPT 29750 | not published | not published | $278.35 – $2,845.00 | 6 |
| Western blot test CPT 84181 | $75.00 | $150.00 | $17.37 – $28.56 | 5 |
| Wet mounts/ w preparations HCPCS Q0111 | $26.00 | $52.00 | $7.15 – $19.47 | 5 |
| Whfo nontorsion joint prefab HCPCS L3931 | $110.74 | $221.49 | not published | 0 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $267.03 | $534.06 | not published | 0 |
| Whole blood for transfusion HCPCS P9010 | $562.00 | $1,124.00 | not published | 0 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $1,312.74 – $1,544.40 | 5 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $954.72 – $1,123.20 | 5 |
| Wilate injection HCPCS J7183 | not published | not published | $1.31 – $1.35 | 4 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $356.50 | $713.00 | $511.00 – $2,004.00 | 2 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $511.00 – $511.00 | 1 |
| Wound pouch each HCPCS A6154 | $17.08 | $34.16 | not published | 0 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $639.50 | $1,279.00 | $404.56 – $416.46 | 4 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $639.50 | $1,279.00 | $404.56 – $416.46 | 4 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $349.50 | $699.00 | $199.67 – $205.54 | 4 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $639.50 | $1,279.00 | $404.56 – $416.46 | 4 |
| Wrist arthroscopy CPT 29840 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,600.27 – $8,246.00 | 6 |
| Wrist X-ray CPT 73110 | $201.00 | $402.00 | $86.61 – $89.15 | 4 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $4,113.58 – $10,995.00 | 5 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,296.74 – $6,229.00 | 6 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $4,339.00 – $10,995.00 | 5 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $4,113.58 – $10,995.00 | 5 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $4,339.00 – $10,995.00 | 5 |
| Xe133 xenon 10mci HCPCS A9558 | $67.50 | $135.00 | not published | 0 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $1,880.00 | $3,760.00 | $1,571.00 – $3,276.00 | 6 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $2,740.50 | $5,481.00 | $2,053.37 – $3,895.00 | 6 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $932.28 – $1,096.80 | 5 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $0.03 – $1,096.80 | 5 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $13.25 – $29.63 | 5 |
| Xpos opn axillary/sbclvn art w/cndt crtn CPT 34716 | not published | not published | $511.00 – $2,004.00 | 2 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| X-ray abdomen 1 view CPT 74018 | $190.50 | $381.00 | $86.61 – $89.15 | 4 |
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.