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 |
|---|---|---|---|---|
| Braf gene CPT 81210 | $234.00 | $468.00 | $178.91 – $215.10 | 5 |
| Brain aneurysm repr complx CPT 61697 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Brain aneurysm repr complx CPT 61698 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Brain aneurysm repr simple CPT 61700 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Brain flow imaging only CPT 78610 | $255.50 | $511.00 | $540.36 – $556.26 | 4 |
| Brain image < 4 views CPT 78600 | not published | not published | $397.85 – $409.55 | 4 |
| Brain image 4+ views CPT 78605 | $547.00 | $1,094.00 | $540.36 – $556.26 | 4 |
| Brain image w/flow < 4 views CPT 78601 | $547.00 | $1,094.00 | $397.85 – $409.55 | 4 |
| Brain image w/flow 4 + views CPT 78606 | $621.50 | $1,243.00 | $540.36 – $556.26 | 4 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $2,753.50 | $5,507.00 | $347.20 – $357.41 | 4 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,868.50 | $3,737.00 | $347.20 – $357.41 | 4 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,675.00 | $3,350.00 | $237.46 – $244.44 | 4 |
| Brain MRI (with and without contrast) CPT 70553 | $2,977.50 | $5,955.00 | $347.20 – $357.41 | 4 |
| Brain MRI (with contrast) CPT 70552 | $1,812.00 | $3,624.00 | $347.20 – $357.41 | 4 |
| Brain MRI (without contrast) CPT 70551 | $1,629.50 | $3,259.00 | $237.46 – $244.44 | 4 |
| Bra surgical elizabeth pink sm HCPCS L8000 | $80.50 | $161.00 | not published | 0 |
| Brca1&2 gene full seq alys CPT 81163 | $332.50 | $665.00 | $477.36 – $561.60 | 5 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $595.91 – $701.08 | 5 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $111.89 – $394.01 | 5 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $307.38 – $361.62 | 5 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $288.54 – $339.46 | 5 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $188.82 – $222.14 | 5 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $111.89 – $394.01 | 5 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $288.54 – $339.46 | 5 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $212.04 – $462.00 | 5 |
| Brcassure comprehensive panel-sendout CPT 81162 | $4,632.00 | $9,264.00 | $1,861.38 – $2,983.03 | 5 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $6,716.00 – $13,397.00 | 6 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $1,510.50 | $3,021.00 | $1,643.67 – $3,895.00 | 6 |
| Breast punct aspir cyst, bil CPT 19000 | $368.00 | $736.00 | $704.73 – $1,547.00 | 6 |
| Breast reconstruction CPT 19366 | not published | not published | $4,441.00 – $4,441.00 | 1 |
| Breast reconstruction 19357 CPT 19357 | not published | not published | $4,007.00 – $14,084.54 | 6 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $10,995.00 – $10,995.00 | 1 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Breast reduction CPT 19318 | not published | not published | $3,338.00 – $10,995.00 | 6 |
| Breath hydrogen test 91065 CPT 91065 | $609.50 | $1,219.00 | $214.89 – $511.00 | 5 |
| Breathing response hypoxia CPT 94450 | not published | not published | $128.06 – $131.82 | 4 |
| Breath recording infant CPT 94772 | not published | not published | $371.37 – $382.29 | 4 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $96.30 – $112.93 | 5 |
| Breath tst attain/anal c-14 CPT 78267 | $348.50 | $697.00 | $11.28 – $13.18 | 5 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $263.81 – $271.57 | 4 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $0.02 – $513,769.84 | 4 |
| Brompheniramine maleate inj HCPCS J0945 | not published | not published | $2.07 – $2.07 | 1 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | not published | not published | $389.24 – $1,010.00 | 6 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $185.50 | $371.00 | $511.00 – $2,004.00 | 3 |
| Bronch ebus samplng 1/2 node CPT 31652 | $2,500.00 | $5,000.00 | $2,670.00 – $6,716.00 | 6 |
| Bronch ebus samplng 3/> node CPT 31653 | $2,500.00 | $5,000.00 | $2,670.00 – $6,716.00 | 6 |
| Bronchial allergy tests CPT 95070 | $749.00 | $1,498.00 | $371.37 – $382.29 | 4 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $389.24 – $1,010.00 | 6 |
| Bronchial challenge CPT 94070 | $479.00 | $958.00 | $371.37 – $382.29 | 4 |
| Bronchial valve addl insert CPT 31651 | not published | not published | $511.00 – $5,418.00 | 3 |
| Bronchial valve init insert CPT 31647 | not published | not published | $2,670.00 – $8,246.00 | 6 |
| Bronchial valve remov addl CPT 31649 | not published | not published | $1,771.35 – $3,895.00 | 6 |
| Bronchial valve remov init CPT 31648 | not published | not published | $2,670.00 – $8,246.00 | 6 |
| Bronchoscopy bronch stents CPT 31636 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Bronchoscopy clear airways 31645 CPT 31645 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Bronchoscopy dilate/fx repr CPT 31630 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Bronchoscopy dilate w/stent CPT 31631 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | not published | not published | $511.00 – $2,670.00 | 3 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | not published | not published | $1,571.00 – $3,810.48 | 6 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | not published | not published | $511.00 – $2,670.00 | 3 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $3,580.50 | $7,161.00 | $1,571.00 – $8,246.00 | 6 |
| Bronchoscopy revise stent CPT 31638 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Bronchoscopy stent add-on CPT 31637 | not published | not published | $511.00 – $2,004.00 | 3 |
| Bronchoscopy treat blockage CPT 31641 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $1,745.00 | $3,490.00 | $1,571.00 – $3,276.00 | 6 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $1,284.00 | $2,568.00 | $1,571.00 – $3,276.00 | 6 |
| Bronchoscopy w/markers CPT 31626 | $6,633.00 | $13,266.00 | $3,304.00 – $8,246.00 | 6 |
| Bronchoscopy w/tumor excise CPT 31640 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | $270.50 | $541.00 | $198.65 – $511.00 | 5 |
| Br punct aspir ea add, l CPT 19001 | $346.50 | $693.00 | $511.00 – $2,004.00 | 2 |
| Brst rcnstj 1pdcl tram anast CPT 19368 | not published | not published | $10,995.00 – $10,995.00 | 1 |
| Brst rcnstj 2 pdcl tram flap CPT 19369 | not published | not published | $10,995.00 – $10,995.00 | 1 |
| Brst rcnstj free flap CPT 19364 | not published | not published | $4,007.00 – $10,995.00 | 2 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Btk gene common variants CPT 81233 | not published | not published | $178.91 – $210.48 | 5 |
| Budesonide comp unit HCPCS J7627 | not published | not published | $0.82 – $0.82 | 1 |
| Budesonide non-comp con HCPCS J7633 | not published | not published | $17.60 – $17.60 | 1 |
| Budesonide non-comp unit HCPCS J7626 | not published | not published | $3.92 – $3.92 | 1 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | not published | not published | $1.15 – $1.15 | 1 |
| Bundled special stain group 1 microorganisms CPT 88312 | $82.00 | $164.00 | $14.14 – $53.39 | 5 |
| Bundled special stain group 2 CPT 88313 | $142.50 | $285.00 | $14.14 – $136.30 | 5 |
| Bundle his recording CPT 93600 | $3,520.50 | $7,041.00 | $5,980.00 – $7,971.49 | 4 |
| Bupivacaine implant, 1 mg HCPCS C9089 | not published | not published | $4.99 – $4.99 | 1 |
| Bupren/nal 3.1 to 6mg bupren HCPCS J0573 | not published | not published | $20.96 – $20.96 | 1 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | not published | not published | $10.60 – $10.60 | 1 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | not published | not published | $20.96 – $20.96 | 1 |
| Buprenorphine and metabolite - sendout CPT 80348 | not published | not published | $0.03 – $0.03 | 1 |
| Buprenorphine hydrochloride HCPCS J0592 | not published | not published | $11.98 – $11.98 | 1 |
| Buprenorphine oral 1mg HCPCS J0571 | not published | not published | $1.83 – $1.83 | 1 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $2,056.75 – $2,117.24 | 4 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | not published | not published | $2,056.75 – $2,117.24 | 4 |
| Bur hol/trph drg brn abs/cst CPT 61150 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Burr hol aspir hmtm/cst icer CPT 61156 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Burr hole implant ventricular cath/other device CPT 61210 | $3,380.00 | $6,760.00 | $1,547.00 – $1,547.00 | 1 |
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.