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 |
|---|---|---|---|---|
| Calcium ionized CPT 82330 | $66.00 | $132.00 | $13.95 – $22.91 | 5 |
| Calcium total CPT 82310 | $24.00 | $48.00 | $5.26 – $8.64 | 5 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $13.13 – $21.59 | 5 |
| Calculus analysis qual CPT 82355 | not published | not published | $11.81 – $19.40 | 5 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $214.89 – $221.21 | 4 |
| Calprotectin fecal CPT 83993 | $82.00 | $164.00 | $20.02 – $32.90 | 5 |
| Cam cervix uteri drg colp CPT 57465 | not published | not published | $511.00 – $511.00 | 1 |
| Campylobacter antibody CPT 86625 | not published | not published | $13.38 – $22.00 | 5 |
| Canakinumab injection HCPCS J0638 | not published | not published | $140.74 – $148.68 | 4 |
| Candida dna CPT 87480 | $100.00 | $200.00 | $20.45 – $33.62 | 5 |
| Candida dna quant CPT 87482 | not published | not published | $56.85 – $70.00 | 5 |
| Candida skin test CPT 86485 | not published | not published | $7.74 – $29.63 | 5 |
| Cannabinoids synthetic 1-3 CPT 80350 | not published | not published | $0.03 – $29.64 | 2 |
| Cannabinoids synthetic 4-6 CPT 80351 | not published | not published | $0.03 – $0.03 | 1 |
| Cannabinoid synthetic 7/more CPT 80352 | not published | not published | $0.03 – $0.03 | 1 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $17,853.75 | $35,707.50 | not published | 0 |
| Cannula nasal HCPCS A4615 | $5.70 | $11.39 | not published | 0 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $667.85 – $687.49 | 4 |
| Canthotomy 67715 CPT 67715 | $2,571.00 | $5,142.00 | $1,010.00 – $5,978.00 | 6 |
| Capecitabine, oral, 50 mg HCPCS J8522 | not published | not published | $0.04 – $0.04 | 4 |
| Cap nerve 2x15mm HCPCS C1763 | $1,069.50 | $2,139.00 | not published | 0 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $3.31 – $3.59 | 4 |
| Capsular contracture release CPT 23020 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Capsulectomy/capsulotomy hip CPT 27036 | not published | not published | $3,338.00 – $10,995.00 | 5 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $1,600.27 – $5,978.00 | 5 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $1,523.50 | $3,047.00 | $3,256.29 – $5,978.00 | 6 |
| Cap trach decann 15mm HCPCS C1750 | $420.21 | $840.42 | not published | 0 |
| Carbamazepine free CPT 80157 | $27.50 | $55.00 | $13.52 – $22.22 | 5 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $19.01 – $22.37 | 5 |
| Carbamazepine total therapeutic drug level CPT 80156 | $86.00 | $172.00 | $14.86 – $24.41 | 5 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $238.54 – $255.79 | 4 |
| Carbohydrate deficient transf - sendout CPT 82373 | $34.50 | $69.00 | $18.42 – $30.28 | 5 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $5.61 – $9.23 | 5 |
| Carbon dioxide CPT 82374 | $39.50 | $79.00 | $4.98 – $8.20 | 5 |
| Carbon graphite lamination HCPCS L2755 | $107.12 | $214.25 | not published | 0 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | not published | not published | $10.10 – $10.10 | 1 |
| Carboxyhemoglobin quantitative CPT 82375 | $56.50 | $113.00 | $12.57 – $20.66 | 5 |
| Car-car bp grft/endovas taa CPT 33891 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Carcinoembryonic ag (cea) CPT 82378 | $86.50 | $173.00 | $19.34 – $31.81 | 5 |
| Cardiac drug stress test CPT 93024 | $259.00 | $518.00 | not published | 0 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $543.79 – $559.79 | 4 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $543.79 – $559.79 | 4 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $543.79 – $559.79 | 4 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $759.00 | $1,518.00 | $1,288.43 – $1,326.33 | 4 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $638.00 | $1,276.00 | $1,288.43 – $1,326.33 | 4 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $1,664.50 | $3,329.00 | $1,288.43 – $1,326.33 | 4 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $134.50 | $269.00 | $128.29 – $132.06 | 4 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $134.50 | $269.00 | $128.29 – $132.06 | 4 |
| Cardiac shunt imaging CPT 78428 | $365.00 | $730.00 | $397.85 – $409.55 | 4 |
| Cardioassist external CPT 92971 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Cardioassist internal CPT 92970 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Cardiokymography HCPCS Q0035 | not published | not published | $37.17 – $38.26 | 4 |
| Cardiolipin antibody iga CPT 86147 | $19.00 | $38.00 | $25.96 – $42.65 | 5 |
| Cardiology hrt trnspl mrna CPT 81595 | not published | not published | $3,304.80 – $3,408.90 | 5 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $916.00 | $1,832.00 | $657.77 – $1,547.00 | 5 |
| Cardioversion/elective/internal 92961 CPT 92961 | not published | not published | $657.77 – $1,547.00 | 5 |
| Card MRI veloc flow mapping CPT 75565 | $325.50 | $651.00 | not published | 0 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $63.00 | $126.00 | not published | 0 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $34.00 | $68.00 | not published | 0 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | not published | not published | $56.76 – $58.43 | 4 |
| Carinal reconstruction CPT 31766 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Car ion chnnlpath inc 10 gns CPT 81413 | $2,545.00 | $5,090.00 | $596.60 – $962.80 | 5 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $596.60 – $962.80 | 5 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | not published | not published | $243.23 – $250.38 | 4 |
| Carotene CPT 82380 | $43.00 | $86.00 | $9.40 – $15.47 | 5 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $645.00 | $1,290.00 | $237.46 – $244.44 | 4 |
| Car outp meas drg cath chd CPT 93598 | $82.00 | $164.00 | $511.00 – $511.00 | 1 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Car seat/bed test 60 minutes CPT 94780 | $54.50 | $109.00 | $37.17 – $38.26 | 4 |
| Car seat/bed test additional 30 minutes CPT 94781 | $27.50 | $55.00 | not published | 0 |
| Car-t admn autologous CPT 38228 | not published | not published | $328.72 – $511.00 | 5 |
| Car-t therapy hrvg bld-drv t lymphcyt pr day CPT 38225 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Car-t therapy prepj bld-drv t lymphcyt f/trns CPT 38226 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Car-t therapy receipt & prepj car-t cells f/admn CPT 38227 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | $965.00 | $1,930.00 | $925.49 – $1,547.00 | 5 |
| Casiri and imdev repeat HCPCS M0240 | $225.00 | $450.00 | not published | 0 |
| Caspofungin acetate HCPCS J0637 | not published | not published | $14.07 – $14.07 | 1 |
| Cast sup lng arm splint fbrg HCPCS Q4018 | $23.29 | $46.58 | not published | 0 |
| Cast sup long arm adult fbrg HCPCS Q4006 | $45.54 | $91.08 | not published | 0 |
| Cast sup long leg fiberglass HCPCS Q4030 | $51.24 | $102.47 | not published | 0 |
| Cast sup sht arm adult fbrgl HCPCS Q4010 | $32.08 | $64.17 | not published | 0 |
| Cast sup sht arm ped fbrglas HCPCS Q4012 | $46.06 | $92.12 | not published | 0 |
| Cast sup sht arm splint fbrg HCPCS Q4022 | $23.29 | $46.58 | not published | 0 |
| Cast sup sht arm splint plst HCPCS Q4021 | $9.84 | $19.67 | not published | 0 |
| Cast sup sht leg splnt fbrgl HCPCS Q4046 | $32.08 | $64.17 | not published | 0 |
| Cataract Surgery CPT 66984 | not published | not published | $2,296.74 – $6,229.00 | 6 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $2,296.74 – $6,229.00 | 6 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $27.85 – $28.82 | 5 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $237.02 | $474.03 | not published | 0 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $1,610.98 | $3,221.96 | not published | 0 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $1,332.04 | $2,664.09 | not published | 0 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $2,048.26 | $4,096.53 | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $4,053.06 | $8,106.12 | not published | 0 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $1,755.50 | $3,511.00 | not published | 0 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $5,908.82 | $11,817.63 | not published | 0 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $682.06 | $1,364.13 | not published | 0 |
| Cath bi-dir df smarttouch HCPCS C1732 | $4,590.74 | $9,181.49 | not published | 0 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $1,552.50 | $3,105.00 | not published | 0 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $11,075.50 | $22,151.00 | $3,226.37 – $10,995.00 | 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.