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 |
|---|---|---|---|---|
| Cath council tip 16fr 5cc HCPCS A4344 | $65.20 | $130.41 | not published | 0 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $2,020.84 | $4,041.68 | not published | 0 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $683.10 | $1,366.20 | not published | 0 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | $8.05 | $16.10 | not published | 0 |
| Catheter declot mechanical CPT 36596 | $814.50 | $1,629.00 | $1,010.00 – $1,612.67 | 6 |
| Catheter insert artery CPT 36625 | not published | not published | $511.00 – $511.00 | 1 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $68.00 | $136.00 | $3.60 – $9.81 | 5 |
| Catheter stripping venous CPT 36595 | $1,842.50 | $3,685.00 | $1,010.00 – $8,246.00 | 6 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $1,157.65 | $2,315.30 | not published | 0 |
| Cath hawkone s directional HCPCS C1714 | $3,429.99 | $6,859.98 | not published | 0 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $1,346.54 | $2,693.07 | not published | 0 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | $8.80 | $17.60 | not published | 0 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $248.65 – $511.00 | 5 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $490.50 | $981.00 | $511.00 – $511.00 | 1 |
| Cath left heart/lv gram CPT 93452 | $6,582.50 | $13,165.00 | $3,226.37 – $10,995.00 | 5 |
| Cath left heart transseptal punc CPT 93462 | $7,040.00 | $14,080.00 | $511.00 – $2,004.00 | 2 |
| Cath lt/rt pulm art CPT 36014 | $2,367.00 | $4,734.00 | $511.00 – $2,004.00 | 2 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $878.80 | $1,757.60 | not published | 0 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $6,724.40 | $13,448.79 | not published | 0 |
| Cath place 1st order venous 36011 CPT 36011 | $512.00 | $1,024.00 | $511.00 – $2,004.00 | 2 |
| Cath place cardio brachytx CPT 92974 | not published | not published | $511.00 – $511.00 | 1 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $9,787.00 | $19,574.00 | $3,226.37 – $10,995.00 | 5 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $6,001.00 | $12,002.00 | $3,226.37 – $10,995.00 | 5 |
| Cath plc art/grft/angio right hrt CPT 93457 | $9,973.00 | $19,946.00 | $3,226.37 – $10,995.00 | 5 |
| Cath right heart w/o2 sat & card CPT 93451 | $2,472.00 | $4,944.00 | $2,004.00 – $10,995.00 | 5 |
| Cath right hrt mnpul art CPT 36013 | $2,732.00 | $5,464.00 | $511.00 – $2,004.00 | 2 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $524.00 | $1,048.00 | $511.00 – $2,004.00 | 2 |
| Cath segmntl pulm art CPT 36015 | $1,560.50 | $3,121.00 | $511.00 – $2,004.00 | 2 |
| Cath steerable flex adv 12f HCPCS C1766 | $1,152.99 | $2,305.98 | not published | 0 |
| Cath stripping venous s&i CPT 75901 | $987.00 | $1,974.00 | not published | 0 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $322.37 | $644.74 | not published | 0 |
| Cauterization chemical granulation tissue CPT 17250 | $246.50 | $493.00 | $199.67 – $2,845.00 | 6 |
| Cauterization of cervix 57510 CPT 57510 | $4,426.50 | $8,853.00 | $2,670.00 – $5,978.00 | 5 |
| Cbc/diffwbc without platelet HCPCS G0306 | not published | not published | $7.93 – $13.03 | 5 |
| CBC without platelet HCPCS G0307 | not published | not published | $6.60 – $10.85 | 5 |
| #cbg+cort-cbg CPT 84449 | $82.50 | $165.00 | $18.36 – $30.18 | 5 |
| Cciiv4 vacc abx free im CPT 90756 | not published | not published | $53.90 – $53.90 | 1 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | not published | not published | $56.89 – $56.89 | 1 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $211.46 – $248.77 | 5 |
| Cdna analysis for variants CPT 81403 | $633.50 | $1,267.00 | $188.90 – $222.24 | 5 |
| Cdp-sot 6 cond w/i&r CPT 92548 | $190.00 | $380.00 | $132.41 – $136.30 | 4 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $132.41 – $136.30 | 4 |
| Cebpa gene full sequence CPT 81218 | $601.00 | $1,202.00 | $246.74 – $395.41 | 5 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | not published | not published | $2.25 – $2.25 | 1 |
| Cefepime 1 gram solution for injection HCPCS J0692 | not published | not published | $3.45 – $3.45 | 1 |
| Cefotaxime sodium injection HCPCS J0698 | not published | not published | $26.50 – $26.50 | 1 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | not published | not published | $12.38 – $12.38 | 1 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | not published | not published | $4.31 – $4.44 | 4 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | not published | not published | $4.58 – $4.58 | 1 |
| Ceftazidime and avibactam HCPCS J0714 | not published | not published | $106.82 – $109.97 | 4 |
| Ceftizoxime sodium / 500 mg HCPCS J0715 | not published | not published | $12.85 – $12.85 | 1 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | not published | not published | $1.25 – $1.25 | 1 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | not published | not published | $5.25 – $5.25 | 1 |
| #celiac hla-dq2 CPT 81377 | $489.50 | $979.00 | $96.63 – $150.30 | 5 |
| #celiac hla-dq8 CPT 81383 | $146.00 | $292.00 | $111.31 – $178.66 | 5 |
| Cell count body fluid CPT 89050 | not published | not published | $4.81 – $7.93 | 5 |
| Cell count w differential body fluid CPT 89051 | $34.00 | $68.00 | $5.71 – $9.24 | 5 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $13.33 – $16.93 | 5 |
| Cell enumeration & id CPT 86152 | not published | not published | $15.25 – $263.32 | 5 |
| Cell enumeration phys interp CPT 86153 | not published | not published | $15.25 – $86.93 | 2 |
| Cell function assay w/stim CPT 86352 | $276.50 | $553.00 | $116.76 – $142.65 | 5 |
| Cell marker study CPT 88182 | not published | not published | $41.78 – $53.39 | 5 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $29.88 – $30.76 | 4 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $3,256.29 – $10,995.00 | 6 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $4,969.38 – $5,115.54 | 4 |
| Cephalin floculation test HCPCS P2028 | not published | not published | $5.05 – $7.33 | 5 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $1,547.00 – $3,338.00 | 2 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Cerebrospinal fld flw imag CPT 78645 | $489.50 | $979.00 | $540.36 – $556.26 | 4 |
| Cer post col occ/man sup adj HCPCS L0180 | $289.80 | $579.60 | not published | 0 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $3.99 – $4.11 | 4 |
| Cerv collar supp adj cerv ba HCPCS L0190 | $376.74 | $753.48 | not published | 0 |
| Cervical collar molded to pt HCPCS L0170 | $382.44 | $764.87 | not published | 0 |
| Cervical laminoplsty 2/> seg CPT 63050 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $3,338.00 – $6,786.45 | 5 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | $36.50 | $73.00 | not published | 0 |
| Cesarean section delivery only 59514 CPT 59514 | $2,023.00 | $4,046.00 | not published | 0 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $79.94 – $82.29 | 4 |
| #cf-97variants CPT 81220 | $1,337.00 | $2,674.00 | $567.73 – $667.92 | 5 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $443.77 – $522.08 | 5 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $172.12 – $202.50 | 5 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $99.16 – $116.66 | 5 |
| Change cystostomy tube; complex 51710 CPT 51710 | $1,427.50 | $2,855.00 | $693.95 – $1,547.00 | 6 |
| Change cystostomy tube simple CPT 51705 | $472.50 | $945.00 | $248.65 – $1,010.00 | 6 |
| Change gastric port open CPT 43888 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Change g-tube to g-j perc CPT 49446 | $1,909.00 | $3,818.00 | $1,010.00 – $3,276.00 | 6 |
| Change nephroureteral cath CPT 50387 | $1,567.00 | $3,134.00 | $1,571.00 – $3,276.00 | 6 |
| Change of ureter tube/stent CPT 50688 | $958.00 | $1,916.00 | $1,010.00 – $3,276.00 | 6 |
| Change of windpipe airway 31502 CPT 31502 | $275.50 | $551.00 | $235.71 – $1,010.00 | 6 |
| Change stent via transureth CPT 50385 | $3,246.50 | $6,493.00 | $2,004.00 – $5,978.00 | 6 |
| Change ureter stent percut CPT 50382 | $3,274.00 | $6,548.00 | $1,571.00 – $5,978.00 | 6 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $32.52 – $174.12 | 5 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $199.67 – $2,845.00 | 6 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $404.56 – $2,845.00 | 6 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $404.56 – $2,845.00 | 6 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $735.52 – $2,845.00 | 6 |
| Chemo adm cns w/lmbr punct CPT 96450 | $805.00 | $1,610.00 | $328.72 – $338.39 | 4 |
| Chemodener muscle larynx emg CPT 64617 | $867.00 | $1,734.00 | $702.49 – $2,845.00 | 6 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $176.50 | $353.00 | $511.00 – $2,004.00 | 2 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $516.00 | $1,032.00 | $511.00 – $2,004.00 | 2 |
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.