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 |
|---|---|---|---|---|
| Clamp neck artery CPT 61703 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Claviculectomy partial CPT 23120 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Claviculectomy total CPT 23125 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $511.00 – $552.53 | 5 |
| Clearance of airways CPT 31720 | $250.00 | $500.00 | $217.93 – $1,010.00 | 6 |
| Clearance of airways CPT 31725 | not published | not published | $1,547.00 – $2,004.00 | 2 |
| Clearance of tear duct CPT 68530 | not published | not published | $315.88 – $2,845.00 | 6 |
| C-lens fitg corneosclrl lens CPT 92313 | not published | not published | $132.41 – $136.30 | 4 |
| C-lens fitg tech aphakia 1 CPT 92315 | not published | not published | $132.41 – $136.30 | 4 |
| C-lens fitg tech aphakia ou CPT 92316 | not published | not published | $132.41 – $136.30 | 4 |
| C-lens fitg tech corneosclrl CPT 92317 | not published | not published | $37.17 – $38.26 | 4 |
| Clip ligating vesolock lg HCPCS C1760 | $1,045.00 | $2,090.00 | not published | 0 |
| Clitoroplasty intersex state CPT 56805 | not published | not published | $3,221.58 – $5,978.00 | 5 |
| Cllr miami j sm HCPCS L0174 | $210.62 | $421.25 | not published | 0 |
| Cl mult vsd w/rem pul band CPT 33677 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $4.27 – $4.40 | 4 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $46.56 – $46.56 | 1 |
| Close bladder-uterus fistula CPT 51920 | not published | not published | $3,304.00 – $5,978.00 | 2 |
| Close bronchial fistula 32815 CPT 32815 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Close chest after drainage CPT 32810 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $427.50 | $855.00 | $245.48 – $2,845.00 | 6 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $783.50 | $1,567.00 | $511.00 – $1,647.34 | 6 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | $434.50 | $869.00 | $1,600.27 – $3,276.00 | 5 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $106.00 | $212.00 | $245.48 – $2,845.00 | 6 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $741.00 | $1,482.00 | $1,571.00 – $5,978.00 | 6 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $367.50 | $735.00 | $245.48 – $1,010.00 | 6 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $783.50 | $1,567.00 | $511.00 – $1,647.34 | 6 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $332.50 | $665.00 | $245.48 – $2,845.00 | 6 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,544.13 – $5,418.00 | 6 |
| Closed tx orbit without manipulj CPT 21400 | $833.00 | $1,666.00 | $511.00 – $1,571.00 | 6 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $1,544.13 – $3,895.00 | 6 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $1,808.50 | $3,617.00 | $1,571.00 – $3,276.00 | 6 |
| Closed tx septal&nose fx CPT 21337 | $1,875.50 | $3,751.00 | $1,571.00 – $3,388.50 | 6 |
| Closed tx sesamoid fx 28530 CPT 28530 | $416.50 | $833.00 | $245.48 – $2,845.00 | 6 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $106.50 | $213.00 | $245.48 – $2,845.00 | 6 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $1,571.00 – $3,344.08 | 6 |
| Close kidney-skin fistula CPT 50520 | not published | not published | $1,547.00 – $2,004.00 | 2 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $360.00 | $720.00 | $235.71 – $2,845.00 | 6 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,544.13 – $3,895.00 | 6 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $3,338.00 – $13,397.00 | 5 |
| Close mult vsd CPT 33675 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Close mult vsd w/resection CPT 33676 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Close nephrovisceral fistula CPT 50525 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Close nephrovisceral fistula CPT 50526 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Close tear duct opening CPT 68760 | not published | not published | $315.88 – $2,845.00 | 6 |
| Close tear duct opening CPT 68761 | not published | not published | $315.88 – $2,845.00 | 6 |
| Close tear system fistula CPT 68770 | not published | not published | $1,547.00 – $4,314.00 | 6 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $16.32 – $20.11 | 5 |
| Clos txnose fx without stablz 21315 CPT 21315 | $2,171.00 | $4,342.00 | $1,544.13 – $3,276.00 | 6 |
| Closure enterostomy lg/sm intestine 44620 CPT 44620 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Closure enterostomy lg/sm intestine anast 44626 CPT 44626 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Closure enterostomy lg/sm intestine oth/thn 44625 CPT 44625 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Closure intestinal cutaneous fistula 44640 CPT 44640 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,665.00 | $3,330.00 | $511.00 – $1,010.00 | 6 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $992.09 – $3,276.00 | 6 |
| Closure of salivary fistula CPT 42600 | not published | not published | $1,010.00 – $3,388.50 | 6 |
| Closure of valve CPT 33600 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Closure of valve CPT 33602 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $624.29 – $1,547.00 | 5 |
| Closure ureter/bowel fistula CPT 50930 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Closure ureter/skin fistula CPT 50920 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Clot factor fletcher fact CPT 85292 | $96.50 | $193.00 | $19.31 – $31.75 | 5 |
| Clot factor viii reltd antgn CPT 85244 | $47.50 | $95.00 | $20.83 – $34.24 | 5 |
| Clot factor wght kininogen CPT 85293 | $96.50 | $193.00 | $19.31 – $31.75 | 5 |
| Clot factor xii hageman CPT 85280 | $26.00 | $52.00 | $19.74 – $32.45 | 5 |
| Clot factor xiii fibrin scrn CPT 85291 | $28.50 | $57.00 | $9.29 – $14.90 | 5 |
| Clot factor xiii fibrin stab CPT 85290 | $65.50 | $131.00 | $16.67 – $27.40 | 5 |
| Clotting assay whole blood CPT 85396 | not published | not published | $25.92 – $51.34 | 2 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $353.50 | $707.00 | $245.48 – $1,010.00 | 6 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $336.50 | $673.00 | $245.48 – $1,010.00 | 6 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $252.50 | $505.00 | $245.48 – $2,845.00 | 6 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $367.50 | $735.00 | $245.48 – $1,010.00 | 6 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $741.00 | $1,482.00 | $1,010.00 – $1,647.34 | 6 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $106.50 | $213.00 | $245.48 – $1,010.00 | 6 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $185.00 | $370.00 | $245.48 – $2,845.00 | 6 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $374.50 | $749.00 | $245.48 – $2,845.00 | 6 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $409.00 | $818.00 | $245.48 – $1,010.00 | 6 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $349.50 | $699.00 | $245.48 – $1,010.00 | 6 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $440.50 | $881.00 | $245.48 – $1,010.00 | 6 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $737.00 | $1,474.00 | $1,571.00 – $3,276.00 | 6 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $2,464.50 | $4,929.00 | $1,600.27 – $3,895.00 | 6 |
| Clsd tx fracture of radius 25500 CPT 25500 | $185.00 | $370.00 | $245.48 – $2,845.00 | 6 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $106.50 | $213.00 | $245.48 – $2,845.00 | 6 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $353.50 | $707.00 | $245.48 – $2,845.00 | 6 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $440.50 | $881.00 | $245.48 – $2,845.00 | 6 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $1,049.00 | $2,098.00 | $1,547.00 – $3,895.00 | 6 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $374.50 | $749.00 | $245.48 – $2,845.00 | 6 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $2,349.50 | $4,699.00 | $511.00 – $1,647.34 | 6 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $106.50 | $213.00 | $245.48 – $1,010.00 | 6 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $427.50 | $855.00 | $245.48 – $1,010.00 | 6 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $106.50 | $213.00 | $245.48 – $1,010.00 | 6 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $321.00 | $642.00 | $245.48 – $1,010.00 | 6 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $2,224.00 | $4,448.00 | $278.35 – $511.00 | 5 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $375.00 | $750.00 | $511.00 – $3,895.00 | 6 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $336.50 | $673.00 | $245.48 – $2,845.00 | 6 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $198.50 | $397.00 | $245.48 – $2,845.00 | 6 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $409.00 | $818.00 | $245.48 – $1,571.00 | 6 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $1,571.00 – $3,344.08 | 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.