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 |
|---|---|---|---|---|
| #covid19rsv-rsv CPT 87634 | $167.00 | $334.00 | $71.60 – $103.99 | 5 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $58.50 | $117.00 | $13.29 – $21.84 | 5 |
| C-peptide CPT 84681 | $90.50 | $181.00 | $21.23 – $34.88 | 5 |
| Cptr-asst dir ms px CPT 20985 | not published | not published | $511.00 – $2,004.00 | 2 |
| Cptrized corneal topography CPT 92025 | $165.00 | $330.00 | $58.71 – $60.44 | 4 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $58.71 – $60.44 | 4 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $214.89 – $221.21 | 4 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Craniectomy f/osteomyelitis CPT 61501 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Craniofacial approach skull CPT 61580 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Craniofacial approach skull CPT 61581 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Craniofacial approach skull CPT 61582 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Craniofacial approach skull CPT 61583 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Crbrospnl fld flw imag cistern CPT 78630 | $809.50 | $1,619.00 | $540.36 – $556.26 | 4 |
| C-reactive protein CPT 86140 | $23.50 | $47.00 | $5.28 – $8.68 | 5 |
| C-reactive protein high sensitivity CPT 86141 | $54.00 | $108.00 | $13.21 – $21.71 | 5 |
| C-reactive protein, quantitative CPT 86406 | not published | not published | $10.85 – $17.84 | 5 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Create eardrum opening CPT 69436 | not published | not published | $1,544.13 – $3,895.00 | 6 |
| Create passage to kidney CPT 52334 | $3,394.50 | $6,789.00 | $3,304.00 – $5,978.00 | 6 |
| Create tear duct drain CPT 68745 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Create tear duct drain CPT 68750 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Create tear sac drain CPT 68720 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Creatine isoforms CPT 82554 | not published | not published | $12.11 – $19.90 | 5 |
| Creatine kinase CPT 82550 | $31.50 | $63.00 | $6.64 – $10.92 | 5 |
| Creatine kinase isoenzymes CPT 82552 | $58.50 | $117.00 | $13.66 – $22.45 | 5 |
| Creatine kinase mb CPT 82553 | $54.00 | $108.00 | $11.78 – $19.36 | 5 |
| Creatine - sendout CPT 82540 | $22.50 | $45.00 | $4.73 – $7.78 | 5 |
| Creatinine CPT 82565 | $24.00 | $48.00 | $5.22 – $8.59 | 5 |
| Creatinine 24 hour urine CPT 82570 | $27.00 | $54.00 | $5.28 – $8.68 | 5 |
| Creatinine clearance urine CPT 82575 | $42.00 | $84.00 | $9.65 – $15.84 | 5 |
| #creutz-prot.,western blot CPT 84182 | $61.50 | $123.00 | $29.79 – $30.67 | 5 |
| Crh stimulation panel CPT 80412 | not published | not published | $552.60 – $841.70 | 5 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $5,891.41 – $10,995.00 | 5 |
| Cricotracheal resection CPT 31592 | not published | not published | $3,338.00 – $10,995.00 | 5 |
| Critical care 30-74 minutes CPT 99291 | $1,125.50 | $2,251.00 | $822.06 – $846.24 | 4 |
| Critical care each additional 30 minutes CPT 99292 | $558.50 | $1,117.00 | not published | 0 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | not published | not published | $132.07 – $135.95 | 4 |
| Crnec/crnot drg icr abs ittl CPT 61321 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Crnec/crnot expl infratntorl CPT 61305 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Crnec/crnot ittl xdrl/sdrl CPT 61314 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $5,700.00 – $13,397.00 | 2 |
| Crnec sopl sctj 1+crnl nrv CPT 61460 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Crnec sopl xpl/dcmpr crl nrv CPT 61458 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Crnec stpl sctj cmprn/dcmprn CPT 61450 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Crnec treph exc brn abs sttl CPT 61514 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Crnec treph exc cyst sttl CPT 61516 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Crnop w/autograft<5 cm diam CPT 62146 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Crnop w/autograft>5 cm diam CPT 62147 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Cromolyn sodium noncomp unit HCPCS J7631 | not published | not published | $0.58 – $0.58 | 1 |
| Cross-over vein graft CPT 34520 | not published | not published | $5,537.77 – $13,397.00 | 5 |
| Crotalidae poly immune fab HCPCS J0840 | not published | not published | $1,865.29 – $1,920.15 | 4 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Cryoablate prostate CPT 55873 | not published | not published | $4,339.00 – $29,725.00 | 6 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $303.27 – $1,010.00 | 6 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $74.00 | $148.00 | $14.38 – $14.85 | 5 |
| Cryoprecipitate each unit HCPCS P9012 | $109.00 | $218.00 | not published | 0 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $52.48 – $825.39 | 5 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $169.55 – $220.43 | 5 |
| Cryopreservation sperm CPT 89259 | not published | not published | $52.48 – $174.54 | 5 |
| Cryopreserve stem cells CPT 38207 | not published | not published | $439.06 – $1,010.00 | 6 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $51.86 – $53.39 | 5 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $275.50 | $551.00 | $199.67 – $2,845.00 | 6 |
| Cryotherapy of acne 17340 CPT 17340 | not published | not published | $58.71 – $2,845.00 | 6 |
| Cryptococcus abs qn - sendout CPT 86641 | $65.00 | $130.00 | $14.70 – $24.17 | 5 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $12.22 – $20.11 | 5 |
| Crystal identification light microscopy CPT 89060 | $14.50 | $29.00 | $7.48 – $11.99 | 5 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $4,007.00 – $4,007.00 | 1 |
| Csf leakage imaging CPT 78650 | not published | not published | $1,288.43 – $1,326.33 | 4 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $305.66 – $1,010.00 | 6 |
| Csf ventriculography CPT 78635 | not published | not published | $540.36 – $556.26 | 4 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $139.74 – $164.40 | 5 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $280.33 – $329.80 | 5 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $188.90 – $222.24 | 5 |
| CT 3d report other modality w/workstation CPT 76377 | $574.50 | $1,149.00 | not published | 0 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,407.50 | $2,815.00 | $174.56 – $179.69 | 4 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $2,072.50 | $4,145.00 | $174.56 – $179.69 | 4 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,330.50 | $2,661.00 | $174.56 – $179.69 | 4 |
| Cta neck without &/or w/contrast CPT 70498 | $1,101.50 | $2,203.00 | $174.56 – $179.69 | 4 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,598.00 | $5,196.00 | $347.20 – $357.41 | 4 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,252.50 | $2,505.00 | $174.56 – $179.69 | 4 |
| CT Angiogram of the Head CPT 70496 | $1,137.00 | $2,274.00 | $174.56 – $179.69 | 4 |
| CT angio hrt w/3d image CPT 75574 | $412.50 | $825.00 | $347.20 – $357.41 | 4 |
| CT angio pelvis CPT 72191 | $1,354.00 | $2,708.00 | $174.56 – $179.69 | 4 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,330.50 | $2,661.00 | $174.56 – $179.69 | 4 |
| CT bone density axial CPT 77078 | not published | not published | $86.61 – $89.15 | 4 |
| CT cerebral perf w cont & prcssng CPT 70473 | not published | not published | $174.56 – $179.69 | 4 |
| CT colonography dx CPT 74261 | $322.00 | $644.00 | $104.04 – $107.10 | 4 |
| CT colonography dx w/dye CPT 74262 | $375.00 | $750.00 | $174.56 – $179.69 | 4 |
| CT colonography screening CPT 74263 | $322.00 | $644.00 | $237.46 – $244.44 | 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.