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 |
|---|---|---|---|---|
| Dbrdmt prmlg les w/pdt CPT 96574 | not published | not published | $199.67 – $511.00 | 5 |
| D&c after delivery 59160 CPT 59160 | $2,725.50 | $5,451.00 | $3,221.58 – $5,978.00 | 6 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $2,186.00 | $4,372.00 | $1,571.00 – $5,978.00 | 6 |
| Dch glucoscan CPT 82948 | not published | not published | $5.14 – $5.32 | 5 |
| Dch pulmonary stress test CPT 94621 | $296.00 | $592.00 | $371.37 – $382.29 | 4 |
| Dch validity tests CPT 81002 | $24.50 | $49.00 | $3.55 – $4.28 | 5 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | not published | not published | $1,943.35 – $8,246.00 | 6 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,299.54 – $10,995.00 | 5 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| D&c of cervical stump CPT 57558 | not published | not published | $3,221.58 – $5,978.00 | 6 |
| Deamidated gliadin antibody iga CPT 86258 | $52.50 | $105.00 | $12.29 – $13.84 | 5 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $331.00 | $662.00 | $404.56 – $2,845.00 | 6 |
| Debridement (>20 cm) charge pt CPT 97598 | $349.50 | $699.00 | $511.00 – $2,004.00 | 2 |
| Debridement bone <= 20 sq cm CPT 11044 | $2,265.00 | $4,530.00 | $1,547.00 – $1,692.01 | 6 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $221.50 | $443.00 | $511.00 – $2,004.00 | 2 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $352.50 | $705.00 | $511.00 – $2,004.00 | 2 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $649.00 | $1,298.00 | $404.56 – $1,571.00 | 6 |
| Debride nail1-5 11720 CPT 11720 | $88.50 | $177.00 | $58.71 – $2,845.00 | 6 |
| Debride nail6 or more 11721 CPT 11721 | $88.50 | $177.00 | $58.71 – $2,845.00 | 6 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $1,149.50 | $2,299.00 | $704.73 – $1,571.00 | 6 |
| Debride skin bone at fx site CPT 11012 | $2,494.00 | $4,988.00 | $1,547.00 – $2,968.71 | 6 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $639.50 | $1,279.00 | $511.00 – $2,004.00 | 2 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $214.00 | $428.00 | $199.67 – $2,845.00 | 6 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $1,149.50 | $2,299.00 | $704.73 – $1,571.00 | 6 |
| Debr inf skin add-on 11001 CPT 11001 | $208.50 | $417.00 | $511.00 – $2,004.00 | 2 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $664.50 | $1,329.00 | $511.00 – $1,571.00 | 6 |
| Decalcification CPT 88311 | $18.00 | $36.00 | $14.14 – $21.93 | 2 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $6.49 – $6.49 | 1 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $488.00 | $976.00 | $328.72 – $2,845.00 | 6 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,600.27 – $8,246.00 | 6 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,600.27 – $5,978.00 | 6 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $3,256.29 – $4,314.00 | 6 |
| Decompress fingers/hand CPT 26035 | not published | not published | $3,256.29 – $4,314.00 | 6 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Decompression fasct forearm CPT 24495 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Decompression of leg CPT 27892 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Decompression of leg CPT 27893 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Decompression of leg CPT 27894 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Decompression of lower leg CPT 27600 | not published | not published | $3,256.29 – $5,978.00 | 6 |
| Decompression of lower leg CPT 27601 | not published | not published | $3,256.29 – $5,978.00 | 6 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $3,256.29 – $5,978.00 | 6 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,600.27 – $8,246.00 | 6 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $1,943.35 – $5,978.00 | 6 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Decompressive craniotomy CPT 61322 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Decompress optic nerve CPT 67570 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $4,007.00 – $13,397.00 | 6 |
| Decompress small bowel CPT 44021 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $4,339.00 – $13,397.00 | 6 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $6,716.00 – $13,397.00 | 6 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $511.00 – $511.00 | 1 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $511.00 – $2,004.00 | 2 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $2,890.77 – $3,895.00 | 6 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $24.86 – $24.86 | 1 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.54 – $4.67 | 4 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| Delay flap arms/legs CPT 15610 | not published | not published | $2,053.37 – $5,978.00 | 6 |
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $2,053.37 – $3,895.00 | 6 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $2,053.37 – $4,314.00 | 6 |
| Delay flap trunk 15600 CPT 15600 | $4,884.00 | $9,768.00 | $3,304.00 – $8,246.00 | 6 |
| Delivery of placenta 59414 CPT 59414 | $1,460.50 | $2,921.00 | $3,221.58 – $5,978.00 | 5 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $1,547.00 – $3,304.00 | 2 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $132.50 – $136.39 | 4 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $99.50 | $199.00 | $217.93 – $224.34 | 4 |
| Denervation of hip joint CPT 27035 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $29.97 – $30.85 | 4 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $351.00 | $702.00 | $132.41 – $1,010.00 | 6 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $107.56 – $107.56 | 1 |
| Dermabrasion other than face CPT 15782 | not published | not published | $1,010.00 – $2,975.79 | 6 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $704.73 – $1,547.00 | 6 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $404.56 – $1,010.00 | 6 |
| Dermabrasion total face CPT 15780 | not published | not published | $2,890.77 – $5,978.00 | 5 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Dermagraft HCPCS Q4106 | $34.68 | $69.35 | not published | 0 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $2,053.37 – $2,113.77 | 4 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Design custom breast implant CPT 19396 | not published | not published | $3,304.00 – $8,246.00 | 5 |
| Design mlc device for imrt CPT 77338 | $1,130.50 | $2,261.00 | $372.63 – $383.59 | 4 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $7.35 – $13.78 | 2 |
| Desoxycorticosterone CPT 82633 | not published | not published | $31.60 – $51.94 | 5 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | $256.00 | $512.00 | $199.67 – $2,845.00 | 6 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $322.50 | $645.00 | $199.67 – $2,845.00 | 6 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $371.00 | $742.00 | $199.67 – $2,845.00 | 6 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $199.67 – $2,845.00 | 6 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $295.50 | $591.00 | $199.67 – $2,845.00 | 6 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $338.00 | $676.00 | $199.67 – $2,845.00 | 6 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $256.00 | $512.00 | $199.67 – $2,845.00 | 6 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $261.00 | $522.00 | $199.67 – $2,845.00 | 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.