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 |
|---|---|---|---|---|
| Dx bronchoscope/lavage 31624 CPT 31624 | $1,745.00 | $3,490.00 | $1,571.00 – $3,276.00 | 6 |
| Dx bronchoscope/wash 31622 CPT 31622 | $1,745.00 | $3,490.00 | $1,010.00 – $3,276.00 | 6 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $902.63 – $3,276.00 | 6 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $902.63 – $3,276.00 | 6 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $214.89 – $1,010.00 | 6 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $128.06 – $1,010.00 | 6 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $389.24 – $2,845.00 | 6 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $248.65 – $3,276.00 | 5 |
| Dynamic surface emg CPT 96002 | not published | not published | $214.89 – $221.21 | 4 |
| Ear and throat examination CPT 92502 | not published | not published | $511.00 – $552.53 | 5 |
| Ear canal biopsy 69105 CPT 69105 | $1,766.00 | $3,532.00 | $1,544.13 – $3,276.00 | 5 |
| Ear cartilage graft CPT 21235 | not published | not published | $3,276.00 – $6,050.24 | 6 |
| Ear irrigation 69209 CPT 69209 | $30.00 | $60.00 | $58.71 – $2,845.00 | 6 |
| Ear protector evaluation CPT 92596 | not published | not published | $37.17 – $38.26 | 4 |
| Ecallantide injection HCPCS J1290 | not published | not published | $582.07 – $608.96 | 4 |
| Ecg 12 lead tracing only CPT 93005 | $124.00 | $248.00 | $58.71 – $60.44 | 4 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $73.50 | $147.00 | $58.71 – $60.44 | 4 |
| Ecg < 30 days transmission & analysis CPT 93271 | $540.50 | $1,081.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $336.50 | $673.00 | $132.41 – $136.30 | 4 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $425.00 | $850.00 | $58.71 – $60.44 | 4 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | $427.50 | $855.00 | $37.17 – $38.26 | 4 |
| Ecg external >7 days up to 15 days recording CPT 93246 | $427.50 | $855.00 | $37.17 – $38.26 | 4 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,335.50 | $2,671.00 | $543.79 – $559.79 | 4 |
| Echocardiography doppler color flow mapping CPT 93325 | $385.50 | $771.00 | not published | 0 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $1,427.00 | $2,854.00 | $780.16 – $803.10 | 4 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $576.50 | $1,153.00 | $237.46 – $244.44 | 4 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $732.00 | $1,464.00 | $347.20 – $357.41 | 4 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $149.00 | $298.00 | not published | 0 |
| Echo exam of eye CPT 76516 | not published | not published | $104.04 – $107.10 | 4 |
| Echo exam of eye CPT 76519 | not published | not published | $104.04 – $107.10 | 4 |
| Echo exam of eye CPT 76529 | $262.50 | $525.00 | $86.61 – $89.15 | 4 |
| Echo exam of fetal heart CPT 76825 | $1,114.50 | $2,229.00 | $543.79 – $559.79 | 4 |
| Echo exam of fetal heart CPT 76826 | $320.50 | $641.00 | $237.46 – $244.44 | 4 |
| Echo exam of fetal heart CPT 76827 | $152.00 | $304.00 | $104.04 – $107.10 | 4 |
| Echo exam of fetal heart CPT 76828 | $152.00 | $304.00 | $104.04 – $107.10 | 4 |
| Echo exam uterus 76831- CPT 76831 | $347.00 | $694.00 | $237.46 – $244.44 | 4 |
| Echograp trans r pros study CPT 76873 | $615.00 | $1,230.00 | $104.04 – $107.10 | 4 |
| Echo guidance radiotherapy CPT 76965 | $1,217.00 | $2,434.00 | not published | 0 |
| Echo guide for amniocentesis CPT 76946 | $399.50 | $799.00 | not published | 0 |
| Echo guide for artery repair CPT 76936 | $1,052.00 | $2,104.00 | $214.89 – $221.21 | 4 |
| Echo guide for transfusion CPT 76941 | $297.50 | $595.00 | not published | 0 |
| Echo stress CPT 93350 | $990.50 | $1,981.00 | $543.79 – $559.79 | 4 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | $242.00 | $484.00 | $543.79 – $559.79 | 4 |
| Echo tee guidance CPT 93355 | $1,847.00 | $3,694.00 | not published | 0 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $675.50 | $1,351.00 | $543.79 – $559.79 | 4 |
| Echo transesophageal CPT 93313 | $242.00 | $484.00 | $543.79 – $559.79 | 4 |
| Echo transesophageal CPT 93315 | $854.50 | $1,709.00 | $543.79 – $559.79 | 4 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $543.79 – $559.79 | 4 |
| Echo transthoracic CPT 93303 | not published | not published | $543.79 – $559.79 | 4 |
| Echo transthoracic CPT 93304 | not published | not published | $543.79 – $559.79 | 4 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $702.50 | $1,405.00 | $237.46 – $244.44 | 4 |
| Ecmo/ecls daily mgmt artery 33949 CPT 33949 | $2,382.50 | $4,765.00 | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls daily mgmt-venous 33948 CPT 33948 | $2,382.50 | $4,765.00 | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls initiation artery 33947 CPT 33947 | $688.50 | $1,377.00 | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls initiation venous 33946 CPT 33946 | $688.50 | $1,377.00 | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls insj cent cannula 0-5yrs 33955 CPT 33955 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls insj cent cannula 6yrs&older 33956 CPT 33956 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls insj prph cannula 0-5yrs opn 33953 CPT 33953 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls insj prph cannula 0-5yrs perq 33951 CPT 33951 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls insj prph cannula 6yrs&older opn 33954 CPT 33954 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls insj prph cannula 6yrs&older perq 33952 CPT 33952 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls remove cent cannula 0-5yrs 33985 CPT 33985 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls remove cent cannula 6yrs&older 33986 CPT 33986 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls remove perph cannula 0-5yrs opn 33969 CPT 33969 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls remove perph cannula 0-5yrs perq 33965 CPT 33965 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls remove prph cannula 6yrs&older open 33984 CPT 33984 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls remove prph cannula 6yrs&older perq 33966 CPT 33966 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls repos cent cnula 6yrs&older 33964 CPT 33964 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls repos cent/perph cnula 0-5yrs 33963 CPT 33963 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls repos perph cnula 0-5yrs opn 33959 CPT 33959 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls repos perph cnula 0-5yrs perq 33957 CPT 33957 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls repos perph cnula 6yrs&older opn 33962 CPT 33962 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ecog impltd brn npgt <30 d CPT 95836 | not published | not published | $37.14 – $38.23 | 4 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $12.91 – $20.11 | 5 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $44.35 – $47.06 | 4 |
| Eculizumab injection HCPCS J1300 | not published | not published | $623.73 – $623.73 | 1 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $6,536.54 – $6,728.79 | 4 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $3.37 – $3.37 | 1 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $60.50 | $121.00 | not published | 0 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $416.50 | $833.00 | $214.89 – $221.21 | 4 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $479.00 | $958.00 | $371.37 – $382.29 | 4 |
| Eeg during surgery CPT 95955 | $451.50 | $903.00 | not published | 0 |
| Eeg monitoring/function test CPT 95958 | $930.50 | $1,861.00 | $854.62 – $879.75 | 4 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $371.37 – $382.29 | 4 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $581.50 | $1,163.00 | $214.89 – $221.21 | 4 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $575.00 | $1,150.00 | $214.89 – $221.21 | 4 |
| Eeg phy/qhp>36<60 hr without vid CPT 95721 | $3,769.50 | $7,539.00 | not published | 0 |
| Eeg phy/qhp>36<60 hr w/veeg CPT 95722 | $3,769.50 | $7,539.00 | not published | 0 |
| Eeg phy/qhp>60<84 hr without vid CPT 95723 | $3,769.50 | $7,539.00 | not published | 0 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | $3,769.50 | $7,539.00 | not published | 0 |
| Eeg phy/qhp>84 hr without vid CPT 95725 | $3,769.50 | $7,539.00 | not published | 0 |
| Eeg phy/qhp>84 hr w/veeg CPT 95726 | $3,769.50 | $7,539.00 | not published | 0 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | $3,769.50 | $7,539.00 | not published | 0 |
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | $3,769.50 | $7,539.00 | not published | 0 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | $3,769.50 | $7,539.00 | not published | 0 |
| Eeg phys/qhp ea incr without vid CPT 95719 | $3,769.50 | $7,539.00 | not published | 0 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $395.50 | $791.00 | $214.89 – $221.21 | 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.