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 |
|---|---|---|---|---|
| Eeg recording awake and asleep CPT 95819 | $671.50 | $1,343.00 | $214.89 – $221.21 | 4 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $3,769.50 | $7,539.00 | $214.89 – $221.21 | 4 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $3,769.50 | $7,539.00 | $214.89 – $221.21 | 4 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $3,769.50 | $7,539.00 | $371.37 – $382.29 | 4 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $3,769.50 | $7,539.00 | $371.37 – $382.29 | 4 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $3,769.50 | $7,539.00 | $214.89 – $221.21 | 4 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $3,769.50 | $7,539.00 | $371.37 – $382.29 | 4 |
| E equine encephalitis igg CPT 86652 | $25.00 | $50.00 | $13.45 – $22.12 | 5 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $31.57 – $33.75 | 4 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $1,909.69 – $4,441.00 | 6 |
| Egd control bleeding any CPT 43255 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Egd dilate stricture CPT 43245 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $1,909.69 – $3,895.00 | 6 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $3,304.00 – $10,864.01 | 6 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $1,909.69 – $3,276.00 | 5 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $902.63 – $3,276.00 | 5 |
| Egd guide wire insertion CPT 43248 | not published | not published | $902.63 – $3,276.00 | 6 |
| Egd injection varices CPT 43243 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Egd lesion ablation CPT 43270 | not published | not published | $1,909.69 – $4,441.00 | 6 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $1,909.69 – $4,441.00 | 6 |
| Egd remove foreign body CPT 43247 | $1,140.00 | $2,280.00 | $902.63 – $3,276.00 | 6 |
| Egd remove lesion snare CPT 43251 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $1,909.69 – $3,895.00 | 6 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $1,909.69 – $4,441.00 | 6 |
| Egd varices ligation CPT 43244 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $3,304.00 – $5,978.00 | 6 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $1,571.00 – $6,204.64 | 6 |
| Egfr gene com variants CPT 81235 | $886.00 | $1,772.00 | $331.07 – $396.01 | 5 |
| Ehrlicha chaffeensis amp prb CPT 87484 | not published | not published | $35.79 – $42.11 | 5 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $19.96 – $23.16 | 5 |
| EKG tracing for initial prev HCPCS G0404 | $19.00 | $38.00 | not published | 0 |
| Elbow arthroscopy CPT 29830 | not published | not published | $3,256.29 – $13,397.00 | 6 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $3,256.29 – $13,397.00 | 6 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| Elbow arthroscopy/surgery CPT 29837 | $3,625.00 | $7,250.00 | $3,256.29 – $8,246.00 | 6 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $465.50 | $931.00 | $305.66 – $1,571.00 | 6 |
| Elec stim unattend for press HCPCS G0281 | not published | not published | $11.73 – $12.08 | 4 |
| Elect analysis of infusion pump 62367 CPT 62367 | $394.50 | $789.00 | $305.66 – $1,571.00 | 6 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $445.50 | $891.00 | $305.66 – $2,845.00 | 6 |
| Electrd sq emblem s-icd HCPCS C1896 | $4,124.48 | $8,248.95 | not published | 0 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $49.75 – $2,845.00 | 6 |
| Electrocochleography CPT 92584 | not published | not published | $128.06 – $131.82 | 4 |
| Electroconvulsive therapy 90870 CPT 90870 | $822.00 | $1,644.00 | $854.62 – $879.75 | 4 |
| Electrocorticography durng sx CPT 95829 | $788.50 | $1,577.00 | not published | 0 |
| Electrode stimulation brain CPT 95961 | $778.00 | $1,556.00 | $854.62 – $879.75 | 4 |
| Electroejaculation CPT 55870 | not published | not published | $916.63 – $1,547.00 | 6 |
| Electrogastrography CPT 91132 | not published | not published | $214.89 – $511.00 | 5 |
| Electrogastrography w/test CPT 91133 | not published | not published | $132.41 – $511.00 | 5 |
| Electrolyte panel CPT 80051 | $38.00 | $76.00 | $7.15 – $11.76 | 5 |
| Electromagntic tx for ulcers HCPCS G0329 | not published | not published | $10.66 – $10.97 | 4 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | $83.00 | $166.00 | not published | 0 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | $64.50 | $129.00 | not published | 0 |
| Electron microscopy diagnostic CPT 88348 | $847.50 | $1,695.00 | $239.80 – $823.43 | 5 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $132.41 – $136.30 | 4 |
| Electrophysiologic study CPT 93624 | $4,374.00 | $8,748.00 | not published | 0 |
| Electrophysiology evaluation CPT 93619 | $4,138.00 | $8,276.00 | $5,980.00 – $7,971.49 | 4 |
| Electrophysiology evaluation CPT 93620 | $4,138.00 | $8,276.00 | $5,980.00 – $7,971.49 | 4 |
| Electrophysiology evaluation CPT 93621 | $1,933.00 | $3,866.00 | $5,980.00 – $5,980.00 | 1 |
| Electrophysiology evaluation CPT 93622 | $1,687.00 | $3,374.00 | $5,980.00 – $5,980.00 | 1 |
| Electrophysiology evaluation CPT 93641 | $1,680.50 | $3,361.00 | $5,980.00 – $5,980.00 | 1 |
| Electrophysiology evaluation CPT 93642 | $1,405.50 | $2,811.00 | $1,211.69 – $1,247.33 | 4 |
| Electrophysiology evaluation CPT 93644 | $564.50 | $1,129.00 | not published | 0 |
| Electrophys map 3d add-on CPT 93613 | $272.00 | $544.00 | not published | 0 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $18.66 – $23.16 | 5 |
| Elliotts b solution per ml HCPCS J9175 | not published | not published | $27.56 – $27.56 | 1 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $307.43 – $324.12 | 4 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $8.04 – $8.28 | 4 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $187.75 – $193.28 | 4 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $1,909.69 – $3,895.00 | 6 |
| Embolization s&i CPT 75894 | $4,392.00 | $8,784.00 | not published | 0 |
| Embo or occlude vascular arterial s&i CPT 37242 | $22,011.50 | $44,023.00 | $3,304.00 – $29,725.00 | 5 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $22,011.50 | $44,023.00 | $3,304.00 – $29,725.00 | 5 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $22,011.50 | $44,023.00 | $3,304.00 – $29,725.00 | 5 |
| Embo or occlude vascular venous s&i CPT 37241 | $22,011.50 | $44,023.00 | $3,304.00 – $29,725.00 | 5 |
| Embryo hatching CPT 89253 | not published | not published | $52.48 – $174.54 | 5 |
| Embryo transfer intrauterine CPT 58974 | not published | not published | $916.63 – $1,547.00 | 6 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | not published | not published | $5,537.77 – $13,397.00 | 5 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | not published | not published | $5,537.77 – $13,397.00 | 5 |
| Emb w/colposcopy 58110 CPT 58110 | $285.50 | $571.00 | $511.00 – $2,004.00 | 2 |
| Emb without cervical dilation 58100 CPT 58100 | $274.50 | $549.00 | $201.20 – $2,845.00 | 6 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $145.50 | $291.00 | $132.41 – $136.30 | 4 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $180.50 | $361.00 | $128.06 – $131.82 | 4 |
| Emg cranial nerve bilateral CPT 95868 | not published | not published | $214.89 – $221.21 | 4 |
| Emg needle test 1-extremity CPT 95860 | $125.00 | $250.00 | $132.41 – $136.30 | 4 |
| Emg needle test 4-extremities CPT 95864 | $265.00 | $530.00 | $128.06 – $131.82 | 4 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $75.00 | $150.00 | $214.89 – $221.21 | 4 |
| Encephalitis, california igg/igm CPT 86651 | $53.00 | $106.00 | $13.45 – $22.12 | 5 |
| Encephalitis, st louis igg/igm CPT 86653 | $25.00 | $50.00 | $13.45 – $22.12 | 5 |
| Encephalitis, western equine igg/igm CPT 86654 | $25.00 | $50.00 | $13.45 – $22.12 | 5 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | $4,836.00 | $9,672.00 | $3,142.32 – $8,246.00 | 6 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $3,431.00 | $6,862.00 | $3,142.32 – $8,246.00 | 6 |
| Endo assay seven anal CPT 81506 | not published | not published | $70.30 – $97.24 | 5 |
| Endo below knee alignable sy HCPCS L5910 | $297.04 | $594.09 | not published | 0 |
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.