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 |
|---|---|---|---|---|
| Evasc rpr ilio-iliac rpt CPT 34708 | $750.50 | $1,501.00 | $1,547.00 – $5,700.00 | 2 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Event monitor CPT 93270 | $281.50 | $563.00 | $37.14 – $38.23 | 4 |
| Evoked auditory tst complete CPT 92588 | $217.50 | $435.00 | $371.37 – $382.29 | 4 |
| Evoked oa emissions ltd CPT 92587 | $184.50 | $369.00 | $214.89 – $221.21 | 4 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $240.00 | $480.00 | not published | 0 |
| Evoked potentials upper limbs CPT 95925 | $164.00 | $328.00 | $214.89 – $221.21 | 4 |
| Evoked potential visual not glaucoma CPT 95930 | $202.50 | $405.00 | $214.89 – $221.21 | 4 |
| Ewhfo w/joint(s) cf HCPCS L3766 | $332.76 | $665.51 | not published | 0 |
| Ewho w/joint(s) cf HCPCS L3764 | $332.76 | $665.51 | not published | 0 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $303.27 – $1,010.00 | 6 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | $1,322.00 | $2,644.00 | $1,571.00 – $3,276.00 | 6 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $2,890.77 – $6,716.00 | 6 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Exc abd les sc 3 cm/> CPT 22903 | $4,488.00 | $8,976.00 | $2,890.77 – $6,716.00 | 6 |
| Exc abdl tum deep < 5 cm CPT 22900 | $4,464.50 | $8,929.00 | $2,890.77 – $5,978.00 | 6 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $2,890.77 – $6,716.00 | 6 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | $3,865.50 | $7,731.00 | not published | 0 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $2,890.77 – $6,716.00 | 6 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $891.50 | $1,783.00 | $1,571.00 – $3,276.00 | 6 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $4,007.00 – $10,995.00 | 6 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $5,418.00 – $10,995.00 | 6 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $1,236.00 | $2,472.00 | $1,571.00 – $3,276.00 | 6 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $2,890.77 – $6,716.00 | 6 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $3,221.58 – $5,978.00 | 6 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $2,489.00 | $4,978.00 | $1,010.00 – $1,692.01 | 6 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $2,449.00 | $4,898.00 | $1,571.00 – $5,978.00 | 6 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $1,475.00 | $2,950.00 | $1,571.00 – $3,276.00 | 6 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $728.50 | $1,457.00 | $704.73 – $1,547.00 | 6 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,149.50 | $2,299.00 | $704.73 – $1,547.00 | 6 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $1,916.00 | $3,832.00 | $704.73 – $1,547.00 | 6 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $1,916.50 | $3,833.00 | $1,010.00 – $1,692.01 | 6 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $1,916.00 | $3,832.00 | $704.73 – $1,547.00 | 6 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $2,343.50 | $4,687.00 | $1,010.00 – $3,276.00 | 6 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $3,221.50 | $6,443.00 | $1,571.00 – $5,978.00 | 6 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $633.50 | $1,267.00 | $404.56 – $1,010.00 | 6 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $1,916.00 | $3,832.00 | $704.73 – $1,547.00 | 6 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $3,304.00 – $5,978.00 | 6 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $4,007.00 – $10,995.00 | 6 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $4,978.43 – $8,246.00 | 5 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $2,890.77 – $5,978.00 | 5 |
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Exc coa rpr l subcl art/prst CPT 33851 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Exc coa w/direct anastomosis CPT 33840 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Exc coccygl pr ulc flap clsr CPT 15922 | $4,884.00 | $9,768.00 | $3,338.00 – $8,246.00 | 6 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $2,890.77 – $3,895.00 | 6 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $1,571.00 – $3,344.08 | 6 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $3,256.29 – $5,978.00 | 6 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $2,890.77 – $5,978.00 | 6 |
| Exc excessive skin hip CPT 15834 | not published | not published | $2,890.77 – $5,978.00 | 6 |
| Exc excessive skin leg CPT 15833 | not published | not published | $2,890.77 – $5,978.00 | 6 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $2,890.77 – $5,978.00 | 6 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $2,670.00 – $3,276.00 | 5 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $2,670.00 – $3,276.00 | 5 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $1,547.00 – $1,692.01 | 6 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | not published | not published | $1,547.00 – $2,968.71 | 6 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $906.50 | $1,813.00 | $704.73 – $1,547.00 | 6 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $1,475.00 | $2,950.00 | $1,010.00 – $1,692.01 | 6 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | $767.50 | $1,535.00 | $1,571.00 – $3,276.00 | 6 |
| Exc forearm les sc 3 cm/> CPT 25071 | $1,359.50 | $2,719.00 | $1,643.67 – $6,716.00 | 6 |
| Exc forearm tum deep < 3 cm CPT 25076 | $2,310.50 | $4,621.00 | $1,643.67 – $3,895.00 | 6 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $2,890.77 – $6,716.00 | 6 |
| Exc hand les sc < 1.5 cm CPT 26115 | $4,072.50 | $8,145.00 | $1,571.00 – $3,276.00 | 6 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | $1,643.67 – $6,716.00 | 6 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | $961.00 | $1,922.00 | $1,571.00 – $3,276.00 | 6 |
| Exchange biliary drg cath CPT 47536 | $3,931.00 | $7,862.00 | $2,670.00 – $8,246.00 | 6 |
| Exchange blood transfusion newborn 36450 CPT 36450 | $746.50 | $1,493.00 | $439.06 – $1,010.00 | 6 |
| Exchange drainage catheter CPT 49423 | $3,813.00 | $7,626.00 | $1,909.69 – $3,276.00 | 5 |
| Exchange lens prosthesis CPT 66986 | not published | not published | $2,296.74 – $5,978.00 | 6 |
| Exchange nephrostomy cath CPT 50435 | $1,611.00 | $3,222.00 | $1,547.00 – $3,895.00 | 6 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | $4,339.00 | $8,678.00 | $1,571.00 – $5,978.00 | 6 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | $1,315.00 | $2,630.00 | $2,890.77 – $3,895.00 | 6 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | $2,890.77 – $6,716.00 | 6 |
| Excimer lsr psriasis 250-500 CPT 96921 | not published | not published | $199.67 – $205.54 | 4 |
| Excimer lsr psriasis<250sqcm CPT 96920 | not published | not published | $199.67 – $205.54 | 4 |
| Excimer lsr psriasis>500sqcm CPT 96922 | not published | not published | $404.56 – $416.46 | 4 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | $1,315.00 | $2,630.00 | $2,670.00 – $5,418.00 | 6 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | $2,890.77 – $3,895.00 | 6 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | not published | not published | $2,890.77 – $6,716.00 | 6 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | $4,910.00 | $9,820.00 | $2,053.37 – $5,978.00 | 6 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $2,890.77 – $5,978.00 | 6 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $2,890.77 – $5,978.00 | 6 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $3,304.00 – $8,246.00 | 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.