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 |
|---|---|---|---|---|
| Exc leg/ankle tum subfasc<5cm 27619 CPT 27619 | not published | not published | $2,890.77 – $3,895.00 | 6 |
| Exc les conjunctiva <1 cm CPT 68110 | $1,266.50 | $2,533.00 | $1,010.00 – $5,978.00 | 6 |
| Exc les conjunctiva >1 cm CPT 68115 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Exc les conjunctiva adj scl CPT 68130 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Exc les/mucos/sub/ves mouth/no rpr 40810 CPT 40810 | not published | not published | $2,004.00 – $3,388.50 | 5 |
| Excl laa open any method 33267 CPT 33267 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Excl laa opn oth px any meth 33268 CPT 33268 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Excl laa thrscp any method CPT 33269 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $906.50 | $1,813.00 | $704.73 – $1,547.00 | 6 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $906.50 | $1,813.00 | $704.73 – $1,547.00 | 6 |
| Exc malig feenl 3.1-4.0 11644 CPT 11644 | $1,854.00 | $3,708.00 | $1,571.00 – $3,276.00 | 6 |
| Exc malig feenl >4cm 11646 CPT 11646 | $2,757.00 | $5,514.00 | $1,571.00 – $5,978.00 | 6 |
| Exc malig snhfg 0.5cm or less 11620 CPT 11620 | $2,510.50 | $5,021.00 | $1,010.00 – $1,692.01 | 6 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $2,510.50 | $5,021.00 | $704.73 – $1,547.00 | 6 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $2,510.50 | $5,021.00 | $1,547.00 – $2,845.00 | 6 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $1,057.50 | $2,115.00 | $704.73 – $1,547.00 | 6 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $1,112.50 | $2,225.00 | $704.73 – $1,547.00 | 6 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $1,364.50 | $2,729.00 | $404.56 – $1,010.00 | 6 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $1,236.00 | $2,472.00 | $704.73 – $1,547.00 | 6 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $1,298.00 | $2,596.00 | $704.73 – $1,571.00 | 6 |
| Exc mandible 21025 CPT 21025 | not published | not published | $1,571.00 – $10,995.00 | 6 |
| Exc neck tum deep < 5 cm CPT 21556 | $1,322.00 | $2,644.00 | $1,571.00 – $5,978.00 | 6 |
| Exc neck tum deep 5 cm/> CPT 21554 | not published | not published | $2,890.77 – $6,716.00 | 6 |
| Exc of facial bones/osteomy/abcess 21026 CPT 21026 | not published | not published | $1,571.00 – $6,050.24 | 6 |
| Exc of rectal prlpse 45130 CPT 45130 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Exc of residual cervix 57540 CPT 57540 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Exc of residual cervix via aginal approach 57550 CPT 57550 | not published | not published | $3,304.00 – $5,978.00 | 6 |
| Exc/pilonidal cyst/sinus/simple 11770 CPT 11770 | $3,042.00 | $6,084.00 | $2,890.77 – $5,978.00 | 6 |
| Exc prtl bn phlnx toe CPT 28124 | $1,826.00 | $3,652.00 | $2,670.00 – $5,978.00 | 6 |
| Exc rect tum transanal full CPT 45172 | not published | not published | $2,670.00 – $8,246.00 | 6 |
| Exc rect tum transanal part CPT 45171 | not published | not published | $2,004.00 – $5,978.00 | 6 |
| Exc sac pr ulc prim str ostc CPT 15933 | not published | not published | $2,890.77 – $5,978.00 | 6 |
| Exc sac pr ulc skn flp ostc CPT 15935 | $4,884.00 | $9,768.00 | $3,338.00 – $8,246.00 | 6 |
| Exc sacral pr ulc prim sutr CPT 15931 | not published | not published | $2,890.77 – $5,978.00 | 6 |
| Exc sacral pr ulc skn flap CPT 15934 | $4,884.00 | $9,768.00 | $3,304.00 – $8,246.00 | 6 |
| Exc shoulder tum deep < 5 cm CPT 23076 | $4,348.50 | $8,697.00 | $1,571.00 – $3,276.00 | 6 |
| Exc skn hdrdnt ax complex CPT 11451 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | $1,322.00 | $2,644.00 | $1,571.00 – $5,978.00 | 6 |
| Exc skn hdrdnt ing complex CPT 11463 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $2,510.50 | $5,021.00 | $704.73 – $1,547.00 | 6 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | $2,510.50 | $5,021.00 | $1,571.00 – $3,276.00 | 6 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $4,339.00 | $8,678.00 | $1,571.00 – $5,978.00 | 6 |
| Exc sq tum/leg or ankle area <3 cm 27618 CPT 27618 | $818.50 | $1,637.00 | $1,571.00 – $3,276.00 | 6 |
| Exc sq tum/neck/ant thorax 3cm/> 21552 CPT 21552 | $1,322.00 | $2,644.00 | $2,890.77 – $6,716.00 | 6 |
| Exc sq tum/neck or ant thorax <3cm 21555 CPT 21555 | $767.50 | $1,535.00 | $1,571.00 – $3,276.00 | 6 |
| Exc sq tumor/foot or toe < 1.5 cm 28039 CPT 28039 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Exc sq tumor/forearm/wrist/<3cm 25075 CPT 25075 | $1,236.00 | $2,472.00 | $1,571.00 – $3,276.00 | 6 |
| Exc sq tumor/leg/ankle 3cm/> 27632 CPT 27632 | $3,638.00 | $7,276.00 | $2,890.77 – $6,716.00 | 6 |
| Exc sq tumor/shoulder area 3cm/> 23071 CPT 23071 | $2,503.50 | $5,007.00 | $1,643.67 – $6,716.00 | 6 |
| Exc sq tumor/thigh/knee area 3cm/> 27337 CPT 27337 | $1,322.00 | $2,644.00 | $2,890.77 – $6,716.00 | 6 |
| Exc sq tum/vasc malform/hand/fngr 26111 CPT 26111 | not published | not published | $1,643.67 – $6,716.00 | 6 |
| Exc subq tum/sft tis/pel/hip 3cm/> 27043 CPT 27043 | $4,012.50 | $8,025.00 | $2,890.77 – $6,716.00 | 6 |
| Exc tendon sheath or cap lesion 26160 CPT 26160 | not published | not published | $1,600.27 – $3,895.00 | 6 |
| Exc thigh/knee les sc<3cm 27327 CPT 27327 | $835.00 | $1,670.00 | $1,571.00 – $5,978.00 | 6 |
| Exc thigh/knee tum deep <5cm CPT 27328 | not published | not published | $2,890.77 – $3,895.00 | 6 |
| Exc thigh/knee tum dep 5cm/> CPT 27339 | not published | not published | $2,890.77 – $6,716.00 | 6 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $578.50 | $1,157.00 | $1,010.00 – $3,276.00 | 6 |
| Exc tmr sft tiss shldr subq <3cm CPT 23075 | $853.00 | $1,706.00 | $1,571.00 – $3,276.00 | 6 |
| Exc torus mandibularis 21031 CPT 21031 | not published | not published | $2,004.00 – $5,978.00 | 5 |
| Exc trchntric pr ulcer w/prim sutr w/ostectomy 15951 CPT 15951 | not published | not published | $2,890.77 – $5,978.00 | 6 |
| Exc trchntr pr ulc flp clsr CPT 15952 | $4,884.00 | $9,768.00 | $2,053.37 – $5,978.00 | 6 |
| Exc trchntr pr ulc flp ostc CPT 15953 | $4,884.00 | $9,768.00 | $3,338.00 – $8,246.00 | 6 |
| Exc trchntr pr ulc prep flap CPT 15956 | $2,785.00 | $5,570.00 | $2,053.37 – $3,895.00 | 6 |
| Exc trchntr pr ulc prep ostc CPT 15958 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Exc trchntr pr ulc prim sutr CPT 15950 | not published | not published | $1,643.67 – $5,978.00 | 6 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $2,510.50 | $5,021.00 | $1,571.00 – $3,276.00 | 6 |
| Exc/unroofing cyst kidney CPT 50280 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Exc vagina lesion 57135 CPT 57135 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Exercise tst brncspsm w/ecg CPT 94617 | $247.00 | $494.00 | $132.41 – $136.30 | 4 |
| Exercise tst brncspsm wo ecg CPT 94619 | not published | not published | $58.71 – $60.44 | 4 |
| Exercise w/hemodynamic meas CPT 93464 | $1,069.50 | $2,139.00 | $511.00 – $511.00 | 1 |
| Exhaled breath condensate CPT 83987 | not published | not published | $3.65 – $27.29 | 5 |
| Exome re-evaluation CPT 81417 | not published | not published | $326.40 – $384.00 | 5 |
| Exome sequence analysis CPT 81415 | $2,757.50 | $5,515.00 | $4,875.60 – $5,736.00 | 5 |
| Exome sequence analysis CPT 81416 | not published | not published | $12,240.00 – $14,400.00 | 5 |
| Ex palate/uvula lesion without closure 42104 CPT 42104 | $3,367.50 | $6,735.00 | $1,571.00 – $3,388.50 | 6 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $1,420.25 | $2,840.50 | not published | 0 |
| Expl lap celiotomy w/wo bx 49000 CPT 49000 | not published | not published | $3,338.00 – $8,246.00 | 2 |
| Exploration carotid artery 35701 CPT 35701 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Exploration for testis CPT 54550 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Exploration for testis CPT 54560 | not published | not published | $2,080.35 – $5,978.00 | 5 |
| Exploration maxillary sinus CPT 31030 | not published | not published | $3,304.00 – $10,995.00 | 6 |
| Exploration maxillary sinus CPT 31256 | not published | not published | $3,304.00 – $5,978.00 | 6 |
| Exploration of ankle joint CPT 27612 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Exploration of bile ducts CPT 47700 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Exploration of chest 39000 CPT 39000 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Exploration of chest 39010 CPT 39010 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Exploration of foot joint CPT 28020 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Exploration of foot joint CPT 28022 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Exploration of frontal sinus CPT 31070 | not published | not published | $1,571.00 – $6,050.24 | 6 |
| Exploration of frontal sinus CPT 31075 | not published | not published | $3,338.00 – $10,995.00 | 6 |
| Exploration of knee joint CPT 27310 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Exploration of middle ear CPT 69440 | not published | not published | $3,299.54 – $5,978.00 | 6 |
| Exploration of sinuses CPT 31090 | not published | not published | $4,007.00 – $10,995.00 | 6 |
| Exploration of spinal fusion CPT 22830 | not published | not published | $3,338.00 – $13,397.00 | 5 |
| Exploration of toe joint CPT 28024 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Exploration of ureter CPT 50600 | not published | not published | $1,547.00 – $4,007.00 | 2 |
| Exploration/repair of rectum CPT 45562 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Exploration/repair of rectum 45563 CPT 45563 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Exploration retroperitoneal area 49010 CPT 49010 | not published | not published | $3,338.00 – $8,246.00 | 5 |
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.