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 |
|---|---|---|---|---|
| Exploratory heart surgery 33310 CPT 33310 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Exploratory heart surgery 33315 CPT 33315 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Expl orbit w/removal lesion CPT 61333 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Explore adrenal gland w or without biopsy 60540 CPT 60540 | not published | not published | $1,547.00 – $5,980.00 | 2 |
| Explore/biopsy eye socket CPT 67400 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Explore/biopsy eye socket CPT 67450 | not published | not published | $3,912.52 – $8,246.00 | 6 |
| Explore chest vessels 35820 CPT 35820 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Explore deep node(s) neck CPT 38542 | not published | not published | $1,571.00 – $13,397.00 | 6 |
| Explore/drain eye socket CPT 67405 | not published | not published | $2,366.07 – $5,978.00 | 6 |
| Explore/drain eye socket CPT 67440 | not published | not published | $3,912.52 – $8,246.00 | 6 |
| Explore epididymis CPT 54865 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Explore inner ear CPT 69805 | not published | not published | $5,418.00 – $10,995.00 | 6 |
| Explore inner ear CPT 69806 | not published | not published | $5,418.00 – $10,995.00 | 6 |
| Explore/irrigate tear ducts CPT 68840 | not published | not published | $315.88 – $2,845.00 | 6 |
| Explore limb vessels 35860 CPT 35860 | not published | not published | $3,142.32 – $8,246.00 | 5 |
| Explore neck vessels 35800 CPT 35800 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Explore parathyroid glands CPT 60500 | not published | not published | $5,891.41 – $10,995.00 | 5 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $775.00 | $1,550.00 | $1,010.00 – $1,692.01 | 6 |
| Explore/repair chest 32110 CPT 32110 | $3,698.00 | $7,396.00 | $1,547.00 – $1,547.00 | 1 |
| Explore scrotum CPT 55110 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Explore small intestine 44020 CPT 44020 | not published | not published | $1,547.00 – $4,339.00 | 2 |
| Explore/treat ankle joint CPT 27620 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Explore/treat eye socket CPT 67412 | not published | not published | $2,366.07 – $5,978.00 | 6 |
| Explore/treat eye socket CPT 67420 | not published | not published | $3,912.52 – $8,246.00 | 6 |
| Explore/treat eye socket CPT 67430 | not published | not published | $3,912.52 – $8,246.00 | 6 |
| Explore/treat eye socket 67413 CPT 67413 | not published | not published | $2,366.07 – $5,978.00 | 6 |
| Explore/treat finger joint CPT 26075 | not published | not published | $3,256.29 – $4,314.00 | 6 |
| Explore/treat finger joint CPT 26080 | $3,867.50 | $7,735.00 | $1,600.27 – $4,314.00 | 6 |
| Explore/treat knee joint CPT 27331 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Explore/treat wrist joint CPT 25101 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Explore wound abdomen 20102 CPT 20102 | $2,609.00 | $5,218.00 | $2,053.37 – $3,276.00 | 5 |
| Explore woundchest 20101 CPT 20101 | $2,427.50 | $4,855.00 | $2,053.37 – $3,276.00 | 5 |
| Explore wound neck 20100 CPT 20100 | $450.00 | $900.00 | $511.00 – $1,010.00 | 6 |
| Explor not followed by surg repair artery; low extrem 35703 CPT 35703 | not published | not published | $1,547.00 – $2,670.00 | 2 |
| Explor not followed by surg repair artery; up extrem 35702 CPT 35702 | not published | not published | $1,547.00 – $2,670.00 | 2 |
| Explr/decompress eye socket CPT 67414 | not published | not published | $3,912.52 – $8,246.00 | 5 |
| Explr/decompress eye socket CPT 67445 | not published | not published | $3,912.52 – $8,246.00 | 6 |
| Expose art endoprosth iliac 34820 CPT 34820 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Expose endoprosth brachial 34834 CPT 34834 | not published | not published | $1,547.00 – $5,700.00 | 2 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $767.50 | $1,535.00 | $1,547.00 – $2,845.00 | 6 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | not published | not published | $1,547.00 – $1,692.01 | 6 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | $649.28 | $1,298.56 | $132.41 – $136.30 | 4 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $618.32 | $1,236.65 | $132.41 – $136.30 | 4 |
| Extended culture of oocytes CPT 89272 | not published | not published | $52.48 – $825.39 | 5 |
| Extended visual field xm CPT 92083 | not published | not published | $132.41 – $136.30 | 4 |
| Extension per extension per HCPCS L2760 | $155.77 | $311.54 | not published | 0 |
| Extensive ear canal surgery 69150 CPT 69150 | not published | not published | $3,304.00 – $6,050.24 | 6 |
| Extensive ear/neck surgery 69155 CPT 69155 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Extensive hand surgery CPT 26250 | not published | not published | $3,256.29 – $3,895.00 | 6 |
| Extensive hysterectomy CPT 58285 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Extensive jaw surgery CPT 21045 | not published | not published | $3,338.00 – $10,995.00 | 5 |
| Extensive mastoid surgery CPT 69511 | not published | not published | $5,418.00 – $10,995.00 | 6 |
| Extensive mastoid surgery CPT 69530 | not published | not published | $5,418.00 – $10,995.00 | 6 |
| Extensive prostate surgery CPT 55810 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Extensive prostate surgery CPT 55812 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Extensive prostate surgery CPT 55815 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Extensive prostate surgery CPT 55840 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Extensive prostate surgery CPT 55842 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Extensive prostate surgery CPT 55845 | not published | not published | $1,547.00 – $5,980.00 | 2 |
| Extensive prostate surgery CPT 55862 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Extensive prostate surgery CPT 55865 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Extensive removal of liver CPT 47122 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Extensive surgery of throat CPT 42842 | not published | not published | $5,891.41 – $6,064.68 | 5 |
| Extensive surgery of throat CPT 42844 | not published | not published | $5,891.41 – $10,995.00 | 5 |
| Extensive surgery of throat CPT 42845 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Extensive testis surgery CPT 54535 | not published | not published | $3,508.06 – $8,246.00 | 5 |
| Extensive thyroid surgery CPT 60254 | not published | not published | $5,978.00 – $5,980.00 | 2 |
| Extensive vulva surgery CPT 56632 | not published | not published | $29,725.00 – $29,725.00 | 1 |
| External cannula declotting CPT 36860 | $2,697.50 | $5,395.00 | $1,547.00 – $1,612.67 | 6 |
| External chromosome analysis 20-25 cells CPT 88264 | $686.50 | $1,373.00 | $147.50 – $208.97 | 5 |
| External newborn metabolic screening panel HCPCS S3620 | not published | not published | $11.15 – $17.72 | 2 |
| External ocular photography CPT 92285 | $96.50 | $193.00 | $37.17 – $38.26 | 4 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $227.50 | $455.00 | $16.50 – $29.63 | 5 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | $2,317.50 | $4,635.00 | $3,950.46 – $4,103.30 | 5 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $696.00 | $1,392.00 | $146.62 – $211.76 | 5 |
| Extnd color vision xm CPT 92283 | not published | not published | $58.71 – $60.44 | 4 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $120.00 | $240.00 | $18.29 – $30.07 | 5 |
| Extraction erupted tooth/exr HCPCS D7140 | $1,157.00 | $2,314.00 | not published | 0 |
| Extraction of lens CPT 66930 | not published | not published | $4,007.00 – $5,978.00 | 6 |
| Extraction of lens CPT 66940 | not published | not published | $2,296.74 – $4,441.00 | 6 |
| Extraction of lens 66920 CPT 66920 | not published | not published | $2,296.74 – $5,978.00 | 6 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $132.41 – $1,010.00 | 5 |
| Eye allergy tests CPT 95060 | not published | not published | $132.41 – $136.30 | 4 |
| Eye photodynamic ther add-on CPT 67225 | not published | not published | $511.00 – $2,004.00 | 2 |
| Eye surgery follow-up add-on CPT 67331 | not published | not published | $511.00 – $3,338.00 | 2 |
| Eye suture during surgery CPT 67335 | not published | not published | $511.00 – $3,338.00 | 2 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $178.91 – $210.48 | 5 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $288.54 – $339.46 | 5 |
| F-18 fdg pet diag HCPCS A9552 | $93.00 | $186.00 | not published | 0 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $1,864.00 | $3,728.00 | $1,862.15 – $1,916.92 | 4 |
| F-18 fluciclovine per mci HCPCS A9588 | $507.50 | $1,015.00 | $328.72 – $338.38 | 4 |
| F9 full gene sequence CPT 81238 | not published | not published | $612.00 – $720.00 | 5 |
| Face bone graft CPT 21210 | not published | not published | $5,418.00 – $10,995.00 | 6 |
| Facial bones <3 CPT 70140 | $221.50 | $443.00 | $86.61 – $89.15 | 4 |
| Facial nerve function test CPT 92516 | not published | not published | $214.89 – $221.21 | 4 |
| Facility svs dental rehab HCPCS G0330 | not published | not published | $1,547.00 – $3,396.58 | 5 |
| Factor ix CPT 85250 | $92.50 | $185.00 | $19.42 – $31.92 | 5 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $3.67 – $3.77 | 4 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.73 – $1.78 | 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.