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 |
|---|---|---|---|---|
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $5.43 – $5.59 | 4 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.42 – $1.47 | 4 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $4.55 – $4.69 | 4 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.72 – $1.77 | 4 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.89 – $1.94 | 4 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $2.42 – $2.49 | 4 |
| Factor viii CPT 85240 | $88.00 | $176.00 | $18.26 – $30.02 | 5 |
| Factor viii HCPCS J7190 | not published | not published | $1.11 – $1.14 | 4 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.47 – $2.55 | 4 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.14 – $1.17 | 4 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.14 – $2.20 | 4 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.65 – $1.69 | 4 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.57 – $1.62 | 4 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.29 – $3.39 | 4 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.97 – $11.29 | 4 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $18.52 – $19.06 | 4 |
| Fallopian tube recnl CPT 58345 | not published | not published | $2,004.00 – $5,978.00 | 5 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $30.58 – $31.48 | 4 |
| Fancc gene CPT 81242 | not published | not published | $37.35 – $43.94 | 5 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $2,670.00 – $13,397.00 | 5 |
| Fat/lipids feces qualitative CPT 82705 | $30.00 | $60.00 | $5.20 – $8.53 | 5 |
| Fatty acids nonesterified CPT 82725 | $62.00 | $124.00 | $19.15 – $22.32 | 5 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.65 – $7.62 | 5 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $62.12 – $67.03 | 4 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $925.49 – $952.71 | 4 |
| #fecal-sodium CPT 84302 | $23.50 | $47.00 | $4.96 – $8.15 | 5 |
| Feeding tube reposition CPT 74355 | $492.00 | $984.00 | not published | 0 |
| Fees w/laryngeal sense test CPT 92616 | $373.00 | $746.00 | $80.44 – $82.80 | 4 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $62.00 | $124.00 | $19.01 – $22.37 | 5 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Femoral lgth sock fx or equa HCPCS L2850 | $52.27 | $104.54 | not published | 0 |
| Fem/popl revasc w/stent CPT 37226 | $17,271.50 | $34,543.00 | $3,338.00 – $29,725.00 | 2 |
| Feno poc CPT 95012 | $34.00 | $68.00 | $37.17 – $38.26 | 4 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | not published | not published | $2.36 – $2.36 | 1 |
| Fern test HCPCS Q0114 | $30.50 | $61.00 | $9.93 – $11.99 | 5 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | not published | not published | $1.13 – $1.16 | 4 |
| Ferritin CPT 82728 | $61.00 | $122.00 | $13.90 – $22.84 | 5 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.33 – $0.34 | 4 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.33 – $0.34 | 4 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $810.90 – $954.00 | 5 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $387.50 | $775.00 | $104.04 – $107.10 | 4 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $774.23 – $962.80 | 5 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | $2,108.00 | $4,216.00 | $774.23 – $962.80 | 5 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $271.50 | $543.00 | $201.20 – $2,845.00 | 6 |
| Fetal cord puncture prenatal CPT 59012 | $1,029.50 | $2,059.00 | $303.27 – $2,845.00 | 6 |
| Fetal fibronectin CPT 82731 | $66.00 | $132.00 | $65.70 – $107.99 | 5 |
| Fetal fluid drainage w/us CPT 59074 | $247.00 | $494.00 | $303.27 – $1,010.00 | 6 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $39.50 | $79.00 | $7.88 – $12.97 | 5 |
| Fetal hemoglobin rosette CPT 85461 | $35.50 | $71.00 | $9.55 – $11.11 | 5 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $22.50 | $45.00 | $19.71 – $31.72 | 5 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Fetal monitor w/report CPT 59050 | not published | not published | $511.00 – $511.00 | 1 |
| Fetal non stress test CPT 59025 | $203.50 | $407.00 | $201.20 – $511.00 | 5 |
| Fetal scalp blood sampling 59030 CPT 59030 | $218.00 | $436.00 | $303.27 – $2,845.00 | 6 |
| Fetal shunt placement w/us CPT 59076 | $247.00 | $494.00 | $303.27 – $1,010.00 | 6 |
| #_fet/norfentcnfrmur CPT 80354 | not published | not published | $0.03 – $29.64 | 2 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $14.67 – $14.67 | 1 |
| Fibrin degradation d dimer quantitative CPT 85379 | $51.00 | $102.00 | $10.38 – $17.06 | 5 |
| Fibrin degradation products CPT 85362 | not published | not published | $7.03 – $11.54 | 5 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $9.91 – $11.96 | 5 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $10.38 – $17.06 | 5 |
| Fibrinogen activity CPT 85384 | $43.00 | $86.00 | $9.91 – $14.24 | 5 |
| Fibrinogen test CPT 85370 | not published | not published | $12.68 – $19.04 | 5 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $8.66 – $16.25 | 5 |
| Fibrinolytic antiplasmin CPT 85410 | $25.50 | $51.00 | $7.86 – $12.92 | 5 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.86 – $14.83 | 5 |
| Fibrinolytic plasminogen CPT 85415 | $88.00 | $176.00 | $17.53 – $28.82 | 5 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $10.38 – $17.08 | 5 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $35.00 | $70.00 | $6.66 – $10.96 | 5 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $3,338.00 – $10,995.00 | 5 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.31 – $0.32 | 4 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $1.02 – $1.05 | 4 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.47 – $0.48 | 4 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $2,053.37 – $3,895.00 | 6 |
| Filtered speech hearing test CPT 92571 | not published | not published | $37.17 – $38.26 | 4 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $3,130.25 | $6,260.50 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $1,184.56 | $2,369.12 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $4,007.00 – $8,246.00 | 2 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,017.50 | $2,035.00 | $704.73 – $1,547.00 | 5 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | not published | not published | $511.00 – $2,004.00 | 2 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | $88.00 | $176.00 | $511.00 – $2,004.00 | 2 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $924.00 | $1,848.00 | $511.00 – $2,004.00 | 2 |
| Fine needle asp without image guide 10021 CPT 10021 | $227.50 | $455.00 | $404.56 – $2,845.00 | 6 |
| Finger tendon transfer CPT 26497 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Finger tendon transfer CPT 26498 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $5,978.00 – $5,978.00 | 1 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $58.71 – $60.44 | 4 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $58.71 – $60.44 | 4 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $37.17 – $38.26 | 4 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $37.17 – $38.26 | 4 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $201.20 – $2,845.00 | 6 |
| Fixation of ankle joint CPT 27860 | not published | not published | $1,010.00 – $3,344.08 | 6 |
| Fixation of knee joint CPT 27570 | $1,529.50 | $3,059.00 | $1,010.00 – $3,276.00 | 6 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $5,418.00 – $8,246.00 | 6 |
| Fix g/colon tube w/device CPT 49460 | $695.00 | $1,390.00 | $902.63 – $3,276.00 | 6 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $3,256.29 – $5,978.00 | 6 |
| Flebogamma injection HCPCS J1572 | not published | not published | $52.09 – $143.10 | 3 |
| Flecainide (tambocor)-sendout CPT 80181 | $62.00 | $124.00 | $19.01 – $22.37 | 5 |
| Fl exam g/colon tube w contrast CPT 49465 | $251.00 | $502.00 | $237.46 – $2,845.00 | 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.