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 |
|---|---|---|---|---|
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $200.00 | $400.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $145.00 | $290.00 | $67.00 – $80.56 | 5 |
| Analysis gene f5 leiden variant CPT 81241 | $167.00 | $334.00 | $74.84 – $100.04 | 5 |
| Analysis nerve CPT 88356 | $159.50 | $319.00 | $41.78 – $53.39 | 5 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $64.50 | $129.00 | $37.14 – $38.23 | 4 |
| Analysis tumor CPT 88358 | not published | not published | $41.78 – $174.54 | 5 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $232.50 | $465.00 | not published | 0 |
| Anaplsma phgcytophlm amp prb CPT 87468 | not published | not published | $35.79 – $42.11 | 5 |
| Anastamo/extrahep bil duct/gi trac 47760 CPT 47760 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Anastamo/roux-en-y/extrahep bil/gi 47780 CPT 47780 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Anast cavopulm sec sup v/c CPT 33768 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Anastomosis/artery-aorta CPT 33606 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Anastomosis of facial/other nerve 64868 CPT 64868 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Anca screen with reflex to titer -quest CPT 86021 | $65.00 | $130.00 | $15.35 – $25.24 | 5 |
| An cholangiogram percutaneous compl CPT 47531 | $4,865.00 | $9,730.00 | $1,010.00 – $8,246.00 | 6 |
| Androstanediol CPT 82154 | not published | not published | $29.41 – $48.35 | 5 |
| An fluoro guide for cvp CPT 77001 | $251.50 | $503.00 | not published | 0 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $4,604.00 | $9,208.00 | $511.00 – $2,004.00 | 2 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $7,596.00 | $15,192.00 | $3,338.00 – $13,397.00 | 2 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $7,596.00 | $15,192.00 | $3,338.00 – $13,397.00 | 2 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $1,628.50 | $3,257.00 | $2,004.00 – $13,397.00 | 2 |
| Angioscopy CPT 35400 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Angiotensin ii CPT 82163 | not published | not published | $20.93 – $34.42 | 5 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $3.62 | $7.25 | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $7,596.00 | $15,192.00 | $3,338.00 – $13,397.00 | 2 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $4,604.00 | $9,208.00 | $511.00 – $2,004.00 | 2 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $4,604.00 | $9,208.00 | $5,664.24 – $13,397.00 | 5 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $4,604.00 | $9,208.00 | $511.00 – $2,004.00 | 2 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $4,604.00 | $9,208.00 | $5,664.24 – $13,397.00 | 5 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $1.40 – $1.40 | 1 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $3,256.29 – $13,397.00 | 6 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $3,304.00 – $10,995.00 | 6 |
| Ankle arthroscopy/surgery CPT 29894 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Ankle arthroscopy/surgery CPT 29897 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| Ankle X-ray CPT 73610 | $213.00 | $426.00 | $86.61 – $89.15 | 4 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $445.50 | $891.00 | $305.66 – $2,845.00 | 6 |
| Annual alcohol screen 15 min HCPCS G0442 | $52.50 | $105.00 | not published | 0 |
| Anodyne therapy charges pt CPT 97026 | $12.00 | $24.00 | $6.64 – $6.84 | 4 |
| Anogenital exam child w imag CPT 99170 | not published | not published | $201.20 – $207.12 | 4 |
| Anora (draw only) CPT 99001 | $34.50 | $69.00 | $9.10 – $9.10 | 1 |
| Anorectal myomectomy CPT 45108 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Anoscopy CPT 46611 | not published | not published | $925.49 – $3,276.00 | 6 |
| Anoscopy ablation lesion 46615 CPT 46615 | $2,514.00 | $5,028.00 | $1,571.00 – $5,978.00 | 6 |
| Anoscopy and biopsy CPT 46606 | $2,514.00 | $5,028.00 | $1,190.90 – $3,276.00 | 5 |
| Anoscopy and dilation 46604 CPT 46604 | not published | not published | $1,190.90 – $3,276.00 | 5 |
| Anoscopy control bleeding 46614 CPT 46614 | $516.00 | $1,032.00 | $1,190.90 – $3,276.00 | 5 |
| Anoscopy remove fb 46608 CPT 46608 | $1,304.50 | $2,609.00 | $925.49 – $3,276.00 | 6 |
| Anoscopy remove lesion 46610 CPT 46610 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Anoscopy remove lesions w/cautery/snare 46612 CPT 46612 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Ans parasymp & symp w/tilt CPT 95924 | $142.50 | $285.00 | $214.89 – $221.21 | 4 |
| Ant colporrhaphy/rpr cyctocele 57240 CPT 57240 | not published | not published | $4,007.00 – $8,246.00 | 6 |
| Anterior thoracic extension HCPCS L1220 | $184.23 | $368.46 | not published | 0 |
| Antibody CPT 86744 | not published | not published | $16.31 – $22.12 | 5 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $46.50 | $93.00 | $13.14 – $21.60 | 5 |
| Antibody elution rbc reference CPT 86860 | $112.00 | $224.00 | $24.52 – $174.12 | 5 |
| Antibody htlv/hiv confirm test CPT 86689 | $82.00 | $164.00 | $19.74 – $32.46 | 5 |
| Antibody htlv-i CPT 86687 | $38.00 | $76.00 | $9.27 – $14.06 | 5 |
| Antibody htlv-ii CPT 86688 | $62.50 | $125.00 | $14.28 – $23.48 | 5 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $339.00 | $678.00 | $18.74 – $30.79 | 5 |
| Antibody id rbc panel CPT 86870 | $187.50 | $375.00 | $24.52 – $366.34 | 5 |
| Antibody influenza virus CPT 86710 | $61.50 | $123.00 | $13.82 – $22.73 | 5 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $58.00 | $116.00 | $13.13 – $21.58 | 5 |
| Antibody screen rbc CPT 86850 | $58.00 | $116.00 | $16.50 – $52.37 | 5 |
| Antibody tetanus CPT 86774 | $16.00 | $32.00 | $15.10 – $24.82 | 5 |
| Antidepressant not specified CPT 80338 | not published | not published | $0.03 – $0.03 | 1 |
| Antidepressants class 3-5 CPT 80333 | not published | not published | $0.03 – $0.03 | 1 |
| Antidepressants class 6/more CPT 80334 | not published | not published | $0.03 – $0.03 | 1 |
| Antidepressant tricyclic 3-5 CPT 80336 | not published | not published | $0.03 – $29.23 | 2 |
| Antiepileptics nos 4-6 CPT 80340 | not published | not published | $0.03 – $24.19 | 2 |
| Antiepileptics nos 7/more CPT 80341 | not published | not published | $0.03 – $24.19 | 2 |
| Antigen therapy services CPT 95145 | not published | not published | $46.60 – $47.97 | 4 |
| Antigen therapy services CPT 95146 | not published | not published | $46.60 – $47.97 | 4 |
| Antigen therapy services CPT 95147 | not published | not published | $71.65 – $73.76 | 4 |
| Antigen therapy services CPT 95148 | not published | not published | $71.65 – $73.76 | 4 |
| Antigen therapy services CPT 95149 | not published | not published | $71.65 – $73.76 | 4 |
| Antigen therapy services CPT 95165 | not published | not published | $46.60 – $47.97 | 4 |
| Antigen therapy services CPT 95170 | not published | not published | $46.60 – $47.97 | 4 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | not published | not published | $1.52 – $1.57 | 4 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $1.27 – $1.31 | 4 |
| Anti-inhibitor HCPCS J7198 | not published | not published | $2.46 – $2.53 | 4 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $12.29 – $14.46 | 5 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $23.00 | $46.00 | $12.29 – $14.46 | 5 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $37.50 | $75.00 | $12.29 – $14.46 | 5 |
| Ant instr 2-3 vert segm 22845 CPT 22845 | not published | not published | $2,004.00 – $13,397.00 | 2 |
| Ant instrumentation/4-7 vert seg 22846 CPT 22846 | not published | not published | $2,004.00 – $13,397.00 | 2 |
| Antinuclear antibodies CPT 86038 | $52.50 | $105.00 | $12.33 – $20.27 | 5 |
| Antinuclear antibodies titer CPT 86039 | $50.50 | $101.00 | $11.38 – $18.72 | 5 |
| Antiphosphatidylserine antibody CPT 86148 | $69.00 | $138.00 | $16.39 – $26.93 | 5 |
| Antipsychotics nos 1-3 CPT 80342 | not published | not published | $0.03 – $25.43 | 2 |
| Antipsychotics nos 4-6 CPT 80343 | not published | not published | $0.03 – $25.43 | 2 |
| Antipsychotics nos 7/more CPT 80344 | not published | not published | $0.03 – $25.43 | 2 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $5.89 – $9.68 | 5 |
| Antistreptolysin o titer CPT 86060 | $32.00 | $64.00 | $7.45 – $12.24 | 5 |
| Antithrombin iii activity CPT 85300 | $56.00 | $112.00 | $12.09 – $19.86 | 5 |
| Antithrombin iii injection HCPCS J7197 | not published | not published | $4.19 – $4.31 | 4 |
| Antithrombin recombinant HCPCS J7196 | not published | not published | $379.77 – $379.77 | 1 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $5,237.79 – $5,391.84 | 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.