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 |
|---|---|---|---|---|
| Hemoglobin plasma CPT 83051 | $55.00 | $110.00 | $7.46 – $12.25 | 5 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $9.18 – $11.54 | 5 |
| Hemoglobin urine CPT 83069 | not published | not published | $4.03 – $6.61 | 5 |
| Hemolysin acid CPT 85475 | not published | not published | $9.05 – $14.88 | 5 |
| Hemolysins/agglutinins auto CPT 86940 | $17.50 | $35.00 | $8.95 – $13.75 | 5 |
| Hemolysins and agglutinins incubated CPT 86941 | not published | not published | $12.35 – $20.30 | 5 |
| Hemophilus influenza antibdy CPT 86684 | $95.50 | $191.00 | $16.16 – $26.57 | 5 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | $4,062.50 | $8,125.00 | $2,670.00 – $5,978.00 | 5 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $489.50 | $979.00 | $925.49 – $1,547.00 | 6 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $2,762.33 – $8,246.00 | 6 |
| Hepagam b im injection HCPCS J1571 | not published | not published | $67.97 – $69.97 | 4 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $67.97 – $69.97 | 4 |
| Heparin assay CPT 85520 | $49.50 | $99.00 | $13.35 – $21.95 | 5 |
| Heparin bolus from bag HCPCS J1644 | not published | not published | $0.56 – $0.56 | 1 |
| Heparin neutralization CPT 85525 | not published | not published | $12.08 – $19.86 | 5 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | not published | not published | $0.05 – $0.05 | 1 |
| Heparin-protamine tolerance CPT 85530 | not published | not published | $13.35 – $23.77 | 5 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Hepatitis a antibody igm CPT 86709 | $48.50 | $97.00 | $11.49 – $18.88 | 5 |
| Hepatitis b core antibody igm CPT 86705 | $50.50 | $101.00 | $12.01 – $19.73 | 5 |
| Hepatitis b core antibody total CPT 86704 | $52.50 | $105.00 | $12.29 – $20.21 | 5 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $136.88 – $140.90 | 4 |
| Hepatitis b surface ag quan CPT 87467 | not published | not published | $18.06 – $26.59 | 5 |
| Hepatitis b surface antibody CPT 86706 | $34.50 | $69.00 | $10.95 – $18.01 | 5 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $266.02 – $266.02 | 1 |
| Hepatitis c antibody CPT 86803 | $62.00 | $124.00 | $14.56 – $23.93 | 5 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $31.84 – $33.62 | 5 |
| Hepatitis d quantification CPT 87523 | not published | not published | $43.70 – $51.41 | 5 |
| Hepatitis g dna amp probe CPT 87526 | not published | not published | $40.05 – $58.85 | 5 |
| Hepatitis g dna dir probe CPT 87525 | not published | not published | $30.40 – $33.62 | 5 |
| Hepatitis g dna quant CPT 87527 | not published | not published | $42.60 – $70.00 | 5 |
| Hepatobiliary system imaging CPT 78226 | $1,374.00 | $2,748.00 | $397.85 – $409.55 | 4 |
| Hep b vac 3ag 10mcg 3 dos im CPT 90759 | not published | not published | $139.52 – $139.52 | 1 |
| Hepb vacc 3 dose immunsup im CPT 90740 | not published | not published | $310.75 – $310.75 | 1 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $956.10 – $1,369.15 | 5 |
| Hereditary colon ca dsordrs CPT 81436 | not published | not published | $956.10 – $1,105.46 | 2 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | not published | not published | $722.52 – $1,365.89 | 5 |
| Hered rta do gen seq 15 CPT 81434 | not published | not published | $609.87 – $722.52 | 5 |
| Heredtry nurondcrn tum dsrdr CPT 81438 | not published | not published | $722.52 – $829.58 | 2 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Herpes simplex 1 ag if CPT 87274 | $34.00 | $68.00 | $12.22 – $20.11 | 5 |
| Herpes simplex 2 ag if CPT 87273 | $34.00 | $68.00 | $12.22 – $20.11 | 5 |
| Herpes simplex type 1 antibody igg CPT 86695 | $59.00 | $118.00 | $13.45 – $22.12 | 5 |
| Herpes simplex type 2 antibody igg CPT 86696 | $86.00 | $172.00 | $19.74 – $32.46 | 5 |
| Herpes simplex virus isolation CPT 87255 | $173.00 | $346.00 | $34.54 – $56.77 | 5 |
| Heterophile antibodies screening CPT 86308 | $24.00 | $48.00 | $5.28 – $8.68 | 5 |
| Heterophile antibodies titer CPT 86309 | not published | not published | $6.60 – $10.85 | 5 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $7.52 – $12.36 | 5 |
| Hexa gene CPT 81255 | $586.50 | $1,173.00 | $52.48 – $61.74 | 5 |
| Hfo nontorsion jnts pre cst HCPCS L3929 | $59.52 | $119.03 | not published | 0 |
| Hgb methemoglobin qual CPT 83045 | not published | not published | $6.62 – $8.32 | 5 |
| Hhv-6 dna dir probe CPT 87531 | not published | not published | $33.62 – $60.90 | 5 |
| Hhv-6 dna quant CPT 87533 | $167.00 | $334.00 | $42.60 – $70.00 | 5 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $1,600.27 – $8,246.00 | 5 |
| High inten beh couns std 30m HCPCS G0445 | $103.50 | $207.00 | not published | 0 |
| Hip adj flex ext abduct cont HCPCS L2624 | $254.10 | $508.19 | not published | 0 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $3,256.29 – $13,397.00 | 6 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Hip X-ray CPT 73502 | $196.00 | $392.00 | $86.61 – $89.15 | 4 |
| Histamine CPT 83088 | $134.00 | $268.00 | $30.12 – $49.51 | 5 |
| Histochemical stains add-on CPT 88314 | $24.00 | $48.00 | $14.14 – $171.44 | 2 |
| Histoplasmosis skin test CPT 86510 | $27.50 | $55.00 | $7.74 – $38.17 | 5 |
| Hiv-1 ag ia CPT 87390 | not published | not published | $24.54 – $29.58 | 5 |
| Hiv-1 dna dir probe CPT 87534 | not published | not published | $22.36 – $33.62 | 5 |
| Hiv-2 ag ia CPT 87391 | not published | not published | $22.34 – $29.58 | 5 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $22.36 – $33.62 | 5 |
| Hiv-2 quant&revrse trnscripj CPT 87539 | not published | not published | $59.79 – $71.82 | 5 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $72.75 – $74.89 | 4 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | not published | not published | $1.77 – $1.82 | 4 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $7.16 – $7.37 | 4 |
| Hizentra injection HCPCS J1559 | not published | not published | $14.62 – $15.05 | 4 |
| Hla class i high defin qual CPT 86832 | $497.00 | $994.00 | $209.28 – $339.94 | 5 |
| Hla class ii high defin qual CPT 86833 | $451.00 | $902.00 | $190.26 – $342.09 | 5 |
| Hla class i&ii antibody qual CPT 86828 | $156.50 | $313.00 | $65.28 – $67.40 | 5 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $48.96 – $67.40 | 5 |
| Hla class ii phenotype qual CPT 86831 | not published | not published | $83.52 – $114.16 | 5 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $329.42 – $532.72 | 5 |
| Hla class i phenotype qual CPT 86830 | not published | not published | $97.43 – $133.19 | 5 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $364.71 – $589.79 | 5 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $394.03 – $424.75 | 5 |
| Hla i & ii typing hr CPT 81378 | $1,095.50 | $2,191.00 | $352.48 – $565.73 | 5 |
| Hla i & ii typing lr CPT 81370 | $1,135.00 | $2,270.00 | $410.16 – $658.32 | 5 |
| Hla ii typing 1 loc hr CPT 81382 | $14.50 | $29.00 | $126.15 – $202.48 | 5 |
| Hla ii typing ag equiv lr CPT 81375 | $455.00 | $910.00 | $225.15 – $361.38 | 5 |
| Hla i low res one antigen equiv ea CPT 81374 | $385.50 | $771.00 | $75.82 – $119.10 | 5 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $180.80 – $290.17 | 5 |
| Hla i typing complete hr CPT 81379 | not published | not published | $342.09 – $549.05 | 5 |
| Hla i typing complete lr CPT 81372 | $2,851.50 | $5,703.00 | $361.63 – $423.77 | 5 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $394.50 | $789.00 | $154.84 – $178.40 | 5 |
| Hla i typing low res one locus ea CPT 81373 | $210.00 | $420.00 | $129.98 – $182.32 | 5 |
| Hla typing a b or c CPT 86813 | $172.50 | $345.00 | $59.16 – $97.22 | 5 |
| Hla typing dr/dq CPT 86816 | not published | not published | $30.77 – $46.70 | 5 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $37.26 – $46.02 | 5 |
| Hla x-math non-cytotoxic CPT 86825 | $328.00 | $656.00 | $111.68 – $138.05 | 5 |
| Hlth bhv assmt/reassessment CPT 96156 | $96.50 | $193.00 | not published | 0 |
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.