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 |
|---|---|---|---|---|
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $130.22 – $130.22 | 1 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,643.67 – $3,276.00 | 5 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $0.02 – $585,183.83 | 4 |
| Identify sperm tissue CPT 89264 | not published | not published | $51.86 – $53.39 | 5 |
| Idet 1 or more levels CPT 22527 | not published | not published | $3,304.00 – $8,246.00 | 3 |
| Idet single level CPT 22526 | not published | not published | $3,304.00 – $8,246.00 | 3 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $4,786.50 | $9,573.00 | $1,010.00 – $5,978.00 | 6 |
| Idh1 common variants CPT 81120 | not published | not published | $197.12 – $231.90 | 5 |
| Idh2 common variants CPT 81121 | not published | not published | $301.71 – $354.95 | 5 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $1,936.50 | $3,873.00 | $1,571.00 – $5,978.00 | 6 |
| I&d lacrimal gland CPT 68400 | not published | not published | $992.09 – $3,276.00 | 6 |
| I&d lacrimal sac CPT 68420 | not published | not published | $1,547.00 – $4,441.00 | 6 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $1,393.00 | $2,786.00 | $1,010.00 – $5,978.00 | 6 |
| Idursulfase injection HCPCS J1743 | not published | not published | $549.08 – $586.38 | 4 |
| I & d vag hematoma non-ob 57023 CPT 57023 | $1,444.50 | $2,889.00 | $1,010.00 – $5,978.00 | 6 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $2,670.00 – $3,276.00 | 5 |
| Ifnl3 gene CPT 81283 | $138.50 | $277.00 | $74.84 – $90.53 | 5 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $69.75 – $69.75 | 1 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $211.46 – $248.77 | 5 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $69.92 – $71.98 | 5 |
| Igh gene rearrange amp meth CPT 81261 | $260.50 | $521.00 | $201.95 – $324.13 | 5 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,138.50 | $2,277.00 | $300.41 – $482.15 | 5 |
| Igk rearrangeabn clonal pop CPT 81264 | $417.00 | $834.00 | $176.18 – $244.46 | 5 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $158.00 | $316.00 | $54.92 – $157.46 | 2 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $264.50 | $529.00 | $92.24 – $366.34 | 5 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $139.00 | $278.00 | $41.78 – $174.12 | 5 |
| Ikbkap gene CPT 81260 | not published | not published | $40.10 – $47.17 | 5 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $3,338.00 – $13,397.00 | 5 |
| Iliac/fem angio cath insert HCPCS G0278 | $58.00 | $116.00 | not published | 0 |
| Iliac revasc add-on 37222 CPT 37222 | $1,829.00 | $3,658.00 | $2,004.00 – $13,397.00 | 2 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $58.17 – $59.88 | 4 |
| Img rta detcj/mntr ds staff CPT 92227 | $61.50 | $123.00 | $58.71 – $60.44 | 4 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $37.17 – $38.26 | 4 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $58.71 – $60.44 | 4 |
| Immob elbow child sm HCPCS L3762 | $82.50 | $165.00 | not published | 0 |
| Immobilizer lwr extrem nylon 20in reinforc 21-35in HCPCS L2999 | $33.64 | $67.28 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $123.97 | $247.94 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $59.52 | $119.03 | not published | 0 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,571.00 – $10,995.00 | 6 |
| Immune complex assay CPT 86332 | $108.00 | $216.00 | $24.86 – $40.86 | 5 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $46.22 – $47.58 | 4 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $80.37 – $82.73 | 4 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $48.48 – $49.90 | 4 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $88.00 | $176.00 | $21.23 – $34.88 | 5 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $88.00 | $176.00 | $21.23 – $34.88 | 5 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $26.08 – $32.89 | 5 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $51.00 | $102.00 | $12.22 – $20.10 | 5 |
| Immunodiffusion nes CPT 86329 | $61.50 | $123.00 | $14.33 – $23.54 | 5 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $38.04 – $56.55 | 2 |
| Immunofixation electrophoresis serum CPT 86334 | $34.00 | $68.00 | $22.79 – $37.45 | 5 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $137.00 | $274.00 | $52.42 – $118.76 | 2 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $165.00 | $330.00 | $41.78 – $174.54 | 5 |
| Immunoglobulin assay CPT 86023 | $42.50 | $85.00 | $12.71 – $20.88 | 5 |
| Immunology procedure CPT 86849 | not published | not published | $6.07 – $6.07 | 1 |
| Impedence cardiogram CPT 93701 | not published | not published | $132.41 – $136.30 | 4 |
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $3,338.00 – $29,725.00 | 5 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $1,547.00 – $3,304.00 | 2 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $4,007.00 – $16,823.46 | 5 |
| Implant biventricular device 33976 CPT 33976 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Implant brain electrodes CPT 61531 | not published | not published | $3,276.00 – $3,276.00 | 1 |
| Implant brain electrodes CPT 61533 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Implant brain electrodes CPT 61760 | not published | not published | $3,276.00 – $3,276.00 | 1 |
| Implant cochlear device CPT 69930 | not published | not published | $5,418.00 – $71,348.00 | 6 |
| Implant eye drug system CPT 67027 | not published | not published | $3,338.00 – $14,260.34 | 6 |
| Implant hormone pellet(s) 11980 CPT 11980 | not published | not published | $444.58 – $2,845.00 | 6 |
| Implant nerve end CPT 64787 | not published | not published | $511.00 – $2,670.00 | 2 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Implant neuroelectrode CPT 61863 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Implant neuroelectrode CPT 61867 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $4,339.00 – $29,725.00 | 5 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $1,010.00 – $13,397.00 | 6 |
| Implant neuroelectrodes CPT 64555 | not published | not published | $2,004.00 – $13,397.00 | 5 |
| Implant neuroelectrodes CPT 64561 | $10,666.00 | $21,332.00 | $3,304.00 – $13,397.00 | 6 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Implant neurostim arrays CPT 61886 | not published | not published | $3,304.00 – $71,348.00 | 6 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $3,304.00 – $10,995.00 | 3 |
| Implant single ventricular device 33975 CPT 33975 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Implant spinal canal cath CPT 62351 | not published | not published | $2,670.00 – $13,397.00 | 6 |
| Implant spine infusion pump CPT 62361 | not published | not published | $1,571.00 – $62,241.00 | 6 |
| Implant spine infusion pump CPT 62362 | not published | not published | $1,571.00 – $62,241.00 | 6 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Implant ureter in bowel CPT 50800 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Impl neurostim electr perc CPT 63650 | $3,988.00 | $7,976.00 | $2,670.00 – $13,397.00 | 6 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $511.00 – $2,004.00 | 2 |
| Implnt spinl canal catheter 62350 CPT 62350 | $3,373.50 | $6,747.00 | $1,571.00 – $10,995.00 | 6 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $7,300.00 – $13,397.00 | 5 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $7,300.00 – $13,397.00 | 5 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $7,300.00 – $29,725.00 | 5 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $3,338.00 – $10,995.00 | 5 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Implt neurostim elctr each HCPCS L8680 | $350.35 | $700.70 | not published | 0 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $304.71 – $313.68 | 4 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | $11.90 | $23.81 | not published | 0 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $3,299.54 – $10,995.00 | 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.