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 |
|---|---|---|---|---|
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $1,019.35 – $1,049.34 | 4 |
| Ant/post colporrhap/enterocele rpr 57265 CPT 57265 | not published | not published | $4,978.43 – $10,995.00 | 6 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $132.41 – $136.30 | 4 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $132.41 – $136.30 | 4 |
| Ant thrc vrt body tethrg <7 CPT 22836 | not published | not published | $1,547.00 – $17,920.08 | 5 |
| Ant thrc vrt body tethrg 8+ CPT 22837 | not published | not published | $1,547.00 – $17,920.08 | 5 |
| Aortic circulation assist 33971 CPT 33971 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $514.08 – $604.80 | 5 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,377.19 – $1,620.23 | 5 |
| Aortic hemiarch graft 33866 CPT 33866 | not published | not published | $511.00 – $511.00 | 1 |
| Aortic suspension CPT 33800 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $204.00 – $240.00 | 5 |
| Apc gene full sequence CPT 81201 | not published | not published | $795.60 – $936.00 | 5 |
| Apc gene known fam variants CPT 81202 | not published | not published | $285.60 – $336.00 | 5 |
| Aphakia prosth service temp CPT 92358 | not published | not published | $58.71 – $60.44 | 4 |
| Apheresis immunoads slctv CPT 36516 | not published | not published | $4,334.59 – $10,995.00 | 5 |
| Apheresis plasma CPT 36514 | $2,929.50 | $5,859.00 | $1,549.95 – $3,276.00 | 5 |
| Apheresis platelets CPT 36513 | $2,929.50 | $5,859.00 | $439.06 – $511.00 | 5 |
| Apheresis rbc CPT 36512 | $2,929.50 | $5,859.00 | $1,549.95 – $3,276.00 | 5 |
| Apheresis wbc CPT 36511 | $2,929.50 | $5,859.00 | $1,549.95 – $3,276.00 | 5 |
| Apl(pml-rara) quant - sendout CPT 81315 | $406.00 | $812.00 | $211.46 – $339.40 | 5 |
| Apomorphine hydrochloride HCPCS J0364 | not published | not published | $93.84 – $93.84 | 1 |
| Appendectomy CPT 44950 | not published | not published | $3,338.00 – $8,246.00 | 5 |
| Appendectomy add-on 44955 CPT 44955 | not published | not published | $511.00 – $511.00 | 1 |
| Appendectomy/open/rup/w/absc/peri 44960 CPT 44960 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Appendico-vesicostomy CPT 50845 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Appendix Removal (Laparoscopic) CPT 44970 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $3,210.00 | $6,420.00 | $1,010.00 – $3,276.00 | 6 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $3,210.00 | $6,420.00 | $511.00 – $2,004.00 | 2 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $3,210.00 | $6,420.00 | $511.00 – $2,004.00 | 2 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $5,539.50 | $11,079.00 | $1,010.00 – $8,246.00 | 6 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $5,539.50 | $11,079.00 | $511.00 – $2,004.00 | 2 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $3,210.00 | $6,420.00 | $511.00 – $2,004.00 | 2 |
| Appl bdy cst sho to hip 1thi CPT 29044 | $343.00 | $686.00 | $161.72 – $2,845.00 | 6 |
| Appl bdy cst sho to hip b th CPT 29046 | $343.00 | $686.00 | $278.35 – $2,845.00 | 6 |
| Appl bdy cst sho to hip head CPT 29040 | $156.50 | $313.00 | $278.35 – $2,845.00 | 6 |
| Appl body cast sho to hips CPT 29035 | $343.00 | $686.00 | $278.35 – $2,845.00 | 6 |
| Appl cast figure-of-eight CPT 29049 | $156.50 | $313.00 | $278.35 – $2,845.00 | 6 |
| Appl cast plaster velpeau CPT 29058 | $156.50 | $313.00 | $278.35 – $2,845.00 | 6 |
| Appl cast shoulder spica CPT 29055 | $343.00 | $686.00 | $278.35 – $2,845.00 | 6 |
| Appl halo cranial 6+pins CPT 20664 | not published | not published | $1,600.27 – $3,276.00 | 5 |
| Appl halo type body cast CPT 29000 | $156.50 | $313.00 | $278.35 – $1,010.00 | 6 |
| Appl hip spica cast1&1/2 CPT 29325 | $343.00 | $686.00 | $278.35 – $2,845.00 | 6 |
| Appl hip spica cast 1 leg CPT 29305 | $343.00 | $686.00 | $278.35 – $2,845.00 | 6 |
| Application clubfoot cast CPT 29450 | $156.50 | $313.00 | $161.72 – $2,845.00 | 6 |
| Application finger splntstatic 29130 CPT 29130 | $342.00 | $684.00 | $132.41 – $2,845.00 | 6 |
| Application halo femoral CPT 20663 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Application halo pelvic CPT 20662 | not published | not published | $1,600.27 – $5,978.00 | 6 |
| Application long leg splint 29505 CPT 29505 | $216.00 | $432.00 | $161.72 – $2,845.00 | 6 |
| Application lower leg splint 29515 CPT 29515 | $219.00 | $438.00 | $161.72 – $2,845.00 | 6 |
| Application multi layer compression below knee (both sides) CPT 29581 | $559.00 | $1,118.00 | $161.72 – $2,845.00 | 6 |
| Application of body cast CPT 29010 | $343.00 | $686.00 | $278.35 – $2,845.00 | 6 |
| Application of body cast CPT 29015 | $343.00 | $686.00 | $278.35 – $2,845.00 | 6 |
| Application of cylinder cast 29365 CPT 29365 | not published | not published | $278.35 – $2,845.00 | 6 |
| Application of forearm cast 29075 CPT 29075 | $351.50 | $703.00 | $278.35 – $2,845.00 | 6 |
| Application of long arm cast 29065 CPT 29065 | $188.50 | $377.00 | $278.35 – $2,845.00 | 6 |
| Application of long leg cast CPT 29355 | not published | not published | $278.35 – $2,845.00 | 6 |
| Application of long leg cast 29345 CPT 29345 | $343.00 | $686.00 | $278.35 – $2,845.00 | 6 |
| Application of paste boot 29580 CPT 29580 | $559.00 | $1,118.00 | $161.72 – $2,845.00 | 6 |
| Application short leg cast 29405 CPT 29405 | $395.00 | $790.00 | $278.35 – $2,845.00 | 6 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $3,210.00 | $6,420.00 | $735.52 – $3,276.00 | 6 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $3,210.00 | $6,420.00 | $735.52 – $3,276.00 | 6 |
| Appl long leg cast brace CPT 29358 | $343.00 | $686.00 | $278.35 – $2,845.00 | 6 |
| Appl mltpln uni ext fixj sys CPT 20692 | not published | not published | $3,304.00 – $13,121.51 | 6 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $32.00 | $64.00 | $5.97 – $6.14 | 4 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $25.00 | $50.00 | $12.07 – $12.42 | 4 |
| Appl modality 1+lllt po pain CPT 97037 | not published | not published | $37.17 – $38.26 | 4 |
| Appl multlay comprs arm/hand CPT 29584 | $257.00 | $514.00 | $161.72 – $2,845.00 | 6 |
| Appl patllr tdn bearing cast CPT 29435 | $343.00 | $686.00 | $278.35 – $2,845.00 | 6 |
| Appl unipln uni ext fixj sys CPT 20690 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Apply finger cast 29086 CPT 29086 | not published | not published | $161.72 – $2,845.00 | 6 |
| Apply forearm splintdynamic 29126 CPT 29126 | $342.00 | $684.00 | $132.41 – $2,845.00 | 6 |
| Apply halo w/removal cranial CPT 20661 | not published | not published | $511.00 – $1,647.34 | 5 |
| Apply hand/wrist cast 29085 CPT 29085 | $185.50 | $371.00 | $161.72 – $2,845.00 | 6 |
| Apply interstit radiat compl CPT 77778 | $1,164.00 | $2,328.00 | not published | 0 |
| Apply intrcav radiat compl CPT 77763 | $1,018.00 | $2,036.00 | not published | 0 |
| Apply intrcav radiat interm CPT 77762 | $816.50 | $1,633.00 | $549.89 – $566.06 | 4 |
| Apply intrcav radiat simple CPT 77761 | $682.50 | $1,365.00 | $549.89 – $566.06 | 4 |
| Apply of finger splint 29131 CPT 29131 | $342.00 | $684.00 | $58.71 – $2,845.00 | 6 |
| Apply rem fixation device CPT 20660 | not published | not published | $1,600.27 – $3,276.00 | 5 |
| Apply rigid leg cast 29445 CPT 29445 | $489.00 | $978.00 | $278.35 – $2,845.00 | 6 |
| Apply r&l pulm art bands CPT 33620 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Apply short leg castambul type 29425 CPT 29425 | $259.50 | $519.00 | $278.35 – $2,845.00 | 6 |
| Apply srs headframe add-on CPT 61800 | not published | not published | $511.00 – $2,004.00 | 2 |
| Apply surf ldr radionuclide CPT 77789 | $107.00 | $214.00 | not published | 0 |
| App mdlty 1+hubbrd tnk ea 15 CPT 97036 | not published | not published | $34.89 – $35.92 | 4 |
| App mltpln uni xtrnl fix 1st CPT 20696 | not published | not published | $3,304.00 – $27,731.78 | 6 |
| App mltpln uni xtrnl fix xch CPT 20697 | not published | not published | $1,547.00 – $5,418.00 | 6 |
| App skn cll ssp f/n/g/hf 1st CPT 15017 | not published | not published | $2,053.37 – $3,276.00 | 5 |
| App skn cl ssp agrft t/a/l 1 CPT 15015 | not published | not published | $2,053.37 – $3,276.00 | 5 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | not published | not published | $1.67 – $1.72 | 4 |
| Aprotonin, 10,000 kiu HCPCS J0365 | not published | not published | $5.96 – $5.96 | 1 |
| #aptt mix-1:1 incubated CPT 87532 | not published | not published | $35.79 – $58.85 | 5 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | not published | not published | $14.46 – $39.52 | 5 |
| Aquaporin-4 antibody cba each CPT 86052 | $401.00 | $802.00 | $12.29 – $14.46 | 5 |
| Aquaporin-4 antibody elisa CPT 86051 | $58.50 | $117.00 | $11.76 – $13.84 | 5 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $54.50 | $109.00 | $37.35 – $38.45 | 4 |
| Aquatic exercise - group charge CPT 97150 | $45.00 | $90.00 | $18.16 – $18.69 | 4 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $4,007.00 – $10,995.00 | 6 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $3,338.00 – $10,995.00 | 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.