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 |
|---|---|---|---|---|
| Inj, erzofri, 1 mg HCPCS J2428 | not published | not published | $17.10 – $17.60 | 4 |
| Inj, etelcalcetide, 0.1 mg HCPCS J0606 | not published | not published | $2.33 – $2.40 | 4 |
| Inj, eteplirsen, 10 mg HCPCS J1428 | not published | not published | $163.20 – $175.71 | 4 |
| Inj, evinacumab-dgnb, 5mg HCPCS J1305 | not published | not published | $197.63 – $203.45 | 4 |
| Inj., evomela, 1 mg HCPCS J9246 | not published | not published | $18.87 – $19.42 | 4 |
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $0.02 – $2,448,600.00 | 4 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $9.97 – $10.26 | 4 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $34.55 – $35.57 | 4 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $22.46 – $23.12 | 4 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $143.81 – $148.04 | 4 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.08 – $0.08 | 1 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $1.25 – $1.29 | 4 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | not published | not published | $14.04 – $14.04 | 1 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.90 – $2.98 | 4 |
| Inj for ext venography CPT 36005 | $170.00 | $340.00 | $511.00 – $2,004.00 | 2 |
| Inj for mammo ductogram CPT 19030 | $1,460.00 | $2,920.00 | $511.00 – $2,004.00 | 2 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $1.05 – $1.08 | 4 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $587.01 – $604.28 | 4 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $8.80 – $8.80 | 1 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $6.27 – $28.11 | 4 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $42.50 – $43.75 | 4 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $135.15 – $135.15 | 1 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $25.97 – $25.97 | 1 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $119.71 – $123.23 | 4 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,823.24 – $2,906.28 | 4 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $3.50 – $3.50 | 1 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $163.20 – $432.48 | 2 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $4.37 – $4.50 | 4 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $77.49 – $79.77 | 4 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $12.34 – $31.46 | 2 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $0.02 – $3,869,530.00 | 4 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $9.78 – $9.78 | 1 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $62.66 – $64.51 | 4 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $70.76 – $72.84 | 4 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $196.00 | $392.00 | $511.00 – $511.00 | 1 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $1,757.00 | $3,514.00 | $511.00 – $511.00 | 1 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $511.00 – $511.00 | 1 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $191.00 | $382.00 | $511.00 – $511.00 | 1 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $189.50 | $379.00 | $511.00 – $511.00 | 1 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.55 – $1.59 | 4 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $5.29 – $5.44 | 4 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $36.86 – $36.86 | 1 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $76.83 – $83.22 | 4 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $16.86 – $16.86 | 1 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $2.58 – $6.94 | 3 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $78.94 – $81.26 | 4 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.25 – $0.25 | 1 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $505.46 – $520.32 | 4 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | not published | not published | $880.23 – $1,547.00 | 6 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $102.71 – $102.71 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $208.50 | $417.00 | $199.67 – $2,845.00 | 6 |
| Inj intralesional > 7 lsns CPT 11901 | $327.00 | $654.00 | $199.67 – $2,845.00 | 6 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $13.26 – $13.65 | 4 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $51.75 – $53.27 | 4 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.95 – $2.01 | 4 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $2.53 – $2.78 | 4 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.60 – $1.64 | 4 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $89.03 – $91.65 | 4 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $30.44 – $31.34 | 4 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.32 – $1.39 | 4 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $0.70 – $1.86 | 2 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $21.45 – $23.26 | 4 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $71.13 – $71.13 | 1 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.11 – $0.11 | 1 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $6.97 – $7.17 | 4 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $9.71 – $9.71 | 1 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $23.03 – $23.03 | 1 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $0.02 – $3,410,868.00 | 4 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $335.63 – $345.50 | 4 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $22.51 – $24.56 | 4 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $0.02 – $3,152.71 | 4 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | not published | not published | $511.00 – $2,004.00 | 2 |
| Inj marstacim-hncq, 0.5 mg HCPCS J7172 | not published | not published | $51.10 – $53.65 | 4 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $8.48 – $8.48 | 1 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $97.82 – $100.70 | 4 |
| Inj, melphalan (apotex) 1 mg HCPCS J9249 | not published | not published | $66.07 – $68.02 | 4 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | not published | not published | $1,283.93 – $1,283.93 | 1 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $810.90 – $834.75 | 4 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | not published | not published | $9.88 – $9.88 | 1 |
| Inj, meropenem (b. braun) HCPCS J2184 | not published | not published | $5.78 – $5.78 | 1 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $2.23 – $2.29 | 4 |
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $3.06 – $3.06 | 1 |
| Inj metaraminol bitartrate HCPCS J0380 | not published | not published | $3.02 – $3.02 | 1 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $0.85 – $0.85 | 1 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $43.91 – $45.20 | 4 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $253.47 – $260.92 | 4 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $24.27 – $26.48 | 4 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $24.06 – $24.06 | 1 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $17.15 – $17.15 | 1 |
| Inj naloxone hydrochloride HCPCS J2310 | not published | not published | $24.22 – $24.22 | 1 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $699.72 – $720.30 | 4 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,172.50 | $2,345.00 | $693.95 – $3,895.00 | 6 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | not published | not published | $2.28 – $2.34 | 4 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | not published | not published | $27.91 – $28.73 | 4 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $96.56 – $99.40 | 4 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $3,902.00 | $7,804.00 | $2,053.37 – $3,276.00 | 5 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $3,902.00 | $7,804.00 | $2,053.37 – $3,276.00 | 5 |
| Inj, nyposi 1 mcg HCPCS Q5148 | not published | not published | $0.56 – $0.58 | 4 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | not published | not published | $44.70 – $49.59 | 4 |
| Inj, ocriplasmin, 0.125 mg HCPCS J7316 | not published | not published | $2,669.66 – $2,669.66 | 1 |
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.