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 ogivri 10 mg HCPCS Q5114 | not published | not published | $41.10 – $42.31 | 4 |
| Inj, olaratumab, 10 mg HCPCS J9285 | not published | not published | $132.77 – $132.77 | 1 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $2.46 – $2.46 | 1 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $401.53 – $413.34 | 4 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | not published | not published | $10.28 – $10.28 | 1 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $4.10 – $4.22 | 4 |
| Inj onase abepar-xioi treat HCPCS J3399 | not published | not published | $0.02 – $2,577,866.14 | 4 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $19.38 – $19.95 | 4 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $59.40 – $61.15 | 4 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $74.46 – $76.65 | 4 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $584.42 – $601.61 | 4 |
| Inj., patisiran, 0.1 mg HCPCS J0222 | not published | not published | $99.81 – $104.97 | 4 |
| Inj, pedmark, 100 mg HCPCS J0208 | not published | not published | $97.01 – $99.87 | 4 |
| Inj, pegcetacoplan, 1mg HCPCS J2781 | not published | not published | $141.96 – $146.14 | 4 |
| Inj pegfilgrastim-bmez 0.5mg HCPCS Q5120 | not published | not published | $30.93 – $31.84 | 4 |
| Inj, pegulicianine, 1 mg HCPCS A9615 | not published | not published | $38.26 – $39.38 | 4 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | not published | not published | $47.25 – $48.64 | 4 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | not published | not published | $9.93 – $10.22 | 4 |
| Inj, pemetrexed (avyxa) 10mg HCPCS J9292 | not published | not published | $83.99 – $86.46 | 4 |
| Inj pemetrexed ditromethamin HCPCS J9323 | not published | not published | $0.13 – $0.13 | 4 |
| Inj pemetrexed, hospira 10mg HCPCS J9294 | not published | not published | $3.62 – $3.72 | 4 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | not published | not published | $4.27 – $4.27 | 1 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | not published | not published | $7.16 – $16.32 | 4 |
| Inj, pemivibart, 4500 mg HCPCS Q0224 | not published | not published | $13,681.71 – $13,681.71 | 1 |
| Inj, pemrydi rtu, 10 mg HCPCS J9324 | not published | not published | $77.32 – $79.60 | 4 |
| Inj peritoneal venous shunt CPT 49427 | $622.50 | $1,245.00 | $511.00 – $2,004.00 | 2 |
| Inj., perseris, 0.5 mg HCPCS J2798 | not published | not published | $12.38 – $12.75 | 4 |
| Inj plasminogen tvmh 1mg HCPCS J2998 | not published | not published | $33.42 – $34.41 | 4 |
| Inj., plazomicin, 5 mg HCPCS J0291 | not published | not published | $3.53 – $3.68 | 4 |
| Inj pozelimab-bbfg, 1 mg HCPCS J9376 | not published | not published | $88.27 – $96.32 | 4 |
| Inj proc ankle arthr CPT 27648 | $87.50 | $175.00 | $511.00 – $2,004.00 | 2 |
| Inj proc elbow arthro CPT 24220 | $358.00 | $716.00 | $511.00 – $2,004.00 | 2 |
| Inj proc for lymphang CPT 38790 | $497.50 | $995.00 | $511.00 – $2,004.00 | 2 |
| Inj proc lumbr disk ea lvl CPT 62290 | $1,136.00 | $2,272.00 | $511.00 – $2,004.00 | 2 |
| Inj proc myelogram lumbar CPT 62284 | $1,237.00 | $2,474.00 | $511.00 – $2,004.00 | 2 |
| Inj proc sialogram CPT 42550 | $373.00 | $746.00 | $511.00 – $2,004.00 | 2 |
| Inj progesterone per 50 mg HCPCS J2675 | not published | not published | $2.41 – $2.49 | 2 |
| Inj protirelin per 250 mcg HCPCS J2725 | not published | not published | $57.85 – $57.85 | 1 |
| Inj recombin esperoct per iu HCPCS J7204 | not published | not published | $2.27 – $2.33 | 4 |
| Inj, releuko 1 mcg HCPCS Q5125 | not published | not published | $0.38 – $0.39 | 4 |
| Inj retacrit esrd on dialysi HCPCS Q5105 | not published | not published | $1.44 – $1.44 | 1 |
| Inj retro urethrocysto CPT 51610 | $1,174.00 | $2,348.00 | $511.00 – $511.00 | 1 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | not published | not published | $12.91 – $13.95 | 4 |
| Inj roctavian ml 2x10^13vc g HCPCS J1412 | not published | not published | $0.02 – $13,181.40 | 4 |
| Inj., rolapitant, 0.5 mg HCPCS J2797 | not published | not published | $2.39 – $2.39 | 1 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | not published | not published | $29.09 – $29.94 | 4 |
| Inj, rykindo, 0.5 mg HCPCS J2801 | not published | not published | $12.24 – $13.68 | 4 |
| Inj scleros sol mult veins CPT 36471 | $296.50 | $593.00 | $404.56 – $2,845.00 | 6 |
| Inj scleros sol sgl vein CPT 36470 | $574.00 | $1,148.00 | $404.56 – $2,845.00 | 6 |
| Inj, sculptra, 0.5mg HCPCS Q2028 | not published | not published | $1.89 – $2.27 | 4 |
| Inj sebelipase alfa 1 mg HCPCS J2840 | not published | not published | $550.71 – $566.91 | 4 |
| Inj secretin synthetic human HCPCS J2850 | not published | not published | $41.33 – $42.55 | 4 |
| Inj secukinumab intrav 1mg HCPCS J3247 | not published | not published | $16.36 – $18.74 | 4 |
| Inj, sezaby, 1 mg HCPCS J2561 | not published | not published | $1.22 – $1.25 | 4 |
| Inj, spesolimab-sbzo, 1 mg HCPCS J1747 | not published | not published | $67.04 – $69.01 | 4 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $578.50 | $1,157.00 | $404.56 – $2,845.00 | 6 |
| Inj, susvimo 0.1 mg HCPCS J2779 | not published | not published | $80.51 – $82.88 | 4 |
| Inj, sutimlimab-jome, 10 mg HCPCS J1302 | not published | not published | $18.32 – $19.80 | 4 |
| Inj. tagraxofusp-erzs 10 mcg HCPCS J9269 | not published | not published | $344.32 – $374.78 | 4 |
| Inj, taliglucerace alfa 10 u HCPCS J3060 | not published | not published | $41.93 – $43.17 | 4 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | not published | not published | $34.25 – $35.25 | 4 |
| Inj tedizolid phosphate HCPCS J3090 | not published | not published | $1.89 – $2.06 | 4 |
| Inj teplizumab mzwv 5 mcg HCPCS J9381 | not published | not published | $36.75 – $39.55 | 4 |
| Inj. teprotumumab-trbw 10 mg HCPCS J3241 | not published | not published | $357.23 – $377.15 | 4 |
| Inj testostero enanthate 1mg HCPCS J3121 | not published | not published | $0.08 – $0.16 | 2 |
| Inj, testosterone, azmiro HCPCS J1072 | not published | not published | $1.26 – $1.39 | 4 |
| Inj testosterone cypionate HCPCS J1071 | not published | not published | $0.03 – $0.08 | 2 |
| Inj theophylline per 40 mg HCPCS J2810 | not published | not published | $1.06 – $1.06 | 1 |
| Inj thiotepa nos 1 mg HCPCS J9342 | not published | not published | $10.75 – $11.06 | 4 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | not published | not published | $511.00 – $2,004.00 | 2 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | not published | not published | $511.00 – $2,004.00 | 2 |
| Inj. tigecycline (accord) HCPCS J3244 | not published | not published | $6.76 – $6.76 | 1 |
| Inj., tildrakizumab, 1 mg HCPCS J3245 | not published | not published | $130.00 – $133.83 | 4 |
| Inj, tislelizumab-jsgr HCPCS J9329 | not published | not published | $58.59 – $60.32 | 4 |
| Inj tofersen intrathec 1 mg HCPCS J1304 | not published | not published | $153.99 – $167.37 | 4 |
| Inj, tofidence, 1 mg HCPCS Q5133 | not published | not published | $5.53 – $5.81 | 4 |
| Inj travoprost intra impl HCPCS J7355 | not published | not published | $187.49 – $205.51 | 4 |
| Inj triamcinolone ace X-ray 1mg HCPCS J3304 | not published | not published | $18.66 – $19.21 | 4 |
| Inj triferic avnu 0.1mg iron HCPCS J1445 | not published | not published | $0.48 – $0.48 | 1 |
| Inj., triluron, 1 mg HCPCS J7332 | not published | not published | $10.47 – $10.78 | 4 |
| Inj., triptorelin X-ray 3.75 mg HCPCS J3316 | not published | not published | $3,790.60 – $4,008.14 | 4 |
| Inj, trivisc 1 mg HCPCS J7329 | not published | not published | $4.78 – $4.93 | 4 |
| Inj, tyenne, 1 mg HCPCS Q5135 | not published | not published | $4.50 – $4.64 | 4 |
| Inj ustekinumab-aekn, 1 mg HCPCS Q9998 | not published | not published | $41.16 – $42.37 | 4 |
| Inj ustekinumab-kfce, 1 mg HCPCS Q5100 | not published | not published | $5.99 – $26.23 | 4 |
| Inj ustekinumab-stba, 1 mg HCPCS Q5099 | not published | not published | $4.55 – $4.55 | 1 |
| Inj, uzedy, 1 mg HCPCS J2799 | not published | not published | $25.54 – $26.29 | 4 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | not published | not published | $17.89 – $17.89 | 1 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | not published | not published | $17.76 – $17.76 | 1 |
| Inj, vasopressin (baxter) HCPCS J2601 | not published | not published | $2.05 – $2.11 | 4 |
| Inj, vegzelma, 10 mg HCPCS Q5129 | not published | not published | $40.76 – $41.96 | 4 |
| Inj velmanase alfa-tycv 1 mg HCPCS J0217 | not published | not published | $447.68 – $488.50 | 4 |
| Inj., vestronidase alfa-vjbk HCPCS J3397 | not published | not published | $277.03 – $293.92 | 4 |
| Inj. viltolarsen HCPCS J1427 | not published | not published | $152.45 – $152.45 | 1 |
| Inj w/fluor eval cv device CPT 36598 | $106.50 | $213.00 | $211.68 – $1,010.00 | 6 |
| Inj. xembify, 100 mg HCPCS J1558 | not published | not published | $15.14 – $15.59 | 4 |
| Inj xipere 1 mg HCPCS J3299 | not published | not published | $46.75 – $50.37 | 4 |
| Inj., yutiq, 0.01 mg HCPCS J7314 | not published | not published | $517.41 – $556.38 | 4 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | not published | not published | $25.55 – $26.30 | 4 |
| Inj zenocutuzumab-zbco 1 mg HCPCS J9382 | not published | not published | $33.57 – $34.56 | 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.