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 |
|---|---|---|---|---|
| Inner skull vessel surgery CPT 61702 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | not published | not published | $2,752.01 – $2,832.96 | 4 |
| Ins cath ren art 1st bi CPT 36252 | $4,866.50 | $9,733.00 | $2,670.00 – $8,246.00 | 5 |
| Ins cath ren art 1st uni CPT 36251 | $5,588.00 | $11,176.00 | $2,670.00 – $8,246.00 | 5 |
| Ins cath ren art 2nd+ bi CPT 36254 | $5,588.00 | $11,176.00 | $2,670.00 – $8,246.00 | 5 |
| Ins cath ren art 2nd+ uni CPT 36253 | $5,588.00 | $11,176.00 | $2,670.00 – $13,397.00 | 5 |
| Ins cerv dilator (sep proc) CPT 59200 | $625.00 | $1,250.00 | $303.27 – $1,010.00 | 6 |
| Ins device for right guide open CPT 49412 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Insemination of oocytes CPT 89268 | not published | not published | $52.48 – $174.54 | 5 |
| Insert abdomen-venous drain CPT 49425 | $2,039.50 | $4,079.00 | $2,670.00 – $3,276.00 | 2 |
| Insert and remove bone pin CPT 20650 | $2,400.50 | $4,801.00 | $3,256.29 – $8,246.00 | 6 |
| Insert ant drainage device CPT 66183 | not published | not published | $3,304.00 – $10,995.00 | 6 |
| Insert balloon device CPT 33973 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Insert brain-fluid device 61215 CPT 61215 | not published | not published | $3,304.00 – $10,995.00 | 6 |
| Insert cannula hemo oth 36815 CPT 36815 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| Insert cannula vein-to-vein hemodialysis CPT 36800 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| Insert cath pleura with image CPT 32557 | $2,209.00 | $4,418.00 | $1,010.00 – $1,612.67 | 6 |
| Insert cath pleura without image CPT 32556 | $1,213.00 | $2,426.00 | $1,010.00 – $3,276.00 | 6 |
| Insert cv cath inf & sup app HCPCS C9780 | not published | not published | $3,304.00 – $29,725.00 | 5 |
| Insert drug del implant, >=4 HCPCS G0516 | not published | not published | $444.58 – $511.00 | 5 |
| Insert drug delivery implant CPT 11981 | $988.00 | $1,976.00 | $132.41 – $2,845.00 | 6 |
| Insert epicard eltrd endo 33203 CPT 33203 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Insert epicardial lead open 33202 CPT 33202 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Insert eye socket implant CPT 67550 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Insert hepatic shunt (tips) CPT 37182 | $3,117.50 | $6,235.00 | $7,300.00 – $29,725.00 | 5 |
| Insert heyman uteri capsule CPT 58346 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Insert intervert bimech device 22854 CPT 22854 | not published | not published | $511.00 – $2,004.00 | 2 |
| Insert intracorporeal device CPT 33979 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Insert intrauterine device iud CPT 58300 | $167.00 | $334.00 | $511.00 – $2,845.00 | 3 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | not published | not published | $1,010.00 – $8,246.00 | 6 |
| Insertion catheter bladder non indwelling CPT 51701 | $87.00 | $174.00 | $132.41 – $2,845.00 | 6 |
| Insertion catheter bladder temporary simple CPT 51702 | $368.00 | $736.00 | $132.41 – $2,845.00 | 6 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $3,320.00 | $6,640.00 | $2,670.00 – $8,246.00 | 6 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $3,176.50 | $6,353.00 | $62,241.00 – $62,241.00 | 1 |
| Insertion intra-aortic circulation dev 33970 CPT 33970 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $7,944.50 | $15,889.00 | $3,304.00 – $13,397.00 | 5 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $2,303.50 | $4,607.00 | $1,010.00 – $3,227.04 | 6 |
| Insertion of cannula CPT 36810 | not published | not published | $3,142.32 – $8,246.00 | 6 |
| Insertion of cannula(s) CPT 36823 | not published | not published | $5,978.00 – $5,978.00 | 1 |
| Insertion of catheter vein CPT 36481 | $1,423.50 | $2,847.00 | $511.00 – $2,004.00 | 2 |
| Insertion of catheter vein CPT 36500 | $2,045.00 | $4,090.00 | $511.00 – $2,004.00 | 2 |
| Insertion of heart electrode 33211 CPT 33211 | $4,245.00 | $8,490.00 | $3,338.00 – $13,397.00 | 5 |
| Insertion of infusion pump CPT 36260 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $12,824.00 | $25,648.00 | $5,980.00 – $10,682.25 | 4 |
| Insertion of new/replacement ppm w/transvenous electrode(s) ventricular CPT 33207 | $12,824.00 | $25,648.00 | $5,980.00 – $10,682.25 | 4 |
| Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator CPT 33225 | $3,679.50 | $7,359.00 | $3,338.00 – $3,338.00 | 1 |
| Insertion palate prosthesis CPT 42281 | not published | not published | $3,276.00 – $6,050.24 | 6 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $2,313.00 | $4,626.00 | $1,010.00 – $1,612.67 | 6 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $2,856.00 | $5,712.00 | $1,566.60 – $3,276.00 | 5 |
| Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber CPT 33249 | $34,463.00 | $68,926.00 | $5,980.00 – $32,080.35 | 4 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $4,245.00 | $8,490.00 | $3,338.00 – $13,397.00 | 5 |
| Insertion single tranvenous electrode/ppm/implantable defibrillator CPT 33216 | $4,153.50 | $8,307.00 | $3,338.00 – $13,397.00 | 5 |
| Insertion subcutaneous cardiac rhythm monitor CPT 33285 | $6,565.50 | $13,131.00 | $2,004.00 – $29,725.00 | 5 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $3,317.50 | $6,635.00 | $3,142.32 – $8,246.00 | 6 |
| Insertion ureth cath CPT 51045 | not published | not published | $1,547.00 – $4,314.00 | 6 |
| Insert lens prosthesis CPT 66985 | not published | not published | $2,296.74 – $5,978.00 | 6 |
| Insert major vessel graft CPT 33330 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Insert major vessel graft with bypass 33335 CPT 33335 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Insert multi-comp penis pros CPT 54405 | not published | not published | $3,304.00 – $39,612.00 | 6 |
| Insert nasal septal button CPT 30220 | not published | not published | $1,544.13 – $3,895.00 | 6 |
| Insert ocular implant CPT 65130 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Insert ocular implant CPT 65135 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Insert palate implants HCPCS C9727 | not published | not published | $1,544.13 – $3,276.00 | 5 |
| Insert pelv fixation device CPT 22848 | not published | not published | $511.00 – $2,004.00 | 2 |
| Insert pessary/other device CPT 57160 | $223.00 | $446.00 | $201.20 – $2,845.00 | 6 |
| Insert picvad cath CPT 36570 | $2,602.00 | $5,204.00 | $3,142.32 – $8,246.00 | 6 |
| Insert pm/icd lead dual CPT 33217 | $4,153.50 | $8,307.00 | $3,338.00 – $13,397.00 | 5 |
| Insert prost urethral stent CPT 53855 | not published | not published | $1,547.00 – $2,845.00 | 6 |
| Insert/repl sq defib w/eltrd CPT 33270 | $55,228.00 | $110,456.00 | $3,304.00 – $32,080.35 | 4 |
| Insert self-contd prosthesis CPT 54401 | not published | not published | $3,304.00 – $39,612.00 | 6 |
| Insert semi-rigid prosthesis CPT 54400 | not published | not published | $3,304.00 – $29,725.00 | 6 |
| Insert spine fixation device CPT 22843 | not published | not published | $511.00 – $2,004.00 | 2 |
| Insert spine fixation device CPT 22841 | not published | not published | $511.00 – $2,004.00 | 2 |
| Insert spine fixation device CPT 22844 | not published | not published | $511.00 – $2,004.00 | 2 |
| Insert spine fixation device CPT 22847 | not published | not published | $2,004.00 – $13,397.00 | 2 |
| Insert spine infusion device 62360 CPT 62360 | $9,248.00 | $18,496.00 | $1,571.00 – $18,420.92 | 6 |
| Insert sq defib electrode CPT 33271 | $12,305.00 | $24,610.00 | $3,304.00 – $8,457.69 | 4 |
| Insert swan-ganz cath CPT 93503 | $1,257.00 | $2,514.00 | $1,547.00 – $1,612.67 | 5 |
| Insert tandem cuff CPT 53444 | not published | not published | $1,571.00 – $29,725.00 | 6 |
| Insert tissue expander(s) CPT 11960 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Insert tunneled cv 2cath 2sits without port/pmp 36565 CPT 36565 | $4,803.00 | $9,606.00 | $3,142.32 – $8,246.00 | 6 |
| Insert tunneled cv cath CPT 36560 | $2,762.50 | $5,525.00 | $3,142.32 – $8,246.00 | 6 |
| Insert tunneled cv cath CPT 36563 | $7,965.00 | $15,930.00 | $3,304.00 – $13,397.00 | 6 |
| Insert ureteral support CPT 50605 | not published | not published | $1,547.00 – $4,007.00 | 2 |
| Insert uro/ves nck sphincter CPT 53445 | not published | not published | $1,010.00 – $39,612.00 | 6 |
| Insert uteri tandem/ovoids CPT 57155 | $2,707.50 | $5,415.00 | $1,547.00 – $5,112.65 | 6 |
| Insert vad art access left hrt arterial access CPT 33990 | $10,000.00 | $20,000.00 | $1,547.00 – $1,547.00 | 1 |
| Insert vad art access left hrt art & vein access CPT 33991 | $10,000.00 | $20,000.00 | $1,547.00 – $1,547.00 | 1 |
| Ins icd gen exist mlt leads CPT 33231 | $47,631.00 | $95,262.00 | $3,304.00 – $32,080.35 | 4 |
| Ins icd gen exist sgl lead CPT 33240 | $13,866.50 | $27,733.00 | $5,980.00 – $22,733.60 | 4 |
| Insitu hybridization auto CPT 88367 | $502.50 | $1,005.00 | $41.78 – $366.34 | 5 |
| Insitu hybridization (fish) CPT 88366 | $243.00 | $486.00 | $103.84 – $174.54 | 5 |
| Insitu hybridization manual CPT 88368 | $410.50 | $821.00 | $41.78 – $366.34 | 5 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $243.00 | $486.00 | $84.10 – $240.04 | 2 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $213.50 | $427.00 | $41.78 – $174.54 | 5 |
| Insj biomechanical device CPT 22859 | not published | not published | $511.00 – $2,004.00 | 2 |
| Insj biomechanical device 22853 CPT 22853 | not published | not published | $511.00 – $2,004.00 | 2 |
| Insj perq vad r hrt venous CPT 33995 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Insj phrnc nrv stim sys CPT 33276 | not published | not published | $3,304.00 – $71,348.00 | 5 |
| Insj phrnc nrv stim transvns CPT 33277 | not published | not published | $511.00 – $2,004.00 | 2 |
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.