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 |
|---|---|---|---|---|
| Knee MRI (with and without contrast) CPT 73723 | $3,790.50 | $7,581.00 | $347.20 – $357.41 | 4 |
| Knee MRI (with contrast) CPT 73722 | $2,088.00 | $4,176.00 | $780.16 – $803.10 | 4 |
| Knee MRI (without contrast) CPT 73721 | $1,757.00 | $3,514.00 | $237.46 – $244.44 | 4 |
| Knee orth pos locking joint HCPCS L1831 | $181.12 | $362.25 | not published | 0 |
| Knee X-ray CPT 73564 | $275.00 | $550.00 | $104.04 – $107.10 | 4 |
| Ko elastic w/joints pre ots HCPCS L1812 | $56.41 | $112.82 | not published | 0 |
| Ko single upright pre cst HCPCS L1843 | $195.04 | $390.08 | not published | 0 |
| Kras gene addl variants CPT 81276 | $292.00 | $584.00 | $197.12 – $236.63 | 5 |
| Kras gene variants exon 2 CPT 81275 | not published | not published | $197.12 – $236.98 | 5 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $3,218.77 – $3,218.77 | 1 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $4,339.00 – $29,725.00 | 5 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $4,339.00 – $29,725.00 | 5 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $94.50 | $189.00 | not published | 0 |
| Lab draw <3 yrs scalp vein 36405 CPT 36405 | $488.00 | $976.00 | not published | 0 |
| Labioplasty 56800 CPT 56800 | not published | not published | $3,221.58 – $5,978.00 | 6 |
| Lactate dehydrogenase (ldh) CPT 83615 | $28.50 | $57.00 | $6.16 – $10.13 | 5 |
| Lactated ringers intravenous solution HCPCS J7120 | not published | not published | $6.70 – $6.70 | 1 |
| Lactation class HCPCS S9443 | $25.00 | $50.00 | not published | 0 |
| Lactic acid CPT 83605 | $183.00 | $366.00 | $11.80 – $17.90 | 5 |
| Lactoferrin fecal qualitative CPT 83630 | not published | not published | $19.34 – $20.68 | 5 |
| Lactoferrin fecal quant CPT 83631 | $86.50 | $173.00 | $20.02 – $32.90 | 5 |
| Lam facetc/frmt arthrd lum 1 CPT 63052 | not published | not published | $511.00 – $2,004.00 | 2 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Lam facetec & foramot thrc CPT 63046 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Lam factc/frmt arthrd lum ea CPT 63053 | not published | not published | $511.00 – $2,004.00 | 2 |
| Lamie bx/exc idrl spine lesn lmbr 63282 CPT 63282 | not published | not published | $29,725.00 – $29,725.00 | 1 |
| Lamie bx/exc idrl spine lesn thrc 63281 CPT 63281 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Lamie excise intrspinl lesion thrc 63266 CPT 63266 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Laminotomy single cervical CPT 63040 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Laminotomy single lumbar CPT 63042 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Lamiotoiotiotinotomy addl cervical 63043 CPT 63043 | not published | not published | $2,004.00 – $8,246.00 | 2 |
| Lam w/cordotomy 1stg thrc CPT 63197 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | not published | not published | $34.73 – $35.75 | 4 |
| Laparo ablate liver tumor rf CPT 47370 | not published | not published | $3,338.00 – $29,725.00 | 5 |
| Laparo ablate renal cyst CPT 50541 | not published | not published | $4,007.00 – $10,995.00 | 6 |
| Laparo ablate renal mass CPT 50542 | not published | not published | $5,980.00 – $29,725.00 | 5 |
| Laparo-asst vag hysterectomy CPT 58550 | not published | not published | $4,339.00 – $13,397.00 | 6 |
| Laparo cholecystectomy/explr CPT 47564 | not published | not published | $5,980.00 – $13,397.00 | 5 |
| Laparo cholecystectomy/graph CPT 47563 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Laparo cholecystoenterostomy CPT 47570 | not published | not published | $1,547.00 – $5,980.00 | 2 |
| Laparo drng lymphocele 49323 CPT 49323 | $3,467.50 | $6,935.00 | $3,304.00 – $10,995.00 | 6 |
| Laparo ligate spermatic vein CPT 55550 | not published | not published | $4,339.00 – $13,397.00 | 6 |
| Laparo-myomectomy complex CPT 58546 | not published | not published | $5,980.00 – $13,397.00 | 6 |
| Laparo new ureter/bladder CPT 50947 | not published | not published | $4,339.00 – $13,397.00 | 6 |
| Laparo new ureter/bladder CPT 50948 | not published | not published | $4,339.00 – $13,397.00 | 6 |
| Laparo partial colectomy 44204 CPT 44204 | not published | not published | $10,995.00 – $10,995.00 | 1 |
| Laparo partial nephrectomy CPT 50543 | not published | not published | $5,980.00 – $13,397.00 | 5 |
| Laparo proc abdm/per/oment 49329 CPT 49329 | $4,087.50 | $8,175.00 | $2,004.00 – $10,995.00 | 5 |
| Laparo radical nephrectomy CPT 50545 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Laparo removal donor kidney CPT 50547 | not published | not published | $1,547.00 – $4,007.00 | 2 |
| Laparo remove w/ureter CPT 50548 | not published | not published | $1,547.00 – $4,007.00 | 2 |
| Laparoscope proc rectum CPT 45499 | not published | not published | $3,304.00 – $10,995.00 | 5 |
| Laparoscopic myomectomy CPT 58545 | not published | not published | $4,339.00 – $10,995.00 | 6 |
| Laparoscopic nephrectomy CPT 50546 | not published | not published | $1,547.00 – $4,007.00 | 2 |
| Laparoscopic proc CPT 45400 | not published | not published | $3,304.00 – $8,246.00 | 2 |
| Laparoscopic salpingostomy 58673 CPT 58673 | not published | not published | $4,007.00 – $13,397.00 | 6 |
| Laparoscopy adrenalectomy CPT 60650 | not published | not published | $3,338.00 – $10,995.00 | 2 |
| Laparoscopy aspiration CPT 49322 | not published | not published | $3,338.00 – $10,995.00 | 6 |
| Laparoscopy biopsy CPT 49321 | not published | not published | $3,338.00 – $10,995.00 | 6 |
| Laparoscopye procstom 43659 CPT 43659 | not published | not published | $3,304.00 – $10,995.00 | 5 |
| Laparoscopy excise lesions CPT 58662 | not published | not published | $4,007.00 – $13,397.00 | 6 |
| Laparoscopy fundoplasty CPT 43280 | not published | not published | $4,007.00 – $13,397.00 | 6 |
| Laparoscopy gastrostomy CPT 43653 | not published | not published | $4,339.00 – $13,397.00 | 6 |
| Laparoscopy lymphadenectomy CPT 38571 | not published | not published | $6,716.00 – $13,397.00 | 6 |
| Laparoscopy lymphadenectomy CPT 38572 | not published | not published | $6,716.00 – $13,397.00 | 6 |
| Laparoscopy lymph node biop CPT 38570 | not published | not published | $4,339.00 – $13,397.00 | 6 |
| Laparoscopy lysis CPT 58660 | not published | not published | $4,007.00 – $13,397.00 | 6 |
| Laparoscopy orchiectomy CPT 54690 | not published | not published | $4,339.00 – $13,397.00 | 6 |
| Laparoscopy orchiopexy CPT 54692 | not published | not published | $4,339.00 – $13,397.00 | 6 |
| Laparoscopy pyeloplasty CPT 50544 | not published | not published | $4,007.00 – $13,397.00 | 6 |
| Laparoscopy remove adnexa CPT 58661 | not published | not published | $4,007.00 – $13,397.00 | 6 |
| Laparoscopy splenectomy CPT 38120 | not published | not published | $4,007.00 – $13,397.00 | 6 |
| Laparoscopy surg colpopexy CPT 57425 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Laparoscopy tubal block 58671 CPT 58671 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| Laparoscopy ureterolithotomy CPT 50945 | not published | not published | $4,339.00 – $13,397.00 | 6 |
| Laparoscopy vagus nerve CPT 43651 | not published | not published | $4,007.00 – $13,397.00 | 6 |
| Laparoscopy vagus nerve CPT 43652 | not published | not published | $4,007.00 – $13,397.00 | 6 |
| Laparo sling operation 51992 CPT 51992 | not published | not published | $4,007.00 – $13,397.00 | 6 |
| Laparotomy; inject/aspirate liver cyst 47015 CPT 47015 | not published | not published | $3,276.00 – $3,276.00 | 1 |
| Laparo total proctocolectomy CPT 44212 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Laparo urethral suspension CPT 51990 | not published | not published | $4,007.00 – $13,397.00 | 6 |
| Laparo-vag hyst incl t/o CPT 58552 | not published | not published | $4,441.00 – $13,397.00 | 6 |
| Laparo-vag hyst w/t/o compl CPT 58554 | not published | not published | $4,441.00 – $13,397.00 | 6 |
| Laparscpy ablat 1>lvr tum cryo CPT 47371 | not published | not published | $3,338.00 – $29,725.00 | 5 |
| Lap close enterostomy with resect 44227 CPT 44227 | not published | not published | $1,547.00 – $3,304.00 | 2 |
| Lap colectomy/coloproctostomy 44207 CPT 44207 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Lap colectomy/coloproctostomy w/clst 44208 CPT 44208 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Lap colectomy part w/ileum 44205 CPT 44205 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Lap colectomy w/proctectomy 44211 CPT 44211 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Lap colostomy 44188 CPT 44188 | not published | not published | $1,547.00 – $3,304.00 | 2 |
| Lap enterectomy 44202 CPT 44202 | not published | not published | $4,007.00 – $10,995.00 | 2 |
| Lap enterolysis CPT 44180 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| Lap esophageal lengthening addl 43283 CPT 43283 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Lap fimbrioplasty 58672 CPT 58672 | not published | not published | $4,007.00 – $13,397.00 | 6 |
| Lap gastr bypass incl smll i CPT 43645 | not published | not published | $13,397.00 – $13,397.00 | 1 |
| Lap gastric bypass/roux-en-y CPT 43644 | not published | not published | $13,397.00 – $13,397.00 | 1 |
| Lap ileo/jejuno-stomy 44187 CPT 44187 | not published | not published | $1,547.00 – $3,304.00 | 2 |
| Lap impl electrode antrum CPT 43647 | not published | not published | $3,304.00 – $29,725.00 | 6 |
| Lap inc hernia repair 49654 CPT 49654 | not published | not published | $6,716.00 – $6,716.00 | 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.