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 |
|---|---|---|---|---|
| Lap inc hernia repair recurr 49656 CPT 49656 | not published | not published | $6,716.00 – $6,716.00 | 1 |
| Lap inc hern recur comp 49657 CPT 49657 | not published | not published | $6,716.00 – $6,716.00 | 1 |
| Lap inc hern repair comp 49655 CPT 49655 | not published | not published | $6,716.00 – $6,716.00 | 1 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Lap ing hernia repair recur CPT 49651 | not published | not published | $5,418.00 – $13,397.00 | 6 |
| Lap ins device for right CPT 49327 | not published | not published | $511.00 – $6,716.00 | 3 |
| Lap insert tunnel ip cath CPT 49324 | not published | not published | $3,338.00 – $10,995.00 | 6 |
| Lap jejunostomy 44186 CPT 44186 | not published | not published | $4,007.00 – $13,397.00 | 6 |
| Lap mobil splenic fl add-on 44213 CPT 44213 | not published | not published | $1,547.00 – $3,304.00 | 2 |
| Lap myotomy heller CPT 43279 | not published | not published | $13,397.00 – $13,397.00 | 1 |
| Lap paraesophag hern repair CPT 43281 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Lap paraesoph her rpr w/mesh CPT 43282 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Lap part colectomy w/stoma 44206 CPT 44206 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Lap place gastr adj device CPT 43770 | not published | not published | $3,304.00 – $13,397.00 | 5 |
| Lap proctopexy w/sig resect 45402 CPT 45402 | not published | not published | $1,547.00 – $3,304.00 | 2 |
| Lap radical hyst CPT 58548 | not published | not published | $10,995.00 – $10,995.00 | 1 |
| Lap removal of rectum w/colostomy 45395 CPT 45395 | not published | not published | $1,547.00 – $3,304.00 | 2 |
| Lap remove rectum w/pouch CPT 45397 | not published | not published | $1,547.00 – $3,304.00 | 2 |
| Lap replace gastr adj device CPT 43773 | not published | not published | $3,304.00 – $10,995.00 | 5 |
| Lap resect s/intestine addl 44203 CPT 44203 | not published | not published | $10,995.00 – $10,995.00 | 1 |
| Lap revise gastr adj device CPT 43771 | not published | not published | $3,304.00 – $8,246.00 | 2 |
| Lap revise/remv eltrd antrum CPT 43648 | not published | not published | $3,304.00 – $10,995.00 | 6 |
| Lap revision perm ip cath CPT 49325 | not published | not published | $3,338.00 – $10,995.00 | 6 |
| Lap rmvl gastr adj all parts CPT 43774 | not published | not published | $3,304.00 – $29,725.00 | 5 |
| Lap rmvl gastr adj device CPT 43772 | not published | not published | $3,304.00 – $8,246.00 | 5 |
| Laps abltj uterine fibroids CPT 58674 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Laps esophgl sphnctr agmntj 43284 CPT 43284 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Lap sleeve gastrectomy CPT 43775 | not published | not published | $13,397.00 – $13,397.00 | 1 |
| Laps pelvic lymphadec CPT 38573 | not published | not published | $4,339.00 – $13,397.00 | 5 |
| Laps surg prst8ect rpbic rad CPT 55866 | not published | not published | $4,007.00 – $29,725.00 | 5 |
| Laps surg prst8ect smpl stot CPT 55867 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Laps tot hyst resj mal CPT 58575 | not published | not published | $8,246.00 – $8,246.00 | 1 |
| Lap tot proctocolectomy 44210 CPT 44210 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Lapt stg/restg ovarian tubal/prim mal 2nd 58960 CPT 58960 | not published | not published | $5,980.00 – $13,397.00 | 2 |
| Lap vent/abd hernia repair 49652 CPT 49652 | not published | not published | $6,716.00 – $6,716.00 | 1 |
| Lap vent/abd hern proc comp 49653 CPT 49653 | not published | not published | $6,716.00 – $6,716.00 | 1 |
| Lap w/omentopexy add-on 49326 CPT 49326 | not published | not published | $511.00 – $6,716.00 | 3 |
| Largsc w/laser dstrj les CPT 31572 | not published | not published | $2,670.00 – $5,978.00 | 6 |
| Largsc w/njx augmentation CPT 31574 | not published | not published | $1,771.35 – $5,418.00 | 6 |
| Largsc w/removal lesion CPT 31578 | not published | not published | $1,571.00 – $3,810.48 | 6 |
| Largsc w/rmvl foreign bdy(s) CPT 31577 | $533.50 | $1,067.00 | $389.24 – $1,571.00 | 6 |
| Largsc w/ther injection CPT 31573 | not published | not published | $1,771.35 – $5,418.00 | 6 |
| Laronidase injection HCPCS J1931 | not published | not published | $39.16 – $41.86 | 4 |
| Laryngeal function studies CPT 92520 | $197.00 | $394.00 | $132.41 – $136.30 | 4 |
| Laryngoplasty cricoid split CPT 31587 | not published | not published | $3,338.00 – $10,995.00 | 5 |
| Laryngoplasty fx rdctj fixj CPT 31584 | not published | not published | $3,338.00 – $8,246.00 | 5 |
| Laryngoplasty laryngeal sten CPT 31551 | not published | not published | $4,007.00 – $10,995.00 | 5 |
| Laryngoplasty laryngeal sten CPT 31552 | not published | not published | $4,007.00 – $10,995.00 | 5 |
| Laryngoplasty laryngeal sten CPT 31553 | not published | not published | $4,007.00 – $10,995.00 | 5 |
| Laryngoplasty laryngeal sten CPT 31554 | not published | not published | $4,007.00 – $10,995.00 | 5 |
| Laryngoplasty laryngeal web CPT 31580 | not published | not published | $4,007.00 – $10,995.00 | 6 |
| Laryngoplasty medialization CPT 31591 | not published | not published | $3,338.00 – $10,995.00 | 5 |
| Laryngoscope w/vc inj CPT 31570 | $2,318.50 | $4,637.00 | $1,571.00 – $3,810.48 | 6 |
| Laryngoscopic sensory vid CPT 92614 | $373.00 | $746.00 | $54.41 – $56.01 | 4 |
| Laryngoscop w/arytenoidectom CPT 31560 | not published | not published | $4,007.00 – $8,246.00 | 6 |
| Laryngoscop w/vc inj + scope CPT 31571 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Laryngoscopy and dilation CPT 31528 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Laryngoscopy and dilation CPT 31529 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $1,088.00 | $2,176.00 | $1,010.00 – $3,276.00 | 6 |
| Laryngoscopy for treatment CPT 31527 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Laryngoscopy telescopic CPT 31579 | $528.00 | $1,056.00 | $389.24 – $1,010.00 | 6 |
| Laryngoscopy w/biopsy CPT 31535 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Laryngoscopy w/bx & op scope CPT 31536 | not published | not published | $3,304.00 – $5,978.00 | 6 |
| Laryngoscopy w/exc of tumor CPT 31540 | not published | not published | $3,304.00 – $5,978.00 | 6 |
| Laryngoscopy w/fb & op scope CPT 31531 | not published | not published | $3,276.00 – $3,895.00 | 6 |
| Laryngoscopy w/fb removal CPT 31530 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Laryngoscopy with biopsy CPT 31576 | $1,892.00 | $3,784.00 | $1,571.00 – $3,276.00 | 6 |
| Laryngoscopy with biopsy 31510 CPT 31510 | not published | not published | $1,571.00 – $3,810.48 | 6 |
| Laryngoscopy w/w/o tracheoscopy aspiration CPT 31515 | not published | not published | $389.24 – $1,010.00 | 6 |
| Larynscop remve cart + scop CPT 31561 | not published | not published | $4,007.00 – $7,212.93 | 6 |
| Larynscop w/tumr exc + scope CPT 31541 | not published | not published | $3,338.00 – $5,978.00 | 6 |
| Laser surgery eye strands CPT 67031 | not published | not published | $547.36 – $1,571.00 | 6 |
| Laser surgery of cervix 57513 CPT 57513 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Laser surgery of prostate CPT 52647 | not published | not published | $4,007.00 – $10,995.00 | 3 |
| Laser surgery of prostate CPT 52648 | not published | not published | $4,007.00 – $10,995.00 | 6 |
| Laser surg penis lesion(s) CPT 54057 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Laser treatment of retina CPT 67039 | not published | not published | $4,113.58 – $10,995.00 | 6 |
| Laser treatment of retina CPT 67040 | not published | not published | $4,113.58 – $10,995.00 | 6 |
| Lateral canthopexy CPT 21282 | not published | not published | $3,276.00 – $4,441.00 | 6 |
| Lat retinacular release open CPT 27425 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Lavage cannulation maxillary sinus CPT 31000 | not published | not published | $235.71 – $2,845.00 | 6 |
| Lavh >250 gms 58553 CPT 58553 | not published | not published | $4,441.00 – $13,397.00 | 6 |
| Lb with mastopexy 15839 CPT 15839 | not published | not published | $2,890.77 – $3,895.00 | 6 |
| Lead acuity x4 spiral l 86cm HCPCS C1900 | $4,239.88 | $8,479.76 | not published | 0 |
| Lead capillary CPT 83655 | $74.00 | $148.00 | $12.35 – $20.29 | 5 |
| Lead ingevity 45cm pfret MRI HCPCS C1898 | $917.01 | $1,834.02 | not published | 0 |
| Lead tachy durata sj4 58cm HCPCS C1777 | $4,592.30 | $9,184.59 | not published | 0 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $3,338.00 – $10,995.00 | 5 |
| Lefort i-2 piece without graft CPT 21142 | not published | not published | $3,338.00 – $10,995.00 | 5 |
| Lefort i-3/> piece with graft CPT 21147 | not published | not published | $3,338.00 – $10,995.00 | 5 |
| Lefort i-3/> piece without graft CPT 21143 | not published | not published | $3,338.00 – $10,995.00 | 5 |
| Lefort ii anterior intrusion CPT 21150 | not published | not published | $3,338.00 – $10,995.00 | 5 |
| Left compres band >=3" <5"/yd HCPCS A6449 | $10.87 | $21.74 | not published | 0 |
| Left compres band <3"/yd HCPCS A6448 | $5.70 | $11.39 | not published | 0 |
| Left compres band >=5"/yd HCPCS A6450 | $6.73 | $13.46 | not published | 0 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $20.45 – $33.62 | 5 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $42.60 – $70.00 | 5 |
| Leg vein fusion 34530 CPT 34530 | not published | not published | $3,142.32 – $8,246.00 | 5 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $834.00 | $1,668.00 | $237.46 – $244.44 | 4 |
| Leishmania antibody CPT 86717 | $55.00 | $110.00 | $12.50 – $20.54 | 5 |
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.