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 |
|---|---|---|---|---|
| Lengthening of hand tendon CPT 26478 | not published | not published | $1,010.00 – $3,344.08 | 6 |
| Lengthening of palate CPT 42227 | not published | not published | $5,891.41 – $10,995.00 | 5 |
| Lengthening of palate+pharyngeal flap 42226 CPT 42226 | not published | not published | $4,007.00 – $10,995.00 | 6 |
| Lengthening of thigh bone CPT 27466 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Lengthening of thigh tendon CPT 27393 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Lengthening of thigh tendons CPT 27394 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $3,256.29 – $10,995.00 | 6 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $3,338.00 – $13,397.00 | 5 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $3,338.00 – $13,121.51 | 6 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $3,338.00 – $10,995.00 | 6 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $100.00 | $200.00 | not published | 0 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $195.50 | $391.00 | not published | 0 |
| Lepirudin HCPCS J1945 | not published | not published | $1,454.88 – $1,454.88 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $11.58 – $11.58 | 1 |
| Leukacyte transfusion CPT 86950 | not published | not published | $64.18 – $174.54 | 5 |
| Leukocyte phagocytosis CPT 86344 | not published | not published | $10.60 – $13.39 | 5 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $179.98 – $185.27 | 4 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,764.93 – $1,816.84 | 4 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $10,856.65 – $10,856.65 | 1 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $24.80 – $51.42 | 2 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $417.20 – $727.87 | 4 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $80.49 – $82.86 | 4 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $3.82 – $3.82 | 1 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.82 – $0.82 | 1 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.24 – $0.24 | 1 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | not published | $0.13 – $0.13 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $72.00 | $144.00 | $13.52 – $21.71 | 5 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $5.27 – $5.27 | 1 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $1,143.16 – $1,143.16 | 1 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | not published | not published | $3,226.37 – $10,995.00 | 5 |
| Liberta rc ipg HCPCS C1820 | $14,250.00 | $28,500.00 | not published | 0 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.02 – $0.02 | 1 |
| Lidocaine therapeutic drug level CPT 80176 | $31.50 | $63.00 | $14.98 – $24.62 | 5 |
| Lift heel adj small gl60404sm HCPCS L3332 | $13.98 | $27.95 | not published | 0 |
| Ligate esophagus veins CPT 43400 | not published | not published | $13,397.00 – $13,397.00 | 1 |
| Ligate leg veins open CPT 37761 | not published | not published | $1,547.00 – $3,234.74 | 6 |
| Ligate leg veins radical 37760 CPT 37760 | $1,524.50 | $3,049.00 | $3,142.32 – $8,246.00 | 6 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $1,547.00 – $2,004.00 | 2 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $3,142.32 – $8,246.00 | 6 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $3,142.32 – $8,246.00 | 6 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $2,670.00 – $5,978.00 | 6 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Ligation common iliac vein CPT 37660 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,142.32 – $8,246.00 | 5 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,142.32 – $8,246.00 | 5 |
| Ligation internal jugular vein 37565 CPT 37565 | $1,530.00 | $3,060.00 | $1,547.00 – $3,234.74 | 5 |
| Ligation major artery chest CPT 37616 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ligation/major artery/extremity 37618 CPT 37618 | $2,946.50 | $5,893.00 | $1,547.00 – $1,547.00 | 1 |
| Ligation major artery neck CPT 37615 | $3,703.00 | $7,406.00 | $1,547.00 – $3,234.74 | 5 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $5,537.77 – $8,246.00 | 5 |
| Ligation of femoral vein CPT 37650 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $3,304.00 – $13,397.00 | 5 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,142.32 – $8,246.00 | 5 |
| Ligation of salivary duct CPT 42665 | not published | not published | $3,299.54 – $5,978.00 | 6 |
| Ligation of shunt CPT 49428 | $2,111.00 | $4,222.00 | $3,276.00 – $3,276.00 | 1 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $3,142.32 – $8,246.00 | 6 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $5,591.00 | $11,182.00 | $3,142.32 – $8,246.00 | 6 |
| Lig/band angioaccess av fistula CPT 37607 | $4,172.50 | $8,345.00 | $3,142.32 – $8,246.00 | 6 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $3,142.32 – $8,246.00 | 6 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $2,351.50 – $2,351.50 | 1 |
| Limb exercise test CPT 95875 | not published | not published | $128.06 – $131.82 | 4 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $511.00 – $2,670.00 | 2 |
| Limited ankle motion ea jnt HCPCS L2200 | $40.36 | $80.73 | not published | 0 |
| Limited autopsy CPT 88036 | not published | not published | $160.99 – $257.72 | 2 |
| Limited autopsy CPT 88037 | not published | not published | $118.24 – $229.56 | 2 |
| Limited visual field xm CPT 92081 | not published | not published | $58.71 – $60.44 | 4 |
| Lincomycin injection HCPCS J2010 | not published | not published | $18.71 – $18.71 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | not published | not published | $8.29 – $8.29 | 1 |
| Lipase CPT 83690 | $33.00 | $66.00 | $7.03 – $11.54 | 5 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Lipoprotein blood high res frac & quant CPT 83701 | not published | not published | $34.54 – $41.62 | 5 |
| Lipoprotein blood quant CPT 83704 | $140.50 | $281.00 | $34.87 – $52.90 | 5 |
| Lipoprotein direct measurement hdl CPT 83718 | $36.50 | $73.00 | $8.35 – $13.73 | 5 |
| Lipoprotein direct measurement ldl CPT 83721 | $43.00 | $86.00 | $10.71 – $16.00 | 5 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | not published | not published | $34.87 – $42.07 | 5 |
| Lip surgery procedure CPT 40799 | $316.00 | $632.00 | $235.71 – $511.00 | 5 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $0.02 – $590,665.09 | 4 |
| Listeria monocytogenes CPT 86723 | not published | not published | $13.45 – $22.12 | 5 |
| Lithium therapeutic drug level CPT 80178 | $38.50 | $77.00 | $6.74 – $11.09 | 5 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $122.00 | $244.00 | $2,004.00 – $2,004.00 | 1 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $177.50 | $355.00 | $179.71 – $211.43 | 5 |
| Liver elastography 91200 CPT 91200 | not published | not published | $128.06 – $131.82 | 4 |
| Liver Function Test CPT 80076 | $49.00 | $98.00 | $8.33 – $13.70 | 5 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Liver imaging CPT 78201 | $381.50 | $763.00 | $540.36 – $556.26 | 4 |
| Liver imag w/vasclr flow CPT 78202 | $381.50 | $763.00 | $540.36 – $556.26 | 4 |
| Liver/spleen imag static only CPT 78215 | $472.00 | $944.00 | $397.85 – $409.55 | 4 |
| Liver/spleen imag w/vasclr flow CPT 78216 | not published | not published | $397.85 – $409.55 | 4 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $2,366.07 – $5,978.00 | 5 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $221.24 – $227.75 | 4 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | not published | $3.76 – $3.76 | 1 |
| Loudness balance test CPT 92562 | not published | not published | $214.89 – $221.21 | 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.