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 |
|---|---|---|---|---|
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $21.33 – $21.33 | 1 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $31.90 – $32.83 | 4 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | not published | not published | $1.09 – $1.09 | 1 |
| Mesh/prosth/ pelvic floor rpr/vag 57267 CPT 57267 | not published | not published | $511.00 – $5,980.00 | 2 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $4.40 – $4.40 | 1 |
| Metabolic Blood Panel (Basic) CPT 80048 | $51.00 | $102.00 | $8.63 – $14.20 | 5 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $63.50 | $127.00 | $10.77 – $17.72 | 5 |
| Metabolic panel ionized ca CPT 80047 | $122.50 | $245.00 | $14.00 – $36.61 | 5 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $4.48 – $4.48 | 1 |
| Methadone injection HCPCS J1230 | not published | not published | $57.48 – $57.48 | 1 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $18.26 – $18.26 | 1 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | not published | not published | $0.50 – $0.50 | 1 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | not published | not published | $9.38 – $9.38 | 1 |
| Methotrexate therapeutic drug level CPT 80204 | $62.00 | $124.00 | $39.34 – $46.28 | 5 |
| Methyldopate hcl injection HCPCS J0210 | not published | not published | $108.12 – $108.12 | 1 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | not published | not published | $8.90 – $9.16 | 4 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | not published | not published | $60.71 – $60.71 | 1 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | not published | not published | $3.60 – $3.60 | 1 |
| Methylphenidate CPT 80360 | not published | not published | $0.03 – $29.64 | 2 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | not published | not published | $0.69 – $0.69 | 1 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | not published | not published | $0.23 – $0.23 | 1 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $0.49 – $0.49 | 1 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | not published | not published | $2.86 – $2.86 | 1 |
| Metyrapone panel CPT 80436 | not published | not published | $92.98 – $152.83 | 5 |
| Mgmt promoter methylation analysis CPT 81287 | $590.00 | $1,180.00 | $99.71 – $130.87 | 5 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.80 – $0.80 | 1 |
| Microalbumin urine screen CPT 82044 | not published | not published | $6.35 – $7.67 | 5 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $17.38 – $42.18 | 5 |
| Microdissection laser CPT 88380 | not published | not published | $15.12 – $192.49 | 2 |
| Microdissection manual CPT 88381 | $619.50 | $1,239.00 | $126.82 – $317.39 | 2 |
| Microfluid analy tears CPT 83861 | not published | not published | $22.93 – $28.30 | 5 |
| Microsatellite instability CPT 81301 | $248.50 | $497.00 | $355.53 – $474.05 | 5 |
| Microsurg tehniq require use oper micro (add-on)69990 CPT 69990 | not published | not published | $511.00 – $2,004.00 | 2 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $128.06 – $131.82 | 4 |
| Microwave bronch, 3d, ebus HCPCS C9751 | not published | not published | $5,980.00 – $8,246.00 | 2 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | not published | not published | $0.37 – $0.37 | 1 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.45 – $0.45 | 1 |
| Middle cerebral artery echo CPT 76821 | $370.00 | $740.00 | $104.04 – $107.10 | 4 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $3.66 – $3.66 | 1 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.72 – $2.80 | 4 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $70.88 – $72.96 | 4 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,390.48 – $3,988.80 | 5 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $20.75 – $21.37 | 4 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $324.90 – $334.46 | 4 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $24.35 – $25.07 | 4 |
| Mitral valve replacement w/bypass 33430 CPT 33430 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Mlh1 gene CPT 81288 | $310.00 | $620.00 | $191.57 – $201.94 | 5 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $206.45 – $228.82 | 5 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $688.91 – $775.49 | 5 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $310.87 – $347.55 | 5 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $17.56 – $18.08 | 4 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $5.00 – $5.14 | 4 |
| Mlt osteot rlgnm imed rd hum CPT 24410 | not published | not published | $3,338.00 – $13,121.51 | 6 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $86.61 – $89.15 | 4 |
| Mnl prep&insj dp rx dlvr dev CPT 20700 | not published | not published | $511.00 – $2,004.00 | 2 |
| Mnl prep&insj i-artic rx dev CPT 20704 | not published | not published | $511.00 – $2,004.00 | 2 |
| Mnl prep&insj imed rx dev CPT 20702 | not published | not published | $511.00 – $2,004.00 | 2 |
| Mnpj anes sho jt fixj aprats CPT 23700 | $1,529.50 | $3,059.00 | $1,010.00 – $3,276.00 | 6 |
| Mnpj elbow under anes CPT 24300 | not published | not published | $1,600.27 – $4,314.00 | 6 |
| Mnpj of tmj w/anesth CPT 21073 | not published | not published | $1,544.13 – $3,276.00 | 6 |
| Mnt subs tx for change dx HCPCS G0270 | $48.50 | $97.00 | $22.27 – $22.92 | 4 |
| Mobilization of colon 44139 CPT 44139 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Modification of contact lens CPT 92325 | not published | not published | $132.41 – $136.30 | 4 |
| Modified maze/limited 33254 CPT 33254 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Modified maze/limited /w other op 33257 CPT 33257 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $19.50 | $39.00 | $14.46 – $39.52 | 5 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $22.45 – $59.70 | 2 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.14 – $11.91 | 4 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $4,644.56 | $9,289.13 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $649.32 – $668.42 | 4 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $132.50 – $136.39 | 4 |
| Mopath procedure level 1 CPT 81400 | $190.00 | $380.00 | $65.24 – $76.75 | 5 |
| Mopath procedure level 3 CPT 81402 | $410.00 | $820.00 | $153.34 – $180.40 | 5 |
| Mopath procedure level 5 CPT 81404 | $1,117.50 | $2,235.00 | $280.33 – $329.80 | 5 |
| Mopath procedure level 6 CPT 81405 | $1,679.50 | $3,359.00 | $307.38 – $361.62 | 5 |
| Mopath procedure level 7 CPT 81406 | $2,197.00 | $4,394.00 | $288.54 – $339.46 | 5 |
| Mopath procedure level 8 CPT 81407 | $846.50 | $1,693.00 | $863.20 – $1,015.52 | 5 |
| Mopath procedure level 9 CPT 81408 | $14,365.00 | $28,730.00 | $2,040.00 – $2,400.00 | 5 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $12.75 – $12.75 | 1 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $11.29 – $11.29 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $32.14 – $32.14 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $548.50 | $1,097.00 | $169.55 – $220.43 | 5 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $304.00 | $608.00 | $41.78 – $366.34 | 5 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $454.50 | $909.00 | $41.78 – $174.54 | 5 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $667.72 – $687.36 | 4 |
| Motion analysis video/3d CPT 96000 | not published | not published | $371.37 – $382.29 | 4 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $854.62 – $879.75 | 4 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $47.20 – $116.98 | 2 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $512.50 | $1,025.00 | $169.55 – $220.43 | 5 |
| M/phmtrc alysishquant/semiq CPT 88369 | $168.50 | $337.00 | $58.36 – $193.45 | 2 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $41.78 – $174.12 | 5 |
| Mpl gene analysis common variants CPT 81338 | $421.50 | $843.00 | $153.34 – $180.40 | 5 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $20.45 – $33.62 | 5 |
| M.pneumon dna quant CPT 87582 | not published | not published | $70.00 – $317.75 | 5 |
| MRA chest w IV cont HCPCS C8909 | $1,781.50 | $3,563.00 | $347.20 – $357.41 | 4 |
| MRA chest wo IV cont HCPCS C8910 | $1,713.50 | $3,427.00 | $237.46 – $244.44 | 4 |
| MRA chest wwo IV cont HCPCS C8911 | $1,885.00 | $3,770.00 | $347.20 – $357.41 | 4 |
| MRA pelvis w IV cont HCPCS C8918 | $1,781.50 | $3,563.00 | $347.20 – $357.41 | 4 |
| MRA pelvis wo IV cont HCPCS C8919 | $1,713.50 | $3,427.00 | $237.46 – $244.44 | 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.