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 |
|---|---|---|---|---|
| Myringoplasty CPT 69620 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Nabilone oral HCPCS J8650 | not published | not published | $105.95 – $105.95 | 1 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | not published | not published | $9.54 – $9.54 | 1 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $4.32 – $4.45 | 4 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $9.57 – $9.57 | 1 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $89.50 | $179.00 | $198.65 – $2,845.00 | 6 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | $380.00 | $760.00 | $235.71 – $511.00 | 5 |
| Nasal function studies CPT 92512 | not published | not published | $214.89 – $221.21 | 4 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $1,547.00 – $3,304.00 | 2 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $1,547.00 – $3,304.00 | 2 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $2,709.50 | $5,419.00 | $1,571.00 – $3,276.00 | 6 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $3,338.00 – $7,212.93 | 6 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $4,007.00 – $8,246.00 | 6 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $389.24 – $1,571.00 | 6 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Nasal sinus therapy CPT 30210 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $145.50 | $291.00 | $198.65 – $204.49 | 4 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | not published | not published | $24.48 – $25.20 | 4 |
| Natriuretic peptide CPT 83880 | $155.50 | $311.00 | $40.05 – $56.92 | 5 |
| Natural killer cells total count CPT 86357 | $168.00 | $336.00 | $38.48 – $63.24 | 5 |
| Navigational bronchoscopy 31627 CPT 31627 | not published | not published | $511.00 – $2,004.00 | 2 |
| N block inj common digit CPT 64632 | $158.00 | $316.00 | $305.48 – $2,845.00 | 6 |
| N block inj hypogas plxs CPT 64517 | $1,375.50 | $2,751.00 | $880.23 – $1,571.00 | 6 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | $345.00 | $690.00 | $248.65 – $2,845.00 | 6 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $172.50 | $345.00 | $132.41 – $136.30 | 4 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $42.00 | $84.00 | $28.78 – $511.00 | 5 |
| Ndl insj without njx 3+ musc CPT 20561 | $42.00 | $84.00 | $28.78 – $511.00 | 5 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $58.71 – $60.44 | 4 |
| Ndl round specialty proguide HCPCS C1715 | $8.28 | $16.56 | not published | 0 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Ndsc hrv uxtr art 1 sgm cab CPT 33509 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,705.00 | $3,410.00 | $174.56 – $179.69 | 4 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,358.50 | $2,717.00 | $347.20 – $357.41 | 4 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,046.50 | $2,093.00 | $104.04 – $107.10 | 4 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $3,208.50 | $6,417.00 | $347.20 – $357.41 | 4 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,812.00 | $3,624.00 | $347.20 – $357.41 | 4 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,629.00 | $3,258.00 | $237.46 – $244.44 | 4 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $2,753.50 | $5,507.00 | $347.20 – $357.41 | 4 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,845.00 | $3,690.00 | $347.20 – $357.41 | 4 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,692.50 | $3,385.00 | $237.46 – $244.44 | 4 |
| Neck spine disk surgery CPT 63020 | not published | not published | $3,304.00 – $13,397.00 | 5 |
| Neck spine disk surgery 63075 CPT 63075 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Neck spine disk surgery 63076 CPT 63076 | not published | not published | $511.00 – $3,338.00 | 2 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | $36.50 | $73.00 | not published | 0 |
| Neg pres wound ther drsg set HCPCS A6550 | $438.84 | $877.68 | not published | 0 |
| Neisseria meningitidis CPT 86741 | not published | not published | $13.45 – $22.12 | 5 |
| Nelarabine injection HCPCS J9261 | not published | not published | $81.46 – $83.86 | 4 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | not published | not published | $2.17 – $2.17 | 1 |
| Nephrectomy open 50220 CPT 50220 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Nephrectomy partial CPT 50240 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Nephrotomy w/exploration CPT 50045 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | $294.50 | $589.00 | $214.89 – $221.21 | 4 |
| Nerobehav stas exam phys/qhp f2f ea l hr CPT 96121 | $145.00 | $290.00 | not published | 0 |
| Nerve conduction 7-8 studies CPT 95910 | $331.00 | $662.00 | $371.37 – $382.29 | 4 |
| Nerve conduction studies 11-12 CPT 95912 | $498.50 | $997.00 | $371.37 – $382.29 | 4 |
| Nerve conduction studies 1-2 CPT 95907 | $203.50 | $407.00 | $214.89 – $221.21 | 4 |
| Nerve conduction studies 13+ CPT 95913 | $558.50 | $1,117.00 | $371.37 – $382.29 | 4 |
| Nerve conduction studies 3-4 CPT 95908 | $245.50 | $491.00 | $214.89 – $221.21 | 4 |
| Nerve conduction studies 5-6 CPT 95909 | $296.00 | $592.00 | $214.89 – $221.21 | 4 |
| Nerve conduction studies 9-10 CPT 95911 | $455.50 | $911.00 | $371.37 – $382.29 | 4 |
| Nerve graft add-on CPT 64901 | not published | not published | $511.00 – $2,670.00 | 2 |
| Nerve graft add-on CPT 64902 | not published | not published | $511.00 – $2,670.00 | 2 |
| Nerve graft head/neck <4 cm CPT 64885 | not published | not published | $1,571.00 – $10,995.00 | 6 |
| Nerve graft head/neck >4 cm CPT 64886 | not published | not published | $1,571.00 – $10,995.00 | 6 |
| Nerve palsy fascial graft CPT 15840 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Nerve palsy microsurg graft CPT 15842 | not published | not published | $2,053.37 – $4,314.00 | 6 |
| Nerve palsy muscle graft CPT 15841 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Nerve pedicle transfer CPT 64905 | not published | not published | $1,571.00 – $10,995.00 | 6 |
| Nerve pedicle transfer CPT 64907 | not published | not published | $1,010.00 – $10,995.00 | 6 |
| Nerve repair w/allograft CPT 64910 | not published | not published | $2,670.00 – $10,995.00 | 6 |
| Nerve surgery CPT 64859 | not published | not published | $511.00 – $2,004.00 | 2 |
| Nerve teasing preparations CPT 88362 | $67.00 | $134.00 | $41.78 – $823.43 | 5 |
| Nesiritide injection HCPCS J2325 | not published | not published | $190.75 – $190.75 | 1 |
| Neurectomy foot CPT 28055 | not published | not published | $1,943.35 – $5,978.00 | 6 |
| Neurectomy hamstring CPT 27325 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Neurectomy popliteal CPT 27326 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Neuroeltrd stim post tibial CPT 64566 | $235.50 | $471.00 | $305.48 – $1,010.00 | 6 |
| Neuroendoscopy add-on CPT 62160 | not published | not published | $511.00 – $2,004.00 | 2 |
| Neurolysis celiac plexus CPT 64680 | $753.00 | $1,506.00 | $880.23 – $1,571.00 | 6 |
| Neurolysis trigeminal nerve CPT 64600 | $1,770.50 | $3,541.00 | $880.23 – $1,547.00 | 6 |
| Neuromuscular junction testing ea nerve any 1 method CPT 95937 | $69.50 | $139.00 | $128.06 – $131.82 | 4 |
| Neuroplasty digital 1/both same digit CPT 64702 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Neuroplasty nerve of hand or foot 64704 CPT 64704 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Neurorraphy w/vein autograft CPT 64911 | not published | not published | $2,670.00 – $10,995.00 | 6 |
| Neurovascular pedicle flap CPT 15750 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Neutrlzg antb sarscov2 scr CPT 86408 | not published | not published | $42.97 – $50.66 | 5 |
| Neutrlzg antb sarscov2 titer CPT 86409 | not published | not published | $81.20 – $126.46 | 5 |
| Neutron beam tx complex CPT 77423 | not published | not published | $549.89 – $566.06 | 4 |
| Nfct agt gntyp alys sarscov2 CPT 87913 | not published | not published | $0.03 – $308.94 | 5 |
| Nfct ds bv&vaginitis dna alg CPT 81514 | not published | not published | $268.25 – $315.59 | 5 |
| Nfros nfrot w/drg CPT 50040 | not published | not published | $3,304.00 – $5,978.00 | 2 |
| N. gonorrhoeae assay w/optic CPT 87850 | not published | not published | $20.11 – $25.79 | 5 |
| N.gonorrhoeae dna quant CPT 87592 | not published | not published | $43.70 – $71.82 | 5 |
| Nikaidoh proc CPT 33782 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Nikaidoh proc w/ostia implt CPT 33783 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| N-invas est c ffr sw aly cta CPT 75580 | not published | not published | $854.62 – $879.75 | 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.