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 |
|---|---|---|---|---|
| Obstetrical care 59410 CPT 59410 | not published | not published | $2,004.00 – $2,004.00 | 1 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $76.36 – $122.36 | 5 |
| Obstetrics panel CPT 80055 | $144.50 | $289.00 | $48.77 – $59.58 | 5 |
| Obtaining screen pap smear HCPCS Q0091 | $34.00 | $68.00 | $12.52 – $29.63 | 5 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $436.00 | $872.00 | $104.04 – $107.10 | 4 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $263.00 | $526.00 | not published | 0 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $3,221.58 – $5,978.00 | 5 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $60.60 – $62.38 | 4 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | not published | not published | $2.01 – $2.25 | 2 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | not published | not published | $203.41 – $213.76 | 4 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $547.36 – $1,547.00 | 6 |
| Ocular reconst transplant CPT 65780 | not published | not published | $3,912.52 – $8,246.00 | 6 |
| Ocular reconst transplant CPT 65781 | not published | not published | $4,007.00 – $10,995.00 | 6 |
| Ocular reconst transplant CPT 65782 | not published | not published | $3,912.52 – $8,246.00 | 6 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $63.48 – $65.35 | 4 |
| Off base opioid tx, 60 m HCPCS G2087 | $160.50 | $321.00 | not published | 0 |
| Off base opioid tx 70min HCPCS G2086 | $160.50 | $321.00 | not published | 0 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $1,003.54 | $2,007.07 | not published | 0 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $5.52 – $8.11 | 2 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $45.49 – $46.83 | 4 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $10,995.00 – $10,995.00 | 1 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,950.46 – $4,647.60 | 5 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,560.41 – $3,718.82 | 5 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,950.46 – $4,647.60 | 5 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,950.46 – $4,647.60 | 5 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,950.46 – $4,647.60 | 5 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $7,336.86 – $8,631.60 | 5 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,178.32 – $3,750.88 | 5 |
| Oncology colorectal scr CPT 81528 | not published | not published | $519.05 – $610.64 | 5 |
| Oncology gynecologic CPT 81535 | not published | not published | $591.05 – $695.35 | 5 |
| Oncology gynecologic CPT 81536 | not published | not published | $181.11 – $213.07 | 5 |
| Oncology lung CPT 81538 | not published | not published | $2,552.14 – $3,014.55 | 5 |
| Oncology prostate prob score CPT 81539 | not published | not published | $722.52 – $798.00 | 5 |
| Oncology tissue of origin CPT 81504 | not published | not published | $530.40 – $624.00 | 5 |
| Oncology tum unknown origin CPT 81540 | $3,928.00 | $7,856.00 | $3,504.36 – $3,937.50 | 5 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $914.94 – $1,076.40 | 5 |
| Onco (ovar) two proteins CPT 81500 | $233.50 | $467.00 | $265.71 – $312.60 | 5 |
| Oncoprotein dcp CPT 83951 | not published | not published | $65.70 – $112.85 | 5 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $65.70 – $107.99 | 5 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $2,070.60 – $2,436.00 | 5 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $3,950.46 – $4,647.60 | 5 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,950.46 – $4,647.60 | 5 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,672.00 – $4,320.00 | 5 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $7,223.17 – $9,331.20 | 5 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | not published | not published | $0.24 – $0.24 | 1 |
| Oocyte identification CPT 89254 | not published | not published | $52.48 – $174.54 | 5 |
| Oophorectomy partial or total 58943 CPT 58943 | not published | not published | $8,246.00 – $8,246.00 | 1 |
| Open ablate liver tumor cryo CPT 47381 | not published | not published | $1,547.00 – $4,007.00 | 2 |
| Open ablate liver tumor rf CPT 47380 | not published | not published | $1,547.00 – $4,007.00 | 2 |
| Open aortic tube prosth repair 34830 CPT 34830 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Open aortofemor prosth repr CPT 34832 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Open aortoiliac prosth repr 34831 CPT 34831 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Open bx/exc inguinofem nodes CPT 38531 | not published | not published | $2,670.00 – $8,246.00 | 5 |
| Open bx of lung pleura 32098 CPT 32098 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Open cor endarterect w cabg/ea ves 33572 CPT 33572 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Open nasoethmoid fx with fixj CPT 21339 | not published | not published | $4,007.00 – $6,050.24 | 6 |
| Open nasoethmoid fx without fixj CPT 21338 | not published | not published | $3,338.00 – $6,050.24 | 6 |
| Open periprosthetic breast capsule 19370 CPT 19370 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Open skull for drainage 61312 CPT 61312 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Open tenotomy tendon flexor foot single or multiple 28230 CPT 28230 | not published | not published | $1,600.27 – $5,978.00 | 5 |
| Open thrombectomy of av fistula without revision 36831 CPT 36831 | not published | not published | $5,537.77 – $13,397.00 | 6 |
| Open tx compl front sinus fx CPT 21344 | not published | not published | $4,007.00 – $10,995.00 | 5 |
| Open tx iliac spine uni/bil HCPCS G0412 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Open tx nose fx w/skele fixj CPT 21330 | not published | not published | $4,007.00 – $6,050.24 | 6 |
| Open tx nose & septal fx CPT 21335 | not published | not published | $3,299.54 – $5,978.00 | 6 |
| Open tx post pelvic fxcture HCPCS G0415 | not published | not published | $3,256.29 – $13,397.00 | 5 |
| Open tx rib 1-3 fx w/fix 21811 CPT 21811 | not published | not published | $3,304.00 – $7,416.07 | 6 |
| Open tx rib 4-6 fx w/fix 21812 CPT 21812 | not published | not published | $3,304.00 – $7,416.07 | 6 |
| Open tx rib 7+ fx w/fix 21813 CPT 21813 | not published | not published | $1,600.27 – $6,716.00 | 6 |
| Open tx/sternum fracture 21825 CPT 21825 | not published | not published | $3,338.00 – $13,397.00 | 5 |
| Open wedge/bx lung infiltr CPT 32096 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Open wedge bx lung nodule 32097 CPT 32097 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Ophthalmic biometry CPT 92136 | not published | not published | $132.41 – $136.30 | 4 |
| Ophthalmic endoscope add-on CPT 66990 | not published | not published | $511.00 – $2,004.00 | 2 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $1,162.29 – $1,162.29 | 1 |
| Ophthalmodynamometry CPT 92260 | not published | not published | $37.17 – $38.26 | 4 |
| Ophth Ultrasound b & quant a CPT 76510 | not published | not published | $132.41 – $136.30 | 4 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | not published | not published | $104.04 – $107.10 | 4 |
| Oph Ultrasound dx quan a-scan only CPT 76511 | not published | not published | $104.04 – $107.10 | 4 |
| Opioids & opiate analogs 3/4 CPT 80363 | not published | not published | $0.03 – $0.03 | 1 |
| Opn abltj 1/> rnl mas crysrg CPT 50250 | not published | not published | $1,547.00 – $5,980.00 | 2 |
| Opn ax/subcla art expos CPT 34715 | not published | not published | $511.00 – $2,004.00 | 2 |
| Opn exc/dst ntra-abd CPT 49189 | not published | not published | $8,246.00 – $8,246.00 | 1 |
| Opn exc/dst ntra-abd 10.1-20 CPT 49188 | not published | not published | $5,978.00 – $5,978.00 | 1 |
| Opn exc/dstr ntra-abd >30 cm CPT 49190 | not published | not published | $8,246.00 – $8,246.00 | 1 |
| Opn exc/dstr ntra-abd 5.1-10 CPT 49187 | not published | not published | $5,978.00 – $5,978.00 | 1 |
| Opn exc/dstr ntra-abd 5 cm/< CPT 49186 | not published | not published | $5,978.00 – $5,978.00 | 1 |
| Opn fem art expos cndt crtj 34714 CPT 34714 | not published | not published | $511.00 – $2,004.00 | 2 |
| Opn ilac art expos cndt crtj CPT 34833 | not published | not published | $1,547.00 – $5,700.00 | 2 |
| Opn impltj crnl nrv nea&pg CPT 64568 | $58,816.00 | $117,632.00 | $2,670.00 – $71,348.00 | 5 |
| Opn impltj nea neuromuscular CPT 64580 | not published | not published | $1,010.00 – $29,725.00 | 6 |
| Opn impltj nea perph nerve CPT 64575 | not published | not published | $1,010.00 – $29,725.00 | 6 |
| Opn impltj nea sacral nerve CPT 64581 | not published | not published | $3,304.00 – $29,725.00 | 6 |
| Opn mpltj hpglsl nstm ary pg CPT 64582 | not published | not published | $2,670.00 – $62,241.00 | 5 |
| Opn tx complx malar fx CPT 21365 | not published | not published | $4,007.00 – $10,995.00 | 6 |
| Opn tx complx malar w/grft CPT 21366 | not published | not published | $4,007.00 – $10,995.00 | 5 |
| Opn tx depress front sinus fx 21343 CPT 21343 | not published | not published | $4,007.00 – $10,995.00 | 5 |
| Opn tx dprsd zygomatic arch CPT 21356 | not published | not published | $3,304.00 – $6,050.24 | 6 |
| Opn tx nasomax fx multple CPT 21347 | not published | not published | $4,007.00 – $10,995.00 | 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.