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 |
|---|---|---|---|---|
| Place breast rad tube/caths CPT 19298 | not published | not published | $4,339.00 – $14,084.54 | 6 |
| Place cath intracranial art CPT 36228 | $4,270.00 | $8,540.00 | $511.00 – $2,004.00 | 2 |
| Place cath xtrnl carotid CPT 36227 | $4,270.00 | $8,540.00 | $511.00 – $2,004.00 | 2 |
| Place cecostomy tube perc CPT 49442 | $3,078.50 | $6,157.00 | $1,190.90 – $4,441.00 | 6 |
| Place device/marker, non pro HCPCS C9728 | $3,232.00 | $6,464.00 | $1,377.48 – $1,418.00 | 4 |
| Place duod/jej tube perc CPT 49441 | $1,909.00 | $3,818.00 | $1,010.00 – $3,276.00 | 6 |
| Place endorectal app HCPCS C9725 | not published | not published | $925.49 – $1,547.00 | 5 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Place gastrostomy tube perc CPT 49440 | $1,909.00 | $3,818.00 | $1,010.00 – $3,276.00 | 6 |
| Placement bile duct support CPT 47801 | $2,989.50 | $5,979.00 | $1,547.00 – $1,547.00 | 1 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $771.00 | $1,542.00 | $1,010.00 – $3,276.00 | 6 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $2,688.50 | $5,377.00 | $511.00 – $2,004.00 | 2 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $466.50 | $933.00 | $704.73 – $1,547.00 | 6 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $953.00 | $1,906.00 | $2,080.35 – $5,978.00 | 6 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $409.00 | $818.00 | $511.00 – $511.00 | 1 |
| Placement of drain pancreas CPT 48001 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Placement of seton CPT 46020 | not published | not published | $2,762.33 – $5,978.00 | 6 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $17,369.00 | $34,738.00 | $3,304.00 – $29,725.00 | 5 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $2,004.00 – $6,716.00 | 6 |
| Place needles h&n for right CPT 41019 | not published | not published | $2,004.00 – $6,050.24 | 6 |
| Place needles pelvic for right CPT 55920 | not published | not published | $2,004.00 – $8,246.00 | 6 |
| Place non-slctv cath thoracic arta CPT 36221 | $4,866.00 | $9,732.00 | $2,670.00 – $8,246.00 | 5 |
| Placental lactogen CPT 83632 | not published | not published | $20.62 – $33.89 | 5 |
| Place po breast cath for rad CPT 19296 | $12,028.00 | $24,056.00 | $6,716.00 – $13,397.00 | 6 |
| Place right device/marker pros CPT 55876 | $2,487.50 | $4,975.00 | $1,010.00 – $3,276.00 | 6 |
| Place slctv cath carotd art uni CPT 36224 | $11,148.00 | $22,296.00 | $3,304.00 – $13,397.00 | 5 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $8,743.50 | $17,487.00 | $2,670.00 – $8,246.00 | 5 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $9,756.50 | $19,513.00 | $2,670.00 – $13,397.00 | 5 |
| Place slctv cath subclavian art CPT 36225 | $4,866.00 | $9,732.00 | $2,670.00 – $8,246.00 | 5 |
| Place slctv cath vertebral art uni CPT 36226 | $14,526.50 | $29,053.00 | $3,304.00 – $13,397.00 | 5 |
| Plasma volume multiple CPT 78111 | not published | not published | $1,288.43 – $1,326.33 | 4 |
| Plasma volume single CPT 78110 | not published | not published | $1,288.43 – $1,326.33 | 4 |
| Plas shoe insert w ank joint HCPCS L2180 | $94.18 | $188.37 | not published | 0 |
| Plastic mod low ext pad/line HCPCS L2275 | $101.43 | $202.86 | not published | 0 |
| Plastic surgery neck CPT 15819 | not published | not published | $1,010.00 – $1,010.00 | 1 |
| Platelet aggregation each agent teg CPT 85576 | $38.50 | $77.00 | $25.41 – $36.01 | 5 |
| Platelet automated CPT 85049 | $24.50 | $49.00 | $4.57 – $7.50 | 5 |
| Platelet deplete of harvest CPT 38213 | not published | not published | $439.06 – $1,010.00 | 6 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,108.00 | $2,216.00 | not published | 0 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $1,130.50 | $2,261.00 | not published | 0 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $1,021.00 | $2,042.00 | $619.58 – $637.80 | 4 |
| Platelet survival CPT 78191 | not published | not published | $397.85 – $409.55 | 4 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $297.19 – $349.63 | 5 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $3,350.50 | $6,701.00 | $2,670.00 – $8,246.00 | 6 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $1,739.50 | $3,479.00 | $511.00 – $2,004.00 | 2 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $4,071.50 | $8,143.00 | $3,304.00 – $8,246.00 | 6 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $4,071.50 | $8,143.00 | $3,304.00 – $8,246.00 | 6 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $750.50 | $1,501.00 | $1,547.00 – $3,338.00 | 2 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $1,053.50 | $2,107.00 | $704.73 – $1,571.00 | 6 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $373.00 | $746.00 | $511.00 – $2,004.00 | 2 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $750.50 | $1,501.00 | $1,547.00 – $2,004.00 | 2 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $3,480.00 | $6,960.00 | $511.00 – $2,004.00 | 2 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $222.00 | $444.00 | $511.00 – $2,004.00 | 2 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $222.00 | $444.00 | $511.00 – $2,004.00 | 2 |
| Plerixafor injection HCPCS J2562 | not published | not published | $25.84 – $26.60 | 4 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $197.50 | $395.00 | $371.37 – $382.29 | 4 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Plmt access bil tree sm bwl CPT 47541 | $4,851.50 | $9,703.00 | $2,670.00 – $8,246.00 | 6 |
| Plmt biliary drainage cath CPT 47534 | $3,350.50 | $6,701.00 | $2,670.00 – $8,246.00 | 6 |
| Plmt nephroureteral catheter CPT 50433 | $2,463.50 | $4,927.00 | $2,670.00 – $5,978.00 | 6 |
| Plmt ureteral stent prq CPT 50694 | $4,071.50 | $8,143.00 | $3,304.00 – $8,246.00 | 6 |
| Pm device progr eval dual CPT 93280 | $148.00 | $296.00 | $37.14 – $38.23 | 4 |
| Pm device progr eval multi CPT 93281 | $172.50 | $345.00 | $37.14 – $38.23 | 4 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $211.46 – $517.67 | 5 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $773.53 – $910.03 | 5 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $784.97 – $923.50 | 5 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $47.53 – $63.42 | 5 |
| Pm phone r-strip device eval CPT 93293 | $196.50 | $393.00 | $37.14 – $38.23 | 4 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $207.57 – $265.99 | 5 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $690.03 – $937.55 | 5 |
| Pms2 known familial variants CPT 81318 | not published | not published | $221.53 – $347.55 | 5 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $624.29 – $1,547.00 | 6 |
| #pnh-flow cytometry interp CPT 88187 | $20.00 | $40.00 | $14.14 – $95.72 | 2 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $156.50 | $313.00 | $26.59 – $32.45 | 5 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $139.40 – $143.50 | 4 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $854.62 – $879.75 | 4 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $854.62 – $879.75 | 4 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $2,668.50 | $5,337.00 | $854.62 – $879.75 | 4 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $10.72 – $16.07 | 5 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $24,712.99 – $25,439.84 | 4 |
| Positional change of finger CPT 26555 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $16.60 – $26.25 | 5 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $511.00 – $2,004.00 | 2 |
| Postop app non-wgt bear dsg HCPCS L5450 | $347.24 | $694.49 | not published | 0 |
| Postop app non-wgt bear dsg HCPCS L5460 | $551.14 | $1,102.28 | not published | 0 |
| Postop dress & 1 cast chg bk HCPCS L5400 | $971.35 | $1,942.70 | not published | 0 |
| Post-op hip abduct custom fa HCPCS L1685 | $766.94 | $1,533.87 | not published | 0 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $371.37 – $382.29 | 4 |
| Postpartum Care Only CPT 59430 | not published | not published | $2,004.00 – $2,004.00 | 1 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $511.00 – $2,004.00 | 2 |
| Potassium 24 hour urine CPT 84133 | $21.00 | $42.00 | $4.82 – $7.21 | 5 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | not published | $0.29 – $0.29 | 1 |
| Potassium hydroxide preps HCPCS Q0112 | $15.00 | $30.00 | $5.95 – $7.15 | 5 |
| Potassium serum/plasma/whole blood CPT 84132 | $39.00 | $78.00 | $4.86 – $7.70 | 5 |
| Pouch drainable w barrier at HCPCS A5061 | $16.56 | $33.12 | not published | 0 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $139.74 – $164.40 | 5 |
| Pq biliary strict dil s&i CPT 74363 | $812.50 | $1,625.00 | not published | 0 |
| Pq dr cath chg w cont s&i CPT 75984 | $322.50 | $645.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $9,031.00 | $18,062.00 | $4,007.00 – $13,397.00 | 5 |
| Pq thr inj ext pse CPT 36002 | $473.50 | $947.00 | $624.29 – $1,547.00 | 6 |
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.