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 |
|---|---|---|---|---|
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | not published | not published | $8.22 – $8.22 | 1 |
| Proctectomy combined abd pull-thru px 45112 CPT 45112 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Proctectomy complete abd w/clst 45110 CPT 45110 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Proctosigmoidoscopy ablate CPT 45320 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Proctosigmoidoscopy control bleed 45317 CPT 45317 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Proctosigmoidoscopy dilate 45303 CPT 45303 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $396.00 | $792.00 | $925.49 – $1,547.00 | 6 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Proctosigmoidoscopy removal CPT 45309 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Proctosigmoidoscopy tumor removal 45315 CPT 45315 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Proctosigmoidoscopy volvul CPT 45321 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Proctosigmoidoscopy w/bx 45305 CPT 45305 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $3,041.00 | $6,082.00 | $1,010.00 – $5,978.00 | 6 |
| Proctosigmoidoscopy w/stent CPT 45327 | $2,610.00 | $5,220.00 | $1,010.00 – $8,246.00 | 6 |
| Progesterone CPT 84144 | $76.00 | $152.00 | $21.28 – $34.98 | 5 |
| Prolactin CPT 84146 | $84.50 | $169.00 | $19.77 – $32.50 | 5 |
| Prolonged IV inf, req pump HCPCS C8957 | $454.50 | $909.00 | $211.68 – $217.91 | 4 |
| Prolong service without contact CPT 99358 | $176.00 | $352.00 | not published | 0 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $9.94 – $9.94 | 1 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | not published | not published | $315.88 – $1,571.00 | 6 |
| Proph rta dtchmnt pc CPT 67145 | $937.00 | $1,874.00 | $547.36 – $1,547.00 | 6 |
| Proph tx w/wo mthylmthcrylt CPT 24498 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| Prophylactic tx radius CPT 25490 | not published | not published | $3,304.00 – $10,995.00 | 6 |
| Prophylactic tx radius&ulna CPT 25492 | not published | not published | $3,256.29 – $10,995.00 | 6 |
| Prophylactic tx ulna CPT 25491 | not published | not published | $3,304.00 – $13,121.51 | 6 |
| Propofol infusion 10 mg/ml HCPCS J2704 | not published | not published | $0.24 – $0.24 | 1 |
| _propoxygc/msur CPT 80367 | not published | not published | $0.03 – $29.64 | 2 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | not published | $26.34 – $26.34 | 1 |
| Pros sock single ply ak HCPCS L8480 | $9.84 | $19.67 | not published | 0 |
| Prostate biopsy, any mthd HCPCS G0416 | $1,843.00 | $3,686.00 | $356.73 – $420.00 | 5 |
| Prostate ca screening; dre HCPCS G0102 | $41.00 | $82.00 | not published | 0 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $3,338.00 – $10,995.00 | 6 |
| Prostate laser enucleation CPT 52649 | not published | not published | $4,007.00 – $10,995.00 | 6 |
| Prostatic microwave thermotx CPT 53850 | not published | not published | $3,276.00 – $3,611.23 | 5 |
| Prostatic rf thermotx CPT 53852 | not published | not published | $2,670.00 – $10,995.00 | 5 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $336.90 | $673.79 | not published | 0 |
| Prosthetic sock multi ply bk HCPCS L8420 | $46.32 | $92.63 | not published | 0 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | $8.80 | $17.60 | not published | 0 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $3.18 – $3.18 | 1 |
| Protect body sock ea pre ots HCPCS L0984 | $41.40 | $82.80 | not published | 0 |
| Protein analysis w/probe CPT 88372 | not published | not published | $38.15 – $64.91 | 3 |
| Protein c activity CPT 85303 | $68.00 | $136.00 | $14.12 – $23.18 | 5 |
| Protein c concentrate HCPCS J2724 | not published | not published | $2.84 – $15.79 | 4 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $19.00 | $38.00 | $10.95 – $18.01 | 5 |
| Protein s total CPT 85305 | $32.50 | $65.00 | $11.84 – $19.44 | 5 |
| Protein total 24 hour urine CPT 84156 | $19.50 | $39.00 | $3.74 – $6.14 | 5 |
| Protein total body fluid CPT 84157 | $19.00 | $38.00 | $4.08 – $6.14 | 5 |
| Protein total serum plasma whole blood CPT 84155 | $19.00 | $38.00 | $3.74 – $6.14 | 5 |
| Protein western blot tissue CPT 88371 | not published | not published | $37.26 – $42.01 | 2 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $2.18 – $2.25 | 4 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $22.00 | $44.00 | $4.02 – $6.61 | 5 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $549.89 – $566.06 | 4 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $9.93 – $14.44 | 5 |
| Provide inr test mater/equip HCPCS G0249 | not published | not published | $132.50 – $136.39 | 4 |
| Prpertl pel pack hemrrg trma 49013 CPT 49013 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $156.00 | $312.00 | not published | 0 |
| Pr prolonged e&m service office outpatient each 15 minutes (g2212) HCPCS G2212 | $32.50 | $65.00 | not published | 0 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $21,527.50 | $43,055.00 | $5,980.00 – $29,725.00 | 5 |
| Prq av fstl crt uxtr sep acs CPT 36837 | not published | not published | $5,980.00 – $29,725.00 | 5 |
| Prq card angio/athrect addl CPT 92925 | $583.50 | $1,167.00 | $2,004.00 – $2,004.00 | 1 |
| Prq cardiac angio addl art CPT 92921 | $4,402.50 | $8,805.00 | $2,004.00 – $2,004.00 | 1 |
| Prq card revasc chronic addl CPT 92944 | $612.00 | $1,224.00 | $2,004.00 – $2,004.00 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | $6,871.50 | $13,743.00 | not published | 0 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $15,784.50 | $31,569.00 | $1,547.00 – $1,547.00 | 1 |
| Prq card stent/ath/angio CPT 92934 | $610.50 | $1,221.00 | $2,004.00 – $2,004.00 | 1 |
| Prq card stent w/angio addl CPT 92929 | $6,871.50 | $13,743.00 | $2,004.00 – $2,004.00 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $6,871.50 | $13,743.00 | $5,700.00 – $11,798.51 | 4 |
| Prq revasc byp graft addl CPT 92938 | $546.50 | $1,093.00 | $2,004.00 – $2,004.00 | 1 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | not published | not published | $1,571.00 – $7,416.07 | 6 |
| Prq skel fix epcndylr hum fx CPT 24566 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Prq skel fix sprcndlr hum fx CPT 24538 | not published | not published | $1,571.00 – $7,416.07 | 6 |
| Prq skel fix talus fx w/mnpj CPT 28436 | not published | not published | $1,571.00 – $7,416.07 | 6 |
| Prq skel fix tarsl fx w/mnpj CPT 28456 | not published | not published | $1,571.00 – $7,416.07 | 6 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $6,871.50 | $13,743.00 | $5,700.00 – $11,798.51 | 4 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | not published | not published | $18,243.62 – $18,780.19 | 4 |
| Prq trlml c athrc st angiop1 CPT 92933 | $10,612.00 | $21,224.00 | $5,700.00 – $18,735.48 | 4 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | not published | not published | $11,488.76 – $11,826.66 | 4 |
| Prq trluml c angiop 1art&/br CPT 92920 | $4,402.50 | $8,805.00 | $5,664.24 – $5,830.83 | 4 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $7,618.00 | $15,236.00 | $5,980.00 – $11,798.51 | 4 |
| Prq trluml revsc ch occ ant CPT 92943 | $7,618.00 | $15,236.00 | $5,700.00 – $11,798.51 | 4 |
| Pr removal drug delivery implant CPT 11982 | $631.00 | $1,262.00 | $444.58 – $2,845.00 | 6 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $206.50 | $413.00 | $132.41 – $2,845.00 | 6 |
| Pr removal intrauterine device CPT 58301 | $236.00 | $472.00 | $303.27 – $1,010.00 | 6 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $584.00 | $1,168.00 | $404.56 – $2,845.00 | 6 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $382.50 | $765.00 | $199.67 – $2,845.00 | 6 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $478.00 | $956.00 | $199.67 – $2,845.00 | 6 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $415.50 | $831.00 | $199.67 – $2,845.00 | 6 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $478.00 | $956.00 | $199.67 – $2,845.00 | 6 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | $2,813.50 | $5,627.00 | $1,571.00 – $3,276.00 | 6 |
| Prtl exc bone olecrn process CPT 24147 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Prtl exchange transfuse nb CPT 36456 | not published | not published | $439.06 – $1,010.00 | 6 |
| Prtl excision bone clavicle CPT 23180 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Prtl excision bone scapula CPT 23182 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $1,213.00 | $2,426.00 | $1,010.00 – $1,612.67 | 6 |
| PSA (Prostate) Test CPT 84153 | $84.00 | $168.00 | $18.76 – $30.84 | 5 |
| Psych/neuropsych test admin automated result 96146 CPT 96146 | $14.00 | $28.00 | not published | 0 |
| Psychoeducation 45 min + HCPCS G0177 | $74.00 | $148.00 | not published | 0 |
| Psychotherapy group therapy CPT 90853 | $78.00 | $156.00 | not published | 0 |
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.