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 |
|---|---|---|---|---|
| Release palm contracture 26045 CPT 26045 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Release palm & finger tendon CPT 26442 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Release palm/finger tendon CPT 26440 | not published | not published | $1,600.27 – $3,895.00 | 6 |
| Release/revise ureter CPT 50725 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Release spinal cord lumbar CPT 63200 | not published | not published | $29,725.00 – $29,725.00 | 1 |
| Release thumb contracture CPT 26508 | not published | not published | $3,256.29 – $3,895.00 | 6 |
| Release wrist/forearm tendon CPT 25295 | not published | not published | $3,256.29 – $5,978.00 | 6 |
| Relieve bladder contracture CPT 52640 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Relieve cranial pressure 61345 CPT 61345 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Relocation of testis(es) CPT 54680 | not published | not published | $3,304.00 – $5,978.00 | 6 |
| Relocation skin pocket aicd CPT 33223 | $1,980.50 | $3,961.00 | $1,571.00 – $3,276.00 | 6 |
| Relocation skin pocket pm CPT 33222 | $1,980.50 | $3,961.00 | $1,571.00 – $3,276.00 | 6 |
| Rem/biv cast full arm/leg CPT 29705 | not published | not published | $278.35 – $2,845.00 | 6 |
| Rem/biv cast shldr/hip spica CPT 29710 | not published | not published | $278.35 – $2,845.00 | 6 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | not published | not published | $6.86 – $7.07 | 4 |
| Rem endovas vena cava filter CPT 37193 | $4,202.00 | $8,404.00 | $3,142.32 – $8,246.00 | 5 |
| Rem interrog dev eval icpms CPT 93297 | $65.00 | $130.00 | $37.14 – $38.23 | 4 |
| Rem interrog dev eval scrms CPT 93298 | $65.00 | $130.00 | $37.14 – $38.23 | 4 |
| Rem interrog evl pm/ids CPT 93296 | $172.50 | $345.00 | $37.14 – $38.23 | 4 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | not published | not published | $37.14 – $38.23 | 4 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | not published | not published | $132.50 – $136.39 | 4 |
| Rem mntr wrls p-art prs snr CPT 93264 | not published | not published | $37.14 – $38.23 | 4 |
| Remote 30 day ecg tech supp CPT 93229 | $284.00 | $568.00 | $371.37 – $382.29 | 4 |
| Removal abdomen lymph nodes 38564 CPT 38564 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Removal biliary drg cath CPT 47537 | $803.00 | $1,606.00 | $902.63 – $3,276.00 | 6 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $1,005.00 | $2,010.00 | $624.29 – $1,547.00 | 6 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $1,692.00 | $3,384.00 | $1,010.00 – $3,276.00 | 6 |
| Removal cerclage w/anes CPT 59871 | $1,544.00 | $3,088.00 | $3,221.58 – $8,246.00 | 6 |
| Removal cerclage without anes CPT 59899 | $340.00 | $680.00 | $201.20 – $511.00 | 5 |
| Removal cerumen impacted (both sides) CPT 69210 | $209.00 | $418.00 | $58.71 – $2,845.00 | 6 |
| Removal clot in graft oth/thn 35875 CPT 35875 | $3,417.50 | $6,835.00 | $5,537.77 – $13,397.00 | 6 |
| Removal clot in graft xcp 35876 CPT 35876 | not published | not published | $5,537.77 – $13,397.00 | 6 |
| Removal deep drug delivery device CPT 20701 | not published | not published | $511.00 – $2,004.00 | 2 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $349.50 | $699.00 | $199.67 – $205.54 | 4 |
| Removal duct glbldr calculi CPT 47544 | $3,158.00 | $6,316.00 | $511.00 – $2,004.00 | 2 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $426.50 | $853.00 | $902.63 – $3,276.00 | 6 |
| Removal foreign body extrn auditory canal with anes CPT 69205 | $1,854.00 | $3,708.00 | $1,010.00 – $3,276.00 | 6 |
| Removal foreign body foot cmplx CPT 28193 | not published | not published | $1,547.00 – $4,314.00 | 6 |
| Removal foreign body foot subcutaneous right CPT 28190 | $1,179.00 | $2,358.00 | $704.73 – $1,547.00 | 6 |
| Removal foreign body gum 41805 CPT 41805 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Removal foreign body jawbone CPT 41806 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Removal foreign body mouth CPT 40805 | $1,173.50 | $2,347.00 | $511.00 – $1,571.00 | 6 |
| Removal implant from finger/hand 26320 CPT 26320 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Removal implant superficial separate procedure CPT 20670 | $767.50 | $1,535.00 | $1,010.00 – $3,276.00 | 6 |
| Removal kidney open complex CPT 50225 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal kidney open radical CPT 50230 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal mamma implant mat 19330 CPT 19330 | not published | not published | $1,010.00 – $8,246.00 | 6 |
| Removal neck/armpit lesion CPT 38550 | not published | not published | $3,304.00 – $5,978.00 | 6 |
| Removal neck/armpit lesion 38555 CPT 38555 | not published | not published | $3,338.00 – $6,786.45 | 6 |
| Removal of adenoids CPT 42830 | not published | not published | $3,299.54 – $5,978.00 | 6 |
| Removal of adenoids CPT 42831 | not published | not published | $3,299.54 – $5,978.00 | 6 |
| Removal of adenoids CPT 42836 | not published | not published | $3,299.54 – $5,978.00 | 6 |
| Removal of adenoids <12yrs 42835 CPT 42835 | not published | not published | $3,299.54 – $5,978.00 | 6 |
| Removal of anal fissure CPT 46200 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Removal of anal tags CPT 46230 | $1,315.00 | $2,630.00 | $1,010.00 – $3,276.00 | 6 |
| Removal of ankle bone CPT 28130 | not published | not published | $3,304.00 – $7,416.07 | 6 |
| Removal of ankle/heel lesion CPT 28100 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Removal of ankle implant CPT 27704 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Removal of arm artery clot 34111 CPT 34111 | not published | not published | $5,537.77 – $13,397.00 | 5 |
| Removal of artery clot CPT 34051 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of artery clot 34101 CPT 34101 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| Removal of artery clot 34151 CPT 34151 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of artery clot; neck incision 34001 CPT 34001 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of bladder CPT 51570 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of bladder lesion CPT 51520 | not published | not published | $3,338.00 – $5,978.00 | 6 |
| Removal of bladder lesion CPT 51525 | not published | not published | $8,246.00 – $8,246.00 | 1 |
| Removal of bladder lesion CPT 51530 | not published | not published | $8,246.00 – $8,246.00 | 1 |
| Removal of bladder & nodes CPT 51575 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of bladder & nodes CPT 51585 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of bladder stone CPT 51050 | not published | not published | $3,338.00 – $5,978.00 | 6 |
| Removal of bone for graft CPT 20900 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Removal of bone for graft CPT 20902 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Removal of bone lesion CPT 23140 | not published | not published | $3,256.29 – $5,978.00 | 6 |
| Removal of bone lesion CPT 23145 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Removal of bone lesion CPT 23146 | not published | not published | $4,007.00 – $8,246.00 | 6 |
| Removal of brain abscess CPT 61522 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of brain lesion CPT 61520 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of brain lesion CPT 61521 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of brain lesion CPT 61524 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of brain lesion CPT 61526 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of brain lesion CPT 61530 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of brain lesion CPT 61534 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of brain lesion CPT 61536 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of brain lesion 61510 CPT 61510 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of brain tissue CPT 61537 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of brain tissue CPT 61538 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of brain tissue CPT 61539 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of brain tissue CPT 61540 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of brain tissue CPT 61543 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of brain tissue CPT 61566 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of breast lesion CPT 19120 | $1,637.00 | $3,274.00 | $3,304.00 – $5,978.00 | 6 |
| Removal of brow wrinkles CPT 15826 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Removal of calcium deposits CPT 23000 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Removal of cervix radical CPT 57531 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of colon/ileostomy CPT 44156 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of colon/ileostomy 44151 CPT 44151 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of donor liver CPT 47133 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of epididymis CPT 54860 | not published | not published | $3,304.00 – $5,978.00 | 6 |
| Removal of epididymis CPT 54861 | not published | not published | $3,338.00 – $5,978.00 | 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.