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 |
|---|---|---|---|---|
| Removal of palm tendon each CPT 26170 | not published | not published | $1,600.27 – $3,895.00 | 6 |
| Removal of pancreas CPT 48155 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of pancreas lesion CPT 48120 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of pancreatic duct CPT 48148 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of pancreatic stone CPT 48020 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of pelvic structures CPT 51597 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of pelvis contents CPT 58240 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of penis CPT 54125 | not published | not published | $2,670.00 – $3,276.00 | 2 |
| Removal of pituitary gland CPT 61546 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of pituitary gland CPT 61548 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of prostate CPT 55801 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of prostate CPT 55821 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of prostate CPT 55831 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of rectum CPT 45120 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of rectum and colon CPT 45121 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of rib CPT 21615 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Removal of salivary stone CPT 42340 | not published | not published | $1,571.00 – $3,388.50 | 6 |
| Removal of salivary stone 42335 CPT 42335 | not published | not published | $3,299.54 – $5,978.00 | 6 |
| Removal of scrotum CPT 55150 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Removal of scrotum lesion CPT 55120 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Removal of sesamoid bone CPT 28315 | not published | not published | $3,256.29 – $5,978.00 | 6 |
| Removal of shunt CPT 49429 | $2,327.50 | $4,655.00 | $2,670.00 – $8,246.00 | 5 |
| Removal of skin tags each add'l 10 CPT 11201 | $36.50 | $73.00 | $511.00 – $511.00 | 1 |
| Removal of skin wrinkles CPT 15829 | not published | not published | $3,526.71 – $8,246.00 | 6 |
| Removal of small intestine 44125 CPT 44125 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of sperm cord lesion CPT 55520 | not published | not published | $3,338.00 – $5,978.00 | 6 |
| Removal of spinal shunt CPT 63746 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Removal of spleen partial CPT 38101 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of spleen total 38102 CPT 38102 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of stomach CPT 43620 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of stomach CPT 43622 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of stomach 43621 CPT 43621 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of stomach partial CPT 43634 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of stomach partial 43631 CPT 43631 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of stomachpartial 43632 CPT 43632 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of suture from anus 46754 CPT 46754 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Removal of tail bone CPT 27080 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Removal of tear gland CPT 68500 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Removal of tear sac CPT 68520 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Removal of tendon for graft CPT 20924 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Removal of tendon lesion CPT 27630 | not published | not published | $3,256.29 – $5,978.00 | 6 |
| Removal of testis CPT 54520 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Removal of testis CPT 54530 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Removal of thyroid CPT 60240 | not published | not published | $5,980.00 – $13,397.00 | 5 |
| Removal of thyroid CPT 60252 | not published | not published | $5,891.41 – $10,995.00 | 5 |
| Removal of thyroid CPT 60271 | not published | not published | $3,338.00 – $10,995.00 | 5 |
| Removal of toe lesions CPT 28092 | $2,607.00 | $5,214.00 | $1,600.27 – $5,978.00 | 6 |
| Removal of toe lesions CPT 28108 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Removal of tongue CPT 41140 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of upper jaw CPT 31225 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of upper jaw CPT 31230 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of ureter CPT 50650 | not published | not published | $1,547.00 – $4,339.00 | 2 |
| Removal of ureter CPT 50660 | not published | not published | $1,547.00 – $4,339.00 | 2 |
| Removal of ureter stone CPT 51060 | not published | not published | $2,080.35 – $10,995.00 | 5 |
| Removal of ureter stone CPT 50610 | not published | not published | $1,547.00 – $4,007.00 | 2 |
| Removal of ureter stone CPT 50620 | not published | not published | $1,547.00 – $4,007.00 | 2 |
| Removal of ureter stone CPT 50630 | not published | not published | $1,547.00 – $4,007.00 | 2 |
| Removal of urethra CPT 53210 | not published | not published | $3,508.06 – $8,246.00 | 6 |
| Removal of urethra CPT 53215 | not published | not published | $4,007.00 – $5,978.00 | 6 |
| Removal of urethra gland CPT 53250 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Removal of urethra gland CPT 53270 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Removal of urethra lesion CPT 53230 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Removal of urethra lesion CPT 53235 | not published | not published | $3,304.00 – $5,978.00 | 6 |
| Removal of vein clot CPT 34421 | not published | not published | $3,142.32 – $8,246.00 | 5 |
| Removal of vein clot CPT 34471 | not published | not published | $624.29 – $1,547.00 | 5 |
| Removal of vein clot CPT 34401 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of vein clot CPT 34451 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Removal of vein clot 34490 CPT 34490 | not published | not published | $3,142.32 – $8,246.00 | 5 |
| Removal of wrist bone CPT 25210 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Removal of wrist bones CPT 25215 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Removal of wrist lesion CPT 25130 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Removal of wrist prosthesis CPT 25250 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Removal of wrist prosthesis CPT 25251 | not published | not published | $1,010.00 – $8,246.00 | 6 |
| Removal prosth radial head CPT 24164 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $14,984.50 | $29,969.00 | $3,304.00 – $10,682.25 | 4 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $304.50 | $609.00 | $199.67 – $2,845.00 | 6 |
| Removal sutr and stapl no anes CPT 15854 | $806.00 | $1,612.00 | $511.00 – $2,004.00 | 2 |
| Removal sutr or stapl no anes CPT 15853 | $537.50 | $1,075.00 | $511.00 – $2,004.00 | 2 |
| Removal sutr/staple req anes CPT 15851 | $2,513.00 | $5,026.00 | $1,010.00 – $3,276.00 | 6 |
| Removal tunnled intprtnl cath CPT 49422 | $2,501.00 | $5,002.00 | $1,010.00 – $8,246.00 | 6 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | $631.50 | $1,263.00 | $444.58 – $2,845.00 | 6 |
| Remove abdomen lymph nodes 38780 CPT 38780 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove abdominal lymph nodes 38747 CPT 38747 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove anal fist complex CPT 46280 | not published | not published | $2,762.33 – $5,978.00 | 6 |
| Remove anal fist inter CPT 46275 | not published | not published | $2,762.33 – $5,978.00 | 6 |
| Remove anal fist subq CPT 46270 | not published | not published | $2,762.33 – $5,978.00 | 6 |
| Remove aneurysm sinus CPT 61613 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove ankle joint lining CPT 27625 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Remove ankle joint lining CPT 27626 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Remove armpit lymph nodes CPT 38745 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Remove bladder/create pouch CPT 51596 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove bladder/revise tract CPT 51580 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove bladder/revise tract CPT 51590 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove bladder/revise tract CPT 51595 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove bladder stone CPT 52317 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Remove bladder stone CPT 52318 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Remove blood clot from eye CPT 65930 | not published | not published | $2,296.74 – $5,978.00 | 6 |
| Remove brain canal fluid CPT 61050 | $825.50 | $1,651.00 | $305.48 – $1,010.00 | 6 |
| Remove brain cavity shunt 62256 CPT 62256 | not published | not published | $2,670.00 – $3,276.00 | 2 |
| Remove brain electrodes CPT 61535 | not published | not published | $1,547.00 – $1,547.00 | 1 |
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.