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 |
|---|---|---|---|---|
| Remove mastoid structures CPT 69505 | not published | not published | $5,418.00 – $10,995.00 | 6 |
| Remove maxilla cyst complex CPT 21048 | not published | not published | $2,670.00 – $10,995.00 | 6 |
| Remove middle ear nerve CPT 69676 | not published | not published | $3,299.54 – $5,978.00 | 6 |
| Remove muti-comp penis pros CPT 54406 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Remove nasal foreign body CPT 30310 | not published | not published | $1,010.00 – $3,388.50 | 6 |
| Remove nasal foreign body CPT 30320 | not published | not published | $1,544.13 – $3,276.00 | 6 |
| Remove nerve lesion CPT 64784 | not published | not published | $1,943.35 – $5,978.00 | 6 |
| Remove part lumbar vertebra CPT 22102 | not published | not published | $3,304.00 – $13,397.00 | 5 |
| Remove part lumbar vertebra CPT 22114 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Remove part of neck vertebra CPT 22100 | not published | not published | $3,304.00 – $13,397.00 | 5 |
| Remove part of neck vertebra CPT 22110 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Remove part of temporal bone CPT 69535 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove part thorax vertebra CPT 22112 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Remove pelvis lymph nodes 38770 CPT 38770 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove penis & nodes CPT 54130 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove penis & nodes CPT 54135 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove pilonidal cyst compl CPT 11772 | not published | not published | $2,890.77 – $5,978.00 | 6 |
| Remove pilonidal cyst exten CPT 11771 | $4,212.00 | $8,424.00 | $2,890.77 – $5,978.00 | 6 |
| Remove pituit tumor w/scope CPT 62165 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove prostate regrowth CPT 52630 | not published | not published | $1,571.00 – $10,995.00 | 6 |
| Remove pulmonary shunt CPT 33924 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove rectum w/reservoir CPT 45119 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove renal tube w/fluoro CPT 50389 | $1,087.50 | $2,175.00 | $693.95 – $1,547.00 | 6 |
| Remove/repair hearing aid CPT 69711 | not published | not published | $1,010.00 – $10,995.00 | 6 |
| Remove/replace penis prosth CPT 54410 | not published | not published | $3,304.00 – $39,612.00 | 6 |
| Remove/replace ur sphincter CPT 53447 | not published | not published | $1,010.00 – $39,612.00 | 6 |
| Remove/revise male sling CPT 53442 | not published | not published | $1,010.00 – $8,246.00 | 6 |
| Remove sacrum pressure sore close 15936 CPT 15936 | not published | not published | $2,053.37 – $4,314.00 | 6 |
| Remove sacrum pressure sore ostc 15937 CPT 15937 | not published | not published | $2,053.37 – $4,314.00 | 6 |
| Remove sciatic nerve lesion CPT 64786 | not published | not published | $3,304.00 – $10,995.00 | 6 |
| Remove self-contd penis pros CPT 54415 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Remove shoulder blade lesion CPT 23172 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Remove shoulder fb deep CPT 23333 | not published | not published | $1,547.00 – $3,895.00 | 6 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $906.50 | $1,813.00 | $1,010.00 – $1,692.01 | 6 |
| Remove skin nerve lesion CPT 64774 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Remove skin nerve lesion 64788 CPT 64788 | not published | not published | $1,943.35 – $5,978.00 | 6 |
| Remove skull plate/flap 62142 CPT 62142 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove sperm duct pouch CPT 55650 | not published | not published | $1,547.00 – $2,004.00 | 2 |
| Remove sperm pouch lesion CPT 55680 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Remove spinal canal catheter 62355 CPT 62355 | $1,438.50 | $2,877.00 | $1,571.00 – $5,978.00 | 6 |
| Remove spinal cord lesion CPT 63600 | not published | not published | $1,943.35 – $5,978.00 | 6 |
| Remove spinal lamina add-on 63048 CPT 63048 | not published | not published | $511.00 – $4,007.00 | 2 |
| Remove spine eltrd perq aray CPT 63661 | not published | not published | $1,943.35 – $5,978.00 | 6 |
| Remove spine eltrd plate CPT 63662 | not published | not published | $2,004.00 – $8,246.00 | 6 |
| Remove spine fixation device CPT 22850 | not published | not published | $4,339.00 – $13,397.00 | 5 |
| Remove spine fixation device CPT 22852 | not published | not published | $4,339.00 – $13,397.00 | 5 |
| Remove spine infusion device CPT 62365 | not published | not published | $1,571.00 – $13,397.00 | 6 |
| Remove spine lamieieiotina >2 crvcl 63015 CPT 63015 | not published | not published | $4,339.00 – $13,397.00 | 5 |
| Remove spine lamina 1/2 crvl CPT 63001 | not published | not published | $4,339.00 – $13,397.00 | 5 |
| Remove spine lamina 1/2 lmbr CPT 63005 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Remove spine lamina 1/2 scrl CPT 63011 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Remove spine lamina 1/2 thrc CPT 63003 | not published | not published | $4,339.00 – $13,397.00 | 5 |
| Remove spine lamina >2 lmbr CPT 63017 | not published | not published | $3,338.00 – $13,397.00 | 5 |
| Remove spine lamina >2 thrc CPT 63016 | not published | not published | $4,339.00 – $13,397.00 | 5 |
| Remove stent via transureth CPT 50386 | $3,256.50 | $6,513.00 | $1,010.00 – $5,978.00 | 6 |
| Remove sympathetic nerves CPT 64804 | not published | not published | $1,943.35 – $3,276.00 | 5 |
| Remove sympathetic nerves CPT 64821 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Remove sympathetic nerves CPT 64822 | not published | not published | $2,670.00 – $8,246.00 | 6 |
| Remove tear gland lesion CPT 68540 | not published | not published | $2,366.07 – $5,978.00 | 6 |
| Remove tear gland lesion CPT 68550 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Remove thyroid duct lesion CPT 60280 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Remove thyroid duct lesion CPT 60281 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Remove thyroid lesion 60200 CPT 60200 | not published | not published | $1,571.00 – $13,397.00 | 6 |
| Remove tonsils and adenoids CPT 42820 | not published | not published | $3,304.00 – $6,050.24 | 6 |
| Remove tonsils and adenoids CPT 42821 | not published | not published | $3,299.54 – $5,978.00 | 6 |
| Remove/transplant tendon CPT 23440 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Remove & treat brain lesion CPT 61544 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove/tx lung lesions 32141 CPT 32141 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove ureter calculus CPT 51065 | not published | not published | $3,338.00 – $5,978.00 | 6 |
| Remove ureter stent percut CPT 50384 | $3,274.00 | $6,548.00 | $1,010.00 – $5,978.00 | 6 |
| Remove uro sphincter CPT 53446 | not published | not published | $1,010.00 – $13,397.00 | 6 |
| Remove vaginal foreign body 57415 CPT 57415 | $3,982.00 | $7,964.00 | $1,571.00 – $5,978.00 | 6 |
| Remove vagina tissue part CPT 57107 | not published | not published | $2,670.00 – $5,978.00 | 5 |
| Remove vagus n eltrd CPT 64570 | not published | not published | $2,004.00 – $13,397.00 | 6 |
| Remove vc lesion scope/graft CPT 31546 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Remove vc lesion w/scope 31545 CPT 31545 | not published | not published | $3,338.00 – $5,978.00 | 6 |
| Remove ventilating tube CPT 69424 | not published | not published | $1,010.00 – $8,246.00 | 6 |
| Remove ventricular device CPT 33978 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove ventricular device 33977 CPT 33977 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove vert bodycerv 63081 CPT 63081 | not published | not published | $13,397.00 – $13,397.00 | 1 |
| Remove vert body dcmprn lmbr CPT 63090 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove vert body dcmprn lmbr CPT 63102 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove vert body dcmprn thrc CPT 63085 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove vert body dcmprn thrc CPT 63101 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove vertebral body add-on CPT 63086 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove vertebral body add-on CPT 63088 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove vertebral body add-on CPT 63091 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove vertebral body add-on CPT 63103 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove vertebral body add-on CPT 63308 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove vert idrl body crvcl CPT 63304 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove vert idrl body thrc CPT 63305 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove vert xdrl body crvcl CPT 63300 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove vert xdrl body thrc CPT 63301 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove vert xdrl body thrlmb CPT 63302 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove windpipe lesion CPT 31785 | not published | not published | $3,338.00 – $6,050.24 | 6 |
| Remove windpipe lesion CPT 31786 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Remove w insert drug implant HCPCS G0518 | not published | not published | $444.58 – $511.00 | 5 |
| Remove wrist/forearm lesion CPT 25115 | not published | not published | $1,600.27 – $5,978.00 | 6 |
| Remove wrist/forearm lesion CPT 25116 | not published | not published | $3,256.29 – $5,978.00 | 6 |
| Remove wrist joint cartilage CPT 25107 | not published | not published | $3,256.29 – $8,246.00 | 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.