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 |
|---|---|---|---|---|
| Resect enlarged toe tissue CPT 28340 | not published | not published | $3,256.29 – $5,978.00 | 6 |
| Resect/excise cranial lesion CPT 61600 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Resect/excise cranial lesion CPT 61601 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Resect/excise cranial lesion CPT 61605 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Resect/excise cranial lesion CPT 61606 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Resect/excise cranial lesion CPT 61607 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Resect/excise cranial lesion CPT 61608 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Resect/excise lesion skull CPT 61615 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Resect/excise lesion skull CPT 61616 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Resect extraplural rib(s) 32900 CPT 32900 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Resect face/scalp tum < 2 cm CPT 21015 | not published | not published | $2,890.77 – $3,895.00 | 6 |
| Resect face/scalp tum 2 cm/> CPT 21016 | not published | not published | $2,670.00 – $6,716.00 | 6 |
| Resect femur/knee tumor CPT 27365 | not published | not published | $3,256.29 – $13,397.00 | 5 |
| Resect fibula tumor CPT 27646 | not published | not published | $3,256.29 – $13,397.00 | 5 |
| Resect foot/toe tumor 3 cm/> CPT 28047 | not published | not published | $2,890.77 – $6,716.00 | 6 |
| Resect forarm/wrist tum 3cm> CPT 25078 | not published | not published | $2,890.77 – $6,716.00 | 6 |
| Resect forearm/wrist tum<3cm CPT 25077 | not published | not published | $2,890.77 – $3,895.00 | 6 |
| Resect heart sac lesion 33050 CPT 33050 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Resect hip/pelv tum < 5 cm CPT 27049 | not published | not published | $2,890.77 – $3,895.00 | 6 |
| Resect hip/pelv tum 5 cm/> CPT 27059 | not published | not published | $2,890.77 – $6,716.00 | 6 |
| Resect hip tum incl acetabul CPT 27076 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Resect hip tumor CPT 27075 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Resect hip tum w/innom bone CPT 27077 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Resect/incis/subva tissue/subva as 33415 CPT 33415 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Resect inferior turbinate CPT 30140 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Resection of elbow joint CPT 24155 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Resection palate/lesion 42120 CPT 42120 | not published | not published | $3,338.00 – $6,050.24 | 6 |
| Resect leg/ankle tum < 5 cm CPT 27615 | not published | not published | $2,890.77 – $3,895.00 | 6 |
| Resect leg/ankle tum 5 cm/> CPT 27616 | not published | not published | $2,890.77 – $6,716.00 | 6 |
| Resect mediastinal cyst 39200 CPT 39200 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Resect mediastinal tumor 39220 CPT 39220 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Resect metatarsal tumor CPT 28173 | not published | not published | $3,256.29 – $5,978.00 | 6 |
| Resect nasopharynx skull CPT 61586 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Resect neck tumor 5 cm/> CPT 21558 | not published | not published | $2,890.77 – $6,716.00 | 6 |
| Resect ovarian malignancy CPT 58952 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Resect ovarian malignancy w/bso 58950 CPT 58950 | not published | not published | $8,246.00 – $8,246.00 | 1 |
| Resect ovarian malignancy w/bso+omntc tah 58951 CPT 58951 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Resect part/compl phalangeal base ea 28126 CPT 28126 | not published | not published | $3,256.29 – $5,978.00 | 6 |
| Resect phalanx of toe tumor CPT 28175 | $902.50 | $1,805.00 | $1,600.27 – $5,978.00 | 6 |
| Resect prox finger tumor CPT 26260 | not published | not published | $3,256.29 – $3,895.00 | 6 |
| Resect radius/ulnar tumor CPT 25170 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Resect talus/calcaneus tum CPT 27647 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Resect tarsal tumor CPT 28171 | not published | not published | $3,256.29 – $5,978.00 | 6 |
| Resect thigh/knee tum < 5 cm CPT 27329 | not published | not published | $2,890.77 – $4,314.00 | 6 |
| Resect thigh/knee tum 5 cm/> CPT 27364 | not published | not published | $2,890.77 – $6,716.00 | 6 |
| Resect tibia tumor CPT 27645 | not published | not published | $3,256.29 – $13,397.00 | 5 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | not published | not published | $11.17 – $11.50 | 4 |
| Respirator motion mgmt simul CPT 77293 | $1,197.50 | $2,395.00 | not published | 0 |
| #resp virpnl dfa-adenovirus CPT 87260 | not published | not published | $14.72 – $20.11 | 5 |
| #resp virpnl dfa-parainfluenza CPT 87279 | not published | not published | $16.76 – $20.11 | 5 |
| Resp virus 6-11 targets CPT 87632 | $859.00 | $1,718.00 | $222.42 – $352.04 | 5 |
| Restore/remodelventricle 33548 CPT 33548 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Resuscitation cardiopulmonary CPT 92950 | $744.00 | $1,488.00 | $214.89 – $511.00 | 5 |
| Resuscitation delivery/birthing room CPT 99465 | $283.00 | $566.00 | $657.77 – $677.12 | 4 |
| Reteplase injection HCPCS J2993 | not published | not published | $2,962.67 – $3,049.80 | 4 |
| Reticulated platelet assay CPT 85055 | not published | not published | $36.45 – $44.89 | 5 |
| Reticulocyte automated CPT 85045 | not published | not published | $4.07 – $6.71 | 5 |
| Reticulocyte direct measurement automated CPT 85046 | $22.00 | $44.00 | $5.68 – $9.36 | 5 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $31.17 – $32.08 | 4 |
| Retr bone flap to fix skull CPT 62148 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Retrieval of oocyte CPT 58970 | not published | not published | $916.63 – $1,547.00 | 6 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $19.98 – $32.84 | 5 |
| Revasc evasc fpvt angio cplx 1st CPT 37265 | not published | not published | $5,664.24 – $5,830.83 | 4 |
| Revasc evasc fpvt angio sf 1st CPT 37263 | not published | not published | $5,664.24 – $5,830.83 | 4 |
| Revasc evasc fpvt athrec cplx 1st CPT 37273 | not published | not published | $18,243.62 – $18,780.19 | 4 |
| Revasc evasc fpvt athrec sf 1st CPT 37271 | not published | not published | $18,243.62 – $18,780.19 | 4 |
| Revasc evasc fpvt st athrec sf 1st CPT 37275 | not published | not published | $18,243.62 – $18,780.19 | 4 |
| Revasc evasc fpvt stent cplx 1st CPT 37269 | not published | not published | $11,488.76 – $11,826.66 | 4 |
| Revasc evasc fpvt stent sf 1st CPT 37267 | not published | not published | $11,488.76 – $11,826.66 | 4 |
| Revasc evasc imvt angio cplx 1st CPT 37298 | not published | not published | $11,488.76 – $11,826.66 | 4 |
| Revasc evasc imvt angio sf 1st CPT 37296 | not published | not published | $11,488.76 – $11,826.66 | 4 |
| Revasc evasc ivt angio cplx 1st CPT 37256 | not published | not published | $5,664.24 – $5,830.83 | 4 |
| Revasc evasc ivt stent cplx 1st CPT 37260 | not published | not published | $11,488.76 – $11,826.66 | 4 |
| Revasc evasc ivt stent sf 1st CPT 37258 | not published | not published | $11,488.76 – $11,826.66 | 4 |
| Revasc evasc tpvt angio cplx 1st CPT 37282 | not published | not published | $11,488.76 – $11,826.66 | 4 |
| Revasc evasc tpvt angio sf 1st CPT 37280 | not published | not published | $11,488.76 – $11,826.66 | 4 |
| Revasc evasc tpvt athrec cplx 1st CPT 37290 | not published | not published | $18,243.62 – $18,780.19 | 4 |
| Revasc evasc tpvt athrec sf 1st CPT 37288 | not published | not published | $18,243.62 – $18,780.19 | 4 |
| Revasc intra lithotrip-ather HCPCS C9766 | $13,166.50 | $26,333.00 | $4,007.00 – $29,725.00 | 5 |
| Revasc intra lithotrip-stent HCPCS C9765 | $13,166.50 | $26,333.00 | $3,338.00 – $29,725.00 | 5 |
| Revasc intravasc lithotripsy HCPCS C9764 | $6,583.50 | $13,167.00 | $3,338.00 – $13,397.00 | 5 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $29,768.50 | $59,537.00 | $3,338.00 – $29,725.00 | 5 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $21,180.50 | $42,361.00 | $4,007.00 – $29,725.00 | 5 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $19,156.50 | $38,313.00 | $3,338.00 – $29,725.00 | 5 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $29,768.50 | $59,537.00 | $3,338.00 – $29,725.00 | 5 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $29,768.50 | $59,537.00 | $3,338.00 – $29,725.00 | 5 |
| Revascularization penis CPT 37788 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | not published | not published | $0.56 – $0.56 | 1 |
| Revise abdomen-venous shunt CPT 49426 | $2,050.50 | $4,101.00 | $1,571.00 – $8,246.00 | 6 |
| Revise additional leg tendon CPT 27692 | not published | not published | $511.00 – $3,304.00 | 2 |
| Revise aqueous shunt eye CPT 66185 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Revise arm/leg nerve CPT 64708 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Revise bladder & ureter(s) CPT 51565 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Revise breast reconst 19380 CPT 19380 | not published | not published | $4,007.00 – $10,995.00 | 6 |
| Revise circulation to head CPT 61708 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Revise circulation to head CPT 61705 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Revise circulation to head CPT 61710 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Revise esophagus & stomach 43325 CPT 43325 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Revise eye CPT 65091 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Revise eyelashes CPT 67825 | not published | not published | $315.88 – $1,010.00 | 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.