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 |
|---|---|---|---|---|
| Revision of urethra CPT 57220 | not published | not published | $3,304.00 – $10,995.00 | 6 |
| Revision of urinary tract CPT 51820 | not published | not published | $1,547.00 – $5,980.00 | 2 |
| Revision open av fistula without thromb CPT 36832 | $3,417.50 | $6,835.00 | $3,338.00 – $13,397.00 | 6 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $5,418.00 – $10,995.00 | 6 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $3,304.00 – $10,995.00 | 6 |
| Revision tips CPT 37183 | $7,066.50 | $14,133.00 | $5,664.24 – $29,725.00 | 5 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $4,007.00 – $13,121.51 | 5 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $5,418.00 – $10,995.00 | 6 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $5,418.00 – $10,995.00 | 6 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $3,304.00 – $10,995.00 | 6 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $2,004.00 – $8,246.00 | 5 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $5,418.00 – $10,995.00 | 6 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $1,010.00 – $8,246.00 | 6 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $1,010.00 – $8,246.00 | 6 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $1,010.00 – $8,246.00 | 6 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $4,339.00 – $29,725.00 | 5 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $4,339.00 – $29,725.00 | 5 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $3,304.00 – $31,537.49 | 5 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $1,547.00 – $17,920.08 | 5 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $2,670.00 – $29,725.00 | 5 |
| Revsc opn/prq tib/pero stent CPT 37234 | not published | not published | $2,004.00 – $13,397.00 | 2 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.45 – $11.16 | 4 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $2,980.00 | $5,960.00 | $1,943.35 – $5,978.00 | 5 |
| Rheumatoid factor qualitative CPT 86430 | $25.00 | $50.00 | $6.26 – $9.52 | 5 |
| Rheumatoid factor quantitative CPT 86431 | $26.50 | $53.00 | $5.78 – $9.52 | 5 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $3,338.00 – $6,050.24 | 6 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | not published | not published | $13.62 – $13.62 | 1 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $68.34 – $68.34 | 1 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $25.97 – $26.73 | 4 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $231.95 – $231.95 | 1 |
| R hrt cath chd abnl nt cnj CPT 93594 | $6,196.50 | $12,393.00 | $3,226.37 – $10,995.00 | 5 |
| R hrt cath chd nml nt cnj CPT 93593 | $6,196.50 | $12,393.00 | $3,226.37 – $10,995.00 | 5 |
| Rib cartilage graft CPT 21230 | not published | not published | $5,418.00 – $10,995.00 | 6 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $5,608.73 – $5,608.73 | 1 |
| Right ventric recording CPT 93603 | $568.50 | $1,137.00 | not published | 0 |
| Rilonacept injection HCPCS J2793 | not published | not published | $69.43 – $69.43 | 1 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $15.24 – $15.69 | 4 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $11.20 – $11.53 | 4 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $76.72 – $78.98 | 4 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $37.43 – $38.53 | 4 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $29.97 – $30.85 | 4 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $27.04 – $27.83 | 4 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $28.40 – $29.24 | 4 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $6,963.00 | $13,926.00 | $3,226.37 – $10,995.00 | 5 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $6,963.00 | $13,926.00 | $3,226.37 – $10,995.00 | 5 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $4,339.00 – $13,397.00 | 5 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $704.73 – $1,547.00 | 6 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $3,338.00 – $13,397.00 | 5 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,010.00 – $3,276.00 | 6 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $1,995.00 | $3,990.00 | $1,571.00 – $3,276.00 | 6 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $1,750.50 | $3,501.00 | $1,010.00 – $3,276.00 | 6 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $819.00 | $1,638.00 | $1,010.00 – $1,692.01 | 6 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $2,004.00 – $13,397.00 | 5 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $511.00 – $2,004.00 | 2 |
| Rmvl icd by tv extr CPT 33244 | $2,463.00 | $4,926.00 | $3,338.00 – $8,246.00 | 5 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $49,527.50 | $99,055.00 | $3,304.00 – $22,733.60 | 4 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $49,527.50 | $99,055.00 | $3,304.00 – $32,080.35 | 4 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $15,904.50 | $31,809.00 | $3,304.00 – $22,733.60 | 4 |
| Rmvl icd pulse gen only CPT 33241 | $2,463.00 | $4,926.00 | $3,338.00 – $8,246.00 | 5 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $511.00 – $2,004.00 | 2 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | $688.50 | $1,377.00 | $1,547.00 – $1,547.00 | 1 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $321.50 | $643.00 | $624.29 – $2,845.00 | 6 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $511.00 – $2,004.00 | 2 |
| Rmvl perm pm pulse gen CPT 33233 | $4,882.50 | $9,765.00 | $1,571.00 – $8,457.69 | 6 |
| Rmvl perq right heart vad CPT 33997 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $2,670.00 – $8,246.00 | 5 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $2,670.00 – $8,246.00 | 5 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $2,670.00 – $8,246.00 | 5 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $14,984.50 | $29,969.00 | $3,304.00 – $19,686.02 | 4 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $13,823.50 | $27,647.00 | $3,304.00 – $8,457.69 | 4 |
| Rmvl pq iabp CPT 33968 | $1,421.50 | $2,843.00 | $2,004.00 – $62,241.00 | 2 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $2,060.00 | $4,120.00 | $1,547.00 – $1,547.00 | 1 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Rmvl sq defib electrode CPT 33272 | $2,378.50 | $4,757.00 | $3,304.00 – $3,819.28 | 4 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,603.00 | $3,206.00 | $704.73 – $1,547.00 | 5 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $444.58 – $2,845.00 | 6 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $4,339.00 – $13,397.00 | 5 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $4,339.00 – $13,397.00 | 5 |
| Rmvl transplanted rnl algrft CPT 50370 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Rmvl tv pm lead dual CPT 33235 | $2,509.50 | $5,019.00 | $3,338.00 – $8,246.00 | 5 |
| Rmvl tv pm lead sgl CPT 33234 | $2,463.00 | $4,926.00 | $3,338.00 – $8,246.00 | 5 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $2,670.00 – $8,246.00 | 5 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $2,670.00 – $8,246.00 | 5 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $2,670.00 – $8,246.00 | 5 |
| Rmv prosth mat/mesh/abd wall/infec 11008 CPT 11008 | not published | not published | $8,246.00 – $8,246.00 | 1 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $2,670.00 – $29,725.00 | 5 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $3,304.00 – $62,241.00 | 5 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $2,670.00 – $8,246.00 | 5 |
| Rmv suture/anesthesia/not local 15850 CPT 15850 | not published | not published | $1,010.00 – $1,010.00 | 1 |
| Rnl altrnsplj without rcp nfrct CPT 50360 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Rnl altrnsplj w/rcp nfrct CPT 50365 | 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.