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 |
|---|---|---|---|---|
| Autopsy (necropsy) complete CPT 88020 | not published | not published | $388.37 – $889.27 | 2 |
| Autopsy (necropsy) complete CPT 88025 | not published | not published | $418.39 – $860.23 | 2 |
| Autopsy (necropsy) complete CPT 88027 | not published | not published | $448.40 – $917.40 | 2 |
| Autopsy (necropsy) complete CPT 88028 | not published | not published | $249.22 – $516.32 | 2 |
| Autopsy (necropsy) complete CPT 88029 | not published | not published | $249.22 – $516.32 | 2 |
| Autopsy (necropsy) gross CPT 88000 | not published | not published | $270.59 – $516.32 | 2 |
| Autopsy (necropsy) gross CPT 88005 | not published | not published | $300.60 – $602.51 | 2 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $330.61 – $630.67 | 2 |
| Autopsy (necropsy) gross CPT 88012 | not published | not published | $249.22 – $516.32 | 2 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $249.22 – $473.22 | 2 |
| Autopsy (necropsy) gross CPT 88016 | not published | not published | $302.88 – $659.68 | 2 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $102.09 – $105.09 | 4 |
| Av fistula revision CPT 36833 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| Av fusion direct any site CPT 36821 | $4,286.50 | $8,573.00 | $3,142.32 – $8,246.00 | 6 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| Avul nail plate addl CPT 11732 | $349.50 | $699.00 | $511.00 – $2,004.00 | 2 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $213.00 | $426.00 | $199.67 – $2,845.00 | 6 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $52.92 – $58.43 | 4 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $0.02 – $559,891.68 | 4 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $1,571.00 – $13,397.00 | 6 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.80 – $0.80 | 1 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $3.31 – $3.31 | 1 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $259.15 – $266.77 | 4 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | not published | not published | $5.91 – $5.91 | 1 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $184.85 – $190.28 | 4 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $113.31 – $113.31 | 1 |
| Baclofen eval charges CPT 97750 | $40.00 | $80.00 | $33.99 – $34.99 | 4 |
| Bacterial meningitis antigen CPT 86403 | $44.50 | $89.00 | $11.77 – $17.09 | 5 |
| Bacterial vaginosis pcr CPT 87801 | $499.00 | $998.00 | $71.60 – $117.68 | 5 |
| Bactericidal level serum CPT 87197 | not published | not published | $15.32 – $25.19 | 5 |
| #bac vag cand-c. albicans naa CPT 87481 | $167.00 | $334.00 | $35.79 – $58.85 | 5 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | $11.90 | $23.81 | not published | 0 |
| Balloon dilate urtrl strix CPT 50706 | $703.50 | $1,407.00 | $511.00 – $2,004.00 | 2 |
| Banding pulmonary artery CPT 33690 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $892.69 | $1,785.38 | not published | 0 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Bartonella dna pcr-sendout CPT 87471 | $167.00 | $334.00 | $35.79 – $58.85 | 5 |
| Bartonella dna quant CPT 87472 | not published | not published | $43.70 – $71.82 | 5 |
| Basic vestibular evaluation CPT 92540 | $173.50 | $347.00 | $214.89 – $221.21 | 4 |
| Basiliximab HCPCS J0480 | not published | not published | $4,650.35 – $4,921.20 | 4 |
| B cells total count CPT 86355 | $168.00 | $336.00 | $38.48 – $63.24 | 5 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $3.33 – $3.42 | 4 |
| Bckdhb gene CPT 81205 | not published | not published | $96.89 – $113.99 | 5 |
| Bebtelovimab injection HCPCS M0222 | $175.00 | $350.00 | not published | 0 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | $52.50 | $105.00 | not published | 0 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $3.96 – $4.08 | 4 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $53.32 – $58.87 | 4 |
| Below knee total contact HCPCS L5637 | $278.94 | $557.87 | not published | 0 |
| Belt ostomy lg 34-65in HCPCS A4367 | $5.18 | $10.35 | not published | 0 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $1.92 – $1.98 | 4 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $12.53 – $12.90 | 4 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $13.76 – $14.16 | 4 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $30.45 – $31.34 | 4 |
| Benign lesion paring 2-4 CPT 11056 | $160.00 | $320.00 | $199.67 – $2,845.00 | 6 |
| Benign lesion paring 4+ CPT 11057 | $160.00 | $320.00 | $199.67 – $2,845.00 | 6 |
| #_benzodiazconfur CPT 80346 | not published | not published | $0.03 – $32.33 | 2 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | not published | not published | $46.98 – $46.98 | 1 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $19.00 | $38.00 | $25.96 – $42.65 | 5 |
| Beta-2 microglobulin CPT 82232 | $72.50 | $145.00 | $16.50 – $27.13 | 5 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $131.50 – $135.37 | 4 |
| Beta-amyloid 1-42 CPT 82234 | not published | not published | $131.50 – $135.37 | 4 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | not published | not published | $20.91 – $20.91 | 1 |
| Bethanechol chloride inject HCPCS J0520 | not published | not published | $12.67 – $12.67 | 1 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $74.67 – $76.86 | 4 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $28.42 – $29.26 | 4 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $26.28 – $27.05 | 4 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $1.87 – $1.92 | 4 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $84.00 | $168.00 | $37.56 – $38.66 | 4 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $84.00 | $168.00 | $21.10 – $21.72 | 4 |
| B-hexosaminidase ea assay CPT 83080 | $114.00 | $228.00 | $17.21 – $28.28 | 5 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $2,004.00 – $8,246.00 | 2 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $788.00 | $1,576.00 | $880.23 – $1,547.00 | 6 |
| Bilateral n block inj occipital 64405 CPT 64405 | $544.00 | $1,088.00 | $305.48 – $1,010.00 | 6 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $560.00 | $1,120.00 | $305.48 – $1,010.00 | 6 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $27.11 – $44.56 | 5 |
| Bile duct endoscopy add-on 47550 CPT 47550 | $8,362.50 | $16,725.00 | $511.00 – $511.00 | 1 |
| Bile duct revision CPT 47701 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Biliary endo perq dx w/speci CPT 47552 | $8,362.50 | $16,725.00 | $1,571.00 – $8,246.00 | 6 |
| Biliary endoscopy thru skin CPT 47553 | $1,702.00 | $3,404.00 | $3,304.00 – $13,397.00 | 6 |
| Biliary endoscopy thru skin CPT 47554 | $2,504.50 | $5,009.00 | $3,304.00 – $13,397.00 | 6 |
| Biliary endoscopy thru skin CPT 47555 | $1,702.00 | $3,404.00 | $3,304.00 – $8,246.00 | 6 |
| Biliary endoscopy thru skin CPT 47556 | $2,504.50 | $5,009.00 | $3,304.00 – $13,397.00 | 6 |
| Bilicheck CPT 88720 | $28.00 | $56.00 | $5.12 – $8.80 | 5 |
| Bilirubin direct CPT 82248 | $24.00 | $48.00 | $5.12 – $8.42 | 5 |
| Bilirubin total CPT 82247 | $24.00 | $48.00 | $5.12 – $8.42 | 5 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $49.68 | $99.36 | not published | 0 |
| Biopsy abdominal mass CPT 49180 | $1,092.50 | $2,185.00 | $1,010.00 – $3,276.00 | 6 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Biopsy, bone open deep CPT 20245 | not published | not published | $2,890.77 – $5,978.00 | 6 |
| Biopsy bone trocar/needle superficial CPT 20220 | $2,773.00 | $5,546.00 | $1,010.00 – $1,692.01 | 6 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $1,556.50 | $3,113.00 | $916.63 – $1,547.00 | 6 |
| Biopsy conjunctiva CPT 68100 | not published | not published | $1,547.00 – $3,895.00 | 6 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $1,571.00 – $5,978.00 | 6 |
| Biopsy external ear 69100 CPT 69100 | $246.00 | $492.00 | $235.71 – $1,010.00 | 6 |
| Biopsy eyelid & lid margin CPT 67810 | not published | not published | $315.88 – $1,010.00 | 6 |
| Biopsy eye muscle CPT 67346 | not published | not published | $1,010.00 – $8,246.00 | 6 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $1,010.00 – $3,344.08 | 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.