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 |
|---|---|---|---|---|
| Stenger test speech CPT 92577 | not published | not published | $371.37 – $382.29 | 4 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $28,718.00 | $57,436.00 | $3,338.00 – $62,241.00 | 2 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $8,528.62 | $17,057.25 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $577.72 | $1,155.43 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $8,634.00 | $17,268.00 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $8,134.50 | $16,269.00 | $3,338.00 – $29,725.00 | 2 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $1,829.00 | $3,658.00 | $2,004.00 – $13,397.00 | 2 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $1,547.00 – $3,304.00 | 2 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $17,271.50 | $34,543.00 | $3,338.00 – $29,725.00 | 2 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Sternal debridement CPT 21627 | not published | not published | $3,256.29 – $13,397.00 | 5 |
| St evaluate speech sound production CPT 92522 | $202.00 | $404.00 | $112.92 – $116.25 | 4 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $601.50 | $1,203.00 | $229.19 – $235.94 | 4 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $212.00 | $424.00 | $92.04 – $94.75 | 4 |
| St evaluation swallow function CPT 92610 | $212.00 | $424.00 | $58.60 – $60.32 | 4 |
| Stimulants synthetic CPT 80371 | not published | not published | $0.03 – $29.64 | 2 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,943.35 – $3,895.00 | 6 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $52.48 – $174.54 | 5 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $52.48 – $174.54 | 5 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $52.48 – $174.54 | 5 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $52.48 – $174.54 | 5 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $194.50 | $389.00 | $161.72 – $2,845.00 | 6 |
| Strapping of chest CPT 29200 | $74.50 | $149.00 | $161.72 – $2,845.00 | 6 |
| Strapping of elbow or wrist 29260 CPT 29260 | $56.00 | $112.00 | $58.71 – $2,845.00 | 6 |
| Strapping of hand or finger CPT 29280 | $99.50 | $199.00 | $58.71 – $2,845.00 | 6 |
| Strapping of hip CPT 29520 | $156.50 | $313.00 | $132.41 – $2,845.00 | 6 |
| Strapping of knee CPT 29530 | $248.50 | $497.00 | $132.41 – $2,845.00 | 6 |
| Strapping of toes 29550 CPT 29550 | $62.50 | $125.00 | $58.71 – $2,845.00 | 6 |
| Strep a ag ia CPT 87430 | not published | not published | $17.15 – $20.11 | 5 |
| Strep a dna dir probe CPT 87650 | not published | not published | $20.45 – $33.62 | 5 |
| Strep a dna quant CPT 87652 | not published | not published | $42.60 – $70.00 | 5 |
| Strep b assay w/optic CPT 87802 | not published | not published | $12.98 – $20.11 | 5 |
| Strep b dna amp probe CPT 87653 | not published | not published | $35.79 – $58.85 | 5 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $211.18 – $211.18 | 1 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.91 – $18.49 | 5 |
| Streptomycin injection HCPCS J3000 | not published | not published | $78.65 – $78.65 | 1 |
| Streptozocin injection HCPCS J9320 | not published | not published | $943.98 – $943.98 | 1 |
| Stress test pulmonary CPT 94618 | $247.00 | $494.00 | $132.41 – $136.30 | 4 |
| Stress tte complete CPT 93351 | $994.00 | $1,988.00 | $543.79 – $559.79 | 4 |
| Str markers spec anal addl CPT 81266 | not published | not published | $310.91 – $365.77 | 5 |
| Str markers specimen anal CPT 81265 | $998.50 | $1,997.00 | $237.73 – $352.06 | 5 |
| St treatment speech individual CPT 92507 | $144.50 | $289.00 | $77.02 – $79.29 | 4 |
| St treatment swallow dysfunction/oral CPT 92526 | $144.50 | $289.00 | $85.08 – $87.58 | 4 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $702.49 – $1,547.00 | 6 |
| Subq njx filling matrl 1cc/< CPT 11950 | not published | not published | $199.67 – $2,845.00 | 6 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $511.00 – $2,845.00 | 6 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $511.00 – $2,670.00 | 2 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $3,304.00 – $13,397.00 | 6 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | not published | not published | $2.23 – $2.23 | 1 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Suction lipectomy lwr extrem CPT 15879 | $5,291.00 | $10,582.00 | $3,304.00 – $8,246.00 | 6 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $3,304.00 – $8,246.00 | 6 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $2,053.37 – $3,895.00 | 6 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.76 – $19.32 | 5 |
| Sugars single quant CPT 84378 | not published | not published | $11.76 – $19.32 | 5 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $0.03 – $29.64 | 2 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | not published | not published | $132.45 – $132.45 | 1 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $46.60 – $47.97 | 4 |
| Supply of digital device HCPCS G0552 | not published | not published | $132.50 – $136.39 | 4 |
| Support clav 29.6-40.5in med HCPCS L3650 | $44.50 | $89.01 | not published | 0 |
| Supprelin la implant HCPCS J9226 | not published | not published | $45,921.06 – $47,271.68 | 4 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $1,571.00 – $3,276.00 | 6 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $3,304.00 – $8,246.00 | 2 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $3,338.00 – $8,246.00 | 2 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $1,571.00 – $8,246.00 | 6 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $3,338.00 – $8,246.00 | 5 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $4,007.00 – $8,246.00 | 5 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $3,338.00 – $8,246.00 | 5 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $4,007.00 – $8,246.00 | 5 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $2,004.00 – $5,978.00 | 5 |
| Surgical opening esophagus CPT 43351 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Surgical opening esophagus CPT 43352 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Surgical opening of stomach CPT 43510 | not published | not published | $902.63 – $3,276.00 | 5 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,544.13 – $3,276.00 | 6 |
| Surgical pathology level 1 gross examination only CPT 88300 | $38.00 | $76.00 | $14.14 – $29.56 | 5 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $116.00 | $232.00 | $14.14 – $38.26 | 5 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $72.00 | $144.00 | $29.60 – $53.39 | 5 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $168.50 | $337.00 | $29.60 – $53.39 | 5 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $233.50 | $467.00 | $41.78 – $367.22 | 5 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $373.50 | $747.00 | $41.78 – $823.43 | 5 |
| Surgical repair stomach bleedin ulcer 43501 CPT 43501 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Surgical repair stomach gastric lac 43502 CPT 43502 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Surgical revision intestine CPT 44680 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $1,010.00 – $5,978.00 | 6 |
| Susceptibility agar dilution per agent CPT 87181 | not published | not published | $4.84 – $7.97 | 5 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $24.50 | $49.00 | $4.84 – $7.97 | 5 |
| Susceptibility mic per plate CPT 87186 | $238.50 | $477.00 | $8.82 – $14.50 | 5 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $6.77 – $11.12 | 5 |
| Suspend bowel w/prosthesis CPT 44700 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Suspension of testis CPT 54620 | not published | not published | $3,304.00 – $5,978.00 | 6 |
| Suspension of uterus CPT 58410 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Suspension of uterus 58400 CPT 58400 | not published | not published | $4,007.00 – $8,246.00 | 2 |
| Sutr lg intestine 1/mult perf without colostomy 44604 CPT 44604 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Suture bile duct injury 47900 CPT 47900 | 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.