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 |
|---|---|---|---|---|
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $741.00 | $1,482.00 | $1,600.27 – $5,978.00 | 5 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | not published | not published | $5.96 – $5.96 | 1 |
| Teriparatide injection HCPCS J3110 | not published | not published | $136.05 – $136.05 | 1 |
| Tert gene targeted seq alys CPT 81345 | $161.00 | $322.00 | $188.90 – $222.24 | 5 |
| Test for chlorohydrocarbons CPT 82441 | $56.00 | $112.00 | $6.13 – $10.06 | 5 |
| Test for porphobilinogen CPT 84106 | not published | not published | $5.94 – $7.19 | 5 |
| Test for urine cystines CPT 82615 | not published | not published | $9.74 – $13.69 | 5 |
| Testicular imaging w/vasc flow CPT 78761 | $828.00 | $1,656.00 | $397.85 – $409.55 | 4 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $105.97 – $105.97 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $52.67 – $86.59 | 5 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.11 – $2.17 | 4 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $44.50 | $89.00 | $30.60 – $60.44 | 5 |
| Test stress cardiovascular tracing only CPT 93017 | $481.00 | $962.00 | $214.89 – $221.21 | 4 |
| Test urine for lactose CPT 83633 | not published | not published | $9.23 – $11.81 | 5 |
| Test urine for porphyrins CPT 84119 | not published | not published | $13.63 – $14.44 | 5 |
| Test urine urobilinogen CPT 84578 | not published | not published | $4.56 – $5.45 | 5 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $604.86 – $622.65 | 4 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $18.37 – $18.91 | 4 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $139.74 – $164.40 | 5 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $774.72 – $911.44 | 5 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,977.99 – $3,503.52 | 5 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $609.87 – $717.49 | 5 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $24.64 – $174.12 | 5 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $24.64 – $174.12 | 5 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $17.56 – $174.12 | 5 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $24.64 – $53.26 | 5 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $439.06 – $1,010.00 | 6 |
| Theophylline therapeutic drug level CPT 80198 | $83.50 | $167.00 | $14.42 – $23.72 | 5 |
| Therapeutic procd strg endur HCPCS G0237 | $81.00 | $162.00 | not published | 0 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $29.50 | $59.00 | $26.67 – $27.46 | 4 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $24.00 | $48.00 | $22.27 – $22.92 | 4 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $199.67 – $511.00 | 5 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $3,299.54 – $5,978.00 | 6 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $174.56 – $179.69 | 4 |
| Ther/proph/diag inj ia CPT 96373 | $321.50 | $643.00 | $211.68 – $217.91 | 4 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | not published | not published | $4.90 – $4.90 | 1 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $16.72 – $16.72 | 1 |
| Thiotepa injection HCPCS J9340 | not published | not published | $617.03 – $617.03 | 1 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,209.00 | $4,418.00 | $624.29 – $1,547.00 | 6 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracic duct procedure CPT 38380 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracic duct procedure CPT 38381 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracic duct procedure CPT 38382 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $3,304.00 – $10,995.00 | 5 |
| Thoracoscopy for lvrs CPT 32672 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracoscopy pneumonectomy CPT 32671 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $29,725.00 – $29,725.00 | 1 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracoscopy remov fb/fibrin 32653 CPT 32653 | not published | not published | $13,397.00 – $13,397.00 | 1 |
| Thoracoscopy resect bullae 32655 CPT 32655 | not published | not published | $29,725.00 – $29,725.00 | 1 |
| Thoracoscopy surgical 32650 CPT 32650 | not published | not published | $29,725.00 – $29,725.00 | 1 |
| Thoracoscopy surgical with control of traumatic hemorrhage CPT 32654 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracoscopy/thoracic sympathectomy32664 CPT 32664 | not published | not published | $2,670.00 – $8,246.00 | 2 |
| Thoracoscopy/tot pulm decortication32652 CPT 32652 | not published | not published | $29,725.00 – $29,725.00 | 1 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $3,304.00 – $10,995.00 | 5 |
| Thoracoscopy wbx sac CPT 32604 | not published | not published | $3,304.00 – $10,995.00 | 5 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracoscopy w/pleurectomy 32656 CPT 32656 | not published | not published | $29,725.00 – $29,725.00 | 1 |
| Thoracoscopy w/sac drng 32659 CPT 32659 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracoscopy w/sac fb remove CPT 32658 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracoscopy w/thymus resect CPT 32673 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracoscopy w/wedge resect CPT 32666 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracoscopy w w resect addl 32667 CPT 32667 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracoscopy w w resect diag 32668 CPT 32668 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracostomy w/flap drng 32036 CPT 32036 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracostomy w/rib resection 32035 CPT 32035 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracotomy opn free adhesions 32124 CPT 32124 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thoracotomy w/expl CPT 32100 | $3,769.50 | $7,539.00 | $1,547.00 – $1,547.00 | 1 |
| Thoracotomy with cardiac massage CPT 32160 | $524.50 | $1,049.00 | $1,547.00 – $1,547.00 | 1 |
| Thorax spine fusion CPT 22610 | not published | not published | $4,339.00 – $29,725.00 | 5 |
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $3,304.00 – $10,995.00 | 6 |
| Thor rib belt custom fabrica HCPCS L0220 | $393.30 | $786.60 | not published | 0 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $3,304.00 – $10,995.00 | 6 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $3,304.00 – $10,995.00 | 6 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $86.61 – $89.15 | 4 |
| Thrombectmy crnry perq mechanical CPT 92973 | $6,229.00 | $12,458.00 | $511.00 – $511.00 | 1 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $7,755.00 | $15,510.00 | $4,007.00 – $13,397.00 | 5 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $15,671.00 | $31,342.00 | $5,980.00 – $29,725.00 | 5 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $23,753.00 | $47,506.00 | $5,980.00 – $62,241.00 | 5 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thrombin time CPT 85670 | $19.00 | $38.00 | $5.89 – $9.68 | 5 |
| Thrombin time titer CPT 85675 | not published | not published | $6.99 – $11.50 | 5 |
| Thromboendarterectomy common femoral CPT 35371 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $4,007.00 – $13,397.00 | 5 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thromboendarterectomy sfa CPT 35302 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thrombomodulin CPT 85337 | not published | not published | $17.47 – $18.13 | 5 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $9.82 – $16.14 | 5 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $34.00 | $68.00 | $6.60 – $10.85 | 5 |
| Thromboxane urine CPT 84431 | not published | not published | $22.25 – $36.87 | 5 |
| Thumb fusion with graft CPT 26820 | not published | not published | $4,007.00 – $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.