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 |
|---|---|---|---|---|
| Thumb fusion with graft CPT 26842 | not published | not published | $3,338.00 – $8,246.00 | 6 |
| Thumb tendon transfer CPT 26510 | not published | not published | $3,256.29 – $8,246.00 | 6 |
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $3,338.00 – $10,995.00 | 5 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Thyroglobulin antibody CPT 86800 | $68.50 | $137.00 | $16.23 – $26.66 | 5 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | not published | $3,276.00 – $3,276.00 | 1 |
| Thyroid imaging CPT 78013 | $903.50 | $1,807.00 | $397.85 – $409.55 | 4 |
| Thyroid met imaging CPT 78015 | $413.50 | $827.00 | $397.85 – $409.55 | 4 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $397.85 – $409.55 | 4 |
| Thyroid mets imag whole body CPT 78018 | $864.50 | $1,729.00 | $540.36 – $556.26 | 4 |
| Thyroid (TSH) Test CPT 84443 | $77.00 | $154.00 | $17.14 – $28.16 | 5 |
| Thyroid Ultrasound CPT 76536 | $454.00 | $908.00 | $104.04 – $107.10 | 4 |
| Thyroid uptake measurement CPT 78012 | $703.50 | $1,407.00 | $397.85 – $409.55 | 4 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $2,158.65 – $2,222.14 | 4 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $51.42 – $84.49 | 5 |
| Thyroxine binding globulin (tbg) CPT 84442 | $66.00 | $132.00 | $15.08 – $24.79 | 5 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $3,338.00 – $13,397.00 | 6 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $19,374.50 | $38,749.00 | $3,338.00 – $62,241.00 | 2 |
| Tib/per revasc stnt & ather CPT 37235 | $6,722.50 | $13,445.00 | $2,004.00 – $13,397.00 | 2 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $3,882.00 | $7,764.00 | $2,004.00 – $29,725.00 | 2 |
| Tigecycline injection HCPCS J3243 | not published | not published | $0.40 – $1.75 | 2 |
| Tilt table study CPT 93660 | $619.50 | $1,239.00 | $371.37 – $511.00 | 5 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $11.82 – $11.82 | 1 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $10.07 – $10.07 | 1 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $0.02 – $621,312.51 | 4 |
| Tis cgen car anomal 1st shnt CPT 33745 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $511.00 – $2,004.00 | 2 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $511.00 – $2,004.00 | 2 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $511.00 – $2,004.00 | 2 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $511.00 – $2,004.00 | 2 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $192.54 – $198.20 | 4 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $10.75 – $10.75 | 1 |
| Tissue culture placenta CPT 88235 | $305.50 | $611.00 | $153.31 – $246.89 | 5 |
| Tissue culture skin/biopsy CPT 88233 | $292.00 | $584.00 | $143.54 – $235.96 | 5 |
| Tissue culture tumor CPT 88239 | $788.00 | $1,576.00 | $150.47 – $247.34 | 5 |
| Tissue exam koh skin/hair/nails CPT 87220 | $21.50 | $43.00 | $4.36 – $7.15 | 5 |
| Tissue transglutaminase iga CPT 86364 | $52.50 | $105.00 | $11.76 – $13.84 | 5 |
| Tixagev and cilgav inj HCPCS M0220 | $75.25 | $150.50 | not published | 0 |
| Tl-201 thallium diag per mci HCPCS A9505 | $75.50 | $151.00 | not published | 0 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $4,339.00 – $13,397.00 | 6 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $4,339.00 – $13,397.00 | 6 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $4,339.00 – $13,397.00 | 6 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $4,339.00 – $13,397.00 | 6 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $661.36 | $1,322.73 | not published | 0 |
| Tlso rigid lined custom fab HCPCS L0482 | $1,252.35 | $2,504.70 | not published | 0 |
| Tlso rigid lined pre one pie HCPCS L0488 | $800.06 | $1,600.11 | not published | 0 |
| Tlso rigid plastic cust fab HCPCS L0484 | $1,344.46 | $2,688.93 | not published | 0 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $3,256.29 – $5,978.00 | 6 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $143.29 – $143.29 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $5.46 – $5.46 | 1 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $44.52 – $44.52 | 1 |
| Tobramycin peak therapeutic drug level CPT 80200 | $88.00 | $176.00 | $16.45 – $27.02 | 5 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $5.82 – $5.99 | 4 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $14.31 – $14.31 | 1 |
| Toe joint transfer CPT 26556 | not published | not published | $3,338.00 – $13,397.00 | 5 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $82.50 | $165.00 | $12.73 – $13.10 | 4 |
| Tomosynthesis breast screen bilateral CPT 77063 | $82.50 | $165.00 | $23.44 – $24.13 | 4 |
| Tone decay hearing test CPT 92563 | not published | not published | $37.17 – $38.26 | 4 |
| Tongue and neck surgery CPT 41135 | not published | not published | $5,978.00 – $5,978.00 | 1 |
| Tongue base vol reduction CPT 41530 | not published | not published | $2,004.00 – $5,978.00 | 6 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $1,571.00 – $3,388.50 | 6 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Tongue suspension CPT 41512 | not published | not published | $2,670.00 – $10,995.00 | 6 |
| Tongue to lip surgery CPT 41510 | not published | not published | $1,010.00 – $3,388.50 | 6 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $3,299.54 – $5,978.00 | 6 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $3,338.00 – $6,050.24 | 6 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $4.96 – $4.96 | 1 |
| Topotecan oral HCPCS J8705 | not published | not published | $127.33 – $131.07 | 4 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $40.20 – $41.38 | 4 |
| Torsion straight knee joint HCPCS L2380 | $96.26 | $192.51 | not published | 0 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $1,547.00 – $5,980.00 | 2 |
| Total hip arthroplasty CPT 27132 | not published | not published | $4,339.00 – $29,725.00 | 5 |
| Total Hip Replacement CPT 27130 | not published | not published | $4,339.00 – $29,725.00 | 5 |
| Total hysterectomy CPT 58150 | not published | not published | $5,980.00 – $8,246.00 | 2 |
| Total Knee Replacement CPT 27447 | not published | not published | $4,339.00 – $29,725.00 | 5 |
| Total lung lavage CPT 32997 | not published | not published | $3,276.00 – $3,276.00 | 1 |
| Total tau CPT 84394 | not published | not published | $131.50 – $135.37 | 4 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $4,339.00 – $17,920.08 | 5 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $4,339.00 – $29,725.00 | 5 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $1,547.00 – $2,004.00 | 2 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $511.00 – $2,004.00 | 2 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $1,547.00 – $1,547.00 | 1 |
| Tot estradiol response panel CPT 80415 | not published | not published | $57.01 – $93.70 | 5 |
| Toxoplasma antibody igg CPT 86777 | $65.00 | $130.00 | $14.68 – $24.13 | 5 |
| Toxoplasma antibody igm CPT 86778 | $15.50 | $31.00 | $14.70 – $24.14 | 5 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $654.69 – $770.22 | 5 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $314.16 – $369.60 | 5 |
| Tp53 gene trgt sequence alys CPT 81352 | $823.00 | $1,646.00 | $336.10 – $395.41 | 5 |
| Tpmt gene com vrnts CPT 81335 | $373.00 | $746.00 | $178.31 – $209.77 | 5 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $248.65 – $511.00 | 5 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $3,338.00 – $29,725.00 | 5 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $2,670.00 – $5,978.00 | 5 |
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.