Does Sentara Martha Jefferson Hospital have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Sentara Martha Jefferson Hospital. In a medical emergency, call 911.

Where is Sentara Martha Jefferson Hospital?

500 Martha Jefferson Drive, Charlottesville, VA 22911, in Albemarle County, Virginia.

What is the phone number of Sentara Martha Jefferson Hospital?

(434) 654-7000, as listed by Medicare (CMS).

What is the Medicare star rating of Sentara Martha Jefferson Hospital?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Sentara Martha Jefferson Hospital — Charlottesville, VA

Quick answers

Does Sentara Martha Jefferson Hospital have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Sentara Martha Jefferson Hospital. In a medical emergency, call 911.
Where is Sentara Martha Jefferson Hospital?: 500 Martha Jefferson Drive, Charlottesville, VA 22911, in Albemarle County, Virginia.
What is the phone number of Sentara Martha Jefferson Hospital?: (434) 654-7000, as listed by Medicare (CMS).
What is the Medicare star rating of Sentara Martha Jefferson Hospital?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Conditions treated^[9][10]

Cardiomyopathy
Coronary artery disease
Heart arrhythmia
Heart failure
Heart valve disorders
High cholesterol and high blood pressure
Abdominal aortic aneurysm
Carotid artery disease
Peripheral arterial disease
Stroke
Seizures and epilepsy
Alzheimer's disease
Dementia
Headaches
Multiple sclerosis
Myasthenia gravis
Parkinson's disease
Peripheral neuropathy
Restless leg syndrome
Tremors
Trigeminal neuralgia
Vertigo
Balance and gait dysfunction
Amyotrophic lateral sclerosis (ALS)
Brain and spine tumors
Herniated disc
Spinal stenosis
Spondylolisthesis
Chiari malformation
Spinal fractures
Hydrocephalus
Carpal tunnel syndrome
Cerebral aneurysms
Arteriovenous malformations
Subarachnoid hemorrhage
Subdural hematoma

Treatments^[8][10][12]

External beam radiation therapy
Stereotactic radiosurgery
Stereotactic body radiotherapy
Brachytherapy
Intraoperative radiation therapy
Accelerated partial breast irradiation
SIR-Spheres and TheraSphere
Infusion therapy
Palliative care
Thrombolysis (clot busting)
Mechanical thrombectomy
Carotid stenting
Aneurysm coiling
Arteriovenous malformation embolization
Flow diversion
Middle meningeal artery embolization
Robotic-assisted surgery (da Vinci)
Minimally invasive surgery

Procedures^{[9][10][11][12]}

Angioplasty
Cardiac ablation
Cardiac catheterization
Pacemaker implantation
Implantable defibrillator (ICD) implantation
Cardiac resynchronization therapy device
Cardioversion
Loop recorder implantation
Cardiac MRI and CT
Echocardiogram
Electrocardiogram (EKG)
Holter monitor
Stress test
CT and CT angiography
MRI and MR angiography
EEG
EMG
Sleep studies
Brain or spinal tumor excision
Brain or spinal tumor biopsy
Spinal discectomy
Spinal laminectomy
Spinal fusion
Cervical disc replacement
Ventriculoperitoneal shunt
Cranioplasty
Aneurysm clipping
Carpal tunnel release
Hip replacement
Knee replacement
Shoulder replacement
Gallbladder surgery
Hernia repair
Breast surgery
Colorectal surgery
Weight loss surgery
Gynecological surgery
Urologic surgery

Programs and centers^{[7][8][9][10][11]}

Family Birthing Center
Level II Special Care Nursery
Postpartum support groups
Obstetric case management
Primary Stroke Center
High Risk Breast Program
Cancer rehab and renewal
Sentara OrthoJoint Center
Sentara Vascular and Vein Center
Arrhythmia Center and Device Clinic
Pritikin Intensive Cardiac Rehab

Emergency care (hospital website)^[4][7][10]

Emergency room	Yes
Stroke designation	Primary Stroke Center

Visiting and practical information

Visiting	Hospital open 24 hours; reach patient rooms by dialing 434-654 plus the room number^[13]
Parking	Maternity patients park in the main-floor (3rd floor) parking garage and enter through the main hospital doors^[7]

Recognition^[10]

Primary Stroke Center certification (DNV)

Doctors and clinicians (669)

669 doctors and other clinicians list Sentara Martha Jefferson Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 645 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

University of Virginia Medical Center3.0 mi · Charlottesville, VA · Acute Care Hospital
Augusta Health30 mi · Fishersville, VA · Acute Care Hospital
Western State Hospital33 mi · Staunton, VA · Psychiatric Hospital
Sentara RMH Medical Center35 mi · Harrisonburg, VA · Acute Care Hospital
UVA Health Culpeper Medical Center38 mi · Culpeper, VA · Acute Care Hospital

Other hospitals nearby

UVA Encompass Health Rehabilitation Hospital4.6 mi · Charlottesville, VA · Inpatient Rehabilitation Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Westminster Canterbury Blue RI0.4 mi · Charlottesville, VA · 5 of 5 stars
Albemarle Health & Rehabilitation Center2.0 mi · Charlottesville, VA · 2 of 5 stars
Colonnades Health Care Center3.6 mi · Charlottesville, VA · 2 of 5 stars

All nursing homes in the state →

Hospice providers

Hospice of the Piedmont Inc5.3 mi · Charlottesville, VA · 3 of 5 stars
Medi Home Hospice5.3 mi · Charlottesville, VA · 3 of 5 stars
Trinity Hospice7.4 mi · Charlottesville, VA

All hospice providers in the state →

Home health agencies

Interim Healthcare - Charlottesville5.3 mi · Charlottesville, VA
Sentara Home Care Services5.3 mi · Charlottesville, VA
Continuum Home Health Care8.4 mi · Charlottesville, VA

All home health agencies in the state →

Dialysis facilities

University of Virginia Hospital3.0 mi · Charlottesville, VA · 1 of 5 stars
DaVita Charlottesville Dialysis5.3 mi · Charlottesville, VA · 1 of 5 stars
DaVita Charlottesville North Dialysis5.3 mi · Charlottesville, VA · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Soaring Surgery Center5.3 mi · Charlottesville, VA
Monticello Community Surgery Center, LLC7.4 mi · Charlottesville, VA
Sentara Martha Jefferson Outpatient Surgery Center7.4 mi · Charlottesville, VA

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

CVHS Charlottesville1.6 mi · Charlottesville, VA · Community health center
CVHS Peterson2.7 mi · Charlottesville, VA · Community health center
CVHS Southern Albemarle16 mi · Esmont, VA · Community health center

Clinics and urgent care

Medexpress Urgent Care, PC - Virginia5.3 mi · Charlottesville, VA · Urgent care center
Rapha Medical Center LLC5.3 mi · Charlottesville, VA · Urgent care center
Medexpress Urgent Care, PC - Virginia7.4 mi · Charlottesville, VA · Urgent care center

Pharmacies

Rector & Visitors of the University of Virginia3.0 mi · Charlottesville, VA · Pharmacy
Rector & Visitors of the University of Virginia3.0 mi · Charlottesville, VA · Clinic pharmacy
Harris Teeter, LLC5.3 mi · Charlottesville, VA · Community/retail pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Sentara Martha Jefferson Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	4 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	5 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	4 of 5 stars
Staff explained medicines	3 of 5 stars
Information about recovery at home	4 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	78%National average: 72%
Would definitely recommend the hospital	82%National average: 71%
Nurses “always” communicated well	81%National average: 80%
Doctors “always” communicated well	83%National average: 80%
Staff “always” explained medicines before giving them	62%National average: 62%
Were given information about recovery at home	88%National average: 86%
Room and bathroom “always” clean	76%National average: 74%
Area around the room “always” quiet at night	63%National average: 60%
Completed surveys	799Response rate: 29%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	0No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	1.193No different from the national benchmark
Surgical site infections after colon surgery	0.643No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	0.495No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.127Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	12%
Deaths within 30 days: heart failure patients	11.3%
Deaths within 30 days: pneumonia patients	14.6%
Deaths within 30 days: COPD patients	12.1%
Deaths within 30 days: stroke patients	11.2%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	0.86No different from the national rate
Complications after hip or knee replacement	4.9%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	13.6%
Readmitted within 30 days: heart failure	20.7%
Readmitted within 30 days: pneumonia	15.5%
Readmitted within 30 days: COPD	18.7%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	5.9%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	140 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	3%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	77%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Charlottesville Best hospitals in Virginia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 72 common services exactly as Sentara Martha Jefferson Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$271.67 – $973.79
Emergency room visit (moderate): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $279.66 Bcbs — Anthem Exchange: $842.21 Bcbs — Anthem Hmo: $905.60 Bcbs — Anthem Medicare Managed Care Plan: $278.99 Bcbs — Anthem Ppo: $973.79 Humana — Medicare Managed Care Plan: $274.33 Sentara Health Plan — Medicare Managed Care Plan: $271.67
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Level Iii - Er Dept Visit	$880	$440	Not listed in the file
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg Level Iii - L&D Er Ept Visit	$880	$440	Not listed in the file
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$415.26 – $1,488.49
Emergency room visit (moderately high): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $427.47 Bcbs — Anthem Exchange: $1,287.36 Bcbs — Anthem Hmo: $1,384.27 Bcbs — Anthem Medicare Managed Care Plan: $426.45 Bcbs — Anthem Ppo: $1,488.49 Humana — Medicare Managed Care Plan: $419.33 Sentara Health Plan — Medicare Managed Care Plan: $415.26
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: Ed Level Iv - Er Dept Visit	$1,262	$631	Not listed in the file
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Emergency dept visit	Not listed in the file	Not listed in the file	$592.67 – $2,124.43
Emergency room visit (high): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $610.10 Bcbs — Anthem Exchange: $1,837.37 Bcbs — Anthem Hmo: $1,975.68 Bcbs — Anthem Medicare Managed Care Plan: $608.65 Bcbs — Anthem Ppo: $2,124.43 Humana — Medicare Managed Care Plan: $598.48 Sentara Health Plan — Medicare Managed Care Plan: $592.67
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Ed Level V - Er Dept Visit	$1,964	$982	Not listed in the file
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg Level V - L&D Er Dept Visit	$1,964	$982	Not listed in the file

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Metabolic panel total ca	Not listed in the file	Not listed in the file	$8.63 – $23.27
Basic metabolic panel (blood test): rates for 9 insurance plans Aetna — All Commercial Plans: $23.27 Aetna — Medicare Managed Care Plan: $8.88 Bcbs — Anthem Exchange: $15.99 Bcbs — Anthem Hmo: $17.17 Bcbs — Anthem Medicare Managed Care Plan: $8.86 Bcbs — Anthem Ppo: $18.44 Humana — Medicare Managed Care Plan: $8.71 Sentara Health Plan — Medicare Managed Care Plan: $8.63 Unitedhealthcare — All Commercial Plans: $14.20
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Basic Metabolic Panel	$86	$43	Not listed in the file
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel	Not listed in the file	Not listed in the file	$10.77 – $29.06
Comprehensive metabolic panel (blood test): rates for 9 insurance plans Aetna — All Commercial Plans: $29.06 Aetna — Medicare Managed Care Plan: $11.09 Bcbs — Anthem Exchange: $19.96 Bcbs — Anthem Hmo: $21.44 Bcbs — Anthem Medicare Managed Care Plan: $11.06 Bcbs — Anthem Ppo: $23.02 Humana — Medicare Managed Care Plan: $10.88 Sentara Health Plan — Medicare Managed Care Plan: $10.77 Unitedhealthcare — All Commercial Plans: $17.72
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Comprehensive Metabolic Panel	$127	$63.50	Not listed in the file
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel	Not listed in the file	Not listed in the file	$48.77 – $131.48
Obstetric blood test panel: rates for 9 insurance plans Aetna — All Commercial Plans: $131.48 Aetna — Medicare Managed Care Plan: $50.20 Bcbs — Anthem Exchange: $90.36 Bcbs — Anthem Hmo: $97.05 Bcbs — Anthem Medicare Managed Care Plan: $50.08 Bcbs — Anthem Ppo: $104.23 Humana — Medicare Managed Care Plan: $49.24 Sentara Health Plan — Medicare Managed Care Plan: $48.77 Unitedhealthcare — All Commercial Plans: $59.58
Obstetric blood test panel CPT 80055 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Prenatal Panel	$289	$144.50	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lipid panel	Not listed in the file	Not listed in the file	$13.66 – $36.84
Cholesterol panel (lipid panel): rates for 9 insurance plans Aetna — All Commercial Plans: $36.84 Aetna — Medicare Managed Care Plan: $14.06 Bcbs — Anthem Exchange: $25.31 Bcbs — Anthem Hmo: $27.18 Bcbs — Anthem Medicare Managed Care Plan: $14.03 Bcbs — Anthem Ppo: $29.19 Humana — Medicare Managed Care Plan: $13.79 Sentara Health Plan — Medicare Managed Care Plan: $13.66 Unitedhealthcare — All Commercial Plans: $22.46
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl (Qu) Advanced Lipid Panel, Cardio Iq (Our Nmr Lipoprotein Profile), S/O	$8	$4	Not listed in the file
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Lipid Panel Complete	$147	$73.50	Not listed in the file
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Renal function panel	Not listed in the file	Not listed in the file	$8.85 – $23.88
Kidney function panel: rates for 9 insurance plans Aetna — All Commercial Plans: $23.88 Aetna — Medicare Managed Care Plan: $9.11 Bcbs — Anthem Exchange: $16.41 Bcbs — Anthem Hmo: $17.62 Bcbs — Anthem Medicare Managed Care Plan: $9.09 Bcbs — Anthem Ppo: $18.92 Humana — Medicare Managed Care Plan: $8.94 Sentara Health Plan — Medicare Managed Care Plan: $8.85 Unitedhealthcare — All Commercial Plans: $14.56
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Renal Function Panel	$104	$52	Not listed in the file
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hepatic function panel	Not listed in the file	Not listed in the file	$8.33 – $22.48
Liver function panel: rates for 9 insurance plans Aetna — All Commercial Plans: $22.48 Aetna — Medicare Managed Care Plan: $8.58 Bcbs — Anthem Exchange: $15.44 Bcbs — Anthem Hmo: $16.59 Bcbs — Anthem Medicare Managed Care Plan: $8.56 Bcbs — Anthem Ppo: $17.81 Humana — Medicare Managed Care Plan: $8.42 Sentara Health Plan — Medicare Managed Care Plan: $8.33 Unitedhealthcare — All Commercial Plans: $13.70
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Hepatic Function Panel	$98	$49	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope	Not listed in the file	Not listed in the file	$3.23 – $8.71
Urine test (automated, with microscope): rates for 9 insurance plans Aetna — All Commercial Plans: $8.71 Aetna — Medicare Managed Care Plan: $3.33 Bcbs — Anthem Exchange: $5.99 Bcbs — Anthem Hmo: $6.44 Bcbs — Anthem Medicare Managed Care Plan: $3.32 Bcbs — Anthem Ppo: $6.91 Humana — Medicare Managed Care Plan: $3.27 Sentara Health Plan — Medicare Managed Care Plan: $3.23 Unitedhealthcare — All Commercial Plans: $5.32
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Urinalysis W/Micro	$80	$40	Not listed in the file
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Auto W/Scope	$80	$40	Not listed in the file
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis nonauto w/o scope	Not listed in the file	Not listed in the file	$3.55 – $8.62
Urine test (manual, without microscope): rates for 9 insurance plans Aetna — All Commercial Plans: $8.62 Aetna — Medicare Managed Care Plan: $3.65 Bcbs — Anthem Exchange: $6.58 Bcbs — Anthem Hmo: $7.06 Bcbs — Anthem Medicare Managed Care Plan: $3.65 Bcbs — Anthem Ppo: $7.59 Humana — Medicare Managed Care Plan: $3.58 Sentara Health Plan — Medicare Managed Care Plan: $3.55 Unitedhealthcare — All Commercial Plans: $4.28
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient · Hospital (facility) fee In the file: Urinalysis Nonauto W/O Scope	$49	$24.50	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope	Not listed in the file	Not listed in the file	$2.30 – $6.17
Urine test (automated, without microscope): rates for 9 insurance plans Aetna — All Commercial Plans: $6.17 Aetna — Medicare Managed Care Plan: $2.36 Bcbs — Anthem Exchange: $4.25 Bcbs — Anthem Hmo: $4.57 Bcbs — Anthem Medicare Managed Care Plan: $2.36 Bcbs — Anthem Ppo: $4.91 Humana — Medicare Managed Care Plan: $2.32 Sentara Health Plan — Medicare Managed Care Plan: $2.30 Unitedhealthcare — All Commercial Plans: $3.77
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Urinalysis	$51	$25.50	Not listed in the file
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Bile Urine	$51	$25.50	Not listed in the file
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total	Not listed in the file	Not listed in the file	$18.76 – $50.58
PSA (prostate specific antigen) blood test: rates for 9 insurance plans Aetna — All Commercial Plans: $50.58 Aetna — Medicare Managed Care Plan: $19.31 Bcbs — Anthem Exchange: $34.76 Bcbs — Anthem Hmo: $37.33 Bcbs — Anthem Medicare Managed Care Plan: $19.26 Bcbs — Anthem Ppo: $40.09 Humana — Medicare Managed Care Plan: $18.94 Sentara Health Plan — Medicare Managed Care Plan: $18.76 Unitedhealthcare — All Commercial Plans: $30.84
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Prostatic Spec Ag	$168	$84	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay thyroid stim hormone	Not listed in the file	Not listed in the file	$17.14 – $46.22
Thyroid stimulating hormone (TSH) test: rates for 9 insurance plans Aetna — All Commercial Plans: $46.22 Aetna — Medicare Managed Care Plan: $17.64 Bcbs — Anthem Exchange: $31.75 Bcbs — Anthem Hmo: $34.10 Bcbs — Anthem Medicare Managed Care Plan: $17.60 Bcbs — Anthem Ppo: $36.62 Humana — Medicare Managed Care Plan: $17.30 Sentara Health Plan — Medicare Managed Care Plan: $17.14 Unitedhealthcare — All Commercial Plans: $28.16
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl (Qu) Chronic Urticaria Panel, S/O	$37	$18.50	Not listed in the file
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: Chga-Tsh	$154	$77	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc w/auto diff wbc	Not listed in the file	Not listed in the file	$7.93 – $21.37
Complete blood count (CBC) with differential: rates for 9 insurance plans Aetna — All Commercial Plans: $21.37 Aetna — Medicare Managed Care Plan: $8.16 Bcbs — Anthem Exchange: $14.69 Bcbs — Anthem Hmo: $15.77 Bcbs — Anthem Medicare Managed Care Plan: $8.14 Bcbs — Anthem Ppo: $16.94 Humana — Medicare Managed Care Plan: $8 Sentara Health Plan — Medicare Managed Care Plan: $7.93 Unitedhealthcare — All Commercial Plans: $13.03
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Cbc With Diff	$93	$46.50	Not listed in the file
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl (Qu) Severe Combined Immunodeficiency (Scid) Panel, S/O	$17	$8.50	Not listed in the file
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Complete cbc automated	Not listed in the file	Not listed in the file	$6.60 – $17.76
Complete blood count (CBC), automated: rates for 9 insurance plans Aetna — All Commercial Plans: $17.76 Aetna — Medicare Managed Care Plan: $6.79 Bcbs — Anthem Exchange: $12.23 Bcbs — Anthem Hmo: $13.13 Bcbs — Anthem Medicare Managed Care Plan: $6.78 Bcbs — Anthem Ppo: $14.10 Humana — Medicare Managed Care Plan: $6.66 Sentara Health Plan — Medicare Managed Care Plan: $6.60 Unitedhealthcare — All Commercial Plans: $10.85
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Cbc Without Diff	$78	$39	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin time	Not listed in the file	Not listed in the file	$4.38 – $10.80
Blood clotting time test (prothrombin time, PT): rates for 9 insurance plans Aetna — All Commercial Plans: $10.80 Aetna — Medicare Managed Care Plan: $4.50 Bcbs — Anthem Exchange: $8.11 Bcbs — Anthem Hmo: $8.71 Bcbs — Anthem Medicare Managed Care Plan: $4.49 Bcbs — Anthem Ppo: $9.35 Humana — Medicare Managed Care Plan: $4.42 Sentara Health Plan — Medicare Managed Care Plan: $4.38 Unitedhealthcare — All Commercial Plans: $6.59
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Pt/Inr	$51	$25.50	Not listed in the file
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl (Qu) Arsenic, Serum/Plasma, S/O	$11	$5.50	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Thromboplastin time partial	Not listed in the file	Not listed in the file	$6.13 – $16.51
Blood clotting test (partial thromboplastin time, PTT): rates for 9 insurance plans Aetna — All Commercial Plans: $16.51 Aetna — Medicare Managed Care Plan: $6.31 Bcbs — Anthem Exchange: $11.36 Bcbs — Anthem Hmo: $12.20 Bcbs — Anthem Medicare Managed Care Plan: $6.30 Bcbs — Anthem Ppo: $13.10 Humana — Medicare Managed Care Plan: $6.19 Sentara Health Plan — Medicare Managed Care Plan: $6.13 Unitedhealthcare — All Commercial Plans: $10.06
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl Ptt	$72	$36	Not listed in the file
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgl (Qu) Von Willebrand Screen, S/O	$9	$4.50	Not listed in the file

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct head/brain w/o dye	Not listed in the file	Not listed in the file	$104.04 – $372.94
CT scan of the head or brain, without contrast: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $107.10 Bcbs — Anthem Exchange: $322.55 Bcbs — Anthem Hmo: $346.83 Bcbs — Anthem Medicare Managed Care Plan: $106.85 Bcbs — Anthem Ppo: $372.94 Humana — Medicare Managed Care Plan: $105.06 Sentara Health Plan — Medicare Managed Care Plan: $104.04
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Ct Head Region W/O Contrast	$1,691	$845.50	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri brain stem w/o & w/dye	Not listed in the file	Not listed in the file	$347.20 – $1,244.53
MRI of the brain, before and after contrast: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $357.41 Bcbs — Anthem Exchange: $1,076.37 Bcbs — Anthem Hmo: $1,157.39 Bcbs — Anthem Medicare Managed Care Plan: $356.56 Bcbs — Anthem Ppo: $1,244.53 Humana — Medicare Managed Care Plan: $350.60 Sentara Health Plan — Medicare Managed Care Plan: $347.20
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mr Head W/Wo Contrast	$5,955	$2,977.50	Not listed in the file
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr - Mri Screen, Iac W&W/O Contrast	$5,955	$2,977.50	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam chest 2 views	Not listed in the file	Not listed in the file	$86.61 – $310.44
Chest X-ray, 2 views: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $89.15 Bcbs — Anthem Exchange: $268.50 Bcbs — Anthem Hmo: $288.71 Bcbs — Anthem Medicare Managed Care Plan: $88.94 Bcbs — Anthem Ppo: $310.44 Humana — Medicare Managed Care Plan: $87.46 Sentara Health Plan — Medicare Managed Care Plan: $86.61
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg-X-Ray Exam Chest 2 Views	$308	$154	Not listed in the file
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg-X-Ray Exam Chest 2 Vw-Hlth Dpt	$308	$154	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: X-ray exam l-2 spine 4/>vws	Not listed in the file	Not listed in the file	$104.04 – $372.94
X-ray of the lower spine, at least 4 views: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $107.10 Bcbs — Anthem Exchange: $322.55 Bcbs — Anthem Hmo: $346.83 Bcbs — Anthem Medicare Managed Care Plan: $106.85 Bcbs — Anthem Ppo: $372.94 Humana — Medicare Managed Care Plan: $105.06 Sentara Health Plan — Medicare Managed Care Plan: $104.04
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Lspine Comp	$670	$335	Not listed in the file
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Spine Lumbar Minimum Four View	$670	$335	Not listed in the file
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri lumbar spine w/o dye	Not listed in the file	Not listed in the file	$237.46 – $851.16
MRI of the lower back (lumbar spine), without contrast: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $244.44 Bcbs — Anthem Exchange: $736.15 Bcbs — Anthem Hmo: $791.56 Bcbs — Anthem Medicare Managed Care Plan: $243.86 Bcbs — Anthem Ppo: $851.16 Humana — Medicare Managed Care Plan: $239.78 Sentara Health Plan — Medicare Managed Care Plan: $237.46
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mr Lumbar Spine W / O Contrast	$3,471	$1,735.50	Not listed in the file
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct pelvis w/dye	Not listed in the file	Not listed in the file	$174.56 – $625.71
CT scan of the pelvis, with contrast: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $179.69 Bcbs — Anthem Exchange: $541.16 Bcbs — Anthem Hmo: $581.89 Bcbs — Anthem Medicare Managed Care Plan: $179.26 Bcbs — Anthem Ppo: $625.71 Humana — Medicare Managed Care Plan: $176.27 Sentara Health Plan — Medicare Managed Care Plan: $174.56
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Ct Pelvis W / Contrast	$2,262	$1,131	Not listed in the file
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Mri jnt of lwr extre w/o dye	Not listed in the file	Not listed in the file	$237.46 – $851.16
MRI of a leg joint (such as the knee), without contrast: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $244.44 Bcbs — Anthem Exchange: $736.15 Bcbs — Anthem Hmo: $791.56 Bcbs — Anthem Medicare Managed Care Plan: $243.86 Bcbs — Anthem Ppo: $851.16 Humana — Medicare Managed Care Plan: $239.78 Sentara Health Plan — Medicare Managed Care Plan: $237.46
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mr Lower Ext W/O Contrast	$3,514	$1,757	Not listed in the file
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ct abd & pelv w/contrast	Not listed in the file	Not listed in the file	$347.20 – $1,244.53
CT scan of the abdomen and pelvis, with contrast: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $357.41 Bcbs — Anthem Exchange: $1,076.37 Bcbs — Anthem Hmo: $1,157.39 Bcbs — Anthem Medicare Managed Care Plan: $356.56 Bcbs — Anthem Ppo: $1,244.53 Humana — Medicare Managed Care Plan: $350.60 Sentara Health Plan — Medicare Managed Care Plan: $347.20
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Ct Abd/Pelvis W/ Contrast	$4,638	$2,319	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Us exam abdom complete	Not listed in the file	Not listed in the file	$104.04 – $372.94
Ultrasound of the abdomen, complete: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $107.10 Bcbs — Anthem Exchange: $322.55 Bcbs — Anthem Hmo: $346.83 Bcbs — Anthem Medicare Managed Care Plan: $106.85 Bcbs — Anthem Ppo: $372.94 Humana — Medicare Managed Care Plan: $105.06 Sentara Health Plan — Medicare Managed Care Plan: $104.04
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Us Abdomen Complete	$1,000	$500	Not listed in the file
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Ultrasound Abdomen	$1,000	$500	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Ob us >/= 14 wks sngl fetus	Not listed in the file	Not listed in the file	$104.04 – $372.94
Pregnancy ultrasound (after the first trimester): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $107.10 Bcbs — Anthem Exchange: $322.55 Bcbs — Anthem Hmo: $346.83 Bcbs — Anthem Medicare Managed Care Plan: $106.85 Bcbs — Anthem Ppo: $372.94 Humana — Medicare Managed Care Plan: $105.06 Sentara Health Plan — Medicare Managed Care Plan: $104.04
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Us Ob Complete >=14 Wks	$856	$428	Not listed in the file
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient · Hospital (facility) fee In the file: Us Preg Uterus After 1St Trimest 1/1St Gestation	$856	$428	Not listed in the file
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Transvaginal us non-ob	Not listed in the file	Not listed in the file	$104.04 – $372.94
Transvaginal ultrasound: rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $107.10 Bcbs — Anthem Exchange: $322.55 Bcbs — Anthem Hmo: $346.83 Bcbs — Anthem Medicare Managed Care Plan: $106.85 Bcbs — Anthem Ppo: $372.94 Humana — Medicare Managed Care Plan: $105.06 Sentara Health Plan — Medicare Managed Care Plan: $104.04
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Us Transvaginal	$847	$423.50	Not listed in the file
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Ultrasound Transvaginal	$847	$423.50	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad uni	Not listed in the file	Not listed in the file	$86.31 – $88.85
Diagnostic mammogram, one breast: rates for 4 insurance plans Aetna — Medicare Managed Care Plan: $88.85 Bcbs — Anthem Medicare Managed Care Plan: $88.64 Humana — Medicare Managed Care Plan: $87.16 Sentara Health Plan — Medicare Managed Care Plan: $86.31
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mammo Screen Conv Diag Unilat	$556	$278	Not listed in the file
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Digital Diagnostic Mammo Unilat	$556	$278	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Dx mammo incl cad bi	Not listed in the file	Not listed in the file	$110.66 – $113.91
Diagnostic mammogram, both breasts: rates for 4 insurance plans Aetna — Medicare Managed Care Plan: $113.91 Bcbs — Anthem Medicare Managed Care Plan: $113.64 Humana — Medicare Managed Care Plan: $111.74 Sentara Health Plan — Medicare Managed Care Plan: $110.66
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mammo Screen Conv Diag Bilat	$681	$340.50	Not listed in the file
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Digital Diagnostic Mammogram	$681	$340.50	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Scr mammo bi incl cad	Not listed in the file	Not listed in the file	$91.33 – $94.02
Screening mammogram, both breasts: rates for 4 insurance plans Aetna — Medicare Managed Care Plan: $94.02 Bcbs — Anthem Medicare Managed Care Plan: $93.79 Humana — Medicare Managed Care Plan: $92.23 Sentara Health Plan — Medicare Managed Care Plan: $91.33
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Scr Mammo Bi Incl Cad	$615	$307.50	Not listed in the file
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Mammo Digital Screening Unilat	$615	$307.50	Not listed in the file

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy	Not listed in the file	Not listed in the file	$3,226.37 – $11,564.90
Left heart catheterization (diagnostic): rates for 9 insurance plans Aetna — All Commercial Plans: $5,980 Aetna — Medicare Managed Care Plan: $3,321.26 Bcbs — Anthem Exchange: $10,002.21 Bcbs — Anthem Hmo: $10,755.11 Bcbs — Anthem Medicare Managed Care Plan: $3,313.35 Bcbs — Anthem Ppo: $11,564.90 Humana — Medicare Managed Care Plan: $3,258 Sentara Health Plan — Medicare Managed Care Plan: $3,226.37 Unitedhealthcare — All Commercial Plans: $10,995
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient · Hospital (facility) fee In the file: Chgr-Cd Left Hrt Cath W / Ventrclgrphy	$13,165	$6,582.50	Not listed in the file
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrophysiology evaluation	Not listed in the file	Not listed in the file	$5,980 – $27,823.63
Heart rhythm study (electrophysiology evaluation): rates for 8 insurance plans Aetna — All Commercial Plans: $5,980 Aetna — Medicare Managed Care Plan: $7,990.51 Bcbs — Anthem Exchange: $24,064.01 Bcbs — Anthem Hmo: $25,875.39 Bcbs — Anthem Medicare Managed Care Plan: $7,971.49 Bcbs — Anthem Ppo: $27,823.63 Humana — Medicare Managed Care Plan: $7,838.31 Sentara Health Plan — Medicare Managed Care Plan: $7,762.21
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient · Hospital (facility) fee In the file: Ep Study W/O Induction Of Arrh	$8,276	$4,138	Not listed in the file
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Tx atrial fib pulm vein isol	Not listed in the file	Not listed in the file	$5,980 – $93,241.22
Heart rhythm study with ablation for atrial fibrillation: rates for 8 insurance plans Aetna — All Commercial Plans: $5,980 Aetna — Medicare Managed Care Plan: $26,777.43 Bcbs — Anthem Exchange: $80,642.16 Bcbs — Anthem Hmo: $86,712.38 Bcbs — Anthem Medicare Managed Care Plan: $26,713.67 Bcbs — Anthem Ppo: $93,241.22 Humana — Medicare Managed Care Plan: $26,267.38 Sentara Health Plan — Medicare Managed Care Plan: $26,012.36
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient · Hospital (facility) fee In the file: Ep&Ablatn Afib Pulm Vein Isol	$23,896	$11,948	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Polysom 6/> yrs 4/> param	Not listed in the file	Not listed in the file	$854.62 – $3,063.37
Sleep study (overnight, in a sleep lab): rates for 7 insurance plans Aetna — Medicare Managed Care Plan: $879.75 Bcbs — Anthem Exchange: $2,649.44 Bcbs — Anthem Hmo: $2,848.87 Bcbs — Anthem Medicare Managed Care Plan: $877.66 Bcbs — Anthem Ppo: $3,063.37 Humana — Medicare Managed Care Plan: $863 Sentara Health Plan — Medicare Managed Care Plan: $854.62
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Sleep Study Apnea/Narco	$4,741	$2,370.50	Not listed in the file
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Sleep Study Apnea&Eeg	$4,741	$2,370.50	Not listed in the file

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Therapeutic exercises	Not listed in the file	Not listed in the file	$29.30 – $30.17
Physical therapy: therapeutic exercise (each 15 minutes): rates for 4 insurance plans Aetna — Medicare Managed Care Plan: $30.17 Bcbs — Anthem Medicare Managed Care Plan: $30.09 Humana — Medicare Managed Care Plan: $29.59 Sentara Health Plan — Medicare Managed Care Plan: $29.30
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg-Exercise - Isokinetic	$131	$65.50	Not listed in the file
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: Exercise Therapeutic -15 Min	$131	$65.50	Not listed in the file
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval low complex 20 min	Not listed in the file	Not listed in the file	$98.92 – $101.83
Physical therapy evaluation (low complexity): rates for 4 insurance plans Aetna — Medicare Managed Care Plan: $101.83 Bcbs — Anthem Medicare Managed Care Plan: $101.59 Humana — Medicare Managed Care Plan: $99.89 Sentara Health Plan — Medicare Managed Care Plan: $98.92
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval Low Complex 20 Mins	$328	$164	Not listed in the file
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval mod complex 30 min	Not listed in the file	Not listed in the file	$98.92 – $101.83
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans Aetna — Medicare Managed Care Plan: $101.83 Bcbs — Anthem Medicare Managed Care Plan: $101.59 Humana — Medicare Managed Care Plan: $99.89 Sentara Health Plan — Medicare Managed Care Plan: $98.92
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval Mod Complex 30 Mins	$415	$207.50	Not listed in the file
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Pt eval high complex 45 min	Not listed in the file	Not listed in the file	$98.92 – $101.83
Physical therapy evaluation (high complexity): rates for 4 insurance plans Aetna — Medicare Managed Care Plan: $101.83 Bcbs — Anthem Medicare Managed Care Plan: $101.59 Humana — Medicare Managed Care Plan: $99.89 Sentara Health Plan — Medicare Managed Care Plan: $98.92
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient · Hospital (facility) fee In the file: Pt Eval High Complex 45 Mins	$457	$228.50	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Indiv Therapy (30 Min)	$229	$114.50	Not listed in the file
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Psytx Pt&/Family 30 Minutes	$229	$114.50	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Indiv Therapy (45 Min)	$494	$247	Not listed in the file
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Psychotherapy,45Min W/Pt,Fmly	$494	$247	Not listed in the file
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Psytx Pt&/Family 60 Minutes	$617	$308.50	Not listed in the file
Group psychotherapy CPT 90853 · Inpatient or outpatient · Hospital (facility) fee In the file: Group Psych Not Multi-Family	$156	$78	Not listed in the file

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Removal of breast lesion	Not listed in the file	Not listed in the file	$3,304 – $13,967.47
Removal of breast growth (open surgery): rates for 10 insurance plans Aetna — All Commercial Plans: $3,304 Aetna — Medicare Managed Care Plan: $4,011.24 Bcbs — Anthem Exchange: $12,080.14 Bcbs — Anthem Hmo: $12,989.46 Bcbs — Anthem Medicare Managed Care Plan: $4,001.69 Bcbs — Anthem Ppo: $13,967.47 Cigna — Ppo/Pos: $3,895 Humana — Medicare Managed Care Plan: $3,934.84 Sentara Health Plan — Medicare Managed Care Plan: $3,896.63 Unitedhealthcare — All Commercial Plans: $5,978
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · Hospital (facility) fee In the file: Chg - Removal Of Breast Lesion	$3,274	$1,637	Not listed in the file
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty	Not listed in the file	Not listed in the file	$4,339 – $45,799.25
Total hip replacement: rates for 9 insurance plans Aetna — All Commercial Plans: $4,339 Aetna — Medicare Managed Care Plan: $13,152.83 Bcbs — Anthem Exchange: $39,610.71 Bcbs — Anthem Hmo: $42,592.34 Bcbs — Anthem Medicare Managed Care Plan: $13,121.51 Bcbs — Anthem Ppo: $45,799.25 Humana — Medicare Managed Care Plan: $12,902.30 Sentara Health Plan — Medicare Managed Care Plan: $12,777.04 Unitedhealthcare — All Commercial Plans: $29,725
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty	Not listed in the file	Not listed in the file	$4,339 – $45,799.25
Total knee replacement: rates for 9 insurance plans Aetna — All Commercial Plans: $4,339 Aetna — Medicare Managed Care Plan: $13,152.83 Bcbs — Anthem Exchange: $39,610.71 Bcbs — Anthem Hmo: $42,592.34 Bcbs — Anthem Medicare Managed Care Plan: $13,121.51 Bcbs — Anthem Ppo: $45,799.25 Humana — Medicare Managed Care Plan: $12,902.30 Sentara Health Plan — Medicare Managed Care Plan: $12,777.04 Unitedhealthcare — All Commercial Plans: $29,725
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Shoulder arthroscopy/surgery	Not listed in the file	Not listed in the file	$511 – $3,895
Shoulder arthroscopy: shaving of shoulder bone: rates for 3 insurance plans Aetna — All Commercial Plans: $3,304 Cigna — Ppo/Pos: $3,895 Unitedhealthcare — All Commercial Plans: $511
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Knee arthroscopy/surgery	Not listed in the file	Not listed in the file	$3,256.29 – $11,672.16
Knee arthroscopy: removal of torn cartilage (meniscus): rates for 10 insurance plans Aetna — All Commercial Plans: $3,338 Aetna — Medicare Managed Care Plan: $3,352.06 Bcbs — Anthem Exchange: $10,094.98 Bcbs — Anthem Hmo: $10,854.87 Bcbs — Anthem Medicare Managed Care Plan: $3,344.08 Bcbs — Anthem Ppo: $11,672.16 Cigna — Ppo/Pos: $4,314 Humana — Medicare Managed Care Plan: $3,288.21 Sentara Health Plan — Medicare Managed Care Plan: $3,256.29 Unitedhealthcare — All Commercial Plans: $8,246
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids	Not listed in the file	Not listed in the file	$3,304 – $21,117.73
Removal of tonsils and adenoids (under age 12): rates for 10 insurance plans Aetna — All Commercial Plans: $3,304 Aetna — Medicare Managed Care Plan: $6,064.68 Bcbs — Anthem Exchange: $18,264.23 Bcbs — Anthem Hmo: $19,639.04 Bcbs — Anthem Medicare Managed Care Plan: $6,050.24 Bcbs — Anthem Ppo: $21,117.73 Cigna — Ppo/Pos: $3,895 Humana — Medicare Managed Care Plan: $5,949.16 Sentara Health Plan — Medicare Managed Care Plan: $5,891.41 Unitedhealthcare — All Commercial Plans: $5,978
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash	Not listed in the file	Not listed in the file	$902.63 – $3,276
Upper GI endoscopy (diagnostic): rates for 10 insurance plans Aetna — All Commercial Plans: $2,004 Aetna — Medicare Managed Care Plan: $929.18 Bcbs — Anthem Exchange: $2,798.29 Bcbs — Anthem Hmo: $3,008.92 Bcbs — Anthem Medicare Managed Care Plan: $926.97 Bcbs — Anthem Ppo: $3,235.48 Cigna — Ppo/Pos: $1,010 Humana — Medicare Managed Care Plan: $911.48 Sentara Health Plan — Medicare Managed Care Plan: $902.63 Unitedhealthcare — All Commercial Plans: $3,276
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple	Not listed in the file	Not listed in the file	$902.63 – $3,276
Upper GI endoscopy with biopsy: rates for 10 insurance plans Aetna — All Commercial Plans: $2,670 Aetna — Medicare Managed Care Plan: $929.18 Bcbs — Anthem Exchange: $2,798.29 Bcbs — Anthem Hmo: $3,008.92 Bcbs — Anthem Medicare Managed Care Plan: $926.97 Bcbs — Anthem Ppo: $3,235.48 Cigna — Ppo/Pos: $1,571 Humana — Medicare Managed Care Plan: $911.48 Sentara Health Plan — Medicare Managed Care Plan: $902.63 Unitedhealthcare — All Commercial Plans: $3,276
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy	Not listed in the file	Not listed in the file	$925.49 – $3,317.43
Colonoscopy (diagnostic): rates for 10 insurance plans Aetna — All Commercial Plans: $2,670 Aetna — Medicare Managed Care Plan: $952.71 Bcbs — Anthem Exchange: $2,869.16 Bcbs — Anthem Hmo: $3,085.14 Bcbs — Anthem Medicare Managed Care Plan: $950.44 Bcbs — Anthem Ppo: $3,317.43 Cigna — Ppo/Pos: $1,571 Humana — Medicare Managed Care Plan: $934.57 Sentara Health Plan — Medicare Managed Care Plan: $925.49 Unitedhealthcare — All Commercial Plans: $3,276
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: Diagnostic Colonoscopy	$2,329	$1,164.50	Not listed in the file
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy	Not listed in the file	Not listed in the file	$1,190.90 – $4,268.76
Colonoscopy with biopsy: rates for 10 insurance plans Aetna — All Commercial Plans: $2,670 Aetna — Medicare Managed Care Plan: $1,225.92 Bcbs — Anthem Exchange: $3,691.95 Bcbs — Anthem Hmo: $3,969.86 Bcbs — Anthem Medicare Managed Care Plan: $1,223 Bcbs — Anthem Ppo: $4,268.76 Cigna — Ppo/Pos: $1,571 Humana — Medicare Managed Care Plan: $1,202.57 Sentara Health Plan — Medicare Managed Care Plan: $1,190.90 Unitedhealthcare — All Commercial Plans: $3,276
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal	Not listed in the file	Not listed in the file	$1,190.90 – $4,268.76
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans Aetna — All Commercial Plans: $2,670 Aetna — Medicare Managed Care Plan: $1,225.92 Bcbs — Anthem Exchange: $3,691.95 Bcbs — Anthem Hmo: $3,969.86 Bcbs — Anthem Medicare Managed Care Plan: $1,223 Bcbs — Anthem Ppo: $4,268.76 Cigna — Ppo/Pos: $1,571 Humana — Medicare Managed Care Plan: $1,202.57 Sentara Health Plan — Medicare Managed Care Plan: $1,190.90 Unitedhealthcare — All Commercial Plans: $3,276
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us	Not listed in the file	Not listed in the file	$1,190.90 – $4,268.76
Ultrasound of the lower bowel by endoscope: rates for 10 insurance plans Aetna — All Commercial Plans: $2,670 Aetna — Medicare Managed Care Plan: $1,225.92 Bcbs — Anthem Exchange: $3,691.95 Bcbs — Anthem Hmo: $3,969.86 Bcbs — Anthem Medicare Managed Care Plan: $1,223 Bcbs — Anthem Ppo: $4,268.76 Cigna — Ppo/Pos: $1,571 Humana — Medicare Managed Care Plan: $1,202.57 Sentara Health Plan — Medicare Managed Care Plan: $1,190.90 Unitedhealthcare — All Commercial Plans: $3,276
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$925.49 – $3,317.43
Screening colonoscopy (not high risk): rates for 10 insurance plans Aetna — All Commercial Plans: $2,670 Aetna — Medicare Managed Care Plan: $952.71 Bcbs — Anthem Exchange: $2,869.16 Bcbs — Anthem Hmo: $3,085.14 Bcbs — Anthem Medicare Managed Care Plan: $950.44 Bcbs — Anthem Ppo: $3,317.43 Cigna — Ppo/Pos: $1,571 Humana — Medicare Managed Care Plan: $934.57 Sentara Health Plan — Medicare Managed Care Plan: $925.49 Unitedhealthcare — All Commercial Plans: $1,547
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy	Not listed in the file	Not listed in the file	$4,007 – $21,566.13
Gallbladder removal by laparoscope: rates for 9 insurance plans Aetna — All Commercial Plans: $4,007 Aetna — Medicare Managed Care Plan: $6,193.46 Bcbs — Anthem Exchange: $18,652.04 Bcbs — Anthem Hmo: $20,056.05 Bcbs — Anthem Medicare Managed Care Plan: $6,178.71 Bcbs — Anthem Ppo: $21,566.13 Humana — Medicare Managed Care Plan: $6,075.48 Sentara Health Plan — Medicare Managed Care Plan: $6,016.50 Unitedhealthcare — All Commercial Plans: $13,397
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr	Not listed in the file	Not listed in the file	$3,338 – $12,772.31
Groin (inguinal) hernia repair, age 5 or older: rates for 10 insurance plans Aetna — All Commercial Plans: $3,338 Aetna — Medicare Managed Care Plan: $3,668.01 Bcbs — Anthem Exchange: $11,046.48 Bcbs — Anthem Hmo: $11,877.98 Bcbs — Anthem Medicare Managed Care Plan: $3,659.28 Bcbs — Anthem Ppo: $12,772.31 Cigna — Ppo/Pos: $4,314 Humana — Medicare Managed Care Plan: $3,598.14 Sentara Health Plan — Medicare Managed Care Plan: $3,563.21 Unitedhealthcare — All Commercial Plans: $8,246
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate	Not listed in the file	Not listed in the file	$1,571 – $3,276
Prostate biopsy: rates for 3 insurance plans Aetna — All Commercial Plans: $2,670 Cigna — Ppo/Pos: $1,571 Unitedhealthcare — All Commercial Plans: $3,276
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Prostate/Us Or Mri/Bx	$2,603	$1,301.50	Not listed in the file
Prostate biopsy CPT 55700 · Inpatient or outpatient · Hospital (facility) fee In the file: Bx Prostate Needle Or Punch	$2,603	$1,301.50	Not listed in the file
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparo radical prostatectomy	Not listed in the file	Not listed in the file	$4,007 – $37,919.66
Prostate removal by laparoscope (radical prostatectomy): rates for 9 insurance plans Aetna — All Commercial Plans: $4,007 Aetna — Medicare Managed Care Plan: $10,889.94 Bcbs — Anthem Exchange: $32,795.83 Bcbs — Anthem Hmo: $35,264.49 Bcbs — Anthem Medicare Managed Care Plan: $10,864.01 Bcbs — Anthem Ppo: $37,919.66 Humana — Medicare Managed Care Plan: $10,682.51 Sentara Health Plan — Medicare Managed Care Plan: $10,578.79 Unitedhealthcare — All Commercial Plans: $29,725
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy	Not listed in the file	Not listed in the file	$3,221.58 – $11,547.75
Hysteroscopy with biopsy of the uterus lining: rates for 10 insurance plans Aetna — All Commercial Plans: $3,304 Aetna — Medicare Managed Care Plan: $3,316.33 Bcbs — Anthem Exchange: $9,987.38 Bcbs — Anthem Hmo: $10,739.17 Bcbs — Anthem Medicare Managed Care Plan: $3,308.44 Bcbs — Anthem Ppo: $11,547.75 Cigna — Ppo/Pos: $3,895 Humana — Medicare Managed Care Plan: $3,253.17 Sentara Health Plan — Medicare Managed Care Plan: $3,221.58 Unitedhealthcare — All Commercial Plans: $5,978
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx interlaminar lmbr/sac	Not listed in the file	Not listed in the file	$702.49 – $2,518.08
Spinal injection, lower back (epidural), with imaging guidance: rates for 10 insurance plans Aetna — All Commercial Plans: $2,004 Aetna — Medicare Managed Care Plan: $723.15 Bcbs — Anthem Exchange: $2,177.83 Bcbs — Anthem Hmo: $2,341.76 Bcbs — Anthem Medicare Managed Care Plan: $721.43 Bcbs — Anthem Ppo: $2,518.08 Cigna — Ppo/Pos: $1,010 Humana — Medicare Managed Care Plan: $709.38 Sentara Health Plan — Medicare Managed Care Plan: $702.49 Unitedhealthcare — All Commercial Plans: $1,547
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient · Hospital (facility) fee In the file: Njx Interlaminar Lmbr/Sac, Img	$2,315	$1,157.50	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Inj foramen epidural l/s	Not listed in the file	Not listed in the file	$880.23 – $3,155.17
Nerve root injection, lower back, with imaging guidance: rates for 10 insurance plans Aetna — All Commercial Plans: $2,004 Aetna — Medicare Managed Care Plan: $906.11 Bcbs — Anthem Exchange: $2,728.83 Bcbs — Anthem Hmo: $2,934.24 Bcbs — Anthem Medicare Managed Care Plan: $903.96 Bcbs — Anthem Ppo: $3,155.17 Cigna — Ppo/Pos: $1,010 Humana — Medicare Managed Care Plan: $888.86 Sentara Health Plan — Medicare Managed Care Plan: $880.23 Unitedhealthcare — All Commercial Plans: $1,547
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Esi L/S,Transforamn-W/Wo Fluor	$1,558	$779	Not listed in the file
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · Hospital (facility) fee In the file: Proc-Esi L/S W/Osed Tranforamn	$1,558	$779	Not listed in the file
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery	Not listed in the file	Not listed in the file	$1,571 – $6,965.93
Carpal tunnel release: rates for 10 insurance plans Aetna — All Commercial Plans: $2,670 Aetna — Medicare Managed Care Plan: $2,000.51 Bcbs — Anthem Exchange: $6,024.67 Bcbs — Anthem Hmo: $6,478.17 Bcbs — Anthem Medicare Managed Care Plan: $1,995.74 Bcbs — Anthem Ppo: $6,965.93 Cigna — Ppo/Pos: $1,571 Humana — Medicare Managed Care Plan: $1,962.40 Sentara Health Plan — Medicare Managed Care Plan: $1,943.35 Unitedhealthcare — All Commercial Plans: $5,978
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery	Not listed in the file	Not listed in the file	$547.36 – $2,670
Laser treatment of clouding after cataract surgery: rates for 10 insurance plans Aetna — All Commercial Plans: $2,670 Aetna — Medicare Managed Care Plan: $563.46 Bcbs — Anthem Exchange: $1,696.89 Bcbs — Anthem Hmo: $1,824.62 Bcbs — Anthem Medicare Managed Care Plan: $562.11 Bcbs — Anthem Ppo: $1,962 Cigna — Ppo/Pos: $1,571 Humana — Medicare Managed Care Plan: $552.72 Sentara Health Plan — Medicare Managed Care Plan: $547.36 Unitedhealthcare — All Commercial Plans: $1,547
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · Hospital (facility) fee In the file: Discission Cataract Yag Laser	$1,794	$897	Not listed in the file
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cataract surg w/iol 1 stage	Not listed in the file	Not listed in the file	$2,296.74 – $8,232.67
Cataract removal with lens implant: rates for 10 insurance plans Aetna — All Commercial Plans: $4,007 Aetna — Medicare Managed Care Plan: $2,364.29 Bcbs — Anthem Exchange: $7,120.24 Bcbs — Anthem Hmo: $7,656.21 Bcbs — Anthem Medicare Managed Care Plan: $2,358.66 Bcbs — Anthem Ppo: $8,232.67 Cigna — Ppo/Pos: $6,229 Humana — Medicare Managed Care Plan: $2,319.26 Sentara Health Plan — Medicare Managed Care Plan: $2,296.74 Unitedhealthcare — All Commercial Plans: $5,978

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheterization With Mcc	Not listed in the file	Not listed in the file	$69,695.48 – $262,736.66
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 11 insurance plan rates Aetna — All Commercial Plans: $145,286.77 Aetna — Medicare Managed Care Plan: $71,745.34 Bcbs — Anthem Exchange: $168,068.50 Bcbs — Anthem Hmo: $180,727.45 Bcbs — Anthem Medicare Managed Care Plan: $71,574.52 Bcbs — Anthem Ppo: $207,708.41 Cigna — Ppo/Pos: $142,378.87 Humana — Medicare Managed Care Plan: $70,378.77 Sentara Health Plan — Medicare Managed Care Plan: $69,695.48 Unitedhealthcare — All Commercial Plans: $262,736.66
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Spinal Fusion Except Cervical Without Mcc	Not listed in the file	Not listed in the file	$55,069.68 – $98,240.22
Spinal fusion (not neck), without major complications: rates for 2 insurance plans Aetna — All Commercial Plans: $55,069.68 Unitedhealthcare — All Commercial Plans: $98,240.22
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc	Not listed in the file	Not listed in the file	$13,742.04 – $51,804.47
Hip or knee replacement (major joint of the leg), without major complications: 10 of 11 insurance plan rates Aetna — All Commercial Plans: $28,386.20 Aetna — Medicare Managed Care Plan: $14,146.22 Bcbs — Anthem Exchange: $33,138.50 Bcbs — Anthem Hmo: $35,634.50 Bcbs — Anthem Medicare Managed Care Plan: $14,112.54 Bcbs — Anthem Ppo: $40,954.40 Cigna — Ppo/Pos: $28,073.21 Humana — Medicare Managed Care Plan: $13,876.77 Sentara Health Plan — Medicare Managed Care Plan: $13,742.04 Unitedhealthcare — All Commercial Plans: $51,804.47
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Cervical Spinal Fusion Without Cc/Mcc	Not listed in the file	Not listed in the file	$17,392.52 – $65,565.99
Neck (cervical) spinal fusion, without complications: 10 of 11 insurance plan rates Aetna — All Commercial Plans: $35,638.20 Aetna — Medicare Managed Care Plan: $17,904.06 Bcbs — Anthem Exchange: $41,941.53 Bcbs — Anthem Hmo: $45,100.58 Bcbs — Anthem Medicare Managed Care Plan: $17,861.44 Bcbs — Anthem Ppo: $51,833.68 Cigna — Ppo/Pos: $35,530.68 Humana — Medicare Managed Care Plan: $17,563.03 Sentara Health Plan — Medicare Managed Care Plan: $17,392.52 Unitedhealthcare — All Commercial Plans: $65,565.99
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Uterine And Adnexa Procedures For Non-Malignancy Without Cc/Mcc	Not listed in the file	Not listed in the file	$8,839.11 – $33,321.48
Uterus and ovary surgery (not for cancer), without complications: 10 of 11 insurance plan rates Aetna — All Commercial Plans: $18,044.92 Aetna — Medicare Managed Care Plan: $9,099.08 Bcbs — Anthem Exchange: $21,315.23 Bcbs — Anthem Hmo: $22,920.69 Bcbs — Anthem Medicare Managed Care Plan: $9,077.42 Bcbs — Anthem Ppo: $26,342.54 Cigna — Ppo/Pos: $18,057.15 Humana — Medicare Managed Care Plan: $8,925.76 Sentara Health Plan — Medicare Managed Care Plan: $8,839.11 Unitedhealthcare — All Commercial Plans: $33,321.48

Source: Sentara Martha Jefferson Hospital’s standard charges file (sentara.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	500 Martha Jefferson Drive, Charlottesville, VA 22911
County	Albemarle County
State	Virginia
Phone	(434) 654‑7000
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	490077
Name in Medicare records	SENTARA MARTHA JEFFERSON HOSPITAL
Profile level	Medicare data + hospital website
Official website	sentara.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Sentara Martha Jefferson Hospital — sentara.com
Sentara Martha Jefferson Hospital - Family Birthing Center — sentara.com
Cancer care - Sentara Martha Jefferson Hospital — sentara.com
Heart and vascular - Sentara Martha Jefferson Hospital — sentara.com
Neurosciences care at Sentara Martha Jefferson Hospital — sentara.com
Orthopedics and sports medicine - Sentara Martha Jefferson Hospital — sentara.com
Sentara Martha Jefferson Hospital - Surgery — sentara.com
patient-and-visitor-information — sentara.com

Sentara Martha Jefferson Hospital

Summary

Profile from official sources

At a glance