Sentara Martha Jefferson Hospital — price list
← Hospital overviewVerified from Sentara Martha Jefferson Hospital’s published price file
Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
823 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Cardiac Rehabilitation Outpatient | 5771 OTHER | — | — | — | $2,448 | |
| Cath coronary drug-delivery Outpatient | 2050 OTHER | — | — | — | $25,041 | |
| Chgl Blood Ct, Platelet, Automated Inpatient & outpatient | 20100008 CDM | $49.00 | $24.50 | — | — | |
| Chgl Draw Fee - Heel Stick Inpatient & outpatient | 15300100 CDM | $35.00 | $17.50 | — | — | |
| Chgl Eos Count Inpatient & outpatient | 20100025 CDM | $28.00 | $14.00 | — | — | |
| Chgl Fibrinogen Inpatient & outpatient | 20100017 CDM | $86.00 | $43.00 | — | — | |
| Chgl Hct Inpatient & outpatient | 20100004 CDM | $25.00 | $12.50 | — | — | |
| Chgl Kleihauer-Betke Inpatient & outpatient | 20100060 CDM | $79.00 | $39.50 | — | — | |
| Chgl Lap Inpatient & outpatient | 20100042 CDM | $87.00 | $43.50 | — | — | |
| Chgl Lc - Factor Ii Assay Inpatient & outpatient | 20100026 CDM | $45.00 | $22.50 | — | — | |
| Chgl Lc - Factor V Assay Inpatient & outpatient | 20100031 CDM | $37.00 | $18.50 | — | — | |
| Chgl Lc - Inhibitor Titer Inpatient & outpatient | 20100033 CDM | $363 | $182 | — | — | |
| Chgl Malaria Inpatient & outpatient | 20100039 CDM | $49.00 | $24.50 | — | — | |
| Chgl Ptt Inpatient & outpatient | 20100020 CDM | $72.00 | $36.00 | — | — | |
| Chgl Reticulocyte Count Inpatient & outpatient | 20100009 CDM | $44.00 | $22.00 | — | — | |
| Chgl Ristocetin Aggreg Inpatient & outpatient | 20100068 CDM | $77.00 | $38.50 | — | — | |
| Chgl Sed Rate, Automated Inpatient & outpatient | 20100010 CDM | $28.00 | $14.00 | — | — | |
| Chgl Sickle Cell Prep Inpatient & outpatient | 20100001 CDM | $59.00 | $29.50 | — | — | |
| Chgl Wbc Count Inpatient & outpatient | 20100005 CDM | $26.00 | $13.00 | — | — | |
| Clinic Visits and Related Services Outpatient | 5012 OTHER | — | — | — | $123 | |
| Clinical Diagnostic Lab Services Outpatient | N800 OTHER | — | — | — | $79.14 | |
| Complex GI Procedures Outpatient | 5331 OTHER | — | — | — | $6,793 | |
| Corneal Topogra Mapping Inpatient & outpatient | 10400106 CDM | $330 | $165 | — | — | |
| Critical Care Outpatient | 5041 OTHER | — | — | — | $2,197 | |
| Dialysis Outpatient | 5401 OTHER | — | — | — | $2,548 | |
| Endo, single, urinary tract Outpatient | 2040 OTHER | — | — | — | $27,970 | |
| Fundus Photos Inpatient & outpatient | 10400020 CDM | $313 | $157 | — | — | |
| Hyperbaric Oxygen Outpatient | 5061 OTHER | — | — | — | $24,672 | |
| Inj cefazolin sodium, hikma Outpatient | 0788 OTHER | — | — | — | $5,601 | |
| Inj, bupivacaine, nos, 0.5mg Outpatient | 9290 OTHER | — | — | — | $5,636 |