Sentara Martha Jefferson Hospital prices. From its own published file.

Sentara Martha Jefferson Hospital in Charlottesville, VA publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

12,858prices published

Apr 2026file last updated

$2,319cash price for ct abdomen and pelvis with contrast (list $4,638)

Common services

Service	Cash price	List price	Insurers pay
Emergency visit, moderate (level 3) `99283`	$440	$880	$272–$974
Emergency visit, high (level 4) `99284`	$631	$1,262	$415–$1,488
Emergency visit, highest (level 5) `99285`	$982	$1,964	$593–$2,124
Comprehensive metabolic panel `80053`	$63.50	$127	$10.77–$29.06
Basic metabolic panel `80048`	$43.00	$94.00	$8.63–$23.27
Complete blood count (CBC) `85025`	$8.50	$55.00	$7.93–$21.37
Blood draw (venipuncture) `36415`	$17.50	$35.00	$3.60–$19.82
Urinalysis `81001`	$40.00	$80.00	$3.23–$8.71
Troponin (heart test) `84484`	$46.00	$92.00	$12.72–$30.87
EKG tracing `93005`	$124	$248	$58.71–$210
Chest X-ray, 2 views `71046`	$154	$308	$86.61–$310
CT head without contrast `70450`	$846	$1,691	$104–$373
CT abdomen and pelvis with contrast `74177`	$2,319	$4,638	$347–$1,245
MRI lower back without contrast `72148`	$1,736	$3,471	$237–$851
Ultrasound, abdomen `76700`	$500	$1,000	$104–$373
IV push, single drug `96374`	$229	$457	$212–$759
IV fluids, first hour `96360`	$403	$805	$212–$759
Ketorolac injection, 15 mg `J1885`	—	—	$0.31–$2.09
Ondansetron injection `J2405`	—	—	$0.24–$0.24
Colonoscopy, diagnostic `45378`	$1,165	$2,329	$925–$3,317
Upper GI endoscopy with biopsy `43239`	—	—	$903–$3,276
Knee arthroscopy `29881`	—	—	$3,256–$11,672

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Sentara Martha Jefferson Hospital price transparency page.

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Common billing problems to look for

Billed above the posted cash priceIf you're paying yourself, ask the hospital to apply its published cash price.
Panels billed inside panelsA basic metabolic panel (80048) billed with a comprehensive one (80053) on the same day.
Duplicate linesThe same service billed twice without explanation.
No itemized billYou can ask for every line with its code, date and amount.