SENTARA MARTHA JEFFERSON HOSPITAL

CCN 490077

45 CFR § 180 compliance
F · 50
This hospital published little of what § 180 requires.
Machine-readable file published
Gross / standard charges
Discounted cash price
Payer-specific negotiated rates
Min / max negotiated charges
Free, public, no login required
Procedures listed
25,474
Insurances with rates
6
CPT / HCPCS codes
10,993
Source MRF

Most expensive procedures (gross)

25682-028-01
$137,839
RAVULIZUMAB-CWVZ 100 MG/ML SOLN 11 ML VIAL
Gross
$275,678
72903-853-01
$59,199
MIRVETUXIMAB SORAVTANSINE-GYNX 5 MG/ML SOLN 20 ML VIAL
Gross
$118,397
73703525
$58,816
Inc For Vagus N Elect Impl
Gross
$117,632
75802774
$55,228
Ins/Rep Subq Defibrillator
Gross
$110,456
75802778
$49,528
Rem&Replc Cvd Gen Dual Lead
Gross
$99,055
75802779
$49,528
Rem&Replc Cvd Gen Mult Lead
Gross
$99,055
75810034
$49,528
Rem&Replc Cvd Gen Dual Lead
Gross
$99,055
75810035
$49,528
Rem&Replc Cvd Gen Mult Lead
Gross
$99,055
75802701
$47,631
Insert Icd Gen-3+Cham-Exist Ld
Gross
$95,262
87990515
$40,763
Insj Wcs Lv Compl Sys
Gross
$81,525
75810052
$38,744
Tcat Impl Wrls P-Art Prs Snr
Gross
$77,488
75800302
$34,463
Chgr-Cd Insert Single Chamber Icd And Lead
Gross
$68,926
75800303
$34,463
Chgr-Cd Insert Dual Chamber Icd And Lead
Gross
$68,926
73710792
$33,945
Perq Art M-Thrombect &/Nfs
Gross
$67,889
80203-347-01
$30,799
SUTIMLIMAB-JOME 50 MG/ML SOLN 22 ML VIAL
Gross
$61,599
73703979
$29,769
Revasc Lithotr-Stent Tib/Per
Gross
$59,537
73703980
$29,769
Revasc Lithotr-Ather Tib/Per
Gross
$59,537
73703981
$29,769
Revasc Lith-Sten-Ath Tib/Per
Gross
$59,537
74005107
$28,718
Revasc,Fem/Popl Stnt & Ather
Gross
$57,436
75802007
$28,718
Chgr-Cd Fem / Pop Pta Stnt & Ather
Gross
$57,436
331736
$28,500
Noncdm Charge Record Medical Supplies
Gross
$57,000
74577025
$27,979
Rp Pluvicto Per Dose
Gross
$55,957
73703985
$27,393
Perq Transcath Cls Mitral
Gross
$54,786
74576995
$26,781
Impella Pump 5.5
Gross
$53,561
51144-050-01
$25,836
BRENTUXIMAB 50 MG SOLR 1 EACH VIAL
Gross
$51,672
50633-110-11
$25,418
CROTALIDAE POLYVAL IMMUNE FAB SOLUTION SOLR 1 EACH VIAL
Gross
$50,835
73766892
$25,037
Blind Interatrial Shunt Ide
Gross
$50,073
72910510
$24,376
Catheter,Heartmate Php
Gross
$48,752
73766805
$23,753
Thrmb/Nfs Dial Crct Angio Stnt
Gross
$47,506
72910524
$23,315
Transcath Mitral Valve Repair
Gross
$46,630
73703418
$22,012
Vasc Embolize/Occlude Venous
Gross
$44,023
73703419
$22,012
Vasc Embolize/Occlude Artery
Gross
$44,023
73703420
$22,012
Vasc Embolize/Occlude Organ
Gross
$44,023
73703421
$22,012
Vasc Embolize/Occlude Bleed
Gross
$44,023
73705990
$22,012
Uterine Fibroid Embolization
Gross
$44,023
75800705
$22,012
Vasc Embolize/Occlude Venous
Gross
$44,023
75800706
$22,012
Vasc Embolize/Occlude Artery
Gross
$44,023
75800707
$22,012
Vasc Embolize/Occlude Organ
Gross
$44,023
75800708
$22,012
Vasc Embolize/Occlude Bleed
Gross
$44,023
75810053
$21,890
Tcat Insj/Rpl Perm Ldls Pm
Gross
$43,780
73704020
$21,528
Perq Av Fistula Creation Uxtr Single Access
Gross
$43,055
74521880
$21,272
Catheter,Impella
Gross
$42,543
68727-712-01
$21,221
LURBINECTEDIN 4 MG SOLR 1 EACH VIAL
Gross
$42,441
73703907
$21,181
Revasc Lithotrip-Stent-Ather
Gross
$42,361
74576996
$20,700
Triclip G4 System
Gross
$41,400
74517670
$20,608
Defib,Vivaquad Biv Attainstudy
Gross
$41,217
74518069
$20,608
Defib,Subq-Icd
Gross
$41,217
74518722
$20,608
Defib,Inogen Vr
Gross
$41,217
74518723
$20,608
Defib,Inogen Biv
Gross
$41,217
74552379
$20,608
Defib,Virtuoso Dr Rf
Gross
$41,217
Showing top 50 of 25,474 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.