Sentara Martha Jefferson Hospital
Sentara Martha Jefferson Hospital in Charlottesville, VA charges 4.4x the Medicare reimbursement rate across 63 analyzed procedures, reflecting typical pricing patterns for nonprofit hospitals in the region.
Charlottesville, VA 22911 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
C
Average
Avg markup vs Medicare
4.43x
Charge / Medicare rate
Max markup
8.77x
Worst procedure
Procedures analyzed
63
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $33,797 | $16,898 | — | 8.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $23,092 | $11,546 | — | 7.9x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $15,364 | $7,682 | — | 7.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $21,574 | $10,787 | — | 7.4x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $67,109 | $33,555 | — | 7.2x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MC | 024 | $162,906 | $81,453 | — | 6.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $11,730 | $5,865 | — | 6.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $70,028 | $35,014 | — | 5.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $25,847 | $12,923 | — | 5.6x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $20,291 | $10,145 | — | 5.6x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $27,942 | $13,971 | — | 5.5x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $17,420 | $8,710 | — | 5.5x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $24,741 | $12,371 | — | 5.4x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $23,315 | $11,658 | — | 5.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $15,240 | $7,620 | — | 5.2x |
| DIABETES WITH CC | 638 | $22,143 | $11,072 | — | 5.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $90,892 | $45,446 | — | 5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $17,110 | $8,555 | — | 4.9x |
| CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O | 023 | $193,256 | $96,628 | — | 4.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $79,097 | $39,548 | — | 4.7x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $48,142 | $24,071 | — | 4.7x |
| PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC | 243 | $60,980 | $30,490 | — | 4.6x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $25,428 | $12,714 | — | 4.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 482 | $38,101 | $19,051 | — | 4.4x |
| SYNCOPE AND COLLAPSE | 312 | $15,595 | $7,798 | — | 4.3x |
| ENDOCRINE DISORDERS WITH MCC | 643 | $40,285 | $20,143 | — | 4.3x |
| OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC | 516 | $47,494 | $23,747 | — | 4.3x |
| RENAL FAILURE WITH MCC | 682 | $36,264 | $18,132 | — | 4.3x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $14,936 | $7,468 | — | 4.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $25,891 | $12,946 | — | 4.3x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $105,842 | $52,921 | — | 4.2x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $26,995 | $13,497 | — | 4.1x |
| TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC | 083 | $28,421 | $14,211 | — | 4.1x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $28,583 | $14,291 | — | 4.1x |
| RENAL FAILURE WITH CC | 683 | $16,550 | $8,275 | — | 4.1x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $41,284 | $20,642 | — | 4.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $21,955 | $10,978 | — | 4.1x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $42,079 | $21,039 | — | 4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $18,687 | $9,344 | — | 4x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $18,110 | $9,055 | — | 3.8x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $19,393 | $9,696 | — | 3.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $23,408 | $11,704 | — | 3.7x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $27,702 | $13,851 | — | 3.7x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $30,464 | $15,232 | — | 3.7x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $38,577 | $19,288 | — | 3.6x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $23,731 | $11,865 | — | 3.6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $40,673 | $20,336 | — | 3.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $41,407 | $20,704 | — | 3.6x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $22,194 | $11,097 | — | 3.5x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC | 025 | $83,431 | $41,716 | — | 3.4x |
Showing 50 of 63 procedures
How SENTARA MARTHA JEFFERSON HOSPITAL compares to nearby hospitals
Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use