Supplies, drugs & other prices at UVA Health University Medical Center

Charlottesville, VA · every code in this section with a posted price and a Medicare benchmark.

177 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $39 $65 1.1×
2d tee w or w/o fol w/con,in (C8925) $1,952.40 $3,254 2.5×
2d tte w or w/o fol w/con,fu (C8924) $1,045.80 $1,743 3.0×
3D cntr simula trgt lvr les (0944T) $380.40 $634 1.6×
Ablation of benign prostate tissue, transrectal, with high intensity-focused ultrasound (HIFU), including ultrasound… (0950T) $14,507.40 $24,179 1.5×
Ablation, benign breast tumor (eg, fibroadenoma), percutaneous, laser, including imaging guidance when performed, each… (0970T) $6,000.60 $10,001 1.5×
Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance (0673T) $12,094.78 $20,157.96 7.3×
Ablation, malignant breast tumor(s), percutaneous, cryotherapy, including imaging guidance when performed, unilateral (0581T) $1,736.40 $2,894 0.4×
Ablation, malignant breast tumor(s), percutaneous, laser, including imaging guidance when performed, unilateral (0971T) $6,000.60 $10,001 1.5×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $11,473 $19,121.66 1.3×
Admin hepatitis b vaccine (G0010) $12.60 $21 0.3×
Admin influenza virus vac (G0008) $522.30 $870.50 11.1×
Admin pneumococcal vaccine (G0009) $12.60 $21 0.3×
Adrnl Cortcl Tum Bchm Asy 25 (0015M) $949.80 $1,583 0.7×
Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) $60 $100 1.6×
Bia whole body composition assessment w/i&r (0358T) $37.80 $63 1.3×
Bone strength & fracture rsk cncrnt vrt fx assmt (0743T) $315 $525 1.3×
Ca screen;flexi sigmoidscope (G0104) $638.88 $1,064.80 0.7×
Chemo extend iv infus w/pump (G0498) $937.20 $1,562 2.8×
Collagen crosslinking cornea (0402T) $1,543.80 $2,573 0.6×
Colon ca scrn not hi rsk ind (G0121) $2,915.04 $4,858.41 3.1×
Colorectal scrn; hi risk ind (G0105) $2,938.84 $4,898.06 3.1×
Colpopexy, min/inv, ex-perit (C9778) $38,944.21 $64,907.01 7.8×
Colsc flx trnsorl 1st tndsc dilat rx balo cath (0885T) $9,375.60 $15,626 1.5×
Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor, including system activation… (0446T) $2,881.20 $4,802 0.7×
CYP1A2 (cytochrome P450 family 1, subfamily A, member 2) (eg, drug metabolism) gene analysis, common variants (ie, *1F,… (0031U) $361.20 $602 2.1×
Cyp2d6 gen com&slct rar vrnt (0070U) $532.20 $887 0.8×
Cysto impl 4 or more (C9740) $20,678.38 $34,463.96 2.2×
Cysto, litho, vacuum kidney (C9761) $19,018.33 $31,697.22 2.0×
Cystoscopy prostatic imp 1-3 (C9739) $5,670 $9,450 1.1×
Diab manage trn per indiv (G0108) $193.80 $323 3.5×
Diab manage trn ind/group (G0109) $54.60 $91 3.4×
Direct refer hospital observ (G0379) $897 $1,495 1.5×
Drug test def 1-7 classes (G0480) $373.21 $622.01 3.3×
Drug test def 22+ classes (G0483) $1,647 $2,745 6.7×
Egd flexible transnasal w/biopsy single/multiple (0653T) $1,300.20 $2,167 0.7×
Egd flexible transnasal w/insj intral tube/cath (0654T) $2,731.20 $4,552 0.7×
Elec Alys Cplx Prgrmg Iins Sp/Sac Nrv 4+Param (0789T) $145.80 $243 1.5×
Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) $145.80 $243 1.5×
Electrophysiological eval icds w/ss electrode (0577T) $3,538.92 $5,898.20 2.9×
Endo outlet restrict w/tube (C9785) $26,293.24 $43,822.06 2.5×
Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) $8,752.20 $14,587 2.8×
Ephys eval ccm-d ld 1st impl (0930T) $1,912.20 $3,187 1.6×
Ephys eval ccm-d ld separate (0931T) $1,912.20 $3,187 1.6×
Esd endoscopy or colonoscopy (C9779) $21,146.09 $35,243.48 5.5×
Esophagoscopy, flexible, transoral, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon)… (0884T) $9,375.60 $15,626 1.5×
Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie,… (0184T) $11,559.95 $19,266.59 1.9×
Extraction erupted tooth/exr (D7140) $23,187.59 $38,645.99 35.8×
Fecal microbiota prep instil (G0455) $1,201.51 $2,002.51 1.3×
Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to… (0072T) $11,695.80 $19,493 3.6×
Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume less than 200 cc of… (0071T) $8,596.20 $14,327 2.6×
Glyca nuc mr spectroscopy quantitative (0024U) $36.60 $61 1.1×
Hbot, full body chamber, 30m (G0277) $1,081.20 $1,802 7.8×
Hdr electronic brachytherapy ntrstl/intrcav (0395T) $1,171.80 $1,953 1.7×
Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including imaging… (0888T) $27,563.40 $45,939 1.6×
Histotripsy mal hepatocellular tiss w/img gdn (0686T) $36,415.81 $60,693.02 2.1×
Home sleep test/type 2 porta (G0398) $156 $260 0.7×
Ig paraprotein qual bld/ur (0077U) $118.20 $197 2.7×
Iliac Atherectomy (0238T) $11,431.80 $19,053 0.6×
Imp extar knee shck absrb (C8003) $33,754.45 $56,257.41 1.9×
Inj for sacroiliac jt anesth (G0260) $1,220.70 $2,034.50 1.7×
Insertion and scleral fixation of a capsular bag prosthesis containing an intraocular lens prosthesis, with vitrectomy,… (0996T) $3,537 $5,895 1.5×
Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) $4,695.60 $7,826 0.9×
Insertion of sinus tarsi implant (0335T) $7,607.40 $12,679 1.0×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) $12,839.40 $21,399 1.2×
Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging… (0786T) $19,018.77 $31,697.95 1.7×
Insertion perm ccm-d system pulse generator only (0916T) $35,352.60 $58,921 1.6×
Insj Perm Ccm-D Sys 1 Transvns Lead Only (0917T) $13,035 $21,725 1.6×
Insj Perm Ccm-D Sys Dual Transvns Leads Only (0918T) $13,035 $21,725 1.6×
Insj perm ccm-d sys pg&eltrd (0915T) $50,497.20 $84,162 1.6×
Insj Wcs Lv Eltrd Only (0516T) $6,420 $10,700 0.6×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $85,334.27 $142,223.78 2.7×
Instlj fecal microbiota ssp (0780T) $191.40 $319 1.4×
Interrog dev eval impl ccm-d system in person (0927T) $78.60 $131 2.1×
Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode,… (0576T) $87 $145 2.3×
Interrogation device evaluation(s) (remote), up to 90 days, substernal lead implantable cardioverter-defibrillator… (0579T) $87 $145 2.3×
Ire Ablation 1+Tumors per Organ W/Img Gdn Perq (0600T) $16,064.36 $26,773.94 1.5×
Jak2 Gene Analysis Trgt Seq Alys Exons 12-15 (0027U) $520.80 $868 4.3×
Liver Dis 10 Assays W/Nash (0003M) $506.40 $844 1.0×
Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy (0864T) $377.40 $629 1.5×
Mnt subs tx for change dx (G0270) $52.20 $87 1.6×
Mri hyperpolarized xenon129 (C9791) $19,693.80 $32,823 16.0×
N-Invas Augmnt Arrhyt Alys (0897T) $1,602 $2,670 1.9×
N-invs det hrt fail aug echo (0932T) $472.80 $788 1.5×
Neuro csf prion prtn qual (0035U) $338.40 $564 0.6×
Njx pltlt plasma w/img harvest/preparation (0232T) $1,076.40 $1,794 2.4×
Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography… (0712T) $130.80 $218 0.6×
Onc merkel cell carc detcj antb serum reprtd +/- (0059U) $300 $500 0.9×
Onc Merkel Cll Carc Srm Quan (0058U) $300 $500 0.9×
Onc Thyr Dna&Mrna 112 Genes Fna Ndul Alg Alys (0026U) $1,074.60 $1,791 0.3×
Open insj/rplcmt integrated nstimj sys ptn subq (0816T) $21,935.10 $36,558.50 1.1×
Ortho impl mvmt alys pair CT (0946T) $167.40 $279 1.6×
Oth resp proc, group (G0239) $116.40 $194 3.1×
Oth resp proc, indiv (G0238) $32.40 $54 1.1×
Pathogen test for platelets (P9100) $161.40 $269 2.7×
Pelvic ring fracture uni/bil (G0413) $28,576.01 $47,626.69 3.9×
Pelvic ring fx treat int fix (G0414) $15,908.92 $26,514.86 2.2×
Pemivibart infusion (M0224) $708.60 $1,181 1.6×
Perc d-e cor revasc chro sin (C9607) $64,878.31 $108,130.52 3.5×
Perc d-e cor revasc t cabg s (C9604) $35,191.70 $58,652.83 3.0×
Perc d-e cor stent ather s (C9602) $39,753.49 $66,255.81 2.2×
Perc drug-el cor stent sing (C9600) $40,090.64 $66,817.72 3.5×
Percutaneous transcatheter thermal ablation of nerves innervating the pulmonary arteries, including right heart… (0793T) $27,054.60 $45,091 1.5×
Perq Sacral Augmt Bilat Inj (0201T) $5,544 $9,240 0.8×
Perq tcat ther rx dlvr ntrac rx balo 1 maj c art (0913T) $37,286.42 $62,144.04 3.2×
Place device/marker, non pro (C9728) $1,491 $2,485 1.1×
Prgrmg dev eval ldls pm single car chamber ip (0826T) $57 $95 1.5×
Prgrmg dev eval ldls pm sys 2chmbr in person (0804T) $55.20 $92 1.5×
Prgrmg Dev Eval Scrms Phys/Qhp Remote (0650T) $60 $100 1.6×
Programming device eval impl ccm-d sys in person (0926T) $78.60 $131 2.1×
Prolonged iv inf, req pump (C8957) $497.40 $829 2.3×
Psa screening (G0103) $88.80 $148 4.6×
Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph… (0808T) $441 $735 2.0×
Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph… (0807T) $229.20 $382 1.1×
Qmrcp W/Diagnostic MRI Same Anatomy (0724T) $945 $1,575 1.0×
Qmrcp W/O Diagnostic MRI Sm Anatomy Drg Sm Sess (0723T) $1,134 $1,890 1.2×
Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) $945 $1,575 1.0×
Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) $1,474.20 $2,457 1.6×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $661.80 $1,103 0.7×
Quan mr alys tiss composition w/MRI mlt organs (0698T) $945 $1,575 1.0×
Quan us tiss charac i&r w/o dx us same anat (0689T) $135.60 $226 1.6×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0863T) $2,739 $4,565 1.3×
Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device… (0862T) $2,739 $4,565 1.3×
Relocation skin pocket implanted ccm-d pg (0925T) $2,881.20 $4,802 1.4×
Rem mntr s-sclp impl cont bi EEG sys fitg set-up (1008T) $204 $340 1.5×
Remote interrog dev eval ccm-d sys <90d tech (0929T) $78.60 $131 2.1×
Remote monitoring of an implanted inferior vena cava sensor for up to 30 days, including at least weekly downloads of… (0983T) $57 $95 1.5×
Remote monitoring of implantable inferior vena cava sensor, physiologic parameter(s) (eg, weight, blood pressure, pulse… (0982T) $204 $340 1.5×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T) $9,646.80 $16,078 0.9×
Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision (0447T) $313.20 $522 1.6×
Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and… (0448T) $2,881.20 $4,802 0.7×
Removal of substernal implantable defibrillator electrode (0573T) $5,727 $9,545 1.5×
Removal perm ccm-d system pulse generator only (0919T) $5,731.80 $9,553 1.5×
Removal Pg Wcs Lv Pacing Both Components (0861T) $5,899.20 $9,832 1.6×
Repositioning prev impl ccm-d transvns eltrd/ld (0924T) $973.80 $1,623 1.5×
Revasc intra lithotrip-stent (C9765) $59,740.17 $99,566.94 3.2×
Revasc intravasc lithotripsy (C9764) $32,232.93 $53,721.55 2.8×
Revasc lithotrip tibi/perone (C9772) $24,666.24 $41,110.40 2.1×
Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis, programming, and… (0989T) $5,358 $8,930 1.5×
Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator (0787T) $2,989.20 $4,982 0.9×
Revj/Rmvl Nstim Eltrd Ra Spi W/Integrated Nstim (0785T) $23,911.82 $39,853.04 6.8×
Rmvl Perm Ccm-D Sys 1 Transvns Dfb Lead Only (0921T) $5,731.80 $9,553 1.5×
Rmvl perm ccm-d sys 1 transvns pacing lead only (0920T) $5,731.80 $9,553 1.5×
Rmvl Perm Ccm-D Sys Dual Transvns Leads Only (0922T) $5,731.80 $9,553 1.5×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $5,727 $9,545 1.5×
Rmvl&rplcmt permanent ccm-d pulse generator only (0923T) $35,352.60 $58,921 1.6×
Rx Metab Advrs Trgt Seq Alys (0029U) $313.20 $522 0.4×
Sigmoidoscopy, flexible, with initial transendoscopic mechanical dilation (eg, nondrug-coated balloon) followed by… (0886T) $9,375.60 $15,626 1.5×
Syphilis tst non-treponemal antibody ia qual rpr (0065U) $41.40 $69 2.3×
Tactile breast img uni/bi (0422T) $194.40 $324 2.2×
Tcat Impl Wrls Ivc Snr L-T Hemodyn Mntr (0981T) $28,093.20 $46,822 1.5×
Tcat insj perm 1chmbr ldls pacemaker r atrial (0823T) $45,975.59 $76,625.98 2.4×
Tcat insj perm 2chmbr ldls pm r atr pm compnt (0796T) $29,271.60 $48,786 1.5×
Tcat insj perm 2chmbr ldls pm r ventr pm compnt (0797T) $27,054.60 $45,091 1.4×
Tcat Insj Perm Dual Chamber Ldls Pm Compl Sys (0795T) $63,191.60 $105,319.32 3.3×
Tcat rmvl perm 1chmbr ldls pacemaker r atrial (0824T) $4,788 $7,980 1.5×
Tcat rmvl perm 2chmbr ldls pm r atr pm compnt (0799T) $4,788 $7,980 1.5×
Tcat rmvl perm 2chmbr ldls pm r ventr pm compnt (0800T) $4,691.40 $7,819 1.5×
Tcat rmvl perm dual chamber ldls pm compl sys (0798T) $4,788 $7,980 1.5×
Tcat rmvl&rplcmt perm 1chmbr ldls pm r atrial (0825T) $29,271.60 $48,786 1.5×
Tcat rmvl&rplcmt perm 2chmbr ldls pm 2chmbr sys (0801T) $29,271.60 $48,786 1.5×
Tcat rmvl&rplcmt perm 2chmbr ldls pm r atr cmpnt (0802T) $29,271.60 $48,786 1.5×
Tcat rmvl&rplcmt prm 2chmbr ldls pm r vntr cmpnt (0803T) $27,054.60 $45,091 1.4×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $3,348.60 $5,581 0.6×
Tee w or w/o fol w/cont, mon (C8927) $2,008.20 $3,347 2.6×
Tee w or w/o fol w/cont,cong (C8926) $2,008.20 $3,347 2.6×
Therapeutic procd strg endur (G0237) $82.80 $138 2.9×
Therapeutic ultrafiltration (0692T) $642.60 $1,071 0.4×
Tpmt nudt15 gene analysis common variants (0034U) $505.20 $842 1.1×
Transcatheter Renal Sympath Denervation Bilat (0339T) $26,766.82 $44,611.36 4.7×
Trauma respons w/hosp criti (G0390) $7,186.80 $11,978 5.4×
Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) $16,331.40 $27,219 1.4×
Trluml Peripheral Atherectomy Renal Artery Ea (0234T) $15,553.80 $25,923 1.3×
Tte w or w/o contr, cont ecg (C8930) $2,372.40 $3,954 3.0×
Tte w or w/o fol w/con,stres (C8928) $5,419.20 $9,032 6.9×
Tte w or wo fol wcon,doppler (C8929) $2,603.40 $4,339 3.3×
Unsched dialysis esrd pt hos (G0257) $1,073.40 $1,789 1.6×