76/100
#472 nationally
Sentara Martha Jefferson Hospital
500 Martha Jefferson Drive, Charlottesville, VA 22911 · (434) 654-7000
Charges moderately above what care is paid for
For every $1 of care Medicare actually paid for here, Sentara Martha Jefferson Hospital billed $3.68 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.
- Charge-to-payment
- 3.7x
- volume-weighted across all its priced work
- Procedures priced
- 101
- inpatient and outpatient combined
- Rank in VA
- #9
- lower markup ranks higher
- CMS quality stars
- 4/5
- shown for context, not in the grade
How this grade was reached
Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.
Better than 70% of U.S. hospitals.
Better than 77% of U.S. hospitals.
Better than 82% of U.S. hospitals.
Better than 78% of U.S. hospitals.
What this hospital treats most
The ten procedures it billed Medicare for most often, with its charge beside the national middle.
| Procedure | Patients | Charged | Actually paid | vs national |
|---|---|---|---|---|
|
Comprehensive Observation Services
APC 8011 · Hospital outpatient visit |
680 | $13,053 | $2,332 | -33% |
|
Level 5 Musculoskeletal Procedures
APC 5115 · Hospital outpatient visit |
372 | $32,971 | $11,196 | -47% |
|
Sepsis (severe)
MS-DRG 871 · Inpatient stay |
343 | $35,875 | $12,936 | -45% |
|
Level 2 Excision/ Biopsy/ Incision and Drainage
APC 5072 · Hospital outpatient visit |
260 | $7,710 | $1,384 | -24% |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
184 | $23,817 | $2,804 | -6% |
|
Level 2 Upper GI Procedures
APC 5302 · Hospital outpatient visit |
169 | $9,932 | $1,654 | -15% |
|
Heart Failure (severe)
MS-DRG 291 · Inpatient stay |
153 | $25,647 | $8,761 | -41% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
124 | $17,938 | $2,736 | -6% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
123 | $24,760 | $4,471 | -10% |
|
Level 1 Laparoscopy and Related Services
APC 5361 · Hospital outpatient visit |
115 | $30,911 | $4,879 | -12% |
Where its charges run furthest above the national middle
Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Level 2 Vascular Procedures
APC 5182 · Hospital outpatient visit |
$9,088 | $1,392 | +6% |
|
Level 3 Excision/ Biopsy/ Incision and Drainage
APC 5073 · Hospital outpatient visit |
$18,375 | $2,442 | +4% |
|
Level 3 Intraocular Procedures
APC 5493 · Hospital outpatient visit |
$24,320 | $4,544 | about average |
|
Level 1 Nerve Procedures
APC 5431 · Hospital outpatient visit |
$11,284 | $1,623 | about average |
|
Level 1 Endovascular Procedures
APC 5191 · Hospital outpatient visit |
$23,817 | $2,804 | -6% |
|
Level 3 Vascular Procedures
APC 5183 · Hospital outpatient visit |
$17,938 | $2,736 | -6% |
|
Level 3 Airway Endoscopy
APC 5153 · Hospital outpatient visit |
$10,587 | $1,476 | -7% |
|
Level 5 Urology and Related Services
APC 5375 · Hospital outpatient visit |
$24,760 | $4,471 | -10% |
Where it charges least relative to everyone else
| Procedure | Charged | Actually paid | vs national |
|---|---|---|---|
|
Kidney or Urinary Disorder (severe)
MS-DRG 698 · Inpatient stay |
$18,255 | $9,861 | -68% |
|
Complications of Treatment with Major Complications
MS-DRG 919 · Inpatient stay |
$24,345 | $11,368 | -67% |
|
Combined Anterior and Posterior Spinal Fusion with Complications
MS-DRG 454 · Inpatient stay |
$74,759 | $39,111 | -66% |
|
Red Blood Cell Disorders with Major Complications
MS-DRG 811 · Inpatient stay |
$20,678 | $10,049 | -63% |
|
Combined Anterior and Posterior Spinal Fusion without Complications/mcc
MS-DRG 455 · Inpatient stay |
$66,681 | $29,459 | -62% |
|
Other Disorders of Nervous System with Major Complications
MS-DRG 091 · Inpatient stay |
$28,231 | $10,467 | -60% |
|
Irregular Heartbeat (with complications)
MS-DRG 309 · Inpatient stay |
$13,679 | $5,104 | -55% |
|
Irregular Heartbeat (uncomplicated)
MS-DRG 310 · Inpatient stay |
$11,632 | $4,140 | -54% |
What this page cannot tell you
- It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
- It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
- A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
- Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.