Inova Alexandria Hospital
4320 Seminary Road, Alexandria, VA · Inova · · NPI 1255684460
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $82.00 | $164.00 | $6.05 – $103.17 | 9 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $19.50 | $39.00 | $3.28 – $24.53 | 9 |
| Glucose blood quantitative CPT 82947 | $47.00 | $94.00 | $3.93 – $56.62 | 9 |
| Glucose body fluid CPT 82945 | $47.00 | $94.00 | $3.93 – $59.14 | 9 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $104.50 | $209.00 | $12.87 – $131.48 | 9 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $31.00 | $62.00 | $3.92 – $39.00 | 9 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $7.65 | $15.30 | $0.46 – $0.68 | 8 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $226.50 | $453.00 | $15.74 – $284.98 | 9 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $193.50 | $387.00 | $15.74 – $243.46 | 9 |
| Goniotomy CPT 65820 | not published | not published | $1,509.00 – $5,515.00 | 9 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $1,467.04 | $2,934.08 | $733.67 – $1,142.79 | 8 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $125.50 | $251.00 | $42.21 – $195.78 | 5 |
| Graft axiofill 1000mg HCPCS J3590 | $3,523.38 | $7,046.76 | $5,496.47 – $5,496.47 | 1 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $720.50 | $1,441.00 | $25.74 – $269.98 | 5 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $24,713.69 | $49,427.37 | $1,777.02 – $4,200.23 | 2 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $73,600.00 | $147,200.00 | $343.07 – $810.89 | 2 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $449.50 | $899.00 | $74.10 – $125.84 | 5 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $816.86 | $1,633.71 | $141.06 – $329.94 | 4 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $742.50 | $1,485.00 | $193.72 – $482.04 | 4 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $7,580.70 | $15,161.40 | $73.66 – $92.04 | 4 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | $742.50 | $1,485.00 | $138.81 – $312.00 | 4 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $20,608.00 | $41,216.00 | $53.13 – $125.58 | 2 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $2,527.98 | $5,055.95 | $78.94 – $186.58 | 2 |
| Granisetron hcl injection HCPCS J1626 | $1.76 | $3.52 | $0.25 – $2.60 | 5 |
| Granulocyte pheresis ea unit HCPCS P9050 | $3,770.50 | $7,541.00 | $439.80 – $4,147.55 | 8 |
| Great toe with reduction 28495 CPT 28495 | $760.00 | $1,520.00 | $239.88 – $1,509.00 | 9 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $2,788.84 – $5,515.00 | 9 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $2,788.84 – $5,515.00 | 9 |
| Growth hormone antibody CPT 86277 | $180.50 | $361.00 | $13.38 – $227.11 | 9 |
| Growth stimulation gene 2 CPT 83006 | $92.50 | $185.00 | $41.29 – $135.58 | 9 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,896.99 – $4,413.00 | 8 |
| G-tube reposition CPT 43761 | $1,499.00 | $2,998.00 | $243.21 – $1,509.00 | 9 |
| Gu dilat ureter/urethra s&i CPT 74485 | $476.00 | $952.00 | $294.34 – $627.37 | 9 |
| Guided cath fluid drainage 10030 CPT 10030 | $896.00 | $1,792.00 | $703.59 – $2,485.00 | 9 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | $6,658.50 | $13,317.00 | $1,906.61 – $4,506.53 | 2 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $4,128.50 | $8,257.00 | $10.70 – $25.30 | 2 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $2,116.00 | $4,232.00 | $59.34 – $140.27 | 2 |
| Guid loc target vol rad tx CPT 77387 | $715.00 | $1,430.00 | $171.97 – $1,652.00 | 9 |
| Gw stiffened micro access kit HCPCS C1894 | $5,485.50 | $10,971.00 | $6.22 – $14.70 | 2 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $1,909.84 – $5,515.00 | 9 |
| Halo cervical into jckt vest HCPCS L0810 | $3,019.00 | $6,038.00 | $805.53 – $1,903.98 | 3 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $8.90 | $17.79 | $6.14 – $35.36 | 5 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $15.01 | $30.02 | $1.12 – $22.00 | 5 |
| Halo repl liner/interface HCPCS L0861 | $261.00 | $522.00 | $172.26 – $407.16 | 3 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $48.00 | $96.00 | $3.67 – $52.80 | 9 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | $115.00 | $230.00 | $75.90 – $179.40 | 3 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $7,187.50 | $14,375.00 | $4,743.75 – $11,212.50 | 2 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $127.00 | $254.00 | $30.50 – $159.79 | 9 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $1,847.42 – $8,272.00 | 9 |
| Hand X-ray CPT 73130 | $322.00 | $644.00 | $80.04 – $424.40 | 9 |
| Hand X-ray (2 views, both hands) CPT 73120 | $316.50 | $633.00 | $80.04 – $417.15 | 9 |
| Haptoglobin quantitative CPT 83010 | $127.50 | $255.00 | $12.58 – $160.42 | 9 |
| Harvest allogeneic stem cell CPT 38205 | $1,554.50 | $3,109.00 | $883.55 – $2,425.02 | 9 |
| Harvest auto stem cells CPT 38206 | $3,379.00 | $6,758.00 | $1,639.28 – $4,251.46 | 9 |
| Harvest stem cell concentrte CPT 38215 | $830.50 | $1,661.00 | $437.18 – $2,485.00 | 9 |
| Hast w/i&r phys/qhp CPT 94452 | $213.00 | $426.00 | $83.53 – $268.00 | 9 |
| Hast w/oxygen titrate CPT 94453 | $223.50 | $447.00 | $83.53 – $281.21 | 9 |
| Hba1/hba2 full gene sequence CPT 81259 | $1,763.00 | $3,526.00 | $600.00 – $2,218.21 | 9 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $594.00 | $1,188.00 | $190.07 – $747.37 | 9 |
| Hba1/hba2 gene fam vrnt CPT 81258 | $1,102.00 | $2,204.00 | $375.25 – $1,386.54 | 9 |
| Hbb full gene sequence CPT 81364 | $913.00 | $1,826.00 | $190.07 – $1,148.74 | 9 |
| Hbb gene com variants CPT 81361 | $513.50 | $1,027.00 | $174.81 – $646.09 | 9 |
| Hbb gene dup/del variants CPT 81363 | $594.00 | $1,188.00 | $190.07 – $747.37 | 9 |
| Hbb gene known fam variant CPT 81362 | $1,102.00 | $2,204.00 | $375.25 – $1,386.54 | 9 |
| Hbot, full body chamber, 30m HCPCS G0277 | $901.50 | $1,803.00 | $137.90 – $430.24 | 8 |
| Hcg free betachain test CPT 84704 | $197.50 | $395.00 | $14.35 – $248.49 | 9 |
| Hcg qualitative CPT 84703 | $72.50 | $145.00 | $6.47 – $91.22 | 9 |
| Hcg quantitative CPT 84702 | $238.50 | $477.00 | $15.05 – $300.08 | 9 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $1,806.00 | $3,612.00 | $684.46 – $3,920.72 | 9 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $1,888.00 | $3,776.00 | $693.81 – $3,920.72 | 9 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $2,229.00 | $4,458.00 | $693.81 – $3,920.72 | 9 |
| Hdr rdncl skn surf brachytx CPT 77767 | $877.50 | $1,755.00 | $262.98 – $1,156.55 | 9 |
| Hdr rdncl skn surf brachytx CPT 77768 | $886.00 | $1,772.00 | $262.98 – $1,167.75 | 9 |
| Head CT scan (with and without contrast) CPT 70470 | $1,013.00 | $2,026.00 | $178.02 – $1,432.00 | 9 |
| Head CT scan (with contrast) CPT 70460 | $853.00 | $1,706.00 | $178.02 – $1,432.00 | 9 |
| Head CT scan (without contrast) CPT 70450 | $627.50 | $1,255.00 | $106.34 – $1,432.00 | 9 |
| Heart first pass add-on CPT 78496 | $519.00 | $1,038.00 | $462.74 – $1,110.81 | 9 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $246.50 | $493.00 | $80.04 – $324.89 | 9 |
| Heinz bodies direct CPT 85441 | $49.50 | $99.00 | $4.20 – $62.28 | 9 |
| Helicobacter pylori antibody igm CPT 86677 | $135.50 | $271.00 | $13.38 – $170.49 | 9 |
| Hemagglutination inhibition CPT 86280 | $108.50 | $217.00 | $8.19 – $136.51 | 9 |
| Hematocrit CPT 85014 | $35.50 | $71.00 | $2.37 – $44.67 | 9 |
| Hematopoietic nuclear tx CPT 79403 | $3,266.00 | $6,532.00 | $224.13 – $4,304.59 | 9 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | $43.30 | $86.60 | $34.18 – $53.18 | 8 |
| Hemodialysis one evaluation CPT 90935 | $323.50 | $647.00 | $251.26 – $769.69 | 9 |
| Hemoglobin CPT 85018 | $19.50 | $39.00 | $2.37 – $24.53 | 9 |
| Hemoglobin copper sulfate CPT 83026 | $27.50 | $55.00 | $4.01 – $34.60 | 9 |
| Hemoglobin fetal qualitative CPT 83033 | $61.00 | $122.00 | $6.47 – $76.75 | 9 |
| Hemoglobin f (fetal) chemical CPT 83030 | $84.50 | $169.00 | $6.47 – $106.32 | 9 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $82.50 | $165.00 | $6.47 – $103.80 | 9 |
| Hemoglobin-oxygen affinity CPT 82820 | $126.50 | $253.00 | $7.09 – $159.16 | 9 |
| Hemoglobin plasma CPT 83051 | $70.50 | $141.00 | $6.47 – $88.70 | 9 |
| Hemoglobin urine CPT 83069 | $40.50 | $81.00 | $3.95 – $50.96 | 9 |
| Hemolysin acid CPT 85475 | $137.50 | $275.00 | $5.25 – $173.00 | 9 |
| Hemolysins/agglutinins auto CPT 86940 | $20.50 | $41.00 | $5.16 – $38.96 | 9 |
| Hemolysins and agglutinins incubated CPT 86941 | $99.50 | $199.00 | $5.16 – $125.19 | 9 |
| Hemophilus influenza antibdy CPT 86684 | $150.50 | $301.00 | $13.38 – $189.36 | 9 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $2,540.50 | $5,081.00 | $911.71 – $1,509.00 | 9 |
| Heparin assay CPT 85520 | $179.50 | $359.00 | $5.25 – $225.85 | 9 |
| Heparin bolus from bag HCPCS J1644 | $106.08 | $212.15 | $0.30 – $1.06 | 5 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.