Inova Mount Vernon Hospital
2501 Parkers Lane, Alexandria, VA · Inova · · NPI 1922139120
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 |
|---|---|---|---|---|
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $367.00 | $734.00 | $166.10 – $483.71 | 9 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $4,326.50 | $8,653.00 | $3,306.05 – $5,443.60 | 9 |
| Cholesterol CPT 82465 | $73.50 | $147.00 | $4.35 – $92.48 | 9 |
| Cholesterol body fluid CPT 84999 | $166.00 | $332.00 | $14.35 – $143.70 | 9 |
| Cholesterol (Lipid) Test CPT 80061 | $145.00 | $290.00 | $10.76 – $182.44 | 9 |
| Cholinesterase CPT 82480 | $116.50 | $233.00 | $6.47 – $146.58 | 9 |
| Chorion biopsy CPT 59015 | $975.00 | $1,950.00 | $851.18 – $2,485.00 | 9 |
| Chrom analysis CPT 88273 | $332.00 | $664.00 | $34.81 – $417.72 | 9 |
| Chromatogram assay sugars CPT 84375 | $261.50 | $523.00 | $33.33 – $329.02 | 9 |
| Chromatography CPT 83021 | $166.00 | $332.00 | $7.09 – $208.86 | 9 |
| Chromogenic substrate assay CPT 85130 | $66.50 | $133.00 | $7.09 – $83.67 | 9 |
| Chromo high res and frag x - sendout CPT 81243 | $269.00 | $538.00 | $51.70 – $990.44 | 9 |
| Chromosome analys amniotic CPT 88269 | $1,357.00 | $2,714.00 | $173.66 – $1,707.38 | 9 |
| Chromosome analysis 100 CPT 88249 | $1,464.50 | $2,929.00 | $173.17 – $1,842.63 | 9 |
| Chromosome analysis 15-20 cell count CPT 88262 | $951.00 | $1,902.00 | $51.70 – $1,196.55 | 9 |
| Chromosome analysis 20-25 CPT 88245 | $2,249.50 | $4,499.00 | $173.17 – $2,830.32 | 9 |
| Chromosome analysis 45 CPT 88263 | $1,729.00 | $3,458.00 | $150.29 – $2,175.43 | 9 |
| Chromosome analysis 5 CPT 88261 | $947.00 | $1,894.00 | $190.07 – $1,191.52 | 9 |
| Chromosome analysis 50-100 CPT 88248 | $1,995.00 | $3,990.00 | $173.17 – $2,510.11 | 9 |
| Chromosome analys placenta CPT 88267 | $2,070.50 | $4,141.00 | $188.57 – $2,605.10 | 9 |
| Chromosome banding study CPT 88283 | $778.00 | $1,556.00 | $51.70 – $978.88 | 9 |
| Chromosome count additional CPT 88285 | $140.00 | $280.00 | $26.91 – $176.15 | 9 |
| Chromosome karyotype study CPT 88280 | $197.50 | $395.00 | $33.47 – $248.49 | 9 |
| Chromosome study additional CPT 88289 | $439.00 | $878.00 | $34.43 – $552.35 | 9 |
| Chronic urticaria - sendout CPT 86343 | $163.00 | $326.00 | $12.46 – $205.09 | 9 |
| Chylomicron screen, bf - sendout CPT 82664 | $616.50 | $1,233.00 | $33.33 – $775.68 | 9 |
| Cidofovir injection HCPCS J0740 | $251.38 | $502.75 | $392.15 – $824.03 | 8 |
| Cilastatin sodium injection HCPCS J0743 | $21.38 | $42.75 | $10.86 – $27.21 | 5 |
| Ciliary transsleral therapy CPT 66710 | not published | not published | $1,519.63 – $3,529.00 | 9 |
| Cine/video x-rays add-on CPT 76125 | $219.00 | $438.00 | $80.04 – $288.64 | 9 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $38.88 | $77.75 | $3.61 – $27.51 | 5 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | $8.17 | $16.33 | $9.81 – $56.07 | 3 |
| Circum 28 days or older CPT 54161 | not published | not published | $2,048.51 – $4,413.00 | 9 |
| Circumcision (newborn) CPT 54150 | $219.50 | $439.00 | $342.42 – $4,413.00 | 9 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $16.31 | $32.62 | $3.04 – $20.55 | 5 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $1,013.00 | $2,026.00 | $190.07 – $1,492.68 | 9 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $25,283.69 | $50,567.38 | $758.50 – $1,792.81 | 2 |
| Claviculectomy partial CPT 23120 | not published | not published | $3,244.61 – $6,895.00 | 9 |
| Clean out mastoid cavity CPT 69222 | not published | not published | $509.25 – $2,485.00 | 9 |
| Clearance of airways CPT 31720 | $208.00 | $416.00 | $83.53 – $1,509.00 | 9 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $43.32 | $86.64 | $1.87 – $8.04 | 5 |
| Clip ligating vesolock lg HCPCS C1760 | $1,843.45 | $3,686.90 | $272.62 – $644.38 | 2 |
| Cllr miami j sm HCPCS L0174 | $69.10 | $138.20 | $45.61 – $107.80 | 2 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $20.59 | $41.18 | $24.56 – $51.69 | 5 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $760.00 | $1,520.00 | $239.88 – $2,485.00 | 9 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $5,261.00 | $10,522.00 | $700.38 – $2,485.00 | 9 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $5,261.00 | $10,522.00 | $700.38 – $2,485.00 | 9 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $5,261.00 | $10,522.00 | $700.38 – $2,485.00 | 9 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $820.00 | $1,640.00 | $239.88 – $2,485.00 | 9 |
| Closed tx orbit w/manipulj CPT 21401 | $5,232.00 | $10,464.00 | $700.38 – $5,515.00 | 9 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $5,261.00 | $10,522.00 | $1,458.67 – $3,529.00 | 9 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $700.38 – $3,529.00 | 9 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $381.00 | $762.00 | $232.22 – $1,043.00 | 9 |
| Clostridium toxin a w/optic CPT 87803 | $190.00 | $380.00 | $11.72 – $239.06 | 9 |
| Clos txnose fx without stablz 21315 CPT 21315 | $3,118.00 | $6,236.00 | $700.38 – $3,529.00 | 9 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $837.50 | $1,675.00 | $509.25 – $1,509.00 | 9 |
| Closure of windpipe lesion 31820 CPT 31820 | $5,134.00 | $10,268.00 | $1,509.00 – $5,515.00 | 9 |
| Closure paravalvlr leak pq CPT 33999 | $1,406.50 | $2,813.00 | $618.26 – $8,272.00 | 9 |
| Clot factor fletcher fact CPT 85292 | $157.50 | $315.00 | $5.25 – $198.17 | 9 |
| Clot factor viii reltd antgn CPT 85244 | $174.50 | $349.00 | $20.42 – $219.56 | 9 |
| Clot factor wght kininogen CPT 85293 | $157.50 | $315.00 | $5.25 – $198.17 | 9 |
| Clot factor xii hageman CPT 85280 | $207.00 | $414.00 | $19.35 – $260.45 | 9 |
| Clot factor xiii fibrin scrn CPT 85291 | $87.00 | $174.00 | $5.25 – $109.46 | 9 |
| Clot factor xiii fibrin stab CPT 85290 | $59.50 | $119.00 | $5.25 – $74.86 | 9 |
| Clotting assay whole blood CPT 85396 | $98.50 | $197.00 | $19.73 – $123.93 | 9 |
| Clozapine, 25 mg HCPCS S0136 | $2.37 | $4.73 | $0.82 – $0.82 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $1,423.00 | $2,846.00 | $239.88 – $1,509.00 | 9 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $380.00 | $760.00 | $239.88 – $2,485.00 | 9 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $1,345.00 | $2,690.00 | $239.88 – $1,509.00 | 9 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $380.00 | $760.00 | $239.88 – $1,043.00 | 9 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $760.00 | $1,520.00 | $239.88 – $2,485.00 | 9 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $760.00 | $1,520.00 | $239.88 – $2,485.00 | 9 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $4,908.00 | $9,816.00 | $700.38 – $3,529.00 | 9 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $2,630.50 | $5,261.00 | $1,600.41 – $3,529.00 | 9 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $566.00 | $1,132.00 | $239.88 – $1,509.00 | 9 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $760.00 | $1,520.00 | $239.88 – $1,509.00 | 9 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $3,361.00 | $6,722.00 | $700.38 – $3,508.00 | 9 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $760.00 | $1,520.00 | $239.88 – $1,509.00 | 9 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $1,668.00 | $3,336.00 | $700.38 – $2,485.00 | 9 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $1,282.00 | $2,564.00 | $239.88 – $1,509.00 | 9 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $760.00 | $1,520.00 | $239.88 – $1,509.00 | 9 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $809.00 | $1,618.00 | $239.88 – $1,509.00 | 9 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $501.50 | $1,003.00 | $265.58 – $2,485.00 | 9 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $768.50 | $1,537.00 | $239.88 – $2,485.00 | 9 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $380.00 | $760.00 | $239.88 – $1,509.00 | 9 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $380.00 | $760.00 | $239.88 – $1,509.00 | 9 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $5,094.50 | $10,189.00 | $700.38 – $3,529.00 | 9 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $5,261.00 | $10,522.00 | $700.38 – $2,485.00 | 9 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $760.00 | $1,520.00 | $239.88 – $1,509.00 | 9 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $809.00 | $1,618.00 | $239.88 – $1,509.00 | 9 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $5,261.00 | $10,522.00 | $700.38 – $2,485.00 | 9 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $380.00 | $760.00 | $239.88 – $1,509.00 | 9 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $2,192.00 | $4,384.00 | $700.38 – $2,485.00 | 9 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $5,261.00 | $10,522.00 | $700.38 – $2,485.00 | 9 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $5,261.00 | $10,522.00 | $700.38 – $2,485.00 | 9 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $5,480.00 | $10,960.00 | $1,458.67 – $2,485.00 | 9 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $760.00 | $1,520.00 | $239.88 – $1,509.00 | 9 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $380.00 | $760.00 | $239.88 – $1,509.00 | 9 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $3,794.00 | $7,588.00 | $700.38 – $2,485.00 | 9 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $782.00 | $1,564.00 | $239.88 – $2,485.00 | 9 |
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.