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 |
|---|---|---|---|---|
| Destruction mal lsn t/a/l >4cm CPT 17266 | $1,152.50 | $2,305.00 | $251.22 – $2,149.00 | 9 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $627.50 | $1,255.00 | $251.22 – $1,509.00 | 9 |
| Destruction vag lesions complex 57065 CPT 57065 | $6,221.00 | $12,442.00 | $1,509.00 – $4,413.00 | 9 |
| Destruction vag lesions simple 57061 CPT 57061 | $6,221.00 | $12,442.00 | $1,509.00 – $4,413.00 | 9 |
| Detect agent nos dna dir CPT 87797 | $228.00 | $456.00 | $30.03 – $286.87 | 9 |
| Detect agnt mult dna direc CPT 87800 | $453.00 | $906.00 | $43.67 – $569.96 | 9 |
| Developmental screen/score/document 96110 CPT 96110 | $408.50 | $817.00 | $50.26 – $919.43 | 9 |
| Devel tst phys/qhp 1st hr CPT 96112 | $650.50 | $1,301.00 | $156.46 – $818.46 | 9 |
| Device ablt adv novasure HCPCS C1886 | $15,753.00 | $31,506.00 | $1,100.55 – $2,601.30 | 2 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $6,210.00 | $12,420.00 | $1,218.95 – $2,881.16 | 2 |
| Device tiss remov myosure reach HCPCS C1782 | $1,380.00 | $2,760.00 | $910.80 – $2,152.80 | 2 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $297.50 | $595.00 | $265.25 – $919.43 | 9 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $269.00 | $538.00 | $88.05 – $354.54 | 9 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $10.65 | $21.29 | $0.13 – $0.93 | 5 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $162.18 | $324.36 | $49.95 – $69.37 | 8 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $141.00 | $282.00 | $15.74 – $177.41 | 9 |
| Diabetes (HbA1c) Test CPT 83036 | $109.00 | $218.00 | $6.47 – $137.14 | 9 |
| Diab manage trn ind/group HCPCS G0109 | $79.00 | $158.00 | $17.02 – $86.90 | 8 |
| Diag laparo separate proc 49320 CPT 49320 | $10,893.50 | $21,787.00 | $3,508.00 – $6,895.00 | 9 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $399.04 – $1,509.00 | 9 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,179.08 – $3,529.00 | 9 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $162.50 | $325.00 | $128.90 – $1,509.00 | 9 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $338.00 | $676.00 | $194.14 – $2,149.00 | 9 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $364.50 | $729.00 | $67.44 – $480.41 | 9 |
| Diagnostic Mammogram (one breast) CPT 77065 | $270.50 | $541.00 | $67.44 – $356.52 | 9 |
| Diagnostic radio unlisted proc CPT 76499 | $259.00 | $518.00 | $60.99 – $341.36 | 9 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $6,185.00 | $12,370.00 | $883.55 – $16,437.79 | 9 |
| Dialysis one evaluation CPT 90945 | $160.00 | $320.00 | $142.66 – $468.40 | 9 |
| Diathermy eg microwave CPT 97024 | $22.00 | $44.00 | $8.21 – $47.60 | 9 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $2.79 | $5.58 | $0.10 – $3.54 | 5 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $20.87 | $41.74 | $9.60 – $28.47 | 5 |
| Dicyclomine injection HCPCS J0500 | $38.51 | $77.01 | $15.87 – $55.66 | 5 |
| Diffusing capacity CPT 94729 | $350.00 | $700.00 | $83.53 – $509.53 | 9 |
| Digital analysis of eeg CPT 95957 | $658.50 | $1,317.00 | $51.70 – $828.52 | 9 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $15.60 | $31.20 | $6.22 – $24.00 | 5 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | $6,550.77 | $13,101.54 | $5,168.23 – $7,734.11 | 8 |
| Digoxin total therapeutic drug level CPT 80162 | $141.50 | $283.00 | $13.28 – $178.04 | 9 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $50.64 | $101.28 | $52.02 – $160.17 | 5 |
| Dilate biliary duct/ampulla CPT 47542 | $1,167.00 | $2,334.00 | $883.55 – $8,521.32 | 9 |
| Dilate esophagus CPT 43453 | $1,563.50 | $3,127.00 | $516.52 – $3,529.00 | 9 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $516.52 – $2,485.00 | 9 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $1,717.50 | $3,435.00 | $943.00 – $20,775.33 | 9 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $858.50 | $1,717.00 | $943.00 – $20,775.33 | 9 |
| Dilate ic vasospasm init CPT 61640 | $1,731.50 | $3,463.00 | $1,904.65 – $20,775.33 | 9 |
| Dilate urethra stricture CPT 53600 | $971.00 | $1,942.00 | $120.71 – $1,509.00 | 9 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,179.08 – $3,529.00 | 9 |
| Dilation of salivary duct CPT 42660 | $750.00 | $1,500.00 | $509.25 – $5,515.00 | 9 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $3,826.00 | $7,652.00 | $575.91 – $2,485.00 | 9 |
| Dilator fascial 10fx20cm HCPCS C2627 | $181.50 | $363.00 | $119.79 – $283.14 | 2 |
| Dilat xst trc ndurlgc px CPT 50436 | $4,594.00 | $9,188.00 | $1,509.00 – $3,586.93 | 9 |
| Dilat xst trc new access rcs CPT 50437 | $7,728.00 | $15,456.00 | $2,144.61 – $5,515.00 | 9 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $16.16 | $32.31 | $1.05 – $23.14 | 5 |
| Disability dlco CPT 94727 | $251.50 | $503.00 | $83.53 – $316.44 | 9 |
| Disaccharidases CPT 82657 | $267.00 | $534.00 | $14.35 – $335.94 | 9 |
| Discography cerv/thor spine CPT 72285 | $1,186.00 | $2,372.00 | $801.76 – $1,563.15 | 9 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $266.70 – $2,149.00 | 9 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $3,689.00 – $8,272.00 | 9 |
| Dlyd plmt xtn prosth ea addl CPT 34711 | $732.50 | $1,465.00 | $669.51 – $23,187.49 | 9 |
| Dmd dup/delet analysis CPT 81161 | $418.50 | $837.00 | $190.07 – $634.83 | 9 |
| Dmpk gene detc abnor allele CPT 81234 | $325.00 | $650.00 | $137.00 – $408.92 | 9 |
| Dna antibody native/double stranded CPT 86225 | $174.50 | $349.00 | $13.38 – $219.56 | 9 |
| Dna gardnerella CPT 87510 | $129.00 | $258.00 | $11.72 – $162.31 | 9 |
| Dna probe chlamydia CPT 87490 | $206.50 | $413.00 | $11.72 – $259.82 | 9 |
| Dna probe gc CPT 87590 | $206.50 | $413.00 | $11.72 – $259.82 | 9 |
| Dna trichomonas CPT 87660 | $131.00 | $262.00 | $11.72 – $164.82 | 9 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $23.67 | $47.33 | $9.89 – $33.27 | 5 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $7.04 | $14.07 | $0.59 – $66.22 | 8 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $30.14 | $60.27 | $0.93 – $6.21 | 5 |
| Doppler echo complete CPT 93320 | $656.00 | $1,312.00 | $360.58 – $825.38 | 9 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $1,826.00 | $3,652.00 | $883.55 – $2,755.02 | 9 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $642.00 | $1,284.00 | $156.46 – $807.76 | 9 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $622.50 | $1,245.00 | $128.90 – $783.23 | 9 |
| Dornase alfa non-comp unit HCPCS J7639 | $62.74 | $125.48 | $77.02 – $161.28 | 8 |
| Dornhoffer fixed part w/window HCPCS L8614 | $36,072.59 | $72,145.17 | $20,994.62 – $49,623.65 | 2 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $329.30 | $658.60 | $243.71 – $379.53 | 8 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $19.63 | $39.25 | $4.22 – $14.95 | 5 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $281.09 | $562.17 | $108.47 – $170.12 | 8 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | $45.45 | $90.90 | $0.15 – $0.82 | 4 |
| Dpyd gene common variants CPT 81232 | $513.50 | $1,027.00 | $174.81 – $646.09 | 9 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $1,190.00 | $2,380.00 | $703.59 – $1,497.26 | 9 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $2,380.00 | $4,760.00 | $266.70 – $1,509.00 | 9 |
| Drainage external ear complex 69005 CPT 69005 | $9,006.00 | $18,012.00 | $1,509.00 – $2,485.00 | 9 |
| Drainage external ear simple 69000 CPT 69000 | $2,380.00 | $4,760.00 | $266.70 – $1,509.00 | 9 |
| Drainage mouth roof lesion CPT 42000 | $381.00 | $762.00 | $232.22 – $2,149.00 | 9 |
| Drainage of arm bursa 23931 CPT 23931 | $4,894.00 | $9,788.00 | $1,620.24 – $2,485.00 | 9 |
| Drainage of bladder abscess CPT 51080 | $1,101.50 | $2,203.00 | $1,509.00 – $3,529.00 | 9 |
| Drainage of eye CPT 65800 | not published | not published | $883.55 – $3,529.00 | 9 |
| Drainage of kidney lesion CPT 50390 | $1,340.00 | $2,680.00 | $575.91 – $2,485.00 | 9 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $1,509.00 – $5,515.00 | 9 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $509.25 – $3,529.00 | 9 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $1,509.00 – $5,515.00 | 9 |
| Drainage of nose lesion int 30000 CPT 30000 | $381.00 | $762.00 | $232.22 – $2,485.00 | 9 |
| Drainage of nose lesion sept 30020 CPT 30020 | $1,005.00 | $2,010.00 | $509.25 – $3,529.00 | 9 |
| Drainage of pelvis lesion 26990 CPT 26990 | $6,885.50 | $13,771.00 | $1,509.00 – $5,515.00 | 9 |
| Drainage of rectal abscess CPT 45005 | $3,572.00 | $7,144.00 | $1,179.08 – $3,529.00 | 9 |
| Drainage of rectal abscess 45020 CPT 45020 | $5,178.00 | $10,356.00 | $1,847.42 – $4,413.00 | 9 |
| Drainage of urethra abscess 53060 CPT 53060 | $3,494.00 | $6,988.00 | $1,509.00 – $3,529.00 | 9 |
| Drain bladder by trocar/cath CPT 51101 | $145.00 | $290.00 | $132.53 – $3,529.00 | 9 |
| Drain blood from under nail 11740 CPT 11740 | $168.50 | $337.00 | $95.61 – $1,509.00 | 9 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $1,576.00 | $3,152.00 | $1,059.89 – $3,529.00 | 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.