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 |
|---|---|---|---|---|
| Aep thrshld est mlt freq i&r CPT 92652 | $509.00 | $1,018.00 | $114.85 – $640.42 | 9 |
| _afb id by dna probe rflx ast CPT 87149 | $204.00 | $408.00 | $11.72 – $256.67 | 9 |
| #afb mycobacteria suscep. #1 CPT 87190 | $72.50 | $145.00 | $7.31 – $91.22 | 9 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $569.00 | $1,138.00 | $115.36 – $740.16 | 9 |
| Afo molded to patient plasti HCPCS L1940 | $519.00 | $1,038.00 | $342.54 – $809.64 | 3 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | $791.50 | $1,583.00 | $522.39 – $1,234.74 | 3 |
| Afo w/ankle joint, prefab HCPCS L1971 | $567.00 | $1,134.00 | $374.22 – $884.52 | 3 |
| After cataract laser surgery CPT 66821 | not published | not published | $548.60 – $2,485.00 | 9 |
| Air conduction bilat CPT 92552 | $154.00 | $308.00 | $47.15 – $128.97 | 9 |
| Air injection into abdomen 49400 CPT 49400 | $278.00 | $556.00 | $254.09 – $1,509.00 | 9 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $270.50 | $541.00 | $152.37 – $340.34 | 9 |
| Albumin body fluid quantitative each specimen CPT 82042 | $64.00 | $128.00 | $6.47 – $80.52 | 9 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $50.21 | $100.41 | $45.90 – $205.92 | 8 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | $43.22 | $86.43 | $21.23 – $33.05 | 8 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $43.03 | $86.06 | $47.49 – $82.62 | 8 |
| Albumin ischemia modified CPT 82045 | $387.50 | $775.00 | $33.33 – $487.55 | 9 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $68.00 | $136.00 | $3.50 – $85.56 | 9 |
| Albumin serum plasma or whole blood CPT 82040 | $44.50 | $89.00 | $4.95 – $55.99 | 9 |
| Albuterol ipratrop non-comp HCPCS J7620 | $7.43 | $14.85 | $0.27 – $11.51 | 5 |
| Albuterol non-comp con HCPCS J7611 | $0.79 | $1.58 | $0.24 – $0.92 | 5 |
| Albuterol non-comp unit HCPCS J7613 | $2.16 | $4.31 | $0.10 – $1.49 | 5 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $91.00 | $182.00 | $16.44 – $114.50 | 9 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $65.69 | $131.38 | $102.48 – $3,799.21 | 8 |
| Alkaline phosphatase CPT 84075 | $64.50 | $129.00 | $5.18 – $81.15 | 9 |
| Allergen alpha lactalbumin ige CPT 86008 | $62.50 | $125.00 | $13.38 – $74.86 | 9 |
| Allergen egg white ige CPT 86003 | $33.50 | $67.00 | $5.22 – $40.26 | 9 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $24.00 | $48.00 | $7.97 – $30.20 | 9 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $3,508.00 – $8,921.34 | 9 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | $974.50 | $1,949.00 | $142.02 – $592.80 | 4 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $5,216.40 | $10,432.80 | $1,241.45 – $1,241.45 | 1 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $6,773.79 | $13,547.57 | $10,567.10 – $10,567.10 | 1 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $724.00 | $1,448.00 | $211.06 – $397.80 | 4 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $3,178.00 | $6,356.00 | $85.96 – $502.55 | 5 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $1,260.02 | $2,520.03 | $831.61 – $1,965.62 | 2 |
| Alloskin HCPCS Q4115 | $35.00 | $70.00 | $17.95 – $35.10 | 4 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $609.00 | $1,218.00 | $33.33 – $766.24 | 9 |
| Alpha-fetoprotein amniotic CPT 82106 | $145.50 | $291.00 | $14.35 – $183.07 | 9 |
| Alpha-fetoprotein tumor marker CPT 82105 | $168.00 | $336.00 | $14.35 – $211.38 | 9 |
| Alprostadil for injection HCPCS J0270 | $14.56 | $29.11 | $0.79 – $22.71 | 3 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $123.17 | $246.33 | $94.45 – $146.55 | 8 |
| Alt/sgpt CPT 84460 | $53.00 | $106.00 | $5.30 – $66.68 | 9 |
| Altuviiio per factor viii iu HCPCS J7214 | $7.42 | $14.84 | $4.66 – $7.28 | 8 |
| Aluminum - quest CPT 82108 | $220.00 | $440.00 | $14.43 – $276.80 | 9 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $1,509.00 – $5,515.00 | 9 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $437.50 | $875.00 | $91.79 – $550.46 | 9 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $9.77 | $19.54 | $0.89 – $10.12 | 5 |
| Amino acid screen, urine CPT 82128 | $77.00 | $154.00 | $13.87 – $96.88 | 9 |
| Amino acid single qual CPT 82127 | $72.00 | $144.00 | $14.18 – $90.59 | 9 |
| Amino acids quant 2-5 CPT 82136 | $141.00 | $282.00 | $14.35 – $177.41 | 9 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $9.62 | $19.24 | $2.33 – $11.88 | 4 |
| Aminolevulinic acid delta CPT 82135 | $167.00 | $334.00 | $14.35 – $210.12 | 9 |
| Aminolevulinic acid hcl top HCPCS J7308 | $1,629.27 | $3,258.54 | $275.01 – $613.11 | 8 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $43.58 | $87.15 | $12.92 – $38.95 | 5 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $38.05 | $76.10 | $3.64 – $6.13 | 5 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $13.81 | $27.61 | $0.59 – $2.29 | 5 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $30.05 | $60.10 | $22.54 – $34.57 | 8 |
| Ammonia CPT 82140 | $145.50 | $291.00 | $14.35 – $183.07 | 9 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $975.00 | $1,950.00 | $851.18 – $2,485.00 | 9 |
| Amniocentesis therapeutic CPT 59001 | $2,516.00 | $5,032.00 | $304.19 – $1,509.00 | 9 |
| Amniotic fluid scan CPT 82143 | $107.00 | $214.00 | $6.47 – $134.63 | 9 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $9,410.00 | $18,820.00 | $1,847.42 – $4,413.00 | 9 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $50.67 | $101.33 | $53.11 – $79.52 | 5 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $52.28 | $104.56 | $21.48 – $35.21 | 8 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $39.72 | $79.44 | $0.76 – $14.98 | 5 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $38.88 | $77.75 | $1.94 – $19.99 | 5 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $1,223.00 | $2,446.00 | $190.07 – $1,538.78 | 9 |
| Amp metatarsal w/toe single 28810 CPT 28810 | $4,857.50 | $9,715.00 | $2,149.00 – $4,413.00 | 9 |
| Amputation thru metatarsal CPT 28805 | not published | not published | $3,244.61 – $6,895.00 | 9 |
| Amputation toe interphalangeal joint CPT 28825 | $7,629.00 | $15,258.00 | $2,149.00 – $3,529.00 | 9 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $3,814.50 | $7,629.00 | $2,149.00 – $3,529.00 | 9 |
| Amylase CPT 82150 | $114.50 | $229.00 | $6.47 – $144.06 | 9 |
| Ana ds-dna CPT 86226 | $134.00 | $268.00 | $12.11 – $168.60 | 9 |
| Anal pressure record CPT 91122 | not published | not published | $193.05 – $1,069.36 | 8 |
| Anal/urinary muscle study CPT 51785 | $240.50 | $481.00 | $193.05 – $1,509.00 | 9 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $163.00 | $326.00 | $91.79 – $205.09 | 9 |
| Analysis gene f2 20210g>a variant CPT 81240 | $183.50 | $367.00 | $51.70 – $263.51 | 9 |
| Analysis gene f5 leiden variant CPT 81241 | $216.00 | $432.00 | $51.70 – $271.77 | 9 |
| Analysis nerve CPT 88356 | $348.50 | $697.00 | $46.88 – $471.35 | 9 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $60.50 | $121.00 | $37.29 – $76.12 | 9 |
| Analysis tumor CPT 88358 | $348.50 | $697.00 | $152.32 – $438.48 | 9 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $375.00 | $750.00 | $91.79 – $471.83 | 9 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $255.00 | $510.00 | $35.09 – $320.84 | 9 |
| Anca screen with reflex to titer -quest CPT 86021 | $101.50 | $203.00 | $13.38 – $127.71 | 9 |
| An cholangiogram percutaneous compl CPT 47531 | $1,829.50 | $3,659.00 | $943.00 – $2,755.02 | 9 |
| Androstanediol CPT 82154 | $260.00 | $520.00 | $15.74 – $327.13 | 9 |
| An fluoro guide for cvp CPT 77001 | $354.00 | $708.00 | $294.34 – $466.57 | 9 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $2,969.50 | $5,939.00 | $883.55 – $9,832.47 | 9 |
| Angiotensin ii CPT 82163 | $274.00 | $548.00 | $15.74 – $344.75 | 9 |
| Angiotensin ii 0.5 mg/ml soln 1 ml vial HCPCS J3490 | $2,472.41 | $4,944.82 | $1.83 – $1.83 | 1 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $4,088.00 | $8,176.00 | $883.55 – $9,832.47 | 9 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $19,116.00 | $38,232.00 | $4,817.00 – $9,927.00 | 9 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $2,993.00 | $5,986.00 | $883.55 – $9,832.47 | 9 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $19,116.00 | $38,232.00 | $4,817.00 – $9,927.00 | 9 |
| Ankle arthroscopy/surgery CPT 29891 | not published | not published | $3,125.34 – $8,272.00 | 9 |
| Ankle arthroscopy/surgery CPT 29892 | not published | not published | $3,508.00 – $8,272.00 | 9 |
| Ankle arthroscopy/surgery CPT 29895 | not published | not published | $3,125.34 – $6,895.00 | 9 |
| Ankle arthroscopy/surgery CPT 29898 | not published | not published | $3,125.34 – $6,895.00 | 9 |
| Ankle arthroscopy/surgery CPT 29899 | not published | not published | $3,508.00 – $14,298.00 | 9 |
| Ankle X-ray CPT 73610 | $339.00 | $678.00 | $80.04 – $446.80 | 9 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $283.00 | $566.00 | $80.04 – $372.99 | 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.