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 |
|---|---|---|---|---|
| Ghs low level laser therapy CPT 97039 | $106.00 | $212.00 | $40.32 – $133.37 | 9 |
| Ghs mbp CPT 83873 | $186.50 | $373.00 | $14.35 – $234.65 | 9 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $222.50 | $445.00 | $31.40 – $279.95 | 9 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $130.50 | $261.00 | $31.40 – $164.20 | 9 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $119.00 | $238.00 | $31.40 – $149.73 | 9 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $121.50 | $243.00 | $31.40 – $152.87 | 9 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $95.00 | $190.00 | $31.40 – $119.53 | 9 |
| Ghs musc test done w/n test comp CPT 95886 | $298.00 | $596.00 | $193.05 – $374.94 | 9 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $285.50 | $571.00 | $193.05 – $359.22 | 9 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $137.50 | $275.00 | $122.60 – $212.36 | 9 |
| Ghs myocardial strain img spckl track CPT 93356 | $237.00 | $474.00 | $260.70 – $702.74 | 8 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,065.00 | $2,130.00 | $95.61 – $2,485.00 | 9 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $4,745.00 | $9,490.00 | $890.29 – $2,485.00 | 9 |
| Ghs nerve blk intercostal, single level CPT 64420 | $3,436.00 | $6,872.00 | $577.13 – $2,485.00 | 9 |
| Ghs nerve block axillary nerve CPT 64417 | $4,500.00 | $9,000.00 | $577.13 – $2,485.00 | 9 |
| Ghs nerve block brachial plexus CPT 64415 | $4,500.00 | $9,000.00 | $890.29 – $2,485.00 | 9 |
| Ghs nerve block celiac plexus CPT 64530 | $914.50 | $1,829.00 | $890.29 – $2,485.00 | 9 |
| Ghs nerve block interscaline CPT 64510 | $2,582.00 | $5,164.00 | $890.29 – $2,485.00 | 9 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $3,646.00 | $7,292.00 | $890.29 – $2,485.00 | 9 |
| Ghs nerve block sciatic nerve CPT 64445 | $3,403.00 | $6,806.00 | $577.13 – $2,485.00 | 9 |
| Ghs nerve block suprascapular CPT 64418 | $1,417.00 | $2,834.00 | $577.13 – $2,485.00 | 9 |
| Ghs ng placement w fluoro guidance CPT 43752 | $454.00 | $908.00 | $399.04 – $2,149.00 | 9 |
| Ghs o2 saturation CPT 82810 | $53.00 | $106.00 | $6.47 – $66.68 | 9 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | $27.50 | $55.00 | $24.52 – $50.75 | 9 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,325.50 | $2,651.00 | $618.26 – $2,485.00 | 9 |
| Ghs opcc repair cvp w subq port CPT 36576 | $1,383.00 | $2,766.00 | $1,062.77 – $3,529.00 | 9 |
| Ghs optokenetic CPT 92544 | $284.50 | $569.00 | $47.15 – $357.96 | 9 |
| Ghs oscillating trac CPT 92545 | $507.50 | $1,015.00 | $47.15 – $638.54 | 9 |
| Ghs ot prosthetic training/15 min CPT 97761 | $228.00 | $456.00 | $46.01 – $286.87 | 9 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $101.50 | $203.00 | $50.91 – $127.71 | 9 |
| Ghs pacing - transcutaneous CPT 92953 | $615.00 | $1,230.00 | $548.33 – $773.79 | 9 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $701.00 | $1,402.00 | $320.36 – $1,509.00 | 9 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,003.00 | $2,006.00 | $458.37 – $1,509.00 | 9 |
| Ghs peritonsillar abscess i andd CPT 42700 | $1,201.00 | $2,402.00 | $232.22 – $1,509.00 | 9 |
| Ghs phenylketonurid CPT 84030 | $81.50 | $163.00 | $5.50 – $102.54 | 9 |
| Ghs picc line insert < 5 CPT 36568 | $1,790.00 | $3,580.00 | $1,285.16 – $2,485.00 | 9 |
| Ghs plngl fx pm cl CPT 26725 | $586.00 | $1,172.00 | $239.88 – $2,485.00 | 9 |
| Ghs plt ct-manual CPT 85032 | $41.50 | $83.00 | $4.31 – $52.22 | 9 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $1,542.00 | $3,084.00 | $1,017.39 – $2,773.09 | 9 |
| Ghs pos nystagmus CPT 92542 | $228.00 | $456.00 | $47.15 – $286.87 | 9 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $105.50 | $211.00 | $6.47 – $132.74 | 9 |
| Ghs protein, misc fluid CPT 84160 | $36.00 | $72.00 | $5.61 – $45.30 | 9 |
| Ghs protoporphyrins fract CPT 84202 | $125.50 | $251.00 | $14.35 – $157.90 | 9 |
| Ghs pr without cont pulse ox CPT 94625 | $129.00 | $258.00 | $49.42 – $195.56 | 9 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $107.00 | $214.00 | $12.25 – $134.63 | 9 |
| Ghs quinidine CPT 80194 | $141.00 | $282.00 | $14.43 – $177.41 | 9 |
| Ghs removal intranasal foreign body CPT 30300 | $213.00 | $426.00 | $128.90 – $1,043.00 | 9 |
| Ghs removal pharyngeal foreign body CPT 42809 | $692.50 | $1,385.00 | $266.70 – $3,529.00 | 9 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | $5,572.00 | $11,144.00 | $1,600.41 – $4,413.00 | 9 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | $6,549.00 | $13,098.00 | $2,493.27 – $5,515.00 | 9 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $85.50 | $171.00 | $13.38 – $107.58 | 9 |
| Ghs reticulocyte count CPT 85044 | $34.50 | $69.00 | $4.31 – $43.41 | 9 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $126.00 | $252.00 | $11.72 – $158.53 | 9 |
| Ghs sedimentation rate CPT 85651 | $36.50 | $73.00 | $4.27 – $45.92 | 9 |
| Ghs semen analysis fert CPT 89320 | $152.00 | $304.00 | $5.86 – $191.25 | 9 |
| Ghs sensitivity (per antimicro) CPT 87184 | $77.00 | $154.00 | $7.48 – $96.88 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $805.00 | $1,610.00 | $273.52 – $2,149.00 | 9 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $866.50 | $1,733.00 | $273.52 – $2,149.00 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $854.50 | $1,709.00 | $273.52 – $2,149.00 | 9 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $1,118.50 | $2,237.00 | $273.52 – $2,485.00 | 9 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $657.50 | $1,315.00 | $198.70 – $1,509.00 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $534.00 | $1,068.00 | $198.70 – $1,509.00 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $674.50 | $1,349.00 | $198.70 – $1,509.00 | 9 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $886.00 | $1,772.00 | $198.70 – $2,149.00 | 9 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $1,124.00 | $2,248.00 | $198.70 – $2,149.00 | 9 |
| Ghs somatosensory testing lower extremit CPT 95926 | $984.50 | $1,969.00 | $193.05 – $1,238.70 | 9 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $1,435.00 | $2,870.00 | $193.05 – $1,805.52 | 9 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $134.50 | $269.00 | $53.61 – $419.46 | 9 |
| Ghs sphenopalatine ganglion block CPT 64505 | $1,748.00 | $3,496.00 | $295.19 – $1,509.00 | 9 |
| Ghs spont nystagmus CPT 92541 | $228.00 | $456.00 | $47.15 – $286.87 | 9 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $366.00 | $732.00 | $50.91 – $460.50 | 9 |
| Ghs st - eval for alt comm CPT 92567 | $87.00 | $174.00 | $39.25 – $109.46 | 9 |
| Ghs strapping shoulder - 29240 CPT 29240 | $415.00 | $830.00 | $106.80 – $1,043.00 | 9 |
| Ghs st - re-eval for alt comm CPT 92597 | $595.00 | $1,190.00 | $79.29 – $748.63 | 9 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $113.00 | $226.00 | $46.14 – $598.77 | 9 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $742.50 | $1,485.00 | $210.69 – $955.70 | 9 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $1,322.50 | $2,645.00 | $563.84 – $2,485.00 | 9 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | $1,242.50 | $2,485.00 | $399.53 – $1,509.00 | 9 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | $2,504.50 | $5,009.00 | $1,481.28 – $2,485.00 | 9 |
| Ghs trypsin (fecal) CPT 84488 | $94.50 | $189.00 | $6.47 – $118.90 | 9 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $705.00 | $1,410.00 | $239.88 – $1,043.00 | 9 |
| Ghs urine, hydroxproline total CPT 83505 | $547.50 | $1,095.00 | $15.74 – $688.86 | 9 |
| Ghs urine, porphyrins quant CPT 84120 | $172.00 | $344.00 | $14.35 – $216.41 | 9 |
| Ghs vaginal delivery only CPT 59409 | $4,614.00 | $9,228.00 | $1,509.00 – $4,413.00 | 9 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $916.00 | $1,832.00 | $497.00 – $2,919.25 | 9 |
| Ghs windowing of cast CPT 29730 | $204.00 | $408.00 | $157.79 – $1,043.00 | 9 |
| Giardia lamblia antibody CPT 86674 | $113.00 | $226.00 | $13.38 – $142.18 | 9 |
| Gi inhouse confirmation CPT 87045 | $125.00 | $250.00 | $9.44 – $157.28 | 9 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $516.52 – $4,010.11 | 8 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $516.52 – $948.18 | 7 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $516.52 – $2,844.30 | 8 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $516.52 – $1,040.94 | 8 |
| Gjb2 gene full sequence CPT 81252 | $507.00 | $1,014.00 | $51.70 – $1,287.56 | 9 |
| Gjb2 gene known fam variants CPT 81253 | $302.00 | $604.00 | $51.70 – $453.95 | 9 |
| Gjb6 gene com variants CPT 81254 | $105.00 | $210.00 | $35.00 – $133.59 | 9 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,280.73 – $4,413.00 | 9 |
| Glove finger flexion right lg xl HCPCS L3912 | $131.50 | $263.00 | $86.79 – $205.14 | 3 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $169.59 | $339.17 | $172.84 – $304.77 | 8 |
| Glucagon plasma - sendout CPT 82943 | $74.00 | $148.00 | $14.29 – $93.11 | 9 |
| Glucose 1 hr post dose CPT 82950 | $57.00 | $114.00 | $4.75 – $71.72 | 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.