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 |
|---|---|---|---|---|
| Pul art balloon repr percut CPT 92997 | $6,782.50 | $13,565.00 | $7,003.02 – $38,322.80 | 9 |
| Pul art balloon repr percut CPT 92998 | $6,528.50 | $13,057.00 | $7,181.35 – $18,714.00 | 9 |
| Pulmonary vent imaging CPT 78579 | $741.50 | $1,483.00 | $401.83 – $977.30 | 9 |
| Pulse ox continuous overnight monitoring CPT 94762 | $163.00 | $326.00 | $83.53 – $205.09 | 9 |
| Pulse ox multiple CPT 94761 | $82.50 | $165.00 | $18.27 – $823.00 | 7 |
| Pulse ox single CPT 94760 | $36.00 | $72.00 | $8.70 – $823.00 | 7 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $253.92 | $507.84 | $167.59 – $396.12 | 2 |
| Punc of shunt for asp or inj CPT 61070 | $3,222.50 | $6,445.00 | $577.13 – $2,485.00 | 9 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $36.00 | $72.00 | $32.90 – $1,043.00 | 9 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $525.50 | $1,051.00 | $251.22 – $1,509.00 | 9 |
| Puncture spinal lumbar diagnostic CPT 62270 | $838.00 | $1,676.00 | $692.52 – $2,485.00 | 9 |
| Puraply 1 sq cm HCPCS Q4195 | $304.50 | $609.00 | $78.54 – $417.30 | 4 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $4,285.00 | $8,570.00 | $883.55 – $1,958.25 | 9 |
| Pvb thoracic cont infusion CPT 64463 | $4,472.00 | $8,944.00 | $692.52 – $1,509.00 | 9 |
| Pvb thoracic single inj site CPT 64461 | $4,472.00 | $8,944.00 | $692.52 – $1,509.00 | 9 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $17.89 | $35.77 | $8.44 – $34.56 | 5 |
| Pyruvate CPT 84210 | $88.50 | $177.00 | $14.35 – $111.35 | 9 |
| Pyruvate kinase CPT 84220 | $84.50 | $169.00 | $6.47 – $106.32 | 9 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,158.00 | $2,316.00 | $538.27 – $1,526.24 | 9 |
| Quant diff pulm perf w/imaging CPT 78597 | $741.50 | $1,483.00 | $401.83 – $1,248.85 | 9 |
| Quest t3 uptake CPT 84479 | $108.00 | $216.00 | $6.47 – $135.89 | 9 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $314.92 | $629.83 | $279.85 – $414.73 | 9 |
| Racepinephrine hcl soln nebu 2.25% (base equivalent) HCPCS J7699 | $4.45 | $8.90 | $6.83 – $6.83 | 1 |
| Radiation handling CPT 77790 | $328.50 | $657.00 | $171.97 – $432.96 | 9 |
| Radiation physics consult CPT 77336 | $629.50 | $1,259.00 | $132.77 – $829.68 | 9 |
| Radiation therapy dose plan CPT 77300 | $647.50 | $1,295.00 | $132.77 – $853.41 | 9 |
| Radiation treatment aid(s) CPT 77332 | $948.50 | $1,897.00 | $132.77 – $1,250.12 | 9 |
| Radiation treatment aid(s) CPT 77333 | $995.00 | $1,990.00 | $132.77 – $1,311.41 | 9 |
| Radiation treatment aid(s) CPT 77334 | $1,010.00 | $2,020.00 | $255.94 – $1,331.18 | 9 |
| Radiation treatment delivery CPT 77402 | $398.50 | $797.00 | $109.50 – $259.76 | 8 |
| Radiation treatment delivery CPT 77412 | $919.00 | $1,838.00 | $258.04 – $340.36 | 8 |
| Radical resection of elbow CPT 24149 | not published | not published | $3,689.00 – $9,927.00 | 9 |
| Radiology port images(s) CPT 77417 | $356.00 | $712.00 | $80.04 – $469.21 | 9 |
| Radiotherapy dose plan imrt CPT 77301 | $5,718.50 | $11,437.00 | $1,368.26 – $7,536.98 | 9 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $150.11 | $300.21 | $172.22 – $299.92 | 8 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $3,397.50 | $6,795.00 | $956.43 – $4,477.91 | 9 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $3,397.50 | $6,795.00 | $1,305.48 – $4,477.91 | 9 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $3,397.50 | $6,795.00 | $1,146.67 – $4,477.91 | 9 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $3,397.50 | $6,795.00 | $1,146.37 – $4,477.91 | 9 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,001.50 | $2,003.00 | $401.83 – $1,319.98 | 9 |
| Radphm quant measure sgl area add-on CPT 78835 | $338.00 | $676.00 | $378.72 – $552.65 | 8 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,862.05 – $6,895.00 | 9 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $2,626.58 – $8,272.00 | 9 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $102.84 | $205.67 | $74.36 – $115.90 | 8 |
| Rapid Strep Test CPT 87880 | $123.50 | $247.00 | $11.72 – $155.39 | 9 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $507.43 | $1,014.85 | $377.52 – $586.03 | 8 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $305.14 | $610.27 | $225.11 – $350.54 | 8 |
| Rbc count only automated CPT 85041 | $15.50 | $31.00 | $3.02 – $19.50 | 9 |
| Rbc deglycerolized each unit HCPCS P9039 | $1,378.00 | $2,756.00 | $196.11 – $1,515.80 | 8 |
| Rbc depletion of harvest CPT 38212 | $1,361.00 | $2,722.00 | $437.18 – $2,485.00 | 9 |
| Rbc irradiated each unit HCPCS P9038 | $933.00 | $1,866.00 | $149.22 – $1,026.30 | 8 |
| Rbc serum pretx incubj drugs CPT 86975 | $287.50 | $575.00 | $3.70 – $361.73 | 9 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $3,508.00 – $16,441.00 | 9 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $943.00 – $6,507.23 | 8 |
| Realignment of knee CPT 27457 | not published | not published | $3,469.00 – $12,194.49 | 8 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $3,469.00 – $8,272.00 | 9 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $3,469.00 – $9,927.00 | 9 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $4,817.00 – $8,272.00 | 9 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $3,508.00 – $6,895.00 | 9 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $4,817.00 – $8,272.00 | 9 |
| Recon, cta for surg plan HCPCS G0288 | $713.50 | $1,427.00 | $636.16 – $1,113.06 | 4 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $3,689.00 – $6,895.00 | 9 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $3,469.00 – $9,927.00 | 9 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $3,275.00 – $19,125.65 | 9 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $3,469.00 – $8,272.00 | 9 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $3,469.00 – $14,298.00 | 9 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $3,869.45 – $11,913.00 | 9 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $3,469.00 – $11,913.00 | 9 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $4,385.00 – $11,913.00 | 9 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $3,689.00 – $18,086.00 | 9 |
| Reconstruct extra finger CPT 26587 | not published | not published | $1,847.42 – $5,515.00 | 9 |
| Reconstruct finger joint CPT 26545 | not published | not published | $3,134.61 – $6,895.00 | 9 |
| Reconstruct finger joint CPT 26548 | not published | not published | $3,134.61 – $6,895.00 | 9 |
| Reconstruct head of radius CPT 24366 | not published | not published | $3,469.00 – $14,118.52 | 9 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $943.00 – $14,933.05 | 8 |
| Reconstruction knee CPT 27427 | not published | not published | $3,508.00 – $14,298.00 | 9 |
| Reconstruction knee CPT 27429 | not published | not published | $3,689.00 – $16,441.00 | 9 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $2,332.96 – $5,515.00 | 9 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $3,689.00 – $6,895.00 | 9 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $3,469.00 – $16,441.00 | 9 |
| Reconstruction of nail bed CPT 11762 | $3,164.50 | $6,329.00 | $1,785.28 – $4,413.00 | 9 |
| Reconstruction of nose CPT 30410 | not published | not published | $3,469.00 – $9,927.00 | 9 |
| Reconstruction of nose CPT 30420 | not published | not published | $3,469.00 – $9,927.00 | 9 |
| Reconstruction of throat CPT 42950 | not published | not published | $2,149.00 – $8,272.00 | 9 |
| Reconstruction of urethra CPT 53410 | not published | not published | $2,149.00 – $11,913.00 | 9 |
| Reconstruction of urethra CPT 53415 | not published | not published | $7,229.04 – $9,409.65 | 6 |
| Reconstruction of urethra CPT 54324 | not published | not published | $3,448.97 – $8,272.00 | 9 |
| Reconstruction of urethra CPT 54326 | not published | not published | $3,448.97 – $11,913.00 | 9 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $2,149.00 – $4,413.00 | 9 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $3,469.00 – $9,927.00 | 9 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $3,469.00 – $14,118.52 | 9 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $943.00 – $19,125.65 | 9 |
| Rectal sensation test CPT 91120 | not published | not published | $193.05 – $1,875.11 | 8 |
| Red blood cells each unit HCPCS P9021 | $494.50 | $989.00 | $144.32 – $543.95 | 8 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $1,443.50 | $2,887.00 | $196.11 – $1,587.85 | 8 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $1,116.00 | $2,232.00 | $196.11 – $1,227.60 | 8 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $654.50 | $1,309.00 | $182.00 – $719.95 | 8 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $873.00 | $1,746.00 | $196.11 – $960.30 | 8 |
| Red blood cells washed each unit HCPCS P9022 | $1,182.50 | $2,365.00 | $396.87 – $1,300.75 | 8 |
| Redo endovas vena cava filtr CPT 37192 | $2,622.00 | $5,244.00 | $2,396.51 – $5,515.00 | 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.