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 |
|---|---|---|---|---|
| X-ray abdomen >=3 views CPT 74021 | $306.00 | $612.00 | $80.04 – $403.31 | 9 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $1,143.50 | $2,287.00 | $167.33 – $1,507.13 | 9 |
| X-ray bone length studies CPT 77073 | $211.00 | $422.00 | $80.04 – $278.10 | 9 |
| X-ray bone survey infant CPT 77076 | $211.00 | $422.00 | $80.04 – $415.43 | 9 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $491.00 | $982.00 | $80.04 – $647.14 | 9 |
| X-ray exam entire spi 6/> vw CPT 72084 | $519.00 | $1,038.00 | $80.04 – $684.04 | 9 |
| X-ray exam of arm infant CPT 73092 | $211.00 | $422.00 | $80.04 – $278.10 | 9 |
| X-ray exam of femur 1 CPT 73551 | $211.00 | $422.00 | $80.04 – $278.10 | 9 |
| X-ray exam of jaw joint CPT 70328 | $262.50 | $525.00 | $80.04 – $345.98 | 9 |
| X-ray exam of mastoids CPT 70120 | $211.00 | $422.00 | $80.04 – $278.10 | 9 |
| X-ray exam of penis CPT 74445 | $287.50 | $575.00 | $106.34 – $378.93 | 9 |
| X-ray exam of salivary gland CPT 70380 | $219.00 | $438.00 | $80.04 – $288.64 | 9 |
| X-ray exam of tear duct CPT 70170 | $219.00 | $438.00 | $167.33 – $288.64 | 9 |
| X-ray exam si joints CPT 72200 | $312.50 | $625.00 | $80.04 – $411.88 | 9 |
| X-ray exam thorac spine4/>vw CPT 72074 | $365.00 | $730.00 | $80.04 – $481.07 | 9 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $189.50 | $379.00 | $80.04 – $249.76 | 9 |
| X-ray fallopian tube CPT 74742 | $525.00 | $1,050.00 | $294.34 – $691.95 | 9 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $200.00 | $400.00 | $80.04 – $263.60 | 9 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $577.00 | $1,154.00 | $80.04 – $760.49 | 9 |
| X-ray joint survey 1 view CPT 77077 | $211.00 | $422.00 | $80.04 – $278.10 | 9 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $211.00 | $422.00 | $80.04 – $278.10 | 9 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $347.50 | $695.00 | $80.04 – $458.01 | 9 |
| X-ray mandible ltd <4 views CPT 70100 | $238.00 | $476.00 | $80.04 – $313.68 | 9 |
| X-ray nose to rectum for foreign body child CPT 76010 | $219.00 | $438.00 | $80.04 – $288.64 | 9 |
| X-ray of mammary ducts CPT 77054 | $326.00 | $652.00 | $167.33 – $478.98 | 9 |
| X-ray optic foramina CPT 70190 | $347.50 | $695.00 | $80.04 – $458.01 | 9 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $754.50 | $1,509.00 | $167.33 – $994.43 | 9 |
| X-ray ribs 2 views left CPT 71100 | $300.00 | $600.00 | $80.04 – $395.40 | 9 |
| X-ray sella turcica CPT 70240 | $211.00 | $422.00 | $80.04 – $278.10 | 9 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $300.00 | $600.00 | $167.33 – $395.40 | 9 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $538.50 | $1,077.00 | $80.04 – $709.74 | 9 |
| X-ray small intestine follow-through study CPT 74248 | $269.00 | $538.00 | $167.33 – $532.07 | 8 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $285.00 | $570.00 | $80.04 – $375.63 | 9 |
| X-ray surgical specimen CPT 76098 | $520.00 | $1,040.00 | $88.53 – $685.36 | 9 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $211.00 | $422.00 | $80.04 – $278.10 | 9 |
| Xylose absorption test blood &/or urine CPT 84620 | $179.00 | $358.00 | $12.91 – $225.22 | 9 |
| Xyntha inj HCPCS J7185 | $1.20 | $2.40 | $1.67 – $2.39 | 8 |
| Yersinia antibody CPT 86793 | $99.00 | $198.00 | $13.19 – $124.56 | 9 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $2.02 | $4.04 | $2.12 – $3.15 | 5 |
| Zidovudine, oral, 100 mg HCPCS S0104 | $3.63 | $7.26 | $5.54 – $5.54 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | $299.50 | $599.00 | $51.31 – $376.83 | 9 |
| Zika virus igm antibody CPT 86794 | $58.00 | $116.00 | $13.38 – $94.22 | 9 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $27.56 | $55.11 | $4.88 – $26.04 | 5 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $41.94 | $83.87 | $33.71 – $52.24 | 8 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $26.57 | $53.14 | $7.06 – $31.81 | 5 |
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.