STONESPRINGS HOSPITAL CENTER
24440 Stone Springs Boulevard, Dulles, VA · HCA Virginia · · NPI 1972904738
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 |
|---|---|---|---|---|
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | not published | not published | $3.76 – $12.56 | 5 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | not published | not published | $2.99 – $11.24 | 5 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | not published | not published | $1.20 – $3.90 | 5 |
| Ceftazidime and avibactam HCPCS J0714 | not published | not published | $75.38 – $277.48 | 5 |
| Ceftizoxime sodium / 500 mg HCPCS J0715 | not published | not published | $4.77 – $4.77 | 1 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | not published | not published | $0.37 – $1.22 | 5 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | not published | not published | $1.51 – $5.43 | 5 |
| #celiac hla-dq2 CPT 81377 | $1,447.16 | $1,447.16 | $72.74 – $360.63 | 15 |
| #celiac hla-dq8 CPT 81383 | $538.01 | $538.01 | $83.80 – $415.39 | 15 |
| Cell count body fluid CPT 89050 | not published | not published | $3.62 – $26.84 | 15 |
| Cell count w differential body fluid CPT 89051 | not published | not published | $4.30 – $31.26 | 15 |
| Cell cryopreserve/storage CPT 88240 | not published | not published | $10.04 – $57.29 | 15 |
| Cell enumeration & id CPT 86152 | not published | not published | $192.56 – $954.64 | 15 |
| Cellesta or duo per sq cm HCPCS Q4184 | not published | not published | $60.03 – $336.92 | 4 |
| Cell function assay w/stim CPT 86352 | not published | not published | $104.32 – $781.27 | 15 |
| Cell marker study CPT 88182 | not published | not published | $49.76 – $486.13 | 4 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $21.69 – $76.03 | 5 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $2,786.05 – $4,869.43 | 2 |
| Cephalin floculation test HCPCS P2028 | not published | not published | $3.80 – $24.81 | 14 |
| Cerebrospinal fld flw imag CPT 78645 | not published | not published | $98.83 – $1,547.28 | 4 |
| Cer post col occ/man sup adj HCPCS L0180 | not published | not published | $328.29 – $468.36 | 12 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $2.98 – $10.26 | 5 |
| Cerv collar supp adj cerv ba HCPCS L0190 | not published | not published | $426.92 – $609.08 | 12 |
| Cervical collar molded to pt HCPCS L0170 | not published | not published | $555.81 – $792.96 | 12 |
| Cervical or vaginal cancer screening g0101 HCPCS G0101 | not published | not published | $162.82 – $162.82 | 1 |
| Cerv sr wire occ/man pre ots HCPCS L0160 | not published | not published | $134.98 – $192.58 | 12 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $58.14 – $212.90 | 5 |
| #cf-97variants CPT 81220 | not published | not published | $427.39 – $3,395.38 | 15 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $334.06 – $1,656.20 | 15 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $129.58 – $642.39 | 15 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $74.65 – $370.07 | 15 |
| Charger coch impl/aoi battry HCPCS L8625 | not published | not published | $170.23 – $242.86 | 12 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $149.16 – $725.66 | 3 |
| Chemo adm cns w/lmbr punct CPT 96450 | not published | not published | $818.27 – $818.27 | 1 |
| Chemo ia infuse each addl hr CPT 96423 | not published | not published | $265.15 – $265.15 | 1 |
| Chemo ia infusion up to 1 hr CPT 96422 | not published | not published | $818.27 – $818.27 | 1 |
| Chemo ia push tecnique CPT 96420 | not published | not published | $265.15 – $265.15 | 1 |
| Chemo intralesional over 7 CPT 96406 | not published | not published | $519.15 – $519.15 | 1 |
| Chemo intralesional up to 7 96405 CPT 96405 | not published | not published | $138.91 – $138.91 | 1 |
| Chemotaxis assay CPT 86155 | not published | not published | $12.28 – $90.66 | 15 |
| Chemotx admn pertl cav impl CPT 96446 | not published | not published | $519.15 – $519.15 | 1 |
| Chest 2 vws w oblique CPT 71048 | $1,207.06 | $1,207.06 | $56.51 – $364.95 | 4 |
| Chest apical lordotic proj CPT 71047 | $1,131.39 | $1,131.39 | $49.05 – $364.95 | 4 |
| Chest CT scan (with and without contrast) CPT 71270 | $6,002.62 | $6,002.62 | $220.85 – $1,915.66 | 3 |
| Chest CT scan (with contrast) CPT 71260 | $4,497.10 | $4,497.10 | $206.62 – $1,562.19 | 3 |
| Chest CT scan (without contrast) CPT 71250 | $3,510.52 | $3,510.52 | $190.04 – $1,331.37 | 3 |
| Chest X-ray CPT 71046 | $1,056.20 | $1,056.20 | $38.61 – $364.95 | 4 |
| Chest X-ray (single view) CPT 71045 | $963.03 | $963.03 | $32.10 – $364.95 | 4 |
| Chg radiologic exam esophagus double contrast CPT 74221 | not published | not published | $123.24 – $699.72 | 4 |
| Chikungunya vaccine live im CPT 90589 | not published | not published | $280.28 – $280.28 | 1 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $207.46 – $3,272.44 | 14 |
| Chimerism anal w/cell select CPT 81268 | not published | not published | $260.79 – $1,310.00 | 14 |
| Chlamydia culture CPT 87110 | not published | not published | $15.05 – $111.12 | 15 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $9.20 – $62.48 | 15 |
| Chlamydia type CPT 87140 | $927.48 | $927.48 | $4.28 – $31.63 | 15 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $15.40 – $113.76 | 15 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $32.89 – $163.11 | 15 |
| Chlnggrphy intraop addl s&i CPT 74301 | not published | not published | $36.00 – $36.00 | 1 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $45.15 – $133.19 | 2 |
| Chlordiazepoxide injection HCPCS J1990 | not published | not published | $19.16 – $54.88 | 2 |
| Chloride CPT 82435 | $223.56 | $223.56 | $3.53 – $26.07 | 15 |
| Chloride 24 hour urine CPT 82436 | $157.51 | $157.51 | $4.42 – $28.50 | 15 |
| Chloroprocaine (clorotekal) HCPCS J2402 | not published | not published | $0.28 – $0.28 | 1 |
| Chloroprocaine hcl injection HCPCS J2401 | $264.86 | $264.86 | $0.03 – $0.11 | 5 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.45 – $1.54 | 5 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | $827.12 | $827.12 | $24.36 – $154.04 | 5 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | $184.01 | $184.01 | $21.78 – $62.99 | 5 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.33 – $0.33 | 1 |
| Chmotx admn plrl cav thrcnts CPT 96440 | not published | not published | $519.15 – $519.15 | 1 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $2,372.39 | $2,372.39 | $49.66 – $208.44 | 2 |
| Cholera vaccine live oral CPT 90625 | not published | not published | $280.28 – $280.28 | 1 |
| Cholesterol CPT 82465 | $477.39 | $477.39 | $3.34 – $24.68 | 15 |
| Cholesterol body fluid CPT 84999 | not published | not published | $45.35 – $87.48 | 2 |
| Cholesterol (Lipid) Test CPT 80061 | $1,074.15 | $1,074.15 | $10.28 – $76.00 | 15 |
| Choline c-11 HCPCS A9515 | not published | not published | $4,641.00 – $6,668.54 | 2 |
| Cholinesterase CPT 82480 | not published | not published | $6.04 – $42.14 | 15 |
| Cholinesterase challenge CPT 95857 | not published | not published | $103.31 – $103.31 | 1 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $13.69 – $40.81 | 5 |
| Chrom analysis CPT 88273 | not published | not published | $26.73 – $182.25 | 15 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $29.95 – $148.47 | 15 |
| Chromatography CPT 83021 | $651.24 | $651.24 | $13.87 – $102.43 | 15 |
| Chromogenic substrate assay CPT 85130 | not published | not published | $9.13 – $67.48 | 15 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $57.04 – $887.68 | 14 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $133.34 – $943.46 | 15 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $132.97 – $982.36 | 15 |
| Chromosome analysis 15-20 cell count CPT 88262 | $3,101.76 | $3,101.76 | $96.36 – $707.01 | 15 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $132.97 – $844.40 | 15 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $115.40 – $852.48 | 15 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $202.97 – $1,006.24 | 15 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $132.97 – $982.36 | 15 |
| Chromosome analys placenta CPT 88267 | not published | not published | $144.80 – $1,019.75 | 15 |
| Chromosome banding study CPT 88283 | not published | not published | $52.67 – $389.11 | 15 |
| Chromosome count additional CPT 88285 | not published | not published | $20.66 – $107.75 | 15 |
| Chromosome karyotype study CPT 88280 | not published | not published | $25.70 – $142.38 | 15 |
| Chromosome study additional CPT 88289 | not published | not published | $26.44 – $195.33 | 15 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $9.57 – $70.68 | 15 |
| Chylomicron screen, bf - sendout CPT 82664 | not published | not published | $47.22 – $234.13 | 15 |
| Cid ext controller repl HCPCS L8628 | not published | not published | $1,119.70 – $1,597.44 | 12 |
| Cid ext speech process repl HCPCS L8627 | not published | not published | $6,566.55 – $9,368.28 | 12 |
| Cidofovir injection HCPCS J0740 | not published | not published | $391.37 – $1,389.87 | 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.