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 |
|---|---|---|---|---|
| Consultation pathology during surgery CPT 88329 | $186.56 | $186.56 | $33.84 – $164.63 | 4 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $245.43 | $245.43 | $78.85 – $3,192.17 | 4 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $822.73 | $822.73 | $24.08 – $117.15 | 4 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $1,162.81 | $1,162.81 | $120.58 – $725.66 | 4 |
| Consultation/report referred material w/preparation of slides CPT 88323 | not published | not published | $49.76 – $242.08 | 4 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $1,542.94 | $1,542.94 | $33.84 – $304.12 | 4 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $149.16 – $725.66 | 4 |
| Contact layer >16<= 48 sq in HCPCS A6207 | not published | not published | $7.85 – $11.20 | 12 |
| Contact lens fitting ou CPT 92310 | not published | not published | $34.45 – $45.93 | 2 |
| Contact lens gas permeable HCPCS V2531 | not published | not published | $488.06 – $696.30 | 12 |
| Cont gluc mntr analysis i&r 95251 CPT 95251 | not published | not published | $152.47 – $152.47 | 1 |
| Contrast baths charges CPT 97034 | not published | not published | $10.06 – $33.99 | 13 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | not published | not published | $239.06 – $6,438.74 | 4 |
| Contrast exam thoracic aorta CPT 75600 | not published | not published | $89.86 – $6,438.74 | 4 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | not published | not published | $198.26 – $10,733.33 | 4 |
| Contrast x-ray gallbladder CPT 74290 | not published | not published | $56.43 – $402.40 | 4 |
| Contrast x-ray of ankle CPT 73615 | not published | not published | $108.06 – $828.27 | 4 |
| Contrast x-ray of brain CPT 70010 | not published | not published | $187.51 – $1,049.16 | 4 |
| Contrast x-ray of brain CPT 70015 | not published | not published | $210.48 – $1,609.16 | 4 |
| Contrast x-ray of elbow CPT 73085 | not published | not published | $96.33 – $828.27 | 4 |
| Contrast x-ray of hip CPT 73525 | not published | not published | $109.42 – $828.27 | 4 |
| Contrast x-ray of knee joint CPT 73580 | not published | not published | $121.46 – $828.27 | 4 |
| Contrast x-ray of wrist CPT 73115 | not published | not published | $104.05 – $828.27 | 4 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | not published | not published | $13,097.85 – $18,686.27 | 12 |
| Convert nephrostomy catheter CPT 50434 | not published | not published | $861.93 – $861.93 | 1 |
| Coombs direct CPT 86880 | not published | not published | $5.39 – $30.45 | 14 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | not published | not published | $5.72 – $32.44 | 14 |
| Coombs indirect titer reference CPT 86886 | $954.34 | $954.34 | $5.18 – $29.35 | 14 |
| Copper cu 64 dotatate diag HCPCS A9592 | not published | not published | $893.39 – $1,574.84 | 2 |
| Copper intrauterine device HCPCS J7300 | not published | not published | $1,056.60 – $3,773.60 | 2 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,050.00 – $3,996.99 | 13 |
| Cornea 1/2moon str split thick HCPCS L8609 | not published | not published | $5,872.90 – $8,378.68 | 12 |
| Coronary angio/lv gram/lt heart CPT 93458 | not published | not published | $19,534.23 – $19,534.23 | 1 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | not published | not published | $3,078.88 – $3,078.88 | 1 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | not published | not published | $497.32 – $497.32 | 1 |
| Coroners autopsy (necropsy) CPT 88045 | not published | not published | $6.68 – $285.19 | 3 |
| Corticorelin ovine triflutal HCPCS J0795 | not published | not published | $8.47 – $8.47 | 1 |
| Cortisol acth stimulation test - sendout CPT 80400 | not published | not published | $25.05 – $184.97 | 15 |
| Cortisol total am CPT 82533 | $989.22 | $989.22 | $12.52 – $92.49 | 15 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $1,062.89 | $1,062.89 | $25.05 – $54.72 | 5 |
| Co-treatment - group 15 mins, st CPT 92508 | not published | not published | $17.51 – $51.50 | 13 |
| Cov-19 amp prb hgh thruput HCPCS U0003 | not published | not published | $406.00 – $406.00 | 1 |
| Covers for upright each HCPCS L1120 | not published | not published | $37.22 – $53.10 | 12 |
| Cover wrist HCPCS L3984 | not published | not published | $290.27 – $414.12 | 12 |
| Covid-19 lab test non-cdc HCPCS U0002 | not published | not published | $39.40 – $208.40 | 15 |
| #covid19rsv-rsv CPT 87634 | $964.44 | $964.44 | $53.90 – $351.84 | 15 |
| #coxa-coxsackie a serotype a16 CPT 86658 | not published | not published | $10.00 – $73.89 | 15 |
| C-peptide CPT 84681 | $1,140.74 | $1,140.74 | $15.98 – $118.02 | 15 |
| Cptrized corneal topography CPT 92025 | not published | not published | $125.99 – $125.99 | 1 |
| Cptr ophth dx img post segmt CPT 92134 | not published | not published | $180.27 – $180.27 | 1 |
| Cptrz oph img pst sg rta oct CPT 92137 | not published | not published | $700.65 – $700.65 | 1 |
| Cr-51 sodium chromate HCPCS A9553 | not published | not published | $323.04 – $5,082.59 | 2 |
| Cranial cervical orthosis HCPCS L0112 | not published | not published | $1,259.14 – $1,796.38 | 12 |
| Cranial cervical torticollis HCPCS L0113 | not published | not published | $256.55 – $366.01 | 12 |
| Crbrospnl fld flw imag cistern CPT 78630 | $2,124.44 | $2,124.44 | $117.98 – $1,589.48 | 4 |
| C-reactive protein CPT 86140 | $491.98 | $491.98 | $3.97 – $29.35 | 15 |
| C-reactive protein high sensitivity CPT 86141 | $572.40 | $572.40 | $9.95 – $73.45 | 15 |
| C-reactive protein, quantitative CPT 86406 | not published | not published | $8.17 – $60.37 | 15 |
| Creatine isoforms CPT 82554 | not published | not published | $9.11 – $67.31 | 15 |
| Creatine kinase CPT 82550 | $590.77 | $590.77 | $5.00 – $36.95 | 15 |
| Creatine kinase isoenzymes CPT 82552 | not published | not published | $10.28 – $75.96 | 15 |
| Creatine kinase mb CPT 82553 | not published | not published | $8.87 – $43.97 | 15 |
| Creatine - sendout CPT 82540 | not published | not published | $3.56 – $26.31 | 15 |
| Creatinine CPT 82565 | $448.96 | $448.96 | $3.93 – $29.07 | 15 |
| Creatinine 24 hour urine CPT 82570 | not published | not published | $3.97 – $29.35 | 15 |
| Creatinine clearance urine CPT 82575 | $761.37 | $761.37 | $7.27 – $53.59 | 15 |
| #creutz-prot.,western blot CPT 84182 | not published | not published | $22.43 – $111.22 | 15 |
| Crh stimulation panel CPT 80412 | not published | not published | $615.53 – $3,051.47 | 15 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | not published | not published | $97.13 – $343.41 | 5 |
| Cromolyn sodium noncomp unit HCPCS J7631 | not published | not published | $0.22 – $2.41 | 5 |
| Crotalidae poly immune fab HCPCS J0840 | not published | not published | $1,316.86 – $4,840.28 | 5 |
| Crutches underarm other than wood adjustable or e0114 HCPCS E0114 | not published | not published | $44.32 – $63.23 | 12 |
| Cryofibrinogen qualitative - sendout CPT 82585 | not published | not published | $10.86 – $53.82 | 15 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $656.15 – $3,192.17 | 3 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $149.16 – $725.66 | 3 |
| Cryopreservation sperm CPT 89259 | not published | not published | $132.80 – $725.66 | 4 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $49.76 – $242.08 | 4 |
| Cryptococcus abs qn - sendout CPT 86641 | not published | not published | $11.06 – $81.77 | 15 |
| Cryptosporidium antigen CPT 87272 | not published | not published | $9.20 – $62.48 | 15 |
| Crystal identification light microscopy CPT 89060 | $84.92 | $84.92 | $5.63 – $40.56 | 15 |
| Csf leakage imaging CPT 78650 | not published | not published | $91.26 – $2,938.37 | 4 |
| Csf ventriculography CPT 78635 | not published | not published | $108.02 – $1,608.65 | 4 |
| Cstb gene detc abnor allele CPT 81188 | not published | not published | $137.00 – $521.51 | 13 |
| Cstb gene full gene sequence CPT 81189 | not published | not published | $274.83 – $1,046.19 | 13 |
| Cstb gene known famil vrnt CPT 81190 | not published | not published | $185.20 – $704.99 | 13 |
| CT 3d report other modality w/workstation CPT 76377 | not published | not published | $142.47 – $504.31 | 2 |
| Cta abdomen without & /or w/contrast CPT 74175 | $4,242.68 | $4,242.68 | $319.38 – $2,577.22 | 3 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $4,242.68 | $4,242.68 | $401.74 – $3,369.56 | 3 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | not published | not published | $333.27 – $2,390.44 | 3 |
| Cta neck without &/or w/contrast CPT 70498 | $3,427.81 | $3,427.81 | $308.36 – $2,319.74 | 3 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $7,480.83 | $7,480.83 | $387.43 – $5,137.15 | 3 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $5,980.91 | $5,980.91 | $320.70 – $2,344.90 | 3 |
| CT Angiogram of the Head CPT 70496 | $3,427.81 | $3,427.81 | $308.36 – $2,319.74 | 3 |
| CT angio hrt w/3d image CPT 75574 | not published | not published | $401.74 – $2,113.00 | 3 |
| CT angio pelvis CPT 72191 | $4,242.68 | $4,242.68 | $316.73 – $2,559.94 | 3 |
| Cta upper extremity w &/or without contrast left CPT 73206 | not published | not published | $316.73 – $2,370.09 | 3 |
| CT bone density axial CPT 77078 | not published | not published | $43.79 – $280.01 | 3 |
| CT cerebral perf w cont & prcssng CPT 70473 | not published | not published | $182.29 – $403.20 | 2 |
| CT colonography dx CPT 74261 | not published | not published | $245.18 – $1,146.78 | 3 |
| CT colonography dx w/dye CPT 74262 | not published | not published | $401.74 – $1,421.11 | 3 |
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.