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 |
|---|---|---|---|---|
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $2,782.54 | $2,782.54 | $923.25 – $985.48 | 2 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $17.64 – $17.64 | 1 |
| Dura-guard dura repair patch 10x16cm -q4432-cost per sq cm-160sq cm HCPCS Q4432 | not published | not published | $336.92 – $336.92 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $62.90 – $228.62 | 5 |
| Dxa bone density axl vrt fx CPT 77085 | not published | not published | $55.22 – $386.65 | 4 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $341.90 – $341.90 | 1 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $45.63 – $45.63 | 1 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $619.19 – $619.19 | 1 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $619.19 – $619.19 | 1 |
| Dynamic fine wire emg CPT 96003 | not published | not published | $67.84 – $67.84 | 1 |
| Dynamic surface emg CPT 96002 | not published | not published | $77.89 – $77.89 | 1 |
| Ear and throat examination CPT 92502 | not published | not published | $399.73 – $399.73 | 1 |
| Ear protector evaluation CPT 92596 | not published | not published | $103.38 – $103.38 | 1 |
| Ecallantide injection HCPCS J1290 | not published | not published | $423.48 – $1,536.34 | 5 |
| Ecg 12 lead tracing only CPT 93005 | $704.92 | $704.92 | $75.61 – $75.61 | 1 |
| Ecg/1-3 leads/interp & report only 93042 CPT 93042 | not published | not published | $31.95 – $31.95 | 1 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | not published | not published | $25.63 – $25.63 | 1 |
| Ecg < 30 days transmission & analysis CPT 93271 | not published | not published | $999.18 – $999.18 | 1 |
| Ecg external < 48 hours recording CPT 93225 | not published | not published | $211.47 – $211.47 | 1 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | not published | not published | $371.72 – $371.72 | 1 |
| Ecg external > 48 hours up to 7 days recording CPT 93242 | not published | not published | $120.13 – $120.13 | 1 |
| Ecg external >7 days up to 15 days recording CPT 93246 | not published | not published | $197.59 – $197.59 | 1 |
| Ecg record/review CPT 93268 | not published | not published | $102.47 – $1,317.40 | 3 |
| Ecg/review interpret only CPT 93272 | not published | not published | $14.50 – $106.64 | 3 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $7,143.14 | $7,143.14 | $1,119.85 – $1,119.85 | 1 |
| Echocardiography doppler color flow mapping CPT 93325 | $1,599.37 | $1,599.37 | $513.47 – $513.47 | 1 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $7,143.14 | $7,143.14 | $2,214.81 – $2,214.81 | 1 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $1,145.35 | $1,145.35 | $441.26 – $441.26 | 1 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $783.15 | $783.15 | $222.51 – $222.51 | 1 |
| Echo exam of eye CPT 76516 | not published | not published | $87.21 – $349.86 | 4 |
| Echo exam of eye CPT 76519 | not published | not published | $117.22 – $365.68 | 4 |
| Echo exam of eye CPT 76529 | not published | not published | $124.75 – $341.34 | 4 |
| Echo exam of eye thickness CPT 76514 | not published | not published | $15.78 – $55.51 | 4 |
| Echo exam of fetal heart CPT 76825 | not published | not published | $304.58 – $1,086.50 | 4 |
| Echo exam of fetal heart CPT 76826 | not published | not published | $152.35 – $678.18 | 4 |
| Echo exam of fetal heart CPT 76827 | not published | not published | $105.83 – $448.05 | 4 |
| Echo exam of fetal heart CPT 76828 | not published | not published | $91.10 – $334.12 | 4 |
| Echo exam uterus 76831- CPT 76831 | $2,438.27 | $2,438.27 | $133.88 – $517.79 | 4 |
| Echograp trans r pros study CPT 76873 | not published | not published | $245.18 – $727.37 | 4 |
| Echo guidance radiotherapy CPT 76965 | not published | not published | $115.33 – $1,309.21 | 2 |
| Echo guide for amniocentesis CPT 76946 | not published | not published | $62.87 – $365.99 | 2 |
| Echo guide for artery repair CPT 76936 | not published | not published | $353.67 – $1,588.92 | 4 |
| Echo guide for heart biopsy CPT 76932 | not published | not published | $132.21 – $429.62 | 2 |
| Echo guide for transfusion CPT 76941 | not published | not published | $247.50 – $576.38 | 2 |
| Echo guide ova aspiration CPT 76948 | not published | not published | $123.77 – $364.26 | 2 |
| Echo guide villus sampling CPT 76945 | not published | not published | $123.77 – $426.09 | 2 |
| Echo stress CPT 93350 | not published | not published | $609.96 – $609.96 | 1 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | not published | not published | $179.31 – $179.31 | 1 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $6,568.62 | $6,568.62 | $1,099.29 – $1,099.29 | 1 |
| Echo transesophageal CPT 93313 | not published | not published | $175.69 – $175.69 | 1 |
| Echo transesophageal CPT 93314 | not published | not published | $909.47 – $909.47 | 1 |
| Echo transesophageal CPT 93315 | not published | not published | $1,176.51 – $1,176.51 | 1 |
| Echo transesophageal CPT 93317 | not published | not published | $174.52 – $174.52 | 1 |
| Echo transesophageal intraop CPT 93318 | not published | not published | $174.52 – $174.52 | 1 |
| Echo transthoracic CPT 93303 | $4,763.19 | $4,763.19 | $922.43 – $922.43 | 1 |
| Echo transthoracic CPT 93304 | $773.44 | $773.44 | $486.56 – $486.56 | 1 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | not published | not published | $846.43 – $846.43 | 1 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $9.72 – $62.48 | 15 |
| Eculizumab 300 mg/30 ml intravenous solution HCPCS J1299 | not published | not published | $33.61 – $119.33 | 5 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $4,845.02 – $16,455.65 | 5 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.87 – $1.16 | 2 |
| Ed svc ckd grp per session HCPCS G0421 | not published | not published | $15.87 – $30.30 | 12 |
| Ed svc ckd ind per session HCPCS G0420 | not published | not published | $65.92 – $125.80 | 12 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | not published | not published | $828.53 – $828.53 | 1 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | not published | not published | $969.90 – $969.90 | 1 |
| Eeg during surgery CPT 95955 | not published | not published | $548.23 – $548.23 | 1 |
| Eeg monitoring/function test CPT 95958 | not published | not published | $1,210.05 – $1,210.05 | 1 |
| Eeg monitoring/giving drugs CPT 95954 | not published | not published | $1,055.27 – $1,055.27 | 1 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | not published | not published | $775.28 – $775.28 | 1 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | not published | not published | $1,086.16 – $1,086.16 | 1 |
| Eeg phy/qhp>36<60 hr without vid CPT 95721 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Eeg phy/qhp>36<60 hr w/veeg CPT 95722 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Eeg phy/qhp>60<84 hr without vid CPT 95723 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Eeg phy/qhp>60<84 hr w/veeg CPT 95724 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Eeg phy/qhp>84 hr without vid CPT 95725 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Eeg phy/qhp>84 hr w/veeg CPT 95726 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Eeg phy/qhp ea incr w/veeg CPT 95720 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Eeg phys/qhp 2-12 hr without vid CPT 95717 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Eeg phys/qhp 2-12 hr w/veeg CPT 95718 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Eeg phys/qhp ea incr without vid CPT 95719 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | not published | not published | $923.67 – $923.67 | 1 |
| Eeg recording awake and asleep CPT 95819 | $2,543.45 | $2,543.45 | $656.64 – $656.64 | 1 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Eeg without vid ea 12-26hr cont CPT 95710 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| E equine encephalitis igg CPT 86652 | not published | not published | $10.13 – $74.83 | 15 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $24.29 – $85.38 | 5 |
| Egfr gene com variants CPT 81235 | $1,774.90 | $1,774.90 | $324.58 – $1,235.58 | 14 |
| Ehrlicha chaffeensis amp prb CPT 87484 | not published | not published | $26.95 – $142.47 | 15 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $15.03 – $78.89 | 15 |
| EKG (Electrocardiogram) CPT 93000 | not published | not published | $8.69 – $110.62 | 3 |
| Elb disart prosth tiss shap HCPCS L6450 | not published | not published | $2,830.85 – $4,038.67 | 12 |
| Elb mold sock flex hinge pad HCPCS L6100 | not published | not published | $1,767.14 – $2,521.12 | 12 |
| Elbow inter loc elbow forarm HCPCS L6250 | not published | not published | $2,465.64 – $3,517.65 | 12 |
| Elbow mold doub splt soc ste HCPCS L6120 | not published | not published | $2,184.29 – $3,116.26 | 12 |
| Elbow mold outsid lock hinge HCPCS L6200 | not published | not published | $2,504.89 – $3,573.64 | 12 |
| Elbow mold sock suspension t HCPCS L6110 | not published | not published | $1,874.36 – $2,674.08 | 12 |
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.