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 |
|---|---|---|---|---|
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | not published | not published | $2.94 – $3.55 | 2 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.22 – $5.22 | 5 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $0.53 – $2.04 | 5 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $4,256.01 | $4,256.01 | $5.30 – $20.06 | 5 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | not published | not published | $5.31 – $20.51 | 5 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $0.95 – $3.23 | 5 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $0.95 – $3.23 | 5 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $12.06 – $41.47 | 5 |
| Epstein barr early antigen antibody CPT 86663 | $210.25 | $210.25 | $10.07 – $74.42 | 15 |
| Epstein barr nuclear antigen antibody CPT 86664 | $244.68 | $244.68 | $11.74 – $86.80 | 15 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | not published | not published | $13.93 – $102.92 | 15 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $9.33 – $9.86 | 2 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $14.49 – $54.33 | 5 |
| Ercp biliary & pancreas CPT 74330 | $1,683.98 | $1,683.98 | $106.96 – $770.42 | 2 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $4.43 – $4.43 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $89.06 – $192.42 | 5 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $1,052.15 | $1,052.15 | $6.88 – $24.27 | 5 |
| Erwinaze injection HCPCS J9019 | not published | not published | $374.15 – $374.15 | 1 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $527.55 | $527.55 | $49.47 – $116.82 | 5 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.31 – $1.09 | 5 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.21 – $0.56 | 5 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $111.77 – $696.54 | 2 |
| Esophageal motility CPT 78258 | not published | not published | $129.71 – $947.74 | 4 |
| Esophageal recording CPT 93615 | not published | not published | $241.83 – $241.83 | 1 |
| Esophageal recording CPT 93616 | not published | not published | $345.88 – $345.88 | 1 |
| Esophagus motility study CPT 91010 | not published | not published | $908.05 – $908.05 | 1 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $1,960.70 – $1,960.70 | 1 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $1,157.97 – $1,157.97 | 1 |
| Esoph imped function test CPT 91037 | not published | not published | $628.03 – $628.03 | 1 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $530.97 – $530.97 | 1 |
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $302.38 – $403.18 | 2 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $179.00 – $238.67 | 2 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $314.02 – $418.70 | 2 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $366.29 – $488.39 | 2 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $123.70 – $164.94 | 2 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $197.89 – $263.85 | 2 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $703.20 – $937.60 | 2 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $606.24 – $808.32 | 2 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $212.06 – $282.74 | 2 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $303.02 – $404.03 | 2 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $179.00 – $238.67 | 2 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $316.99 – $422.65 | 2 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $215.61 – $287.48 | 2 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $465.17 – $620.22 | 2 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $10.17 – $13.56 | 2 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $10.59 – $14.12 | 2 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $5.90 – $7.87 | 2 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $10.38 – $13.84 | 2 |
| Estradiol total CPT 82670 | $1,074.15 | $1,074.15 | $21.45 – $158.50 | 15 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $5.47 – $19.74 | 5 |
| Estrogens total-sendout CPT 82672 | not published | not published | $16.66 – $118.84 | 15 |
| Etanercept injection HCPCS J1438 | not published | not published | $946.48 – $3,242.65 | 2 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $373.27 – $1,370.26 | 5 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $113.90 – $495.82 | 2 |
| Ethylene glycol -sendout CPT 82693 | $237.20 | $237.20 | $11.44 – $73.12 | 15 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $1,127.43 – $4,055.64 | 2 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $0.80 – $2.76 | 5 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $57.34 – $229.99 | 5 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $96.53 – $279.47 | 5 |
| Euglobulin lysis CPT 85360 | not published | not published | $6.46 – $47.66 | 15 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $75.19 – $75.19 | 1 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $306.79 – $306.79 | 1 |
| Eval/fit voice prosthesis iii, st CPT 92607 | not published | not published | $89.87 – $506.80 | 13 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $7.97 – $56.15 | 15 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $689.54 | $689.54 | $75.34 – $373.45 | 15 |
| Evaluation heart device CPT 93640 | $2,831.18 | $2,831.18 | $1,948.91 – $1,948.91 | 1 |
| Evaluation of speech fluency 92521 CPT 92521 | not published | not published | $97.14 – $146.26 | 13 |
| Event monitor CPT 93270 | not published | not published | $211.47 – $211.47 | 1 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $333.17 – $333.17 | 1 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $255.95 – $255.95 | 1 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $16.03 – $318.12 | 3 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $272.32 – $272.32 | 1 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $417.16 – $417.16 | 1 |
| Evok oa screening qual CPT 92558 | not published | not published | $15.31 – $20.41 | 2 |
| Ewhfo w/joint(s) cf HCPCS L3766 | not published | not published | $1,111.68 – $1,586.00 | 12 |
| Ewho w/joint(s) cf HCPCS L3764 | not published | not published | $750.13 – $1,070.18 | 12 |
| Excursion amplifier lever ty HCPCS L6642 | not published | not published | $245.69 – $350.52 | 12 |
| Excursion amplifier pulley t HCPCS L6641 | not published | not published | $172.56 – $246.19 | 12 |
| Exemestane, 25 mg HCPCS S0156 | not published | not published | $1.55 – $1.55 | 1 |
| Exercise tst brncspsm wo ecg CPT 94619 | not published | not published | $197.59 – $197.59 | 1 |
| Exhaled breath condensate CPT 83987 | not published | not published | $3.58 – $91.31 | 14 |
| Exome re-evaluation CPT 81417 | not published | not published | $245.72 – $1,218.13 | 14 |
| Exome sequence analysis CPT 81415 | not published | not published | $3,670.32 – $18,195.83 | 14 |
| Exome sequence analysis CPT 81416 | not published | not published | $9,214.20 – $45,679.92 | 14 |
| Exoskeletal ak ultra-light m HCPCS L5790 | not published | not published | $660.19 – $941.88 | 12 |
| Exoskeletal axial rotation u HCPCS L5982 | not published | not published | $530.81 – $757.29 | 12 |
| Exoskeletal bk ultralt mater HCPCS L5785 | not published | not published | $477.04 – $680.58 | 12 |
| Exoskel hip ultra-light mate HCPCS L5795 | not published | not published | $985.85 – $1,406.47 | 12 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | not published | not published | $574.69 – $819.90 | 12 |
| Ext antenna phren nerve stim HCPCS L8696 | not published | not published | $195.37 – $278.72 | 12 |
| Ext ecg>48hr<7d rev&interpj CPT 93244 | not published | not published | $113.88 – $113.88 | 1 |
| Ext ecg>48hr<7d scan a/r CPT 93243 | not published | not published | $197.59 – $197.59 | 1 |
| Ext ecg>7d<15d rec scan a/r CPT 93245 | not published | not published | $1,514.64 – $1,514.64 | 1 |
| Ext ecg>7d<15d rev&interpj CPT 93248 | not published | not published | $113.88 – $113.88 | 1 |
| Ext ecg>7d<15d scan a/r CPT 93247 | not published | not published | $397.42 – $397.42 | 1 |
| Extended culture of oocytes CPT 89272 | not published | not published | $656.15 – $3,192.17 | 3 |
| Extended steel shank HCPCS L2360 | not published | not published | $44.59 – $63.61 | 12 |
| Extended visual field xm CPT 92083 | not published | not published | $305.44 – $305.44 | 1 |
| Extension drainage tubing HCPCS A4331 | not published | not published | $3.40 – $4.85 | 12 |
| Extension per extension per HCPCS L2760 | not published | not published | $52.36 – $74.71 | 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.