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 |
|---|---|---|---|---|
| External chromosome analysis 20-25 cells CPT 88264 | $1,170.00 | $1,170.00 | $111.04 – $707.01 | 15 |
| External newborn metabolic screening panel HCPCS S3620 | not published | not published | $126.70 – $168.93 | 2 |
| External ocular photography CPT 92285 | not published | not published | $191.63 – $191.63 | 1 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | not published | not published | $3.87 – $120.02 | 4 |
| External profiling gene expression oncology (breast) mrna 21 genes CPT 81519 | not published | not published | $3,873.00 – $14,743.20 | 14 |
| External recharg sys extern HCPCS L8695 | not published | not published | $15.00 – $21.40 | 12 |
| External recharg sys intern HCPCS L8689 | not published | not published | $1,554.83 – $2,218.23 | 12 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $2,070.00 | $2,070.00 | $110.38 – $716.47 | 15 |
| Extnd color vision xm CPT 92283 | not published | not published | $163.02 – $163.02 | 1 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | not published | not published | $13.77 – $101.74 | 15 |
| Extrnl counterpulse, per tx HCPCS G0166 | not published | not published | $639.63 – $639.63 | 1 |
| Eye allergy tests CPT 95060 | not published | not published | $59.36 – $59.36 | 1 |
| Ezh2 gene common variants CPT 81237 | not published | not published | $175.40 – $667.68 | 13 |
| Ezh2 gene full gene sequence CPT 81236 | not published | not published | $282.88 – $1,076.83 | 13 |
| F-18 fdg pet diag HCPCS A9552 | not published | not published | $1,142.71 – $1,142.71 | 1 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | not published | not published | $2,652.24 – $4,837.95 | 2 |
| F-18 fluciclovine per mci HCPCS A9588 | not published | not published | $479.55 – $854.02 | 2 |
| F-18 sodium fluoride HCPCS A9580 | not published | not published | $202.68 – $716.96 | 2 |
| F9 full gene sequence CPT 81238 | not published | not published | $600.00 – $2,284.00 | 13 |
| Fabrication & fitting HCPCS V2628 | not published | not published | $279.36 – $398.55 | 12 |
| Facial bones <3 CPT 70140 | $792.81 | $792.81 | $37.40 – $182.03 | 4 |
| Facial nerve function test CPT 92516 | not published | not published | $256.95 – $256.95 | 1 |
| Factor ix CPT 85250 | not published | not published | $14.62 – $108.00 | 15 |
| Factor ix alprolix recomb HCPCS J7201 | not published | not published | $2.66 – $9.54 | 5 |
| Factor ix complex HCPCS J7194 | not published | not published | $1.24 – $4.51 | 5 |
| Factor ix idelvion inj HCPCS J7202 | not published | not published | $3.88 – $14.10 | 5 |
| Factor ix non-recombinant HCPCS J7193 | not published | not published | $1.03 – $3.63 | 5 |
| Factor ix recomb gly rebinyn HCPCS J7203 | not published | not published | $3.24 – $12.06 | 5 |
| Factor ix recombinan rixubis HCPCS J7200 | not published | not published | $1.22 – $4.61 | 5 |
| Factor ix recombinant nos HCPCS J7195 | not published | not published | $1.39 – $4.85 | 5 |
| Factor viia recomb sevenfact HCPCS J7212 | not published | not published | $1.79 – $6.23 | 5 |
| Factor viii CPT 85240 | $676.06 | $676.06 | $13.75 – $101.58 | 15 |
| Factor viii HCPCS J7190 | not published | not published | $0.84 – $2.94 | 5 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $1.74 – $6.55 | 5 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $0.89 – $2.99 | 5 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $1.58 – $5.72 | 5 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.17 – $4.21 | 5 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.05 – $4.11 | 5 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $2.42 – $8.56 | 5 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $7.86 – $28.51 | 5 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $13.00 – $49.18 | 5 |
| Famotidine in ns IV syringe 0.4 mg/ml (neo/ped) - cnr HCPCS J1308 | not published | not published | $0.01 – $0.03 | 5 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $21.67 – $82.95 | 5 |
| Fancc gene CPT 81242 | not published | not published | $36.62 – $329.10 | 14 |
| Fat/lipids feces qualitative CPT 82705 | not published | not published | $3.92 – $28.87 | 15 |
| Fatty acids nonesterified CPT 82725 | not published | not published | $14.41 – $75.52 | 15 |
| Fda ide #g240020 carry bag HCPCS Q0499 | not published | not published | $150.44 – $214.62 | 12 |
| Fecal bilirubin test CPT 82252 | not published | not published | $3.50 – $25.78 | 15 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $47.95 – $171.27 | 5 |
| #fecal-sodium CPT 84302 | not published | not published | $3.74 – $26.39 | 15 |
| Feeding tube reposition CPT 74355 | not published | not published | $134.94 – $643.47 | 2 |
| Fees w/laryngeal sense i&r CPT 92617 | not published | not published | $24.46 – $160.85 | 3 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $165.93 – $823.74 | 13 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | not published | not published | $14.31 – $75.68 | 15 |
| Fem focal defic constant fri HCPCS L5230 | not published | not published | $3,492.93 – $4,983.25 | 12 |
| Femoral lgth sock fx or equa HCPCS L2850 | not published | not published | $53.36 – $76.13 | 12 |
| Fem urinary collect pouch HCPCS A4328 | not published | not published | $10.54 – $15.04 | 12 |
| Feno poc CPT 95012 | not published | not published | $83.96 – $83.96 | 1 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | not published | not published | $0.63 – $3.15 | 5 |
| Fern test HCPCS Q0114 | not published | not published | $7.48 – $40.56 | 15 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | not published | not published | $0.85 – $2.97 | 5 |
| Ferritin CPT 82728 | $210.25 | $210.25 | $10.46 – $77.26 | 15 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.25 – $0.95 | 5 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.25 – $0.95 | 5 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $795.00 – $3,026.31 | 13 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $1,797.96 | $1,797.96 | $193.26 – $532.11 | 4 |
| Fetal chrmoml microdeltj CPT 81422 | not published | not published | $759.05 – $2,889.43 | 13 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $759.05 – $2,889.43 | 13 |
| Fetal contract stress test 59020 - 26 CPT 59020 | not published | not published | $18.44 – $252.30 | 3 |
| Fetal fibronectin CPT 82731 | $1,929.04 | $1,929.04 | $49.45 – $365.36 | 15 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $558.21 | $558.21 | $5.93 – $43.89 | 15 |
| Fetal hemoglobin rosette CPT 85461 | $610.61 | $610.61 | $7.19 – $37.60 | 15 |
| Fetal lung maturity assess lam body dnst CPT 83664 | not published | not published | $14.84 – $107.31 | 15 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $33.74 – $44.99 | 2 |
| Fetal monitor w/report CPT 59050 | not published | not published | $52.02 – $190.71 | 3 |
| Fetal non stress test CPT 59025 | $1,740.63 | $1,740.63 | $7.97 – $163.76 | 3 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $5.00 – $20.94 | 5 |
| Fibrin degradation d dimer quantitative CPT 85379 | $815.25 | $815.25 | $7.81 – $45.92 | 15 |
| Fibrin degradation products CPT 85362 | $597.88 | $597.88 | $5.29 – $39.06 | 15 |
| Fibrin degrade semiquant CPT 85378 | not published | not published | $7.46 – $40.48 | 15 |
| Fibrin degradj d-dimer CPT 85380 | not published | not published | $7.81 – $45.92 | 15 |
| Fibrinogen activity CPT 85384 | $615.83 | $615.83 | $7.46 – $48.19 | 15 |
| Fibrinogen test CPT 85370 | not published | not published | $9.55 – $47.31 | 15 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | not published | not published | $11.89 – $58.93 | 15 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $5.92 – $43.73 | 15 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $5.92 – $50.18 | 15 |
| Fibrinolytic plasminogen CPT 85415 | not published | not published | $13.20 – $82.42 | 15 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $7.81 – $57.77 | 15 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | not published | not published | $5.02 – $37.07 | 15 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.22 – $0.74 | 5 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $0.73 – $2.65 | 5 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.25 – $0.93 | 5 |
| Filtered speech hearing test CPT 92571 | not published | not published | $68.37 – $68.37 | 1 |
| Filters elec/combo vad, rep HCPCS Q0500 | not published | not published | $27.53 – $39.28 | 12 |
| Finasteride, 5 mg HCPCS S0138 | $47.09 | $47.09 | $0.14 – $0.14 | 1 |
| Finger joint sz00 swanson w/grommets HCPCS L8630 | not published | not published | $309.34 – $441.33 | 12 |
| Flebogamma injection HCPCS J1572 | not published | not published | $49.14 – $240.46 | 2 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $14.31 – $75.68 | 15 |
| Flex/ext wrist w/wo friction HCPCS L6621 | not published | not published | $2,061.74 – $2,941.41 | 12 |
| Flex foot system HCPCS L5980 | not published | not published | $3,404.36 – $4,856.89 | 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.