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 |
|---|---|---|---|---|
| Ghs febrile agglutinns(mayo) CPT 86000 | not published | not published | $5.36 – $39.58 | 15 |
| Ghs fish cytogen CPT 88271 | not published | not published | $16.45 – $121.52 | 15 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | not published | not published | $39.31 – $227.81 | 15 |
| Ghs flow volume loop CPT 94375 | not published | not published | $144.98 – $144.98 | 1 |
| Ghs hcv amplificaiton CPT 87521 | not published | not published | $26.95 – $199.10 | 15 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $17.64 – $87.43 | 15 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $11.89 – $87.86 | 15 |
| Ghs hgb stability-thal CPT 83068 | not published | not published | $7.27 – $36.08 | 15 |
| Ghs histoplasma antigen CPT 87385 | not published | not published | $10.18 – $62.48 | 15 |
| Ghs HIV antibody CPT 86703 | not published | not published | $10.53 – $77.83 | 15 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | not published | not published | $81.50 – $404.04 | 15 |
| Ghs immun0electrophoresis CPT 86320 | not published | not published | $22.97 – $127.16 | 15 |
| Ghs inhibitor screen CPT 85335 | not published | not published | $9.88 – $49.03 | 15 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $6.60 – $48.80 | 15 |
| Ghs mbp CPT 83873 | not published | not published | $13.21 – $97.60 | 15 |
| Ghs o2 saturation CPT 82810 | not published | not published | $7.50 – $49.53 | 15 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $347.69 – $347.69 | 1 |
| Ghs o2 uptake rest & indirect CPT 94690 | not published | not published | $339.52 – $339.52 | 1 |
| Ghs optokenetic CPT 92544 | not published | not published | $186.69 – $186.69 | 1 |
| Ghs oscillating trac CPT 92545 | not published | not published | $166.21 – $166.21 | 1 |
| Ghs ot dds rom CPT 95851 | not published | not published | $17.44 – $30.57 | 13 |
| Ghs ot group caregiver training CPT 97552 | $24.19 | $24.19 | $16.28 – $24.08 | 12 |
| Ghs ot prosthetic training/15 min CPT 97761 | not published | not published | $30.00 – $67.98 | 13 |
| Ghs ot sensory integrative tech/15min CPT 97533 | not published | not published | $44.80 – $59.73 | 13 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | not published | not published | $21.98 – $106.93 | 4 |
| Ghs phenylketonurid CPT 84030 | $183.93 | $183.93 | $4.22 – $31.22 | 15 |
| Ghs plt ct-manual CPT 85032 | not published | not published | $3.31 – $24.40 | 15 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | not published | not published | $2,861.76 – $2,861.76 | 1 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $235.58 – $235.58 | 1 |
| Ghs ppd (tb intradermal) CPT 86580 | not published | not published | $21.60 – $120.02 | 4 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | not published | not published | $7.42 – $54.81 | 15 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $4.30 – $29.35 | 15 |
| Ghs protoporphyrins fract CPT 84202 | not published | not published | $11.02 – $81.40 | 15 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $9.40 – $66.02 | 15 |
| Ghs quinidine CPT 80194 | not published | not published | $11.21 – $82.78 | 15 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $563.44 | $563.44 | $12.20 – $73.12 | 15 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $3.31 – $24.40 | 15 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | not published | not published | $10.68 – $62.48 | 15 |
| Ghs sedimentation rate CPT 85651 | $411.92 | $411.92 | $3.28 – $20.14 | 15 |
| Ghs semen analysis fert CPT 89320 | not published | not published | $9.45 – $68.37 | 15 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $7.55 – $50.55 | 15 |
| Ghs sensitivity (per antimicro) CPT 87184 | not published | not published | $5.75 – $39.10 | 15 |
| Ghs somatosensory testing lower extremit CPT 95926 | not published | not published | $272.71 – $272.71 | 1 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | not published | not published | $35.29 – $95.60 | 13 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $228.83 – $228.83 | 1 |
| Ghs sp train/fitting sp device - kx CPT 92609 | not published | not published | $74.91 – $110.73 | 12 |
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $91.98 – $91.98 | 1 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $52.84 – $150.38 | 13 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $617.91 – $617.91 | 1 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $986.26 – $986.26 | 1 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $5.60 – $41.41 | 15 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $18.66 – $137.88 | 15 |
| Ghs urine, porphyrins quant CPT 84120 | not published | not published | $11.29 – $83.43 | 15 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Giardia ag if CPT 87269 | not published | not published | $10.45 – $62.48 | 15 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $11.30 – $83.47 | 15 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $165.90 – $517.79 | 4 |
| Gi inhouse confirmation CPT 87045 | $927.48 | $927.48 | $7.25 – $53.51 | 15 |
| Gi protein loss CPT 78282 | not published | not published | $57.76 – $1,092.71 | 4 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $4,138.34 – $4,138.34 | 1 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $2,935.25 – $2,935.25 | 1 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $1,074.23 – $1,074.23 | 1 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $1,153.97 | 14 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $406.85 | 14 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $133.25 | 14 |
| Glassia injection HCPCS J0257 | not published | not published | $4.09 – $15.08 | 5 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $152.40 – $152.40 | 1 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $183.00 – $183.00 | 1 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $98.28 – $140.21 | 12 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $1,859.23 | $1,859.23 | $143.07 – $436.88 | 5 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $112.83 – $379.61 | 5 |
| Glucagon plasma - sendout CPT 82943 | not published | not published | $10.97 – $54.40 | 15 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $35.38 – $261.38 | 15 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $38.78 – $286.47 | 15 |
| Glucagon tolerance test CPT 82946 | not published | not published | $13.64 – $85.50 | 15 |
| Glucose 1 hr post dose CPT 82950 | not published | not published | $3.65 – $26.96 | 15 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $4.64 – $34.39 | 15 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $2.52 – $13.28 | 15 |
| Glucose blood quantitative CPT 82947 | $545.49 | $545.49 | $3.01 – $22.25 | 15 |
| Glucose body fluid CPT 82945 | not published | not published | $3.01 – $22.25 | 15 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $590.77 | $590.77 | $9.88 – $73.04 | 15 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $590.77 | $590.77 | $3.01 – $16.32 | 15 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $0.38 – $1.01 | 5 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $27.44 – $36.28 | 2 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $8.08 – $30.82 | 5 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $868.37 | $868.37 | $14.27 – $105.44 | 15 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $113.95 – $842.04 | 15 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $868.37 | $868.37 | $14.22 – $105.07 | 15 |
| Gonioscopy CPT 92020 | not published | not published | $108.74 – $108.74 | 1 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $528.86 – $2,060.38 | 5 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $22.77 – $336.92 | 4 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $336.92 – $1,853.05 | 4 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $47.71 – $336.92 | 4 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $345.00 | $345.00 | $336.92 – $336.92 | 1 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $5,293.38 – $5,293.38 | 1 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $49.06 – $336.92 | 4 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $79.09 – $336.92 | 4 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | not published | not published | $102.28 – $336.92 | 4 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $38.84 – $336.92 | 4 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $336.92 – $336.92 | 1 |
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.