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 |
|---|---|---|---|---|
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | not published | $336.92 – $336.92 | 1 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $336.92 – $336.92 | 1 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $28.13 – $336.92 | 4 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $2.78 – $156.48 | 2 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.20 – $0.40 | 5 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $14.80 – $15.84 | 10 |
| Group train without patient HCPCS G0543 | not published | not published | $6.53 – $8.71 | 2 |
| Growth hormone antibody CPT 86277 | not published | not published | $12.08 – $89.28 | 15 |
| Growth hormone panel CPT 80428 | not published | not published | $51.22 – $378.23 | 15 |
| Growth hormone panel CPT 80430 | not published | not published | $99.31 – $492.30 | 15 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $75.60 – $287.79 | 14 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $152.35 – $4,034.23 | 4 |
| Guide endoanchr sg-64 aaa 62cm HCPCS L8670 | not published | not published | $511.12 – $729.19 | 12 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $517.36 – $517.36 | 1 |
| Hair analysis HCPCS P2031 | not published | not published | $4.95 – $24.81 | 13 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $38.89 – $55.49 | 12 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $2,020.48 – $2,882.55 | 12 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $2,251.07 – $3,211.53 | 12 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $2,847.46 – $4,062.37 | 12 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $413.75 | $413.75 | $3.46 – $10.44 | 5 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $131.98 | $131.98 | $0.58 – $1.93 | 5 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $193.90 – $276.63 | 12 |
| Hand-held pefr meter a4614 HCPCS A4614 | not published | not published | $25.42 – $36.26 | 12 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $5.58 – $27.15 | 2 |
| Hand orthosis metacarpal fracture orthosis prefa l3918 HCPCS L3918 | not published | not published | $86.53 – $123.45 | 12 |
| Hand restoration multiple fi HCPCS L6905 | not published | not published | $1,448.23 – $2,066.14 | 12 |
| Hand restoration no fingers HCPCS L6910 | not published | not published | $1,486.70 – $2,121.03 | 12 |
| Hand restoration replacmnt g HCPCS L6915 | not published | not published | $574.81 – $820.06 | 12 |
| Hand restorat thumb/1 finger HCPCS L6900 | not published | not published | $1,475.20 – $2,104.62 | 12 |
| Hand X-ray CPT 73130 | not published | not published | $33.50 – $182.03 | 4 |
| Haptoglobin quantitative CPT 83010 | $440.36 | $440.36 | $9.66 – $71.37 | 15 |
| Harness chest/shlder saddle HCPCS L6672 | not published | not published | $154.82 – $220.88 | 12 |
| Harness figure of 8 dual con HCPCS L6676 | not published | not published | $111.35 – $158.86 | 12 |
| Harness figure of 8 sing con HCPCS L6675 | not published | not published | $110.27 – $157.31 | 12 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $153.64 – $153.64 | 1 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $228.41 – $228.41 | 1 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $600.00 – $2,284.00 | 13 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $202.40 – $770.48 | 13 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $1,428.43 | 13 |
| Hbb full gene sequence CPT 81364 | not published | not published | $324.58 – $1,235.58 | 13 |
| Hbb gene com variants CPT 81361 | not published | not published | $174.81 – $665.45 | 13 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $202.40 – $770.48 | 13 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $1,428.43 | 13 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $7.46 – $55.82 | 15 |
| Hbot, full body chamber, 30m HCPCS G0277 | not published | not published | $444.00 – $444.00 | 1 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $260.14 – $260.14 | 1 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $206.59 – $1,770.11 | 4 |
| Hcg free betachain test CPT 84704 | not published | not published | $11.74 – $83.43 | 15 |
| Hcg qualitative CPT 84703 | $625.55 | $625.55 | $5.78 – $42.59 | 15 |
| Hcg quantitative CPT 84702 | $1,140.74 | $1,140.74 | $11.56 – $82.30 | 15 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $260.14 – $260.14 | 1 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $260.14 – $260.14 | 1 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $260.14 – $420.12 | 3 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $260.14 – $260.14 | 1 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $1,438.69 | $1,438.69 | $73.06 – $258.45 | 2 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $171.88 – $1,173.66 | 4 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $848.52 – $2,301.81 | 3 |
| Hc nm kidney imaging with flow CPT 78701 | not published | not published | $88.57 – $1,064.78 | 4 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | not published | not published | $163.47 – $1,154.38 | 4 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $272.71 – $4,065.95 | 3 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $395.27 – $4,920.12 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $772.93 – $4,920.12 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $1,088.76 – $4,920.12 | 2 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $212.45 – $746.30 | 2 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $286.11 – $746.30 | 2 |
| Head CT scan (with and without contrast) CPT 70470 | $4,683.42 | $4,683.42 | $224.75 – $1,568.52 | 3 |
| Head CT scan (with contrast) CPT 70460 | $3,904.47 | $3,904.47 | $200.11 – $1,279.72 | 3 |
| Head CT scan (without contrast) CPT 70450 | $3,122.52 | $3,122.52 | $151.48 – $1,047.82 | 3 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $679.57 – $2,586.88 | 13 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,625.00 – $6,185.83 | 13 |
| Heart first pass add-on CPT 78496 | not published | not published | $77.67 – $1,393.96 | 2 |
| Heart first pass multiple CPT 78483 | not published | not published | $259.20 – $1,764.83 | 4 |
| Heart image spect CPT 78494 | not published | not published | $209.84 – $1,545.52 | 4 |
| Heart infarct image CPT 78466 | not published | not published | $120.97 – $848.52 | 4 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $141.75 – $1,101.15 | 4 |
| Heavy duty control cable HCPCS L6660 | not published | not published | $84.28 – $120.24 | 12 |
| Heavy metal qual any number CPT 83015 | not published | not published | $16.08 – $98.70 | 15 |
| Heel leather reinforced HCPCS L3440 | not published | not published | $68.66 – $97.96 | 12 |
| Heinz bodies direct CPT 85441 | not published | not published | $3.22 – $23.87 | 15 |
| Heinz bodies induced CPT 85445 | not published | not published | $5.24 – $32.72 | 15 |
| Helicobacter pylori antibody igm CPT 86677 | not published | not published | $12.94 – $82.34 | 15 |
| Helicoll, per square cm HCPCS Q4164 | not published | not published | $241.61 – $2,554.28 | 4 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $6.29 – $46.45 | 15 |
| Hematocrit CPT 85014 | $93.54 | $93.54 | $1.82 – $13.44 | 15 |
| Hematopoietic nuclear tx CPT 79403 | not published | not published | $278.35 – $1,282.94 | 4 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | not published | not published | $24.80 – $93.57 | 5 |
| Hemipelvect canad sing axis HCPCS L5280 | not published | not published | $4,675.10 – $6,669.80 | 12 |
| Hemipelvectomy canadian sach HCPCS L5341 | not published | not published | $4,640.48 – $6,620.41 | 12 |
| Hemodialysis one evaluation CPT 90935 | not published | not published | $259.29 – $259.29 | 1 |
| Hemodialysis repeated eval CPT 90937 | not published | not published | $61.85 – $82.47 | 2 |
| Hemoglobin CPT 85018 | $93.54 | $93.54 | $1.82 – $13.44 | 15 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $3.08 – $15.29 | 15 |
| Hemoglobin fetal qualitative CPT 83033 | $211.39 | $211.39 | $6.14 – $32.72 | 15 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $8.25 – $46.93 | 15 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $735.18 | $735.18 | $6.30 – $31.22 | 15 |
| Hemoglobin-oxygen affinity CPT 82820 | not published | not published | $10.25 – $56.68 | 15 |
| Hemoglobin plasma CPT 83051 | not published | not published | $5.61 – $41.45 | 15 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $6.91 – $39.06 | 15 |
| Hemoglobin urine CPT 83069 | not published | not published | $3.03 – $22.37 | 15 |
| Hemolysin acid CPT 85475 | not published | not published | $6.81 – $50.34 | 15 |
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.