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 |
|---|---|---|---|---|
| Hla typing a b or c CPT 86813 | not published | not published | $44.54 – $328.94 | 15 |
| Hla typing dr/dq CPT 86816 | not published | not published | $23.17 – $158.02 | 15 |
| Hla x-match noncytotoxc addl CPT 86826 | not published | not published | $28.05 – $153.95 | 15 |
| Hla x-math non-cytotoxic CPT 86825 | not published | not published | $84.07 – $461.87 | 15 |
| Hldr trach tb tie ad HCPCS A7526 | not published | not published | $3.62 – $5.17 | 12 |
| Hlth bhv assmt/reassessment CPT 96156 | not published | not published | $82.82 – $82.82 | 1 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | not published | not published | $77.25 – $77.25 | 1 |
| Hlth bhv ivntj fam without pt ea CPT 96171 | not published | not published | $85.02 – $85.02 | 1 |
| Hlth bhv ivntj fam wo pt 1st CPT 96170 | not published | not published | $85.02 – $85.02 | 1 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | not published | not published | $17.86 – $17.86 | 1 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | not published | not published | $85.52 – $85.52 | 1 |
| Hmes or trach valve housing HCPCS A7505 | not published | not published | $5.01 – $7.15 | 12 |
| Ho abduction hip adjustable HCPCS L1650 | not published | not published | $224.96 – $320.95 | 12 |
| Ho abduction static plastic HCPCS L1660 | not published | not published | $147.50 – $210.43 | 12 |
| Ho bi thighcuffs w sprdr bar HCPCS L1652 | not published | not published | $320.67 – $457.49 | 12 |
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | not published | not published | $0.25 – $0.25 | 1 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | not published | not published | $0.22 – $0.69 | 5 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | not published | not published | $0.17 – $0.58 | 5 |
| Ho flex frejka w/cov pre cst HCPCS L1600 | not published | not published | $111.06 – $158.45 | 12 |
| Ho flex pavlik harns pre cst HCPCS L1620 | not published | not published | $138.80 – $198.02 | 12 |
| Ho frejka cov only pre cst HCPCS L1610 | not published | not published | $49.01 – $69.92 | 12 |
| Holder tube cath-secure nonstrl lf disp HCPCS A4333 | not published | not published | $2.37 – $3.38 | 12 |
| Home health care supervision CPT 99374 | not published | not published | $32.38 – $43.18 | 2 |
| Home health care supervision CPT 99375 | not published | not published | $51.42 – $68.56 | 2 |
| Homocysteine CPT 83090 | $1,481.94 | $1,481.94 | $13.76 – $95.69 | 15 |
| Homogenization tissue CPT 87176 | $89.42 | $89.42 | $4.51 – $33.37 | 15 |
| Homovanillic acid (hva) CPT 83150 | not published | not published | $17.21 – $109.78 | 15 |
| Hook to hand cable adapter HCPCS L6670 | not published | not published | $45.68 – $65.17 | 12 |
| Ho post-op hip abduction HCPCS L1686 | not published | not published | $989.54 – $1,411.75 | 12 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $465.22 | 13 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $122.22 – $465.22 | 13 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $465.22 | 13 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $465.22 | 13 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $465.22 | 13 |
| Hpa-5 genotyping CPT 81109 | not published | not published | $122.22 – $465.22 | 13 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $465.22 | 13 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $465.22 | 13 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $26.95 – $133.58 | 14 |
| Hpv low-risk types CPT 87623 | not published | not published | $26.95 – $199.10 | 15 |
| Hpv types 16 & 18 only CPT 87625 | not published | not published | $31.14 – $199.10 | 15 |
| H pylori ag ia CPT 87339 | not published | not published | $12.29 – $62.48 | 15 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $51.72 – $382.09 | 15 |
| H pylori (c-13) breath CPT 83013 | not published | not published | $51.72 – $382.09 | 15 |
| H pylori drug admin CPT 83014 | not published | not published | $6.04 – $44.58 | 15 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $679.05 – $2,584.90 | 13 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $438.93 – $438.93 | 1 |
| Hrdtry cardmypy gene panel CPT 81439 | not published | not published | $584.90 – $2,226.55 | 13 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $584.90 – $2,226.55 | 13 |
| Hsv dna dir probe CPT 87528 | not published | not published | $15.40 – $113.76 | 15 |
| Htt gene charac alleles CPT 81274 | not published | not published | $274.83 – $1,046.19 | 13 |
| Htt gene detc abnor alleles CPT 81271 | not published | not published | $137.00 – $521.51 | 13 |
| Human epididymis protein 4 (he4) CPT 86305 | not published | not published | $15.98 – $119.69 | 15 |
| Human ig IV CPT 90283 | not published | not published | $74.37 – $250.56 | 2 |
| Human ig sc CPT 90284 | not published | not published | $14.88 – $64.08 | 2 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | $5,823.84 | $5,823.84 | $2.92 – $4.53 | 2 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $24.13 – $84.30 | 5 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.38 – $1.33 | 5 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $1,815.10 | $1,815.10 | $0.27 – $0.95 | 5 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | not published | not published | $3.30 – $11.63 | 5 |
| Hydration IV infusion each additional hour CPT 96361 | not published | not published | $126.78 – $183.68 | 2 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | not published | not published | $575.87 – $689.34 | 2 |
| Hydrocolld drg >16<=48 w/bdr HCPCS A6238 | not published | not published | $24.38 – $34.77 | 12 |
| Hydrocolld drg >16<=48 without b HCPCS A6235 | not published | not published | $17.98 – $25.65 | 12 |
| Hydrocolld drg <=16 in w/bdr HCPCS A6237 | not published | not published | $8.45 – $12.06 | 12 |
| Hydrocolld drg <=16 without bdr HCPCS A6234 | not published | not published | $7.00 – $9.98 | 12 |
| Hydrocolld drg filler paste HCPCS A6240 | not published | not published | $13.09 – $18.67 | 12 |
| Hydrocortisone acetate inj HCPCS J1700 | not published | not published | $0.59 – $0.59 | 1 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | not published | not published | $15.43 – $58.46 | 5 |
| Hydrocortisone sodium ph inj HCPCS J1710 | not published | not published | $4.26 – $4.26 | 1 |
| Hydrogel drg <= 16 in w/bdr HCPCS A6245 | not published | not published | $7.77 – $11.09 | 12 |
| Hydrogel drg >48 in without bdr HCPCS A6244 | not published | not published | $41.99 – $59.91 | 12 |
| Hydrogel drg > 48 sq in w/b HCPCS A6247 | not published | not published | $25.42 – $36.26 | 12 |
| Hydrogel drsg gel filler HCPCS A6248 | not published | not published | $17.36 – $24.77 | 12 |
| Hydrogel dsg>16<=48 sq in HCPCS A6232 | not published | not published | $7.33 – $10.46 | 12 |
| Hydrogel dsg<=16 sq in HCPCS A6231 | not published | not published | $5.00 – $7.13 | 12 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | not published | not published | $0.11 – $0.37 | 5 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $77.43 – $77.43 | 1 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.01 – $0.03 | 5 |
| Hydroxyurea 500 mg HCPCS S0176 | $44.12 | $44.12 | $0.37 – $0.37 | 1 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $61.17 | $61.17 | $13.32 – $34.45 | 5 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.09 – $5.30 | 2 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | not published | not published | $13.75 – $99.35 | 15 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $13.13 – $46.75 | 5 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $24.78 – $50.12 | 2 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $7.81 – $57.73 | 15 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $395.04 – $1,200.00 | 2 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $271.91 – $894.57 | 2 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $329.56 – $914.27 | 4 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $266.88 – $896.33 | 2 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $373.13 – $1,193.28 | 2 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $13.18 – $48.57 | 5 |
| Hysterosalpingography s&i CPT 74740 | $2,524.28 | $2,524.28 | $68.13 – $517.79 | 4 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $171.33 – $228.44 | 3 |
| I-123 iobenguane diag HCPCS A9582 | $12,376.76 | $12,376.76 | $4,741.63 – $6,141.38 | 2 |
| I-123 ioflupane diag HCPCS A9584 | not published | not published | $2,290.80 – $3,677.51 | 2 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $590.19 | $590.19 | $98.61 – $320.41 | 2 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $34.81 – $1,721.55 | 2 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $158.64 – $1,243.01 | 2 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $5,429.52 | $5,429.52 | $797.22 – $2,525.48 | 2 |
| I131 iodide cap, rx HCPCS A9517 | $213.44 | $213.44 | $63.79 – $74.06 | 2 |
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.