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 |
|---|---|---|---|---|
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $8.51 – $55.04 | 2 |
| I131 max 100uci HCPCS A9531 | not published | not published | $3.25 – $11.50 | 2 |
| I131 serum albumin, dx HCPCS A9524 | not published | not published | $73.48 – $1,857.86 | 2 |
| Iaadi respiratory synctial virus CPT 87280 | not published | not published | $10.30 – $62.48 | 15 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | not published | not published | $26.95 – $199.10 | 15 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $13.89 – $73.45 | 15 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | not published | not published | $34.77 – $183.63 | 15 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $16.66 – $47.95 | 5 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,448.56 – $9,320.82 | 13 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $2.23 – $8.43 | 5 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $282.66 – $526.05 | 2 |
| Icatibant injection HCPCS J1744 | not published | not published | $93.99 – $832.55 | 4 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $1,157.83 – $1,157.83 | 1 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $38.62 – $38.62 | 1 |
| Icut allergy test drug/bug CPT 95024 | not published | not published | $25.63 – $25.63 | 1 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $25.63 – $25.63 | 1 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $32.63 – $106.13 | 5 |
| Idecabtagene vicleucel car HCPCS Q2055 | not published | not published | $395,716.50 – $1,478,916.58 | 4 |
| Identify sperm tissue CPT 89264 | not published | not published | $49.76 – $386.47 | 4 |
| Idh1 common variants CPT 81120 | not published | not published | $193.25 – $735.63 | 13 |
| Idh2 common variants CPT 81121 | not published | not published | $295.79 – $1,125.95 | 13 |
| Iduc valve sply repl HCPCS A4342 | not published | not published | $658.54 – $939.52 | 12 |
| Idursulfase injection HCPCS J1743 | not published | not published | $406.93 – $1,478.97 | 5 |
| Ifnl3 gene CPT 81283 | not published | not published | $73.37 – $279.29 | 13 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $18.46 – $65.83 | 5 |
| Igh@/bcl2 translocation alys CPT 81278 | not published | not published | $207.31 – $841.68 | 14 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $68.55 – $291.30 | 14 |
| Igh gene rearrange amp meth CPT 81261 | not published | not published | $197.99 – $753.66 | 14 |
| Igh@ var region somatic mutation analy CPT 81263 | not published | not published | $294.52 – $1,121.14 | 14 |
| Igk rearrangeabn clonal pop CPT 81264 | not published | not published | $172.73 – $1,523.43 | 14 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $410.81 | $410.81 | $65.25 – $317.44 | 3 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $1,213.98 | $1,213.98 | $291.26 – $1,416.98 | 4 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $1,193.88 | $1,193.88 | $136.94 – $725.66 | 4 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $12.73 – $35.46 | 2 |
| Ikbkap gene CPT 81260 | not published | not published | $39.31 – $329.10 | 14 |
| Iliac/fem angio cath insert HCPCS G0278 | not published | not published | $43.34 – $449.15 | 2 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $111.57 – $421.14 | 5 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $2.76 – $2.76 | 1 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $41.63 – $154.50 | 5 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $197.59 – $341.37 | 2 |
| Immntx 1 sting insect CPT 95130 | not published | not published | $50.41 – $67.22 | 2 |
| Immntx 4 sting insects CPT 95133 | not published | not published | $126.10 – $168.13 | 2 |
| Immntx 5 sting insects CPT 95134 | not published | not published | $146.75 – $195.67 | 2 |
| Immob elbow child sm HCPCS L3762 | not published | not published | $88.03 – $125.60 | 12 |
| Immobilizer shldr cntor adlt HCPCS L3670 | not published | not published | $114.55 – $163.42 | 12 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | not published | not published | $57.92 – $82.64 | 12 |
| Immobilizer shldr sling med HCPCS L3660 | not published | not published | $86.68 – $123.66 | 12 |
| Immune complex assay CPT 86332 | not published | not published | $18.71 – $138.24 | 15 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $33.85 – $125.32 | 5 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $60.76 – $209.06 | 5 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $5,495.02 | $5,495.02 | $36.05 – $125.58 | 5 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $96.91 – $316.60 | 2 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $890.08 | $890.08 | $15.98 – $118.02 | 15 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $804.03 | $804.03 | $15.98 – $118.02 | 15 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $19.63 – $99.27 | 15 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $190.44 | $190.44 | $9.20 – $68.00 | 15 |
| Immunodiffusion nes CPT 86329 | not published | not published | $10.79 – $60.62 | 15 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $29.92 – $128.70 | 2 |
| Immunofixation electrophoresis serum CPT 86334 | $2,073.84 | $2,073.84 | $17.15 – $126.71 | 15 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | not published | not published | $81.30 – $395.52 | 4 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | not published | not published | $120.46 – $1,416.98 | 4 |
| Immunoglobulin assay CPT 86023 | not published | not published | $9.57 – $70.64 | 15 |
| Immunology procedure CPT 86849 | not published | not published | $87.48 – $198.17 | 2 |
| Immunotherapy 2/> injections CPT 95125 | not published | not published | $63.02 – $84.02 | 2 |
| Impedence cardiogram CPT 93701 | not published | not published | $142.39 – $142.39 | 1 |
| Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster HCPCS L8612 | not published | not published | $567.31 – $809.36 | 12 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | not published | not published | $769.90 – $1,098.40 | 12 |
| Implant cochlear osia osi300 HCPCS L8690 | not published | not published | $4,288.03 – $6,117.60 | 12 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | not published | not published | $699.29 – $997.66 | 12 |
| Implant ureth bulk agent HCPCS L8606 | $3,596.00 | $3,596.00 | $200.15 – $285.54 | 12 |
| Impl ear abutment ba300 9mm HCPCS L8693 | not published | not published | $1,366.79 – $1,949.95 | 12 |
| Impl eye bio-eye 16mm HCPCS L8042 | not published | not published | $3,111.45 – $4,439.00 | 12 |
| Imp neurosti pls gn any type HCPCS L8679 | not published | not published | $7,552.42 – $10,774.79 | 12 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $462.67 – $791.66 | 2 |
| Impreg gauze no h20/sal/yard HCPCS A6266 | not published | not published | $2.04 – $2.91 | 12 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $32.36 – $114.56 | 5 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $3,907.69 – $12,713.03 | 2 |
| In-111 autol wbc diag per dose HCPCS A9570 | not published | not published | $2,923.45 – $3,907.69 | 2 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $4,080.38 – $4,585.27 | 2 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $3,079.55 – $10,893.22 | 2 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $6,081.38 | $6,081.38 | $1,953.84 – $2,203.37 | 2 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $2,243.69 | $2,243.69 | $821.92 – $1,975.89 | 2 |
| In-111 pentetreotide HCPCS A9572 | $16,037.92 | $16,037.92 | $3,592.13 – $5,302.49 | 2 |
| In-111 satumomab pend HCPCS A4642 | $16,472.51 | $16,472.51 | $1,255.89 – $4,442.43 | 2 |
| Inactivated je vacc im CPT 90738 | not published | not published | $300.75 – $810.13 | 2 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $4.00 – $13.91 | 5 |
| Indigotindisulfonate 8 mg/ml soln 5 ml ampule HCPCS J9220 | not published | not published | $24.65 – $24.65 | 1 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $70.20 – $75.11 | 10 |
| Infec agen detec ampli probe HCPCS U0005 | not published | not published | $101.50 – $101.50 | 1 |
| Infect ag drug suscept pheno predict CPT 87900 | not published | not published | $100.09 – $749.56 | 15 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $11.52 – $62.48 | 15 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $10.85 – $62.48 | 15 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $197.69 – $1,436.75 | 15 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $197.69 – $1,436.75 | 15 |
| Infect ag genotype na hiv-1 other region CPT 87906 | not published | not published | $98.84 – $740.22 | 15 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | not published | not published | $197.69 – $1,460.34 | 15 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $1,068.12 | $1,068.12 | $25.16 – $133.05 | 15 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $27.10 – $134.33 | 15 |
| Infect ag ia optc obs influenza CPT 87804 | not published | not published | $12.71 – $63.02 | 15 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $9.20 – $62.48 | 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.