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 |
|---|---|---|---|---|
| Infect ag if hep delta agent CPT 87380 | not published | not published | $14.10 – $93.14 | 15 |
| Infect ag if influenza a CPT 87276 | not published | not published | $12.34 – $62.48 | 15 |
| Infect ag if influenza b CPT 87275 | not published | not published | $9.40 – $62.48 | 15 |
| Infect ag if legionella pneumophila CPT 87278 | $804.03 | $804.03 | $11.98 – $62.48 | 15 |
| Infect ag if nos ea CPT 87299 | not published | not published | $12.36 – $62.48 | 15 |
| Infect ag if pneumocystis carinii CPT 87281 | not published | not published | $9.20 – $62.48 | 15 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $10.30 – $62.48 | 15 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $41.05 – $203.57 | 15 |
| Infect ag na hep b amp CPT 87516 | not published | not published | $26.95 – $199.10 | 15 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $32.89 – $163.11 | 15 |
| Infect ag na hpv high-risk types CPT 87624 | not published | not published | $26.95 – $199.10 | 15 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | not published | not published | $73.56 – $489.31 | 15 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $39.40 – $295.08 | 15 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | not published | not published | $50.26 – $67.01 | 12 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $3,804.59 | $3,804.59 | $320.02 – $2,326.01 | 15 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | not published | not published | $375.22 – $2,771.84 | 15 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | not published | not published | $20.02 – $739.37 | 15 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | not published | not published | $41.38 – $157.54 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | not published | not published | $9.20 – $62.48 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $10.30 – $62.48 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $181.83 | $181.83 | $10.61 – $62.48 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $689.16 | $689.16 | $9.20 – $62.48 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $735.18 | $735.18 | $11.04 – $62.48 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $563.44 | $563.44 | $7.94 – $58.59 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | not published | not published | $7.94 – $58.59 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $259.29 | $259.29 | $18.49 – $138.53 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $339.71 | $339.71 | $9.20 – $62.48 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $265.68 | $265.68 | $9.20 – $62.48 | 15 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $771.10 | $771.10 | $9.20 – $62.48 | 15 |
| Infectious agent nucleic acid amplified probe CPT 87798 | not published | not published | $26.95 – $199.10 | 15 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $724.32 | $724.32 | $26.95 – $199.10 | 15 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | not published | not published | $28.62 – $201.82 | 15 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $890.98 | $890.98 | $320.02 – $1,586.55 | 14 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $945.82 | $945.82 | $26.95 – $199.10 | 15 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | not published | not published | $26.95 – $201.82 | 15 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $2,562.83 | $2,562.83 | $32.00 – $199.10 | 15 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $402.57 | $402.57 | $26.95 – $199.10 | 15 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $84.55 | $84.55 | $39.40 – $208.40 | 15 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | not published | not published | $109.52 – $579.08 | 15 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | not published | not published | $109.52 – $579.08 | 15 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $935.22 | $935.22 | $26.95 – $199.10 | 15 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | not published | not published | $26.95 – $194.35 | 15 |
| Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae CPT 87494 | not published | not published | $70.18 – $75.09 | 10 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | not published | not published | $76.77 – $82.14 | 10 |
| Infectious agent nucleic acid joint space pathogens multiplex amplified probe >= 26 targets CPT 87627 | not published | not published | $679.77 – $727.35 | 10 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | not published | not published | $320.02 – $2,302.75 | 15 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $98.50 – $708.79 | 15 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $201.94 – $1,179.23 | 15 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | not published | not published | $32.89 – $242.99 | 15 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $1,083.13 | $1,083.13 | $32.89 – $163.11 | 15 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $367.79 | $367.79 | $32.89 – $163.11 | 15 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $966.60 | $966.60 | $65.35 – $482.69 | 15 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | not published | not published | $109.52 – $715.94 | 15 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $22.89 – $85.91 | 5 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $14.81 – $63.10 | 5 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $11.93 – $64.18 | 5 |
| Influenza dna amp prob addl CPT 87503 | not published | not published | $22.44 – $119.45 | 15 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $62.62 – $260.12 | 5 |
| Influenza virus vaccine, live trivalent intranasal CPT 90660 | not published | not published | $21.65 – $78.73 | 5 |
| Infuse radioactive materials CPT 77750 | not published | not published | $533.57 – $1,302.72 | 2 |
| Ingest challenge ea addl 60 min CPT 95079 | not published | not published | $181.23 – $181.23 | 1 |
| Ingest challenge ini 120 min CPT 95076 | not published | not published | $181.23 – $181.23 | 1 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | not published | not published | $370.97 – $370.97 | 1 |
| Init ak ischal plstr direct HCPCS L5505 | not published | not published | $1,597.01 – $2,278.40 | 12 |
| Init bk ptb plaster direct HCPCS L5500 | not published | not published | $1,179.25 – $1,682.39 | 12 |
| Initial care training 30 m HCPCS G0539 | not published | not published | $28.23 – $37.64 | 2 |
| Initial custom socket insert HCPCS L5683 | not published | not published | $1,185.68 – $1,691.56 | 12 |
| Initiation & management bipap/cpap initial day CPT 94660 | $827.46 | $827.46 | $217.86 – $217.86 | 1 |
| Init nb em per day non-fac CPT 99461 | not published | not published | $36.62 – $48.82 | 2 |
| Init pm e/m new pat 65+ yrs CPT 99387 | not published | not published | $74.03 – $98.71 | 2 |
| Inj, abilify asimtufii, 1 mg HCPCS J0402 | not published | not published | $4.40 – $15.95 | 5 |
| Inj, abilify maintena, 1 mg HCPCS J0401 | not published | not published | $5.27 – $19.29 | 5 |
| Inj acetaminoph 10mg/ibu 3mg HCPCS J0138 | not published | not published | $0.17 – $0.35 | 5 |
| Inj, acetaminophen (b braun) HCPCS J0136 | not published | not published | $0.04 – $0.13 | 5 |
| Inj acetaminophen -fresenius HCPCS J0134 | not published | not published | $0.04 – $0.16 | 5 |
| Inj, acetaminophen (hikma) HCPCS J0137 | not published | not published | $0.02 – $0.13 | 5 |
| Inj. acthar gel to 40 units HCPCS J0801 | not published | not published | $2,920.07 – $11,057.20 | 5 |
| Inj, adalimumab, 1 mg HCPCS J0139 | not published | not published | $432.43 – $432.43 | 1 |
| Inj adalimumab-ryvk, 1 mg HCPCS Q5142 | not published | not published | $12.04 – $69.80 | 2 |
| Inj, adstiladrin, per tx dos HCPCS J9029 | not published | not published | $47,426.70 – $170,328.19 | 5 |
| Inj, aducanumab-avwa, 2 mg HCPCS J0172 | not published | not published | $4.49 – $9.31 | 4 |
| Inj, adzynma, 10 iu HCPCS J7171 | not published | not published | $25.89 – $94.02 | 5 |
| Inj, aflibercept-ayyh, 1 mg HCPCS Q5147 | not published | not published | $596.89 – $2,295.43 | 5 |
| Inj, aflibercept hd, 1 mg HCPCS J0177 | not published | not published | $240.88 – $813.52 | 5 |
| Inj, afstyla, 1 i.u HCPCS J7210 | not published | not published | $1.13 – $4.19 | 5 |
| Inj, alfentanil hcl, 500mcg HCPCS J0216 | not published | not published | $2.34 – $2.34 | 1 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | not published | not published | $3.34 – $11.66 | 5 |
| Inj, alyglo, 500 mg HCPCS J1552 | not published | not published | $103.58 – $328.18 | 5 |
| Inj alymsys 10 mg HCPCS Q5126 | not published | not published | $34.54 – $87.48 | 5 |
| Inj, amisulpride, 1 mg HCPCS J0184 | not published | not published | $8.85 – $25.39 | 2 |
| Inj andexxa, 10 mg HCPCS J7169 | not published | not published | $116.03 – $348.13 | 2 |
| Inj anifrolumab-fnia 1mg HCPCS J0491 | not published | not published | $13.34 – $48.60 | 5 |
| Inj. (ani), up to 40 units HCPCS J0802 | not published | not published | $2,584.18 – $9,412.11 | 5 |
| Inj, aponvie, 1 mg HCPCS C9145 | not published | not published | $1.73 – $5.19 | 2 |
| Inj., aristada initio, 1 mg HCPCS J1943 | not published | not published | $2.35 – $8.61 | 5 |
| Inj, artesunate, 1mg HCPCS J0391 | not published | not published | $45.38 – $137.35 | 2 |
| Inj. asceniv HCPCS J1554 | not published | not published | $372.51 – $1,299.72 | 5 |
| Inj, aspara, rylaze, 0.1 mg HCPCS J9021 | not published | not published | $40.79 – $148.88 | 5 |
| Inj atezolizumb 5mg hya-tqjs HCPCS J9024 | not published | not published | $23.16 – $85.07 | 5 |
| Inj avacincaptad pegol 0.1mg HCPCS J2782 | not published | not published | $80.58 – $272.74 | 5 |
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.