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 |
|---|---|---|---|---|
| Inj, exagamglogene autotem HCPCS J3392 | not published | not published | $6,179,800.00 – $6,179,800.00 | 1 |
| Inj, factor x, (human), 1iu HCPCS J7175 | not published | not published | $7.15 – $26.29 | 5 |
| Inj, faricimab-svoa, 0.1mg HCPCS J2777 | not published | not published | $26.04 – $87.19 | 5 |
| Inj fe-based mr contrast,1ml HCPCS Q9953 | not published | not published | $56.47 – $56.47 | 1 |
| Inj. fe derisomaltose 10 mg HCPCS J1437 | not published | not published | $15.62 – $60.50 | 5 |
| Inj fensolvi 0.25 mg HCPCS J1951 | not published | not published | $100.69 – $370.68 | 5 |
| Inj ferric pyrophosphate cit HCPCS J1443 | not published | not published | $0.03 – $0.03 | 1 |
| Inj., fibryga, 1 mg HCPCS J7177 | not published | not published | $0.83 – $3.26 | 5 |
| Inj fluphenazine hcl 1.25 mg HCPCS J2679 | $268.77 | $268.77 | $5.36 – $19.58 | 5 |
| Inj, focinvez, 1mg HCPCS J1434 | not published | not published | $2.27 – $6.97 | 5 |
| Inj follitropin alfa 75 iu HCPCS S0126 | not published | not published | $224.17 – $224.17 | 1 |
| Inj follitropin beta 75 iu HCPCS S0128 | not published | not published | $201.88 – $201.88 | 1 |
| Inj, fosaprepitant (teva) HCPCS J1456 | not published | not published | $0.91 – $1.77 | 5 |
| Inj fosnetupitant, palonoset HCPCS J1454 | not published | not published | $474.66 – $1,449.36 | 5 |
| Inj., fremanezumab-vfrm 1 mg HCPCS J3031 | not published | not published | $3.12 – $11.26 | 2 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $2.49 – $71.84 | 5 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $18.56 – $110.43 | 2 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | not published | not published | $2.60 – $8.75 | 5 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $46.41 – $159.00 | 2 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $174.37 – $174.37 | 1 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $6.49 – $14.02 | 5 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $87.35 – $319.83 | 5 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $2,079.60 – $7,535.51 | 5 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $1.24 – $3.55 | 5 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $1.48 – $3.39 | 2 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $148.51 – $508.80 | 2 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $3.97 – $11.40 | 5 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $52.82 – $193.29 | 5 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $11.23 – $39.83 | 2 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $9,765,956.68 – $9,765,956.68 | 1 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $2.21 – $5.57 | 5 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $47.19 – $161.84 | 5 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $81.86 – $118.59 | 3 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $55.43 – $146.89 | 5 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | not published | not published | $60.07 – $60.07 | 1 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | not published | not published | $83.71 – $83.71 | 1 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | not published | not published | $89.57 – $89.57 | 1 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | not published | not published | $60.07 – $60.07 | 1 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | not published | not published | $1,843.73 – $1,843.73 | 1 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $1.11 – $4.05 | 5 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $4.63 – $14.42 | 2 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $12.66 – $12.66 | 1 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $57.71 – $205.48 | 5 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $20.86 – $20.86 | 1 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $1.88 – $6.89 | 5 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $57.97 – $211.07 | 5 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.11 – $0.37 | 5 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $363.30 – $1,313.21 | 5 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $35.27 – $35.27 | 1 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $1.35 – $1.80 | 2 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $9.50 – $34.42 | 5 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $36.88 – $133.24 | 5 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $1.44 – $5.49 | 5 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $1.84 – $7.02 | 5 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $1.12 – $4.16 | 5 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $1.03 – $2.89 | 5 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $63.60 – $231.05 | 5 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $19.07 – $101.28 | 5 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $1.00 – $3.52 | 5 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $0.64 – $2.17 | 2 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $16.52 – $59.10 | 5 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $199.47 | $199.47 | $18.29 – $61.67 | 5 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.01 – $0.13 | 5 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $4.80 – $18.39 | 5 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $3.85 – $20.38 | 5 |
| Inj, lidocaine w epinephrine HCPCS J2004 | not published | not published | $0.01 – $0.11 | 2 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $4.75 – $57.32 | 5 |
| Inj, lovotibeglogene autotem HCPCS J3394 | not published | not published | $8,619,146.41 – $8,619,146.41 | 1 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $239.14 – $869.25 | 5 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $20.48 – $61.98 | 2 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $8,021.02 – $8,021.02 | 1 |
| Inj marstacim-hncq, 0.5 mg HCPCS J7172 | not published | not published | $78.94 – $133.75 | 2 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $2.91 – $2.91 | 1 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $117.82 – $230.39 | 5 |
| Inj, melphalan (apotex) 1 mg HCPCS J9249 | not published | not published | $56.72 – $171.67 | 2 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $580.35 – $2,106.75 | 5 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $225.33 – $225.33 | 1 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | not published | not published | $2.72 – $9.94 | 5 |
| Inj, meropenem (b. braun) HCPCS J2184 | not published | not published | $1.57 – $5.33 | 5 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $2.07 – $5.78 | 2 |
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $1.20 – $4.16 | 5 |
| Inj metaraminol bitartrate HCPCS J0380 | not published | not published | $1.04 – $1.04 | 1 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $0.23 – $0.58 | 5 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $35.68 – $111.09 | 5 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $182.72 – $671.70 | 5 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $18.91 – $70.17 | 5 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $6.43 – $24.27 | 5 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $5.32 – $17.60 | 5 |
| Inj multihance HCPCS A9577 | not published | not published | $1.36 – $4.77 | 5 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $1.36 – $4.66 | 5 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $0.23 – $0.98 | 5 |
| Inj naloxone hydrochloride HCPCS J2310 | not published | not published | $6.91 – $9.21 | 3 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $481.37 – $1,818.11 | 5 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | $745.91 | $745.91 | $1.82 – $5.75 | 2 |
| Inj nivolumab 2 mg hyaluron HCPCS J9289 | not published | not published | $73.67 – $73.67 | 1 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $70.94 – $251.03 | 5 |
| Inj, nyposi 1 mcg HCPCS Q5148 | not published | not published | $0.48 – $2.65 | 2 |
| Inj ocrelizumab 1mg hya-ocsq HCPCS J2351 | not published | not published | $33.89 – $124.68 | 5 |
| Inj, ocriplasmin, 0.125 mg HCPCS J7316 | not published | not published | $952.71 – $952.71 | 1 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | not published | not published | $31.41 – $106.56 | 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.