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 |
|---|---|---|---|---|
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $96.32 – $336.92 | 4 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $185.27 – $376.50 | 4 |
| Alloskin HCPCS Q4115 | not published | not published | $9.29 – $336.92 | 4 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $28.40 – $336.92 | 4 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $69.76 – $69.76 | 1 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $69.76 – $69.76 | 1 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $3.87 – $14.23 | 5 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $49.45 – $370.39 | 15 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $13.05 – $95.17 | 15 |
| Alpha-fetoprotein tumor marker CPT 82105 | $1,063.67 | $1,063.67 | $12.88 – $95.17 | 15 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $1.27 – $9.54 | 2 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $23.41 – $23.41 | 1 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $68.59 – $248.65 | 5 |
| Alt/sgpt CPT 84460 | $233.46 | $233.46 | $4.07 – $30.04 | 15 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $3.45 – $12.22 | 5 |
| Aluminum - quest CPT 82108 | not published | not published | $19.57 – $144.54 | 15 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $292.88 – $292.88 | 1 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $92.41 – $92.41 | 1 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $28.01 – $273.24 | 3 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $71.50 – $71.50 | 1 |
| Ambl bp mntr w/sw i&r CPT 93790 | not published | not published | $10.85 – $74.09 | 3 |
| Amifostine HCPCS J0207 | $3,504.55 | $3,504.55 | $994.48 – $1,160.41 | 2 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $99.20 | $99.20 | $0.45 – $1.64 | 5 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $4.60 – $22.77 | 15 |
| Amino acid screen, urine CPT 82128 | not published | not published | $10.65 – $78.64 | 15 |
| Amino acid single qual CPT 82127 | not published | not published | $10.89 – $78.64 | 15 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $15.06 – $95.69 | 15 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | $109.37 | $109.37 | $0.98 – $4.21 | 5 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.33 – $4.74 | 5 |
| Aminolevulinic acid delta CPT 82135 | not published | not published | $12.63 – $93.38 | 15 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $295.81 – $1,033.05 | 5 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $109.74 | $109.74 | $8.29 – $27.59 | 5 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $339.93 | $339.93 | $1.94 – $6.70 | 5 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | not published | not published | $0.25 – $1.09 | 5 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $101.54 – $101.54 | 1 |
| Amitriptyline injection HCPCS J1320 | not published | not published | $2.04 – $2.04 | 1 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $16.13 – $59.78 | 5 |
| Ammonia CPT 82140 | $625.55 | $625.55 | $11.19 – $82.66 | 15 |
| Amnioarmor 1 sq cm HCPCS Q4188 | not published | not published | $336.92 – $758.98 | 4 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $307.25 – $307.25 | 1 |
| Amniocore per sq cm HCPCS Q4227 | not published | not published | $336.92 – $1,814.04 | 4 |
| Amnio-maxx or lite per sq cm HCPCS Q4239 | not published | not published | $336.92 – $3,173.15 | 4 |
| Amniotic fluid scan CPT 82143 | not published | not published | $7.18 – $39.02 | 15 |
| Amniowrap2 per sq cm HCPCS Q4221 | not published | not published | $336.92 – $3,052.50 | 4 |
| Amobarbital 125 mg inj HCPCS J0300 | not published | not published | $30.98 – $170.11 | 2 |
| Amphetamine confirm urine -sendout CPT 80324 | not published | not published | $88.18 – $88.18 | 1 |
| Amphetamines 5 or more CPT 80326 | not published | not published | $88.18 – $88.18 | 1 |
| Ampho b cholesteryl sulfate HCPCS J0288 | not published | not published | $12.74 – $12.74 | 1 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $368.29 | $368.29 | $37.55 – $114.72 | 5 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $7.73 – $27.43 | 5 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | not published | not published | $17.48 – $54.91 | 5 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | not published | not published | $0.45 – $1.56 | 5 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | not published | not published | $1.18 – $3.52 | 5 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $262.99 – $281.40 | 10 |
| Amylase CPT 82150 | not published | not published | $4.97 – $36.78 | 15 |
| Anabolic steroid 1 or 2 CPT 80327 | not published | not published | $146.44 – $146.44 | 1 |
| Anabolic steroid 3 or more CPT 80328 | not published | not published | $146.44 – $146.44 | 1 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $53.16 – $151.50 | 2 |
| Ana ds-dna CPT 86226 | not published | not published | $9.30 – $68.70 | 15 |
| Analgesics non-opioid 3-5 CPT 80330 | not published | not published | $114.82 – $114.82 | 1 |
| Analgesics non-opioid 6/more CPT 80331 | not published | not published | $114.82 – $114.82 | 1 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | not published | not published | $114.82 – $114.82 | 1 |
| Anal pressure record CPT 91122 | not published | not published | $1,103.55 – $1,103.55 | 1 |
| Anal/urinary muscle study CPT 51784 | not published | not published | $882.67 – $882.67 | 1 |
| Anal/urinary muscle study CPT 51785 | not published | not published | $926.69 – $926.69 | 1 |
| Analysis gene f2 20210g>a variant CPT 81240 | not published | not published | $50.44 – $250.06 | 15 |
| Analysis gene f5 leiden variant CPT 81241 | $1,070.41 | $1,070.41 | $56.34 – $279.29 | 15 |
| Analysis nerve CPT 88356 | not published | not published | $49.76 – $437.54 | 4 |
| Analysis tumor CPT 88358 | not published | not published | $149.16 – $725.66 | 4 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | not published | not published | $154.35 – $154.35 | 1 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $1,160.56 | $1,160.56 | $26.95 – $142.47 | 15 |
| Anastrozole 1 mg HCPCS S0170 | not published | not published | $0.45 – $0.45 | 1 |
| Anca screen with reflex to titer -quest CPT 86021 | not published | not published | $11.56 – $59.11 | 15 |
| Androstanediol CPT 82154 | not published | not published | $22.14 – $163.58 | 15 |
| An fluoro guide for cvp CPT 77001 | not published | not published | $67.41 – $473.97 | 2 |
| Angiotensin ii CPT 82163 | not published | not published | $15.76 – $116.44 | 15 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $0.35 – $1.35 | 5 |
| Ank-foot sys dors-plant flex HCPCS L5973 | not published | not published | $15,780.75 – $22,513.87 | 12 |
| Ankle X-ray CPT 73610 | not published | not published | $32.13 – $182.03 | 4 |
| Ank symes mold sckt sach ft HCPCS L5050 | not published | not published | $2,107.19 – $3,006.26 | 12 |
| Annual Physical, Established Patient (age 18-39) CPT 99395 | not published | not published | $52.03 – $69.37 | 2 |
| Annual Physical, Established Patient (age 40-64) CPT 99396 | not published | not published | $56.50 – $75.33 | 2 |
| Annual Physical, New Patient (age 18-39) CPT 99385 | not published | not published | $56.91 – $75.88 | 2 |
| Annual Physical, New Patient (age 40-64) CPT 99386 | not published | not published | $68.94 – $91.92 | 2 |
| Anodyne therapy charges pt CPT 97026 | not published | not published | $4.98 – $7.50 | 12 |
| Anora (draw only) CPT 99001 | not published | not published | $6.63 – $32.25 | 2 |
| Ans parasymp & symp w/tilt CPT 95924 | not published | not published | $283.40 – $283.40 | 1 |
| Anterior asis pad HCPCS L1250 | not published | not published | $74.65 – $106.50 | 12 |
| Anterior swing band HCPCS L2335 | not published | not published | $229.17 – $326.95 | 12 |
| Anterior thoracic derotation HCPCS L1260 | not published | not published | $76.22 – $108.74 | 12 |
| Anterior thoracic extension HCPCS L1220 | not published | not published | $215.43 – $307.35 | 12 |
| Anthrax vaccine sc or im CPT 90581 | not published | not published | $100.90 – $307.56 | 2 |
| Antibody CPT 86744 | not published | not published | $12.28 – $74.83 | 15 |
| Antibody bacterium, not elsewhere specified CPT 86609 | not published | not published | $9.89 – $73.08 | 15 |
| Antibody elution rbc reference CPT 86860 | $377.14 | $377.14 | $3.46 – $725.66 | 4 |
| Antibody htlv/hiv confirm test CPT 86689 | not published | not published | $14.86 – $109.82 | 15 |
| Antibody htlv-i CPT 86687 | not published | not published | $6.98 – $47.58 | 15 |
| Antibody htlv-ii CPT 86688 | not published | not published | $10.75 – $59.93 | 15 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $1,807.07 | $1,807.07 | $14.11 – $69.91 | 15 |
| Antibody id rbc panel CPT 86870 | $1,406.88 | $1,406.88 | $4.74 – $1,416.98 | 4 |
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.