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 |
|---|---|---|---|---|
| Insert swan-ganz cath CPT 93503 | not published | not published | $546.10 – $546.10 | 1 |
| Insert tray without bag/cath HCPCS A4310 | not published | not published | $8.26 – $11.78 | 12 |
| Insitu hybridization auto CPT 88367 | $1,400.00 | $1,400.00 | $235.85 – $1,416.98 | 4 |
| Insitu hybridization (fish) CPT 88366 | not published | not published | $291.26 – $1,416.98 | 4 |
| Insitu hybridization manual CPT 88368 | $1,637.96 | $1,637.96 | $201.98 – $1,416.98 | 4 |
| In situ hybridization per specimen each additional single probe stain CPT 88364 | $1,046.53 | $1,046.53 | $109.56 – $533.01 | 3 |
| In situ hybridization per specimen initial single probe stain CPT 88365 | $1,046.83 | $1,046.83 | $149.16 – $725.66 | 4 |
| Insole orthotic freedom sz6 6816 HCPCS L3060 | not published | not published | $66.34 – $94.64 | 12 |
| Insti hexaminolevulinate hcl HCPCS A9589 | not published | not published | $1,033.81 – $3,775.64 | 5 |
| Instill, bupivac and meloxic HCPCS C9088 | not published | not published | $0.70 – $0.70 | 1 |
| Inst tauro 1.35mg/hep 100u HCPCS J0911 | not published | not published | $7.74 – $15.82 | 2 |
| Insulin for insulin pump use HCPCS J1817 | not published | not published | $1.87 – $8.48 | 5 |
| Insulin suppression panel CPT 80432 | not published | not published | $127.16 – $766.24 | 15 |
| Insulin tolerance panel CPT 80434 | not published | not published | $218.86 – $1,085.01 | 15 |
| Insulin tolerance panel CPT 80435 | not published | not published | $79.09 – $584.03 | 15 |
| Insulin total CPT 83525 | $523.04 | $523.04 | $8.77 – $64.88 | 15 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | not published | not published | $1,120.76 – $7,500.88 | 4 |
| Integra meshed bil wound mat HCPCS C9363 | $359.00 | $359.00 | $336.92 – $336.92 | 1 |
| Interferon alfa-2a inj HCPCS J9213 | not published | not published | $26.27 – $92.94 | 2 |
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $28.53 – $34.53 | 2 |
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $5.96 – $5.96 | 1 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $27.96 – $95.77 | 2 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $66.81 – $458.72 | 2 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $2,004.40 – $8,953.79 | 2 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $659.54 – $1,594.05 | 2 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $7,852.24 – $26,901.69 | 2 |
| Interfyl, 1 mg HCPCS Q4171 | not published | not published | $9.10 – $103.22 | 4 |
| Intermediate visual field xm CPT 92082 | not published | not published | $264.47 – $264.47 | 1 |
| Interphalangeal joint spacer HCPCS L8658 | not published | not published | $302.34 – $431.34 | 12 |
| Interrogate subq defib CPT 93261 | not published | not published | $120.52 – $120.52 | 1 |
| Interrogation vad in person CPT 93750 | not published | not published | $578.37 – $578.37 | 1 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $127.44 – $127.44 | 1 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $211.08 – $211.08 | 1 |
| Interrog device eval heart CPT 93289 | $386.72 | $386.72 | $280.88 – $280.88 | 1 |
| Interrog evl pm/ldls pm ip CPT 93288 | not published | not published | $178.25 – $178.25 | 1 |
| Interscap-thor myoelectronic HCPCS L6975 | not published | not published | $16,235.25 – $23,162.29 | 12 |
| Interscapular-thor switch CT HCPCS L6970 | not published | not published | $14,705.63 – $20,980.03 | 12 |
| Interstitial brachy inter CPT 77799 | not published | not published | $830.05 – $830.05 | 1 |
| Intl custm cong/latyp insert HCPCS L5681 | not published | not published | $1,185.68 – $1,691.56 | 12 |
| Intra-atrial pacing CPT 93610 | not published | not published | $877.74 – $877.74 | 1 |
| Intra-atrial recording CPT 93602 | not published | not published | $642.76 – $642.76 | 1 |
| Intracard echo interv w/s&i CPT 93662 | not published | not published | $586.78 – $586.78 | 1 |
| Intracranial complete study CPT 93886 | not published | not published | $1,284.11 – $1,316.50 | 2 |
| Intracranial limited study CPT 93888 | not published | not published | $777.91 – $816.46 | 2 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $2,706.45 – $2,706.45 | 1 |
| Intraventricular pacing CPT 93612 | not published | not published | $921.22 – $921.22 | 1 |
| Intrinsic factor antibody CPT 86340 | not published | not published | $11.58 – $85.50 | 15 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $177.43 – $177.43 | 1 |
| Intro long gi tube w/mult fluo CPT 74340 | $1,796.22 | $1,796.22 | $96.33 – $596.24 | 2 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $283.40 – $283.40 | 1 |
| Iodine i-123 sod iodide mil HCPCS A9509 | not published | not published | $130.62 – $461.15 | 2 |
| Iodine i-125 sodium iodide HCPCS A9527 | not published | not published | $159.14 – $1,050.25 | 2 |
| Iodine i-131 iobenguane 1mci HCPCS A9590 | not published | not published | $297.39 – $297.39 | 1 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $597.07 – $597.07 | 1 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $597.07 – $597.07 | 1 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | not published | not published | $0.31 – $1.06 | 5 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | not published | not published | $0.11 – $0.40 | 5 |
| Io radiation tx management CPT 77469 | not published | not published | $1,020.78 – $1,020.78 | 1 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $4,793.40 – $4,793.40 | 1 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $4,793.40 – $11,801.00 | 2 |
| Ioxaglate 39.3%-19.6% inj 200 ml HCPCS Q9964 | not published | not published | $0.26 – $0.26 | 1 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | not published | not published | $135.16 – $495.31 | 5 |
| Ipratropium bromide comp HCPCS J7645 | not published | not published | $0.05 – $0.05 | 1 |
| Ipratropium bromide non-comp HCPCS J7644 | $11.91 | $11.91 | $0.27 – $1.06 | 5 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | not published | not published | $1.23 – $4.74 | 5 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | not published | not published | $48.96 – $174.79 | 5 |
| Iron CPT 83540 | $484.14 | $484.14 | $4.96 – $36.74 | 15 |
| Iron binding capacity CPT 83550 | $642.39 | $642.39 | $6.71 – $49.57 | 15 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $12.92 – $47.91 | 5 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $5.28 – $36.70 | 15 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $745.18 | $745.18 | $0.18 – $0.64 | 5 |
| Irradiation of blood product each unit reference CPT 86945 | $1,029.25 | $1,029.25 | $3.22 – $164.63 | 4 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | not published | not published | $174.41 – $174.41 | 1 |
| Irrigation syringe HCPCS A4322 | not published | not published | $3.01 – $4.30 | 12 |
| Irrigation tray HCPCS A4320 | not published | not published | $5.71 – $8.14 | 12 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $59.14 – $223.40 | 5 |
| Ivc venogram s&i CPT 75825 | not published | not published | $197.88 – $6,438.74 | 4 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $138.30 – $138.30 | 1 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | not published | not published | $222.59 – $222.59 | 1 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | not published | not published | $967.80 – $967.80 | 1 |
| IV inj ra drug dx study CPT 78808 | not published | not published | $163.21 – $2,301.81 | 4 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $87.24 – $737.64 | 4 |
| Ivp w/wo kub w/wo tomography CPT 74400 | not published | not published | $87.24 – $643.65 | 4 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $102.16 – $370.95 | 5 |
| Jak2 targeted sequence analysis CPT 81279 | not published | not published | $185.20 – $704.99 | 13 |
| John cunningham antibody CPT 86711 | not published | not published | $12.97 – $80.35 | 15 |
| Kafo dbl solid stirrup band/ HCPCS L2020 | not published | not published | $1,069.05 – $1,525.18 | 12 |
| Kafo dbl solid stirrup without j HCPCS L2030 | not published | not published | $970.46 – $1,384.52 | 12 |
| Kafo fem fx cast molded to p HCPCS L2128 | not published | not published | $1,604.30 – $2,288.79 | 12 |
| Kafo fem fx cast semi-rigid HCPCS L2134 | not published | not published | $928.14 – $1,324.15 | 12 |
| Kafo fem fx cast thermoplas HCPCS L2126 | not published | not published | $1,132.93 – $1,616.31 | 12 |
| Kafo femoral fx cast rigid HCPCS L2136 | not published | not published | $1,107.80 – $1,580.45 | 12 |
| Kafo femoral fx cast soft HCPCS L2132 | not published | not published | $869.80 – $1,240.91 | 12 |
| Kafo pla sin up w/wo k/a cus HCPCS L2034 | not published | not published | $1,832.99 – $2,615.07 | 12 |
| Kafo plas sing free knee mol HCPCS L2037 | not published | not published | $1,545.91 – $2,205.49 | 12 |
| Kafo plastic pediatric size HCPCS L2035 | not published | not published | $157.42 – $224.58 | 12 |
| Kafo sing fre stirr thi/calf HCPCS L2000 | not published | not published | $910.14 – $1,298.47 | 12 |
| Kafo sng/dbl mechanical act HCPCS L2005 | not published | not published | $3,686.41 – $5,259.27 | 12 |
| Kafo sng solid stirrup without j HCPCS L2010 | not published | not published | $849.04 – $1,211.30 | 12 |
| Kafo without joint multi-axis an HCPCS L2038 | not published | not published | $1,570.39 – $2,240.43 | 12 |
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.