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 |
|---|---|---|---|---|
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $336.92 – $552.65 | 2 |
| Ketogenic steroids fract CPT 83582 | not published | not published | $11.88 – $80.39 | 15 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | not published | not published | $6.27 – $46.37 | 15 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | not published | not published | $0.38 – $0.87 | 5 |
| Kidney function study CPT 78725 | not published | not published | $65.44 – $848.52 | 4 |
| Kidney imaging morphology CPT 78700 | not published | not published | $77.10 – $848.52 | 4 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $242.73 – $1,572.20 | 4 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $3,257.71 | $3,257.71 | $166.88 – $1,101.15 | 4 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $2,199.24 | $2,199.24 | $131.04 – $520.36 | 4 |
| Kit cast tcc 3in w/2reg boots total contact cast HCPCS Q4038 | not published | not published | $39.36 – $56.15 | 12 |
| Kit cath f 8f w/glv + wipe ster HCPCS A4353 | not published | not published | $7.48 – $10.67 | 12 |
| Kit gene analys d816 variant CPT 81273 | not published | not published | $124.87 – $506.97 | 14 |
| Kit irrigator stoma cone 7721 HCPCS A4398 | not published | not published | $13.02 – $18.58 | 12 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $17.44 – $336.92 | 4 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | not published | not published | $1,552.30 – $2,214.61 | 12 |
| Kit trach suct cls 30.5cm HCPCS A4605 | not published | not published | $17.54 – $25.02 | 12 |
| Knee cap medial or lateral p HCPCS L2800 | not published | not published | $114.34 – $163.12 | 12 |
| Knee control condylar pad HCPCS L2810 | not published | not published | $89.75 – $128.05 | 12 |
| Knee control full kneecap HCPCS L2795 | not published | not published | $74.39 – $106.12 | 12 |
| Knee disart expand wall sock HCPCS L5653 | not published | not published | $534.38 – $762.39 | 12 |
| Knee disarticulat leather so HCPCS L5640 | not published | not published | $638.24 – $910.55 | 12 |
| Knee disc/dial lock/adj flex HCPCS L2425 | not published | not published | $128.95 – $183.97 | 12 |
| Knee jnt ratchet lock ea jnt HCPCS L2430 | not published | not published | $128.95 – $183.97 | 12 |
| Knee joint cam lock each joi HCPCS L2415 | not published | not published | $109.27 – $155.89 | 12 |
| Knee joint drop lock ea jnt HCPCS L2405 | not published | not published | $78.43 – $111.89 | 12 |
| Knee lift loop drop lock rin HCPCS L2492 | not published | not published | $117.08 – $167.04 | 12 |
| Knee MRI (with and without contrast) CPT 73723 | not published | not published | $381.41 – $4,953.48 | 3 |
| Knee MRI (with contrast) CPT 73722 | not published | not published | $289.40 – $2,775.94 | 3 |
| Knee MRI (without contrast) CPT 73721 | not published | not published | $241.71 – $2,312.99 | 3 |
| Knee orth pos locking joint HCPCS L1831 | not published | not published | $264.78 – $377.75 | 12 |
| Knee-shin exo fluid swing ph HCPCS L5724 | not published | not published | $1,385.93 – $1,977.25 | 12 |
| Knee-shin exo frct swg & sta HCPCS L5718 | not published | not published | $836.44 – $1,193.33 | 12 |
| Knee-shin exo frict swg & st HCPCS L5712 | not published | not published | $395.64 – $564.45 | 12 |
| Knee-shin exo mech stance ph HCPCS L5716 | not published | not published | $669.21 – $954.74 | 12 |
| Knee-shin exo mnl lock ultra HCPCS L5711 | not published | not published | $500.96 – $714.71 | 12 |
| Knee-shin exo variable frict HCPCS L5714 | not published | not published | $408.01 – $582.09 | 12 |
| Knee-shin ext jnts fld swg e HCPCS L5726 | not published | not published | $1,819.87 – $2,596.34 | 12 |
| Knee-shin fluid swg & stance HCPCS L5728 | not published | not published | $2,267.31 – $3,234.70 | 12 |
| Knee-shin pneum/hydra pneum HCPCS L5780 | not published | not published | $1,093.18 – $1,559.61 | 12 |
| Knee-shin pneum swg frct exo HCPCS L5722 | not published | not published | $872.86 – $1,245.28 | 12 |
| Knee-shin pro flex/ext cont HCPCS L5859 | not published | not published | $13,078.43 – $18,658.55 | 12 |
| Knee-shin sys hydraul stance HCPCS L5848 | not published | not published | $969.29 – $1,382.85 | 12 |
| Knee-shin sys stance flexion HCPCS L5845 | not published | not published | $1,615.61 – $2,304.94 | 12 |
| Knee X-ray CPT 73564 | not published | not published | $42.66 – $245.18 | 4 |
| Kne-shin exo sng axi mnl loc HCPCS L5710 | not published | not published | $330.23 – $471.13 | 12 |
| Kne sing axis fric shin sach HCPCS L5200 | not published | not published | $3,054.98 – $4,358.44 | 12 |
| Ko dbl upright w/air pre cst HCPCS L1847 | not published | not published | $517.44 – $738.21 | 12 |
| Ko dbl upright w/air pre ots HCPCS L1848 | not published | not published | $517.44 – $738.21 | 12 |
| Ko derot ant cruciate custom HCPCS L1840 | not published | not published | $891.15 – $1,271.37 | 12 |
| Ko elastic w/joints pre ots HCPCS L1812 | not published | not published | $64.28 – $91.71 | 12 |
| Ko rigid without joints pre ots HCPCS L1836 | not published | not published | $81.90 – $116.84 | 12 |
| Ko single upright pre cst HCPCS L1843 | not published | not published | $807.19 – $1,151.60 | 12 |
| Ko single upright prefab ots HCPCS L1851 | not published | not published | $550.71 – $785.68 | 12 |
| Ko supracondylar socket mold HCPCS L1860 | not published | not published | $924.80 – $1,319.38 | 12 |
| Ko swedish type pre ots HCPCS L1850 | not published | not published | $188.63 – $269.11 | 12 |
| Ko w/0 joint rigid molded to HCPCS L1834 | not published | not published | $669.01 – $954.46 | 12 |
| Ko w adj flex/ext rotat mold HCPCS L1846 | not published | not published | $1,027.03 – $1,465.23 | 12 |
| Ko w/adj jt rot cntrl molded HCPCS L1844 | not published | not published | $1,399.13 – $1,996.10 | 12 |
| Kras gene addl variants CPT 81276 | not published | not published | $148.39 – $800.59 | 15 |
| Kras gene variants exon 2 CPT 81275 | not published | not published | $148.39 – $735.63 | 15 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $1,127.43 – $4,046.36 | 2 |
| Kyphosis pad HCPCS L1020 | not published | not published | $74.50 – $106.28 | 12 |
| Kyphosis pad floating HCPCS L1025 | not published | not published | $142.20 – $202.87 | 12 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | not published | not published | $0.32 – $0.93 | 5 |
| Lacer molded to patient mode HCPCS L2330 | not published | not published | $371.19 – $529.56 | 12 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $471.57 | $471.57 | $0.18 – $0.18 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | not published | not published | $4.63 – $34.27 | 15 |
| Lactated ringers intravenous solution HCPCS J7120 | not published | not published | $1.72 – $6.31 | 5 |
| Lactic acid CPT 83605 | $545.49 | $545.49 | $8.89 – $60.58 | 15 |
| Lactoferrin fecal qualitative CPT 83630 | $658.85 | $658.85 | $15.13 – $75.02 | 15 |
| Lactoferrin fecal quant CPT 83631 | not published | not published | $15.08 – $112.87 | 15 |
| Lamination collar with couplin HCPCS L6629 | not published | not published | $134.33 – $191.65 | 12 |
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | not published | not published | $29.66 – $93.78 | 5 |
| Lanthanum carbonate oral 5mg HCPCS J0607 | not published | not published | $0.04 – $0.24 | 2 |
| Laronidase injection HCPCS J1931 | not published | not published | $28.96 – $105.87 | 5 |
| Laryngeal function studies CPT 92520 | not published | not published | $92.25 – $193.87 | 11 |
| Laryngoscopic sensory i&r CPT 92615 | not published | not published | $19.73 – $131.60 | 3 |
| Laryngoscopic sensory vid CPT 92614 | not published | not published | $107.88 – $590.51 | 13 |
| Lateral thoracic extension HCPCS L1210 | not published | not published | $225.51 – $321.73 | 12 |
| Lateral trochanteric pad HCPCS L1290 | not published | not published | $70.50 – $100.58 | 12 |
| Latex suspension sleeve each HCPCS L6632 | not published | not published | $66.01 – $94.17 | 12 |
| Lead capillary CPT 83655 | $323.25 | $323.25 | $9.30 – $68.65 | 15 |
| Leads any type vad, rep only HCPCS Q0487 | not published | not published | $307.69 – $438.97 | 12 |
| Left compres band >=3" <5"/yd HCPCS A6449 | not published | not published | $1.88 – $2.68 | 12 |
| Left compres band <3"/yd HCPCS A6448 | not published | not published | $1.23 – $1.75 | 12 |
| Left compres band >=5"/yd HCPCS A6450 | not published | not published | $1.88 – $2.68 | 12 |
| Legg perthes orth newington HCPCS L1710 | not published | not published | $1,540.67 – $2,198.03 | 12 |
| Legg perthes orthosis trilat HCPCS L1720 | not published | not published | $1,135.66 – $1,620.20 | 12 |
| Legg perthes orth scottish r HCPCS L1730 | not published | not published | $975.42 – $1,391.60 | 12 |
| Legg perthes patten bottom t HCPCS L1755 | not published | not published | $1,547.93 – $2,208.38 | 12 |
| Legion pneumo dna dir prob CPT 87540 | not published | not published | $15.40 – $113.76 | 15 |
| Legion pneumo dna quant CPT 87542 | not published | not published | $32.06 – $160.98 | 15 |
| Leg perthes orth toronto typ HCPCS L1700 | not published | not published | $1,316.13 – $1,877.68 | 12 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $3,448.30 | $3,448.30 | $888.72 – $1,005.25 | 2 |
| Leishmania antibody CPT 86717 | not published | not published | $9.40 – $69.51 | 15 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | not published | not published | $109.30 – $155.93 | 12 |
| Lens iol ant chamb 10.5 HCPCS V2630 | not published | not published | $109.30 – $155.93 | 12 |
| Lepirudin HCPCS J1945 | not published | not published | $519.19 – $519.19 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $170.90 | $170.90 | $2.63 – $10.18 | 5 |
| Leukacyte transfusion CPT 86950 | not published | not published | $8.32 – $725.66 | 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.