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 |
|---|---|---|---|---|
| Lyme dis dna dir probe CPT 87475 | not published | not published | $15.40 – $113.76 | 15 |
| Lymphatics/lymph node imaging CPT 78195 | $1,730.34 | $1,730.34 | $205.37 – $1,545.36 | 4 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $28.07 – $320.25 | 15 |
| Lymphocyte transformation mitogen CPT 86353 | not published | not published | $37.65 – $278.07 | 15 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $145.52 – $721.40 | 15 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $36.54 – $190.94 | 15 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $166.73 – $1,218.65 | 4 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $207.91 – $3,163.82 | 4 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $145.00 – $6,438.74 | 4 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $195.46 – $6,438.74 | 4 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $11.50 – $40.02 | 5 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $8.03 – $39.07 | 3 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $3.28 – $24.20 | 15 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $3.31 – $24.20 | 15 |
| Magnesium CPT 83735 | not published | not published | $5.15 – $38.00 | 15 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.37 – $1.09 | 5 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $282.82 – $1,124.62 | 3 |
| Malaria antibody CPT 86750 | not published | not published | $10.13 – $74.83 | 15 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $201.43 | $201.43 | $85.73 – $85.73 | 1 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $291.09 | $291.09 | $87.68 – $87.68 | 1 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $213.18 | $213.18 | $1.69 – $3.48 | 4 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $3.13 – $6.11 | 2 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $58.87 – $83.98 | 12 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $3.89 – $21.07 | 15 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $940.39 – $940.39 | 1 |
| Map tachycard site(s) CPT 93609 | not published | not published | $1,527.99 – $1,527.99 | 1 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $36.40 – $142.44 | 5 |
| Marker lymphatic sentimag magtrace 10 vial HCPCS A9697 | not published | not published | $3,323.10 – $3,323.10 | 1 |
| Mask full face lg af531 HCPCS A7030 | not published | not published | $82.91 – $118.29 | 12 |
| Mastectomy form HCPCS L8020 | not published | not published | $229.73 – $327.74 | 12 |
| Mastoids complete CPT 70130 | not published | not published | $61.70 – $264.26 | 4 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $64.76 – $336.92 | 4 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $6,801.68 – $6,801.68 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | not published | not published | $16.13 – $336.92 | 4 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $26.95 – $199.10 | 15 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $20.96 – $113.76 | 15 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $32.89 – $163.11 | 15 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $266.77 | $266.77 | $11.10 – $82.01 | 15 |
| Mayo aathr protein s free CPT 85306 | not published | not published | $11.76 – $86.92 | 15 |
| Mayo activated protein c resistance assay CPT 85307 | not published | not published | $11.76 – $86.92 | 15 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $29.62 – $156.59 | 15 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $61.31 – $61.31 | 1 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $98.05 – $98.05 | 1 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | not published | not published | $11.35 – $83.88 | 15 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $170.28 – $170.28 | 1 |
| Mayo alpha 1 antitrypsin CPT 82103 | $651.38 | $651.38 | $10.32 – $76.21 | 15 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | not published | not published | $11.58 – $85.50 | 15 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $88.18 – $88.18 | 1 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | not published | not published | $121.63 – $672.66 | 14 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $1,068.90 | $1,068.90 | $91.66 – $348.92 | 14 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $137.00 – $521.51 | 13 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | not published | not published | $1,160.00 – $4,415.73 | 14 |
| Mayo androstenedione CPT 82157 | not published | not published | $22.48 – $166.05 | 15 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | not published | not published | $11.21 – $82.78 | 15 |
| Mayo antithrombin iii antigen CPT 85301 | not published | not published | $8.30 – $61.35 | 15 |
| Mayo aspergillus fumigatus antibody CPT 86606 | not published | not published | $11.56 – $85.38 | 15 |
| Mayo avwpr vw factor activity CPT 85397 | not published | not published | $23.69 – $131.95 | 15 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $1,256.73 | $1,256.73 | $26.95 – $142.47 | 15 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $65.00 – $65.00 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | not published | not published | $7.81 – $57.73 | 15 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | not published | not published | $144.84 – $551.37 | 14 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | not published | not published | $214.62 – $816.97 | 14 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | not published | not published | $9.91 – $73.20 | 15 |
| Mayo bordetella pertussis antibody igg CPT 86615 | not published | not published | $10.13 – $74.83 | 15 |
| Mayo brcmg brucella antibody igm CPT 86622 | $1,895.37 | $1,895.37 | $6.86 – $46.41 | 15 |
| Mayo c1 esterase inhibitor CPT 83883 | not published | not published | $10.44 – $77.14 | 15 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | not published | not published | $12.95 – $95.69 | 15 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | not published | not published | $20.57 – $153.95 | 15 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | not published | not published | $93.85 – $465.22 | 15 |
| Mayo ceruloplasmin CPT 82390 | not published | not published | $8.25 – $60.94 | 15 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $630.72 | $630.72 | $10.85 – $80.14 | 15 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | not published | not published | $9.89 – $73.08 | 15 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | not published | not published | $9.07 – $54.85 | 15 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $266.77 | $266.77 | $9.73 – $60.62 | 15 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | not published | not published | $89.45 – $660.85 | 15 |
| Mayo chromium CPT 82495 | not published | not published | $15.57 – $77.20 | 15 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | not published | $79.13 – $79.13 | 1 |
| Mayo coccidioides antibody CPT 86635 | not published | not published | $8.80 – $60.62 | 15 |
| Mayo cocou cortisone urine CPT 82542 | not published | not published | $18.50 – $102.43 | 15 |
| Mayo cortisol free CPT 82530 | $457.92 | $457.92 | $12.83 – $94.80 | 15 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | not published | not published | $32.35 – $171.05 | 15 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | not published | not published | $9.31 – $68.78 | 15 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $89.36 – $89.36 | 1 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $110.39 – $110.39 | 1 |
| Mayo cyanide CPT 82600 | not published | not published | $14.89 – $110.07 | 15 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | not published | not published | $149.16 – $2,305.19 | 4 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | not published | not published | $10.18 – $75.15 | 15 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | not published | not published | $19.40 – $143.36 | 15 |
| Mayo dihydrotestosterone CPT 82642 | $250.56 | $250.56 | $22.48 – $132.07 | 15 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $7.40 – $48.11 | 15 |
| Mayo efpo chloride stool CPT 82438 | not published | not published | $3.84 – $27.73 | 15 |
| Mayo estriol CPT 82677 | not published | not published | $18.57 – $137.19 | 15 |
| Mayo estrone CPT 82679 | not published | not published | $19.16 – $141.61 | 15 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | not published | not published | $12.55 – $85.46 | 15 |
| Mayo everolimus therapeutic drug level CPT 80169 | not published | not published | $10.54 – $76.04 | 15 |
| Mayo factor ii CPT 85210 | not published | not published | $9.97 – $49.42 | 15 |
| Mayo factor v CPT 85220 | not published | not published | $13.55 – $100.12 | 15 |
| Mayo factor vii CPT 85230 | not published | not published | $13.75 – $101.58 | 15 |
| Mayo factor viii vw factor antigen CPT 85246 | $676.06 | $676.06 | $17.62 – $130.16 | 15 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | not published | not published | $17.62 – $130.16 | 15 |
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.