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 |
|---|---|---|---|---|
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $3,155.45 | $3,155.45 | $17.62 – $130.16 | 15 |
| Mayo factor x CPT 85260 | not published | not published | $13.75 – $101.58 | 15 |
| Mayo factor xi CPT 85270 | not published | not published | $13.75 – $101.58 | 15 |
| Mayo fat/lipids feces quantitative CPT 82710 | not published | not published | $12.90 – $95.29 | 15 |
| Mayo fbl culture fungi blood CPT 87103 | $735.18 | $735.18 | $15.71 – $77.90 | 15 |
| Mayo fdp/fsp paracoagulation CPT 85366 | not published | not published | $48.84 – $306.30 | 15 |
| Mayo ffspg allergen clam igg CPT 86001 | not published | not published | $6.01 – $29.74 | 15 |
| Mayo fibrinogen antigen CPT 85385 | not published | not published | $11.10 – $55.05 | 15 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | not published | not published | $16.64 – $82.52 | 15 |
| Mayo gamma-globin full gene sequencing CPT 81479 | not published | not published | $415.80 – $415.80 | 1 |
| Mayo hemosiderin qualitative urine CPT 83070 | not published | not published | $3.65 – $26.96 | 15 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $3,231.03 | $3,231.03 | $26.95 – $199.10 | 15 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $1,517.49 | $1,517.49 | $26.95 – $199.10 | 15 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | not published | not published | $10.59 – $60.62 | 15 |
| Mayo hla typing a/b/c single antigen CPT 86812 | not published | not published | $19.82 – $146.40 | 15 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $1,247.00 | $1,247.00 | $6.82 – $50.38 | 15 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $942.83 | $942.83 | $10.38 – $59.93 | 15 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $1,116.31 | $1,116.31 | $20.87 – $154.08 | 15 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | not published | not published | $13.26 – $73.45 | 15 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $168.36 | $168.36 | $11.51 – $85.06 | 15 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | not published | not published | $15.98 – $118.02 | 15 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | not published | not published | $15.98 – $118.02 | 15 |
| Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance CPT 87513 | not published | not published | $35.09 – $37.55 | 10 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | not published | not published | $12.34 – $62.48 | 15 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $692.88 | $692.88 | $9.20 – $63.30 | 15 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $935.33 | $935.33 | $26.95 – $201.82 | 15 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $953.64 | $953.64 | $26.95 – $142.47 | 15 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $1,119.79 | $1,119.79 | $26.95 – $199.10 | 15 |
| Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii CPT 87594 | not published | not published | $35.09 – $37.55 | 10 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $1,086.86 | $1,086.86 | $32.89 – $163.11 | 15 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | not published | not published | $72.19 – $274.79 | 13 |
| Mayo infliximab therapeutic drug level CPT 80230 | not published | not published | $29.62 – $156.59 | 15 |
| Mayo inhab inhibin a CPT 86336 | not published | not published | $11.97 – $88.39 | 15 |
| Mayo insft insulin free CPT 83527 | not published | not published | $9.95 – $73.45 | 15 |
| Mayo insulin antibodies CPT 86337 | not published | not published | $16.44 – $98.70 | 15 |
| Mayo iodine CPT 83789 | not published | not published | $18.51 – $102.43 | 15 |
| Mayo itraconazole therapeutic drug level CPT 80189 | not published | not published | $20.82 – $110.07 | 15 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $1,033.74 | $1,033.74 | $20.82 – $110.07 | 15 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | not published | not published | $10.18 – $73.45 | 15 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | not published | not published | $9.82 – $72.59 | 15 |
| Mayo legionella antibody CPT 86713 | not published | not published | $11.75 – $86.84 | 15 |
| Mayo leptospira antibody igm CPT 86720 | not published | not published | $12.44 – $74.83 | 15 |
| Mayo lipoprotein electrophoresis CPT 83700 | not published | not published | $8.65 – $64.76 | 15 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | not published | not published | $11.89 – $87.86 | 15 |
| Mayo manganese CPT 83785 | not published | not published | $20.46 – $119.81 | 15 |
| Mayo metanephrines plasma CPT 83835 | $855.65 | $855.65 | $13.00 – $96.10 | 15 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | not published | not published | $92.41 – $92.41 | 1 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | not published | not published | $9.25 – $74.70 | 15 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $139.18 | $139.18 | $14.13 – $70.03 | 14 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $232.35 | $232.35 | $11.18 – $82.54 | 15 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $552.00 | $552.00 | $14.31 – $77.67 | 15 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $685.00 | $685.00 | $137.00 – $521.51 | 14 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | not published | not published | $185.20 – $704.99 | 13 |
| Mayo muramidase CPT 85549 | $609.12 | $609.12 | $14.40 – $82.34 | 15 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | not published | not published | $14.13 – $70.03 | 14 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | not published | not published | $13.86 – $100.00 | 15 |
| Mayo myoglobin CPT 83874 | $590.77 | $590.77 | $9.92 – $73.24 | 15 |
| Mayo nickel CPT 83885 | not published | not published | $18.82 – $138.97 | 15 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | not published | not published | $145.79 – $145.79 | 1 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $110.39 – $110.39 | 1 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $1,072.27 | $1,072.27 | $16.28 – $93.38 | 15 |
| Mayo organic acids qualitative each specimen CPT 83919 | not published | not published | $12.63 – $93.38 | 15 |
| Mayo oxalate 24 hour urine CPT 83945 | not published | not published | $11.09 – $73.04 | 15 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | not published | not published | $8.85 – $62.48 | 15 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | not published | not published | $11.54 – $85.26 | 15 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $895.68 | $895.68 | $9.25 – $68.37 | 15 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $2,483.51 | $2,483.51 | $26.95 – $199.10 | 15 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $1,032.58 | $1,032.58 | $13.81 – $103.37 | 15 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | not published | not published | $10.57 – $78.07 | 15 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | not published | not published | $6.48 – $47.91 | 15 |
| Mayo pregnenolone CPT 84140 | not published | not published | $15.87 – $117.29 | 15 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | not published | not published | $12.73 – $94.11 | 15 |
| Mayo proinsulin CPT 84206 | $1,400.39 | $1,400.39 | $20.50 – $101.62 | 15 |
| Mayo psaft prostate specific antigen free CPT 84154 | not published | not published | $14.12 – $104.34 | 15 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | not published | not published | $14.13 – $76.65 | 15 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | not published | not published | $10.26 – $75.76 | 15 |
| Mayo receptor assay transferrin soluble CPT 84238 | not published | not published | $28.08 – $207.43 | 15 |
| Mayo renin CPT 84244 | $996.70 | $996.70 | $16.88 – $124.76 | 15 |
| Mayo repu protein electrophoresis urine CPT 84166 | $1,242.51 | $1,242.51 | $13.69 – $101.18 | 15 |
| Mayo selenium CPT 84255 | not published | not published | $19.61 – $144.82 | 15 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | not published | not published | $11.90 – $89.16 | 15 |
| Mayo serotonin CPT 84260 | $749.40 | $749.40 | $23.79 – $175.72 | 15 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | not published | not published | $14.86 – $109.82 | 15 |
| Mayo sirolimus therapeutic drug level CPT 80195 | not published | not published | $10.54 – $78.97 | 15 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | not published | not published | $92.03 – $98.47 | 10 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $497.97 | $497.97 | $3.28 – $24.20 | 15 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | $128.92 – $137.94 | 10 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | not published | not published | $208.92 – $1,513.08 | 14 |
| Mayo tgrp testosterone free CPT 84402 | $1,720.65 | $1,720.65 | $19.56 – $144.41 | 15 |
| Mayo tgrp testosterone total CPT 84403 | $1,195.37 | $1,195.37 | $19.82 – $146.48 | 15 |
| Mayo thiopurine s-methyltransferase CPT 84433 | not published | not published | $17.02 – $90.01 | 15 |
| Mayo thyroglobulin CPT 84432 | not published | not published | $12.33 – $91.11 | 15 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | not published | not published | $7.81 – $57.73 | 15 |
| Mayo ticks babesia microti antibody igg CPT 86753 | not published | not published | $9.51 – $70.32 | 15 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | not published | not published | $39.38 – $195.20 | 14 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $10.88 – $58.99 | 15 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $776.00 | $776.00 | $10.39 – $74.87 | 15 |
| Mayo vasoactive intestinal peptide CPT 84586 | not published | not published | $27.13 – $200.44 | 15 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | not published | not published | $15.54 – $111.89 | 15 |
| Mayo vitamin b3 (niacin) CPT 84591 | not published | not published | $13.10 – $65.77 | 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.