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 vitamin k CPT 84597 | not published | not published | $10.54 – $77.75 | 15 |
| Mayo zonisamide therapeutic drug level CPT 80203 | not published | not published | $10.18 – $73.45 | 15 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $329.10 | 14 |
| Md inr test revie inter mgmt HCPCS G0250 | not published | not published | $5.29 – $7.06 | 2 |
| Md service required for pmd HCPCS G0372 | not published | not published | $5.29 – $7.06 | 2 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $1,103.69 – $1,103.69 | 1 |
| Measurement post void urine by ultrasound CPT 51798 | not published | not published | $65.21 – $65.21 | 1 |
| Mecasermin injection HCPCS J2170 | not published | not published | $341.23 – $1,226.92 | 2 |
| Mech hip extension assist HCPCS L5855 | not published | not published | $283.57 – $404.56 | 12 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $292.77 – $346.96 | 2 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $571.00 | 14 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $527.87 – $2,009.45 | 14 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $37.19 – $456.80 | 14 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $285.46 – $2,991.29 | 3 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | $510.14 | $510.14 | $0.52 – $1.27 | 2 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | $51.90 | $51.90 | $0.25 – $0.25 | 1 |
| Meg evoked each addl CPT 95967 | not published | not published | $838.97 – $838.97 | 1 |
| Meg evoked single CPT 95966 | not published | not published | $838.97 – $838.97 | 1 |
| Meg spontaneous CPT 95965 | not published | not published | $838.97 – $838.97 | 1 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $8.50 – $12.40 | 2 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $197.20 – $366.07 | 4 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $102.36 – $336.92 | 4 |
| Membrane amnio clarix 4x3cm 1k -cost per sq cm HCPCS Q4155 | not published | not published | $19.73 – $90.37 | 4 |
| Membrane amniotic barrier 4x4cm-q4163-cost per sq cm HCPCS Q4163 | not published | not published | $136.63 – $336.92 | 4 |
| Membrane collgn porcine maci w/autologous cult chondrocytes HCPCS J7330 | not published | not published | $61,095.98 – $221,874.56 | 2 |
| Membrane placenta tiss biodfence g3 2x2cm-4sqcm-q4116-cost per sq cm HCPCS Q4140 | not published | not published | $126.69 – $336.92 | 4 |
| Membrane placenta tiss enverse sheet 2x3cm-cost per sq cm HCPCS Q4258 | not published | not published | $53.86 – $336.92 | 5 |
| Memoderm/derma/tranz/integup HCPCS Q4126 | not published | not published | $47.47 – $336.92 | 4 |
| Menacwy-tt menb-fhbp vacc im CPT 90623 | not published | not published | $183.45 – $800.51 | 4 |
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $102.33 | $102.33 | $7.61 – $24.44 | 5 |
| Meperidine/promethazine inj HCPCS J2180 | not published | not published | $3.45 – $20.35 | 2 |
| Mepolizumab 100 mg/ml subcutaneous auto-injector HCPCS J2182 | not published | not published | $22.91 – $84.51 | 5 |
| Mercaptopurine 50 mg HCPCS S0108 | not published | not published | $2.65 – $2.65 | 1 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | not published | not published | $0.32 – $1.01 | 5 |
| Mesh ez derm 7x18 xenograft porcine -cost per sq cm HCPCS Q4136 | not published | not published | $336.92 – $336.92 | 1 |
| Mesh tiss ovitex lpr 15x15x25cm 6mm oval HCPCS C9364 | not published | not published | $16.73 – $16.73 | 1 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | not published | not published | $1.02 – $4.51 | 5 |
| Metabolic Blood Panel (Basic) CPT 80048 | $927.48 | $927.48 | $6.50 – $48.03 | 15 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $1,442.29 | $1,442.29 | $8.11 – $59.97 | 15 |
| Metabolic panel ionized ca CPT 80047 | not published | not published | $10.54 – $52.25 | 15 |
| Metal frame recipro hip & ca HCPCS L2628 | not published | not published | $1,531.84 – $2,185.42 | 12 |
| Metatarsal joint implant HCPCS L8641 | not published | not published | $321.41 – $458.55 | 12 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | not published | not published | $1.22 – $5.04 | 5 |
| Methadone injection HCPCS J1230 | not published | not published | $15.68 – $46.91 | 5 |
| Methadone oral 5mg HCPCS S0109 | not published | not published | $0.28 – $0.28 | 1 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | not published | not published | $4.77 – $12.03 | 5 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $136.06 | $136.06 | $0.15 – $0.40 | 5 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $98.61 | $98.61 | $1.94 – $6.84 | 5 |
| Methotrexate therapeutic drug level CPT 80204 | not published | not published | $29.62 – $156.59 | 15 |
| Methyl aminolevulinate, top HCPCS J7309 | not published | not published | $76.16 – $76.16 | 1 |
| Methyldopate hcl injection HCPCS J0210 | $642.11 | $642.11 | $25.68 – $38.58 | 2 |
| Methylene blue (antidote) 5 mg/ml intravenous solution HCPCS Q9968 | not published | not published | $4.36 – $26.00 | 2 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $254.08 | $254.08 | $15.97 – $56.60 | 5 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $752.97 | $752.97 | $1.32 – $5.57 | 2 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $133.83 | $133.83 | $0.18 – $0.37 | 5 |
| Methylprednisolone acetate 40 mg/ml suspension for injection HCPCS J1010 | $129.76 | $129.76 | $0.08 – $0.32 | 5 |
| Methylprednisolone sodium succinate 1,000 mg intravenous solution HCPCS J2919 | not published | not published | $0.19 – $0.69 | 5 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $92.17 | $92.17 | $0.85 – $2.86 | 5 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $136.05 | $136.05 | $0.21 – $0.32 | 2 |
| Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback HCPCS J1836 | not published | not published | $0.02 – $0.08 | 5 |
| Metyrapone panel CPT 80436 | not published | not published | $70.00 – $517.08 | 15 |
| Mgmt promoter methylation analysis CPT 81287 | not published | not published | $124.64 – $474.49 | 14 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | not published | not published | $0.21 – $0.66 | 5 |
| Microalbumin urine screen CPT 82044 | $310.90 | $310.90 | $4.79 – $23.72 | 15 |
| Microbe susceptible mlc CPT 87187 | not published | not published | $30.85 – $152.92 | 15 |
| Microdissection laser CPT 88380 | not published | not published | $78.86 – $383.65 | 3 |
| Microdissection manual CPT 88381 | not published | not published | $180.05 – $875.94 | 3 |
| Microfluid analy tears CPT 83861 | not published | not published | $17.27 – $95.00 | 15 |
| Microprcsr cu combo vad, rep HCPCS Q0482 | not published | not published | $4,102.48 – $5,852.88 | 12 |
| Microsatellite instability CPT 81301 | not published | not published | $348.56 – $1,326.84 | 14 |
| Microvolt t-wave assess CPT 93025 | not published | not published | $1,356.81 – $1,356.81 | 1 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | not published | not published | $0.10 – $0.37 | 5 |
| Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper) HCPCS J2251 | not published | not published | $0.13 – $0.48 | 5 |
| Middle cerebral artery echo CPT 76821 | not published | not published | $128.95 – $457.57 | 4 |
| Mifepristone 200 mg ta HCPCS S0190 | not published | not published | $33.26 – $33.26 | 1 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | not published | not published | $1.18 – $3.58 | 5 |
| Milwaukee type superstructur HCPCS L1230 | not published | not published | $552.20 – $787.81 | 12 |
| Minocycline hydrochloride HCPCS J2265 | not published | not published | $2.40 – $7.08 | 2 |
| Minoxidil, 10 mg HCPCS S0139 | not published | not published | $0.43 – $0.43 | 1 |
| Miroderm HCPCS Q4175 | not published | not published | $51.42 – $336.92 | 4 |
| Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution HCPCS J9063 | not published | not published | $51.05 – $188.60 | 5 |
| Misoprostol, oral, 200 mcg HCPCS S0191 | not published | not published | $0.90 – $0.90 | 1 |
| Mitochondrial gene CPT 81440 | not published | not published | $3,324.00 – $12,653.33 | 13 |
| Mitomycin 40 mg intravenous solution HCPCS J9280 | not published | not published | $19.20 – $69.17 | 5 |
| Mitomycin instillation HCPCS J9281 | not published | not published | $234.75 – $858.36 | 5 |
| Mitoxantrone 2 mg/ml concentrate,intravenous HCPCS J9293 | not published | not published | $20.77 – $81.83 | 5 |
| Mlh1 gene CPT 81288 | not published | not published | $192.32 – $732.10 | 14 |
| Mlh1 gene dup/delete variant CPT 81294 | not published | not published | $202.40 – $1,621.16 | 14 |
| Mlh1 gene full seq CPT 81292 | not published | not published | $675.40 – $3,018.12 | 14 |
| Mlh1 gene known variants CPT 81293 | not published | not published | $288.26 – $1,260.00 | 14 |
| Mlt fam grp bhv train 1st 60 CPT 96202 | not published | not published | $17.32 – $23.09 | 12 |
| Mlt fam grp bhv train ea add CPT 96203 | not published | not published | $4.35 – $6.02 | 12 |
| Mnl appl strs jt radiography CPT 77071 | not published | not published | $160.44 – $507.14 | 4 |
| Mnt subs tx for change dx HCPCS G0270 | not published | not published | $27.38 – $29.30 | 10 |
| Mobility cart pneum vad, rep HCPCS Q0502 | not published | not published | $586.04 – $836.09 | 12 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | not published | not published | $12.05 – $143.60 | 15 |
| Molded inner boot HCPCS L2280 | not published | not published | $392.33 – $559.72 | 12 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $2,195.13 – $3,131.72 | 12 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $3,224.39 – $4,600.12 | 12 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,117.84 – $1,594.78 | 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.