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 |
|---|---|---|---|---|
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $3,507.09 – $5,003.45 | 12 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $3.14 – $15.28 | 3 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $8.51 – $30.08 | 5 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $263.74 – $376.27 | 12 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $316.85 – $452.04 | 12 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $16,900.43 – $24,111.27 | 12 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $497.73 – $1,496.64 | 5 |
| Mopath procedure level 1 CPT 81400 | not published | not published | $63.96 – $259.52 | 14 |
| Mopath procedure level 3 CPT 81402 | not published | not published | $150.33 – $1,228.80 | 14 |
| Mopath procedure level 5 CPT 81404 | not published | not published | $274.83 – $1,573.82 | 14 |
| Mopath procedure level 6 CPT 81405 | not published | not published | $301.35 – $1,329.41 | 14 |
| Mopath procedure level 7 CPT 81406 | not published | not published | $282.88 – $2,885.60 | 14 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $4,302.63 | 14 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $2,000.00 – $10,067.74 | 14 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $3.47 – $8.06 | 5 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $4.98 – $17.94 | 5 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $7.87 – $7.87 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $213.18 | $213.18 | $7.37 – $35.78 | 5 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $1,431.06 | $1,431.06 | $149.16 – $1,120.19 | 4 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $808.88 | $808.88 | $173.52 – $1,416.98 | 4 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $496.11 | $496.11 | $149.16 – $725.66 | 4 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $480.72 – $1,736.76 | 5 |
| Motion analysis video/3d CPT 96000 | not published | not published | $332.24 – $332.24 | 1 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $391.88 – $391.88 | 1 |
| Motor &/ sens nrve cndj test CPT 95905 | not published | not published | $1,089.49 – $1,089.49 | 1 |
| Mouth piece HCPCS A4617 | not published | not published | $3.31 – $4.73 | 12 |
| M/phmtrc alys ishquant/semiq CPT 88373 | not published | not published | $47.11 – $229.19 | 3 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $1,478.22 | $1,478.22 | $149.16 – $1,286.70 | 4 |
| M/phmtrc alysishquant/semiq CPT 88369 | not published | not published | $85.84 – $417.61 | 3 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $149.16 – $725.66 | 4 |
| Mpl gene analysis common variants CPT 81338 | not published | not published | $150.33 – $572.23 | 13 |
| M.pneumon dna dir probe CPT 87580 | not published | not published | $15.40 – $113.76 | 15 |
| M.pneumon dna quant CPT 87582 | not published | not published | $160.98 – $1,151.94 | 15 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $125.53 – $237.20 | 2 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $184.31 – $2,437.71 | 5 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $181.44 – $2,440.97 | 5 |
| MRA chest w IV cont HCPCS C8909 | not published | not published | $828.27 – $1,192.24 | 2 |
| MRA chest wo IV cont HCPCS C8910 | not published | not published | $517.79 – $1,779.99 | 2 |
| MRA chest wwo IV cont HCPCS C8911 | $6,900.02 | $6,900.02 | $828.27 – $2,427.96 | 2 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $183.83 – $2,442.51 | 5 |
| MRA pelvis CPT 72198 | not published | not published | $185.26 – $2,437.71 | 5 |
| MRA pelvis w IV cont HCPCS C8918 | not published | not published | $828.27 – $1,230.64 | 2 |
| MRA pelvis wo IV cont HCPCS C8919 | not published | not published | $517.79 – $1,035.03 | 2 |
| MRA spinal canal CPT 72159 | not published | not published | $317.45 – $2,974.69 | 3 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $299.73 – $2,900.04 | 3 |
| MRA w/cont, abd HCPCS C8900 | not published | not published | $828.27 – $2,683.47 | 2 |
| MRA w/cont, lwr ext HCPCS C8912 | not published | not published | $828.27 – $1,525.94 | 2 |
| Mra, w/dye, spinal canal HCPCS C8931 | not published | not published | $828.27 – $2,051.33 | 2 |
| Mra, w/dye, upper extremity HCPCS C8934 | not published | not published | $828.27 – $1,865.20 | 2 |
| MRA without cont, abd HCPCS C8901 | not published | not published | $517.79 – $2,327.16 | 2 |
| MRA without cont, lwr ext HCPCS C8913 | not published | not published | $517.79 – $1,044.98 | 2 |
| Mra, without dye, spinal canal HCPCS C8932 | not published | not published | $517.79 – $958.27 | 2 |
| Mra, without dye, upper extr HCPCS C8935 | not published | not published | $517.79 – $929.24 | 2 |
| MRA without fol w/cont, abd HCPCS C8902 | $7,242.86 | $7,242.86 | $828.27 – $2,946.55 | 2 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | not published | not published | $828.27 – $1,449.95 | 2 |
| MRA without fol w/cont, pelvis HCPCS C8920 | not published | not published | $828.27 – $2,779.93 | 2 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | not published | not published | $828.27 – $1,350.11 | 2 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | not published | not published | $828.27 – $2,520.73 | 2 |
| Mr elastography CPT 76391 | not published | not published | $192.58 – $885.35 | 3 |
| MRI brain w/dye CPT 70558 | not published | not published | $401.74 – $3,136.70 | 3 |
| MRI brain without dye CPT 70557 | not published | not published | $596.86 – $1,268.77 | 3 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $401.74 – $2,373.54 | 3 |
| MRI breast c- unilateral CPT 77046 | not published | not published | $254.58 – $3,864.65 | 3 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $372.33 – $3,864.65 | 3 |
| MRI breast without cont bi CPT 77047 | not published | not published | $281.45 – $4,160.03 | 3 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $407.04 – $4,160.03 | 3 |
| MRI cardiac morph & func wo IV cont CPT 75557 | not published | not published | $414.87 – $1,183.37 | 3 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | not published | not published | $461.92 – $1,895.62 | 3 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | not published | not published | $531.98 – $2,303.08 | 3 |
| MRI chest without contrast CPT 71550 | $6,900.02 | $6,900.02 | $255.83 – $2,344.90 | 3 |
| MRI chest without & w/contrast CPT 71552 | $11,032.25 | $11,032.25 | $399.24 – $4,954.02 | 3 |
| MRI chest w IV cont CPT 71551 | not published | not published | $305.83 – $2,807.85 | 3 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,186.66 – $1,692.96 | 12 |
| MRI fetal ea addl gestation CPT 74713 | not published | not published | $328.58 – $328.58 | 1 |
| MRI fetal sngl/1st gestation CPT 74712 | not published | not published | $517.79 – $1,050.39 | 3 |
| MRI guid ndl plc s&i CPT 77021 | not published | not published | $270.74 – $2,043.11 | 2 |
| MRI guid parenchymal tiss ablation CPT 77022 | not published | not published | $734.40 – $734.40 | 1 |
| MRI hyperpolarized xenon129 HCPCS C9791 | not published | not published | $2,813.63 – $2,813.63 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | not published | not published | $285.39 – $2,775.94 | 3 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | not published | not published | $239.02 – $2,312.99 | 3 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | not published | not published | $381.41 – $4,951.76 | 3 |
| MRI orbit/face/neck without contrast CPT 70540 | $6,201.88 | $6,201.88 | $237.66 – $2,312.99 | 3 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $11,094.44 | $11,094.44 | $380.05 – $4,953.48 | 3 |
| MRI orbit fac&nck w IV cont CPT 70542 | not published | not published | $286.71 – $2,775.94 | 3 |
| MRI tmj CPT 70336 | $6,900.02 | $6,900.02 | $257.04 – $2,369.93 | 3 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | not published | not published | $241.71 – $2,312.99 | 3 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | not published | not published | $382.74 – $4,953.48 | 3 |
| MRI upper extremity w/dye CPT 73219 | not published | not published | $288.08 – $2,777.70 | 3 |
| MRI w/cont, breast, bi HCPCS C8906 | not published | not published | $828.27 – $2,944.05 | 2 |
| MRI w/cont, breast, uni HCPCS C8903 | not published | not published | $401.74 – $946.06 | 2 |
| MRI without fol w/cont, breast HCPCS C8908 | $11,107.83 | $11,107.83 | $828.27 – $3,150.03 | 2 |
| MRI without fol w/cont, brst, un HCPCS C8905 | not published | not published | $828.27 – $1,477.25 | 2 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $106.70 – $198.11 | 2 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $132.66 – $206.53 | 2 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $211.73 – $211.73 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $106.96 – $133.65 | 2 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $64.80 | $64.80 | $44.02 – $55.10 | 2 |
| Mr sfty med physics xm cstmz CPT 76017 | not published | not published | $133.61 – $543.87 | 2 |
| Mr spectroscopy CPT 76390 | not published | not published | $182.03 – $2,109.04 | 2 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $213.30 – $1,437.61 | 14 |
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.