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 |
|---|---|---|---|---|
| Nm imaging bone/joint 3 phase study CPT 78315 | $3,369.79 | $3,369.79 | $177.33 – $1,549.19 | 4 |
| Nm imaging bone/joint whole body CPT 78306 | $3,754.25 | $3,754.25 | $149.09 – $1,321.80 | 4 |
| Nm imaging cardiac blood pooling planar single study at rest or stress CPT 78472 | not published | not published | $172.52 – $1,223.85 | 4 |
| Nm imaging gastric emptying study CPT 78264 | $2,973.22 | $2,973.22 | $137.43 – $1,526.17 | 4 |
| Nm imaging gastrointestinal acute blood loss CPT 78278 | $1,837.20 | $1,837.20 | $173.43 – $1,568.38 | 4 |
| Nm imaging hepatobiliary system w/pharmacologic intervention CPT 78227 | $3,134.88 | $3,134.88 | $157.87 – $2,049.40 | 4 |
| Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention CPT 78708 | $5,570.79 | $5,570.79 | $208.02 – $1,101.15 | 4 |
| Nm imaging pulmonary ventilation/perfusion CPT 78582 | $7,404.13 | $7,404.13 | $186.07 – $1,461.39 | 4 |
| Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s) CPT 78014 | $2,806.06 | $2,806.06 | $87.17 – $1,120.39 | 4 |
| Nm radiopharmaceutical therapy oral administration CPT 79005 | not published | not published | $203.75 – $870.49 | 4 |
| No knee/ankle joints with ft b HCPCS L5210 | not published | not published | $2,228.05 – $3,178.68 | 12 |
| No knee joint with artic ali HCPCS L5220 | not published | not published | $2,532.59 – $3,613.15 | 12 |
| Non-card vasc flow imaging CPT 78445 | not published | not published | $87.24 – $945.83 | 4 |
| Non-corrosive finish HCPCS L2780 | not published | not published | $58.33 – $83.21 | 12 |
| Non-imaging heart function CPT 78414 | not published | not published | $81.15 – $1,101.15 | 4 |
| Noninv pace analysis CPT 93724 | not published | not published | $1,692.53 – $1,692.53 | 1 |
| Non-molded lacer HCPCS L2320 | not published | not published | $177.33 – $252.99 | 12 |
| Non-ophthalmic fva HCPCS C9733 | not published | not published | $828.27 – $1,220.77 | 2 |
| Non-sterile gauze<=16 sq in HCPCS A6216 | not published | not published | $0.04 – $0.05 | 12 |
| Noonan spectrum disorders CPT 81442 | not published | not published | $2,143.60 – $8,159.95 | 13 |
| No pt prsnt train add 15 HCPCS G0542 | not published | not published | $15.16 – $20.22 | 2 |
| No pt prsnt train initial 30 HCPCS G0541 | not published | not published | $28.23 – $37.64 | 2 |
| Novachor 1 sq cm HCPCS Q4194 | not published | not published | $336.92 – $1,117.30 | 4 |
| Npm1 gene CPT 81310 | not published | not published | $185.18 – $938.43 | 14 |
| Npsy fam hlth interv ea addl 15 min CPT 96168 | not published | not published | $77.25 – $77.25 | 1 |
| Npsy grp hlth intrv ea addl 15 min CPT 96165 | not published | not published | $17.86 – $17.86 | 1 |
| Npsy tst eval phsy/qhp 1st hr CPT 96132 | not published | not published | $91.27 – $91.27 | 1 |
| Npsy tst eval phsy/qhp ea l hr CPT 96133 | not published | not published | $91.27 – $91.27 | 1 |
| Nqhp ol dig assmt&mgmt 11-20 CPT 98971 | not published | not published | $23.69 – $25.35 | 10 |
| Nqhp ol dig assmt&mgmt 21+ CPT 98972 | not published | not published | $35.35 – $37.82 | 10 |
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | not published | not published | $12.68 – $13.57 | 10 |
| Nras gene variants exon 2&3 CPT 81311 | not published | not published | $295.79 – $1,200.91 | 14 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | not published | not published | $6,998.90 – $6,998.90 | 1 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $207.31 – $841.68 | 14 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $207.31 – $841.68 | 14 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $207.31 – $841.68 | 14 |
| Ntrk translocation analysis CPT 81194 | not published | not published | $518.28 – $2,104.22 | 14 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | not published | not published | $3,178.33 – $3,178.33 | 1 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | not published | not published | $3,178.33 – $3,178.33 | 1 |
| Nuclear exam of tear flow CPT 78660 | not published | not published | $79.64 – $848.52 | 4 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $16.73 – $91.80 | 15 |
| Nuclear rx intra-arterial CPT 79445 | not published | not published | $406.66 – $1,008.84 | 4 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $159.35 – $920.60 | 4 |
| Nuclear rx intracav admin CPT 79200 | not published | not published | $213.17 – $916.68 | 4 |
| Nuclear rx IV admin CPT 79101 | not published | not published | $213.17 – $907.24 | 4 |
| Nuclear Stress Test (Heart) CPT 78452 | $7,136.16 | $7,136.16 | $287.43 – $2,938.37 | 3 |
| Nuclr rx interstit colloid CPT 79300 | not published | not published | $237.11 – $1,034.53 | 4 |
| Nudge control elbow lock HCPCS L6637 | not published | not published | $380.48 – $542.81 | 12 |
| Nudt15 gene common variants CPT 81306 | not published | not published | $291.36 – $1,109.09 | 13 |
| Nushield 1 square cm HCPCS Q4160 | not published | not published | $69.49 – $825.00 | 4 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | not published | not published | $1,098.66 – $3,408.30 | 2 |
| Obecbtge autol up to 400 mil HCPCS Q2058 | not published | not published | $737,362.50 – $737,362.50 | 1 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | not published | not published | $56.41 – $216.32 | 5 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $57.48 – $559.47 | 15 |
| Obstetrics panel CPT 80055 | not published | not published | $47.81 – $357.32 | 15 |
| Obtaining screen pap smear HCPCS Q0091 | not published | not published | $24.67 – $120.02 | 2 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | not published | not published | $217.64 – $346.76 | 4 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | not published | not published | $110.29 – $227.94 | 2 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $43.36 – $157.20 | 5 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | not published | not published | $0.44 – $1.75 | 5 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | not published | not published | $153.44 – $527.80 | 5 |
| Ocular function screen CPT 99172 | not published | not published | $52.94 – $366.82 | 3 |
| Ocular instrumnt screen bil CPT 99174 | not published | not published | $3.81 – $108.91 | 3 |
| Ocular instrumnt screen bil CPT 99177 | not published | not published | $2.99 – $3.99 | 2 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $56.00 – $164.91 | 2 |
| Offset knee joint each HCPCS L2390 | not published | not published | $96.67 – $137.91 | 12 |
| Offset knee joint heavy duty HCPCS L2395 | not published | not published | $134.85 – $192.39 | 12 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | $258.07 | $258.07 | $0.70 – $2.15 | 5 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $2.19 – $8.37 | 5 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | $8,704.09 | $8,704.09 | $30.09 – $120.58 | 5 |
| Onc breast mrna 12 genes CPT 81522 | not published | not published | $3,873.00 – $14,743.20 | 13 |
| Onc breast mrna 58 genes CPT 81520 | not published | not published | $2,510.21 – $9,555.54 | 13 |
| Onc breast mrna 70 genes CPT 81521 | not published | not published | $3,873.00 – $14,743.20 | 13 |
| Onc brst mrna 11 genes CPT 81518 | not published | not published | $3,873.00 – $14,743.20 | 13 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,873.00 – $14,743.20 | 13 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $7,193.00 – $27,381.31 | 13 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,116.00 – $11,861.56 | 13 |
| Oncology colorectal scr CPT 81528 | not published | not published | $390.74 – $2,066.01 | 15 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $3,179.22 | 14 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $974.16 | 14 |
| Oncology lung CPT 81538 | not published | not published | $2,871.00 – $10,928.91 | 13 |
| Oncology prostate prob score CPT 81539 | not published | not published | $760.00 – $2,893.06 | 13 |
| Oncology tissue of origin CPT 81504 | not published | not published | $520.00 – $1,979.46 | 13 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,750.00 – $14,274.98 | 13 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $688.76 – $3,414.57 | 14 |
| Onco (ovar) two proteins CPT 81500 | $1,740.96 | $1,740.96 | $260.50 – $991.67 | 13 |
| Oncoprotein dcp CPT 83951 | not published | not published | $49.45 – $370.39 | 15 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $49.45 – $365.36 | 15 |
| Onc prostate 3 genes CPT 81551 | not published | not published | $2,030.00 – $7,727.52 | 13 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $3,873.00 – $14,743.20 | 13 |
| Onc prostate mrna 46 genes CPT 81541 | not published | not published | $3,873.00 – $14,743.20 | 13 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,600.00 – $13,703.98 | 13 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $7,776.00 – $29,600.59 | 13 |
| Ondansetron 4 mg s0119 HCPCS S0119 | not published | not published | $0.42 – $0.42 | 1 |
| Ondansetron 8 mg disintegrating tablet HCPCS Q0162 | not published | not published | $0.01 – $0.03 | 5 |
| Ondansetron hcl (pf) 2 mg/ml injection (wrapper) HCPCS J2405 | not published | not published | $0.07 – $0.70 | 5 |
| One way chest drain valve HCPCS A7040 | not published | not published | $42.18 – $60.18 | 12 |
| Oocyte identification CPT 89254 | not published | not published | $149.16 – $725.66 | 3 |
| Ophthalmic biometry CPT 92136 | not published | not published | $354.33 – $354.33 | 1 |
| Ophthalmic mitomycin HCPCS J7315 | not published | not published | $399.13 – $399.13 | 1 |
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.