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 |
|---|---|---|---|---|
| Antibody influenza virus CPT 86710 | not published | not published | $10.40 – $76.90 | 15 |
| Antibody lymphocytic choriomeningitis CPT 86727 | not published | not published | $9.88 – $73.00 | 15 |
| Antibody screen rbc CPT 86850 | $392.09 | $392.09 | $9.77 – $61.02 | 14 |
| Antibody tetanus CPT 86774 | not published | not published | $11.36 – $83.96 | 15 |
| Antidepressant tricyclic 3-5 CPT 80336 | not published | not published | $101.54 – $101.54 | 1 |
| Antiepileptics nos 4-6 CPT 80340 | not published | not published | $84.08 – $84.08 | 1 |
| Antiepileptics nos 7/more CPT 80341 | not published | not published | $84.08 – $84.08 | 1 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | not published | not published | $1.09 – $3.95 | 5 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $0.90 – $3.29 | 5 |
| Anti-inhibitor HCPCS J7198 | not published | not published | $1.80 – $6.47 | 5 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $9.25 – $48.92 | 15 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | not published | not published | $9.25 – $48.92 | 15 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | not published | not published | $9.25 – $48.92 | 15 |
| Antinuclear antibodies CPT 86038 | $211.76 | $211.76 | $9.29 – $68.57 | 15 |
| Antinuclear antibodies titer CPT 86039 | not published | not published | $8.57 – $63.34 | 15 |
| Antiphosphatidylserine antibody CPT 86148 | not published | not published | $12.34 – $61.20 | 15 |
| Antipsychotics nos 1-3 CPT 80342 | not published | not published | $88.35 – $88.35 | 1 |
| Antipsychotics nos 4-6 CPT 80343 | not published | not published | $88.35 – $88.35 | 1 |
| Antipsychotics nos 7/more CPT 80344 | not published | not published | $88.35 – $88.35 | 1 |
| Antistreptolysin o screen CPT 86063 | not published | not published | $4.43 – $32.76 | 15 |
| Antistreptolysin o titer CPT 86060 | $510.70 | $510.70 | $5.60 – $41.41 | 15 |
| Antithrombin iii activity CPT 85300 | not published | not published | $9.10 – $54.89 | 15 |
| Antithrombin iii injection HCPCS J7197 | not published | not published | $2.96 – $10.73 | 5 |
| Antithrombin recombinant HCPCS J7196 | not published | not published | $130.41 – $130.41 | 1 |
| Anti-thymocyte glob (equine)(1:1000) intradermal test dose HCPCS J7504 | not published | not published | $3,282.22 – $14,066.01 | 5 |
| Antithymocyte globuln rabbit HCPCS J7511 | not published | not published | $704.51 – $2,675.84 | 5 |
| Ant sgm img ir flrscn angrph CPT 92287 | not published | not published | $503.60 – $503.60 | 1 |
| Ant sgm img i&r speclr mic CPT 92286 | not published | not published | $593.81 – $593.81 | 1 |
| Aoi transducer/actuator repl HCPCS L8694 | not published | not published | $851.24 – $1,214.43 | 12 |
| Aortic dysfunction/dilation CPT 81410 | not published | not published | $504.00 – $1,918.55 | 13 |
| Aortic dysfunction/dilation CPT 81411 | not published | not published | $1,350.19 – $5,139.69 | 13 |
| Apc gene dup/delet variants CPT 81203 | not published | not published | $200.00 – $1,790.30 | 14 |
| Apc gene full sequence CPT 81201 | not published | not published | $780.00 – $3,578.81 | 14 |
| Apc gene known fam variants CPT 81202 | not published | not published | $280.00 – $2,851.66 | 14 |
| Apl(pml-rara) quant - sendout CPT 81315 | not published | not published | $207.31 – $789.16 | 14 |
| Apomorphine hydrochloride HCPCS J0364 | not published | not published | $32.22 – $114.27 | 2 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | not published | not published | $4.51 – $39.14 | 13 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | not published | not published | $8.61 – $44.29 | 13 |
| Apply interstit radiat compl CPT 77778 | not published | not published | $1,782.39 – $3,347.79 | 2 |
| Apply intrcav radiat compl CPT 77763 | not published | not published | $1,356.62 – $2,669.38 | 2 |
| Apply intrcav radiat interm CPT 77762 | not published | not published | $1,028.84 – $1,894.04 | 2 |
| Apply intrcav radiat simple CPT 77761 | not published | not published | $782.09 – $1,255.68 | 2 |
| Apply srs headframe add-on CPT 61800 | not published | not published | $88.30 – $117.74 | 2 |
| Apply surf ldr radionuclide CPT 77789 | not published | not published | $231.68 – $324.56 | 2 |
| App mdlty 1+hubbrd tnk ea 15 CPT 97036 | not published | not published | $25.37 – $49.44 | 13 |
| Aprepitant 130 mg/18 ml (7.2 mg/ml) intravenous emulsion HCPCS J0185 | not published | not published | $1.28 – $4.53 | 5 |
| Aprotonin, 10,000 kiu HCPCS J0365 | not published | not published | $2.41 – $2.41 | 1 |
| #aptt mix-1:1 incubated CPT 87532 | not published | not published | $26.95 – $199.10 | 15 |
| Aqaprn-4 antb flo cytmtry ea CPT 86053 | not published | not published | $12.05 – $143.60 | 15 |
| Aqmbf pet rest & rx stress CPT 78434 | not published | not published | $110.94 – $1,401.60 | 2 |
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $9.25 – $48.92 | 15 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $8.85 – $46.81 | 15 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | not published | not published | $27.13 – $57.68 | 13 |
| Aquatic exercise - group charge CPT 97150 | not published | not published | $12.97 – $39.14 | 13 |
| Architect ecm px fx 1 sq cm HCPCS Q4147 | not published | not published | $336.92 – $336.92 | 1 |
| Arch supp att to shoe long/m HCPCS L3090 | not published | not published | $36.62 – $52.25 | 12 |
| Arch supp att to shoe metata HCPCS L3080 | not published | not published | $28.58 – $40.78 | 12 |
| Arch suprt att to sho longit HCPCS L3070 | not published | not published | $28.58 – $40.78 | 12 |
| Arformoterol non-comp unit HCPCS J7605 | not published | not published | $0.52 – $1.91 | 5 |
| Argatroban dialysis (accord) HCPCS J0892 | not published | not published | $3.68 – $12.59 | 2 |
| Argatroban dialysis, auromed HCPCS J0899 | not published | not published | $1.01 – $3.84 | 5 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | not published | not published | $0.71 – $1.62 | 5 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $3.68 – $4.82 | 2 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $1.01 – $3.84 | 5 |
| Argatroban nonesrd use 1mg HCPCS J0883 | not published | not published | $0.71 – $1.62 | 5 |
| Ar gene charac alleles CPT 81204 | not published | not published | $137.00 – $521.51 | 13 |
| Ar gene full gene sequence CPT 81173 | not published | not published | $301.35 – $1,147.15 | 13 |
| Ar gene known famil variant CPT 81174 | not published | not published | $185.20 – $704.99 | 13 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | not published | not published | $2.44 – $8.85 | 5 |
| Aripiprazole injection HCPCS J0400 | not published | not published | $0.68 – $0.87 | 2 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | not published | not published | $3.59 – $19.58 | 5 |
| Artacent ac 1 sq cm HCPCS Q4190 | not published | not published | $133.12 – $336.92 | 4 |
| Artacent wound, per sq cm HCPCS Q4169 | not published | not published | $336.92 – $3,456.55 | 2 |
| Artery xray each vessel 7577426 CPT 75774 | $9,962.46 | $9,962.46 | $169.95 – $2,381.38 | 2 |
| Artery xray of abdomen 75726-26 CPT 75726 | $9,962.46 | $9,962.46 | $308.67 – $10,733.33 | 4 |
| Artery x-rays adrenal gland CPT 75731 | not published | not published | $201.40 – $6,438.74 | 4 |
| Artery x-rays adrenals CPT 75733 | not published | not published | $230.92 – $6,438.74 | 4 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | not published | not published | $276.38 – $6,438.74 | 4 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | not published | not published | $291.18 – $6,438.74 | 4 |
| Artery x-rays chest CPT 75756 | not published | not published | $206.32 – $6,438.74 | 4 |
| Artery x-rays lung CPT 75741 | not published | not published | $223.77 – $6,438.74 | 4 |
| Artery x-rays lung CPT 75746 | not published | not published | $195.99 – $6,438.74 | 4 |
| Artery x-rays lungs CPT 75743 | $9,962.46 | $9,962.46 | $285.01 – $6,438.74 | 4 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $9,962.41 | $9,962.41 | $191.60 – $10,733.33 | 4 |
| Artery x-rays spine CPT 75705 | not published | not published | $464.19 – $10,733.33 | 4 |
| Artificial larynx HCPCS L8500 | not published | not published | $807.95 – $1,152.68 | 12 |
| Artiss fibrin sealant HCPCS C9250 | not published | not published | $165.71 – $377.57 | 2 |
| Ashkenazi jewish assoc dis CPT 81412 | not published | not published | $2,448.56 – $9,320.82 | 13 |
| Aspa gene CPT 81200 | not published | not published | $47.25 – $608.23 | 14 |
| Assay acid phosphatase CPT 84060 | not published | not published | $5.87 – $41.90 | 15 |
| Assay alkaline phosphatase CPT 84078 | not published | not published | $6.35 – $41.41 | 15 |
| Assay blood catecholamines CPT 82383 | not published | not published | $22.33 – $142.14 | 15 |
| Assay chondroitin sulfate CPT 82485 | not published | not published | $15.86 – $117.13 | 15 |
| Assay dir meas fr estradiol CPT 82681 | not published | not published | $27.94 – $113.44 | 14 |
| Assay duodenal fluid trypsin CPT 84485 | not published | not published | $5.53 – $42.59 | 15 |
| Assay free hydroxyproline CPT 83500 | not published | not published | $17.39 – $128.50 | 15 |
| Assay malate dehydrogenase CPT 83775 | not published | not published | $5.66 – $41.82 | 15 |
| Assay myeloperoxidase CPT 83876 | not published | not published | $39.05 – $195.20 | 15 |
| Assay neurflmnt light chain CPT 83884 | not published | not published | $116.23 – $124.37 | 10 |
| Assay of adp & amp CPT 82030 | not published | not published | $19.81 – $146.36 | 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.