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 |
|---|---|---|---|---|
| Phencyclidine (pcp) CPT 83992 | not published | not published | $4.21 – $201.99 | 4 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $22.08 – $77.06 | 5 |
| Phenobarbital therapeutic drug level CPT 80184 | $1,022.12 | $1,022.12 | $11.75 – $65.00 | 15 |
| Phentolaine mesylate inj HCPCS J2760 | $413.75 | $413.75 | $336.98 – $1,114.48 | 5 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.01 – $0.03 | 5 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $109.53 – $258.48 | 2 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.39 – $1.59 | 5 |
| Phenytoin total therapeutic drug level CPT 80185 | $625.55 | $625.55 | $10.18 – $75.19 | 15 |
| Phlebotomy therapeutic CPT 99195 | not published | not published | $303.63 – $303.63 | 1 |
| Phosphorus CPT 84100 | $245.43 | $245.43 | $3.64 – $26.92 | 15 |
| Phosphorus 24 hour urine CPT 84105 | not published | not published | $4.44 – $29.35 | 15 |
| Photo patch test CPT 95052 | not published | not published | $41.89 – $41.89 | 1 |
| Photosensitivity tests CPT 95056 | not published | not published | $28.86 – $28.86 | 1 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $49.76 – $242.08 | 4 |
| Phys blood bank serv reactj CPT 86078 | $1,405.78 | $1,405.78 | $127.61 – $725.66 | 4 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $24.67 – $179.49 | 4 |
| Phys review of motion tests CPT 96004 | not published | not published | $75.72 – $424.62 | 3 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $1.84 – $7.45 | 5 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | not published | not published | $570.90 – $918.20 | 2 |
| Pik3ca gene trgt seq alys CPT 81309 | not published | not published | $274.83 – $1,046.19 | 13 |
| Pillow shldr abduc inflat univ HCPCS L3960 | not published | not published | $620.37 – $885.06 | 12 |
| Pinworm exam CPT 87172 | not published | not published | $3.28 – $24.20 | 15 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $3.28 – $30.69 | 15 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | not published | not published | $0.84 – $2.89 | 5 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $444.95 – $3,287.63 | 15 |
| Place cath xtrnl carotid CPT 36227 | not published | not published | $1,519.64 – $1,519.64 | 1 |
| Place non-slctv cath thoracic arta CPT 36221 | not published | not published | $1,315.93 – $1,315.93 | 1 |
| Placental lactogen CPT 83632 | not published | not published | $15.52 – $114.65 | 15 |
| Place slctv cath carotd art uni CPT 36224 | not published | not published | $1,539.61 – $1,539.61 | 1 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | not published | not published | $1,315.93 – $1,315.93 | 1 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | not published | not published | $1,539.61 – $1,539.61 | 1 |
| Place slctv cath subclavian art CPT 36225 | not published | not published | $1,332.25 – $1,332.25 | 1 |
| Place slctv cath vertebral art uni CPT 36226 | not published | not published | $1,332.25 – $1,332.25 | 1 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | not published | not published | $49.09 – $49.09 | 1 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $20.90 – $20.90 | 1 |
| Plasma volume multiple CPT 78111 | not published | not published | $39.97 – $2,938.37 | 4 |
| Plasma volume single CPT 78110 | not published | not published | $29.33 – $2,938.37 | 4 |
| Plas shoe insert w ank joint HCPCS L2180 | not published | not published | $103.37 – $147.48 | 12 |
| Plastic mod low ext pad/line HCPCS L2275 | not published | not published | $112.19 – $160.06 | 12 |
| Plastic mold recipro hip & c HCPCS L2627 | not published | not published | $1,557.31 – $2,221.76 | 12 |
| Plast socket jts/thgh lacer HCPCS L5105 | not published | not published | $3,484.15 – $4,970.72 | 12 |
| Platelet aggregation each agent teg CPT 85576 | not published | not published | $19.13 – $121.84 | 15 |
| Platelet automated CPT 85049 | $211.39 | $211.39 | $3.44 – $25.37 | 15 |
| Platelet survival CPT 78191 | not published | not published | $91.26 – $1,472.52 | 4 |
| Plating chrome/nickel pr bar HCPCS L2750 | not published | not published | $72.04 – $102.77 | 12 |
| Plcg2 gene common variants CPT 81320 | not published | not published | $291.36 – $1,109.09 | 13 |
| Plerixafor injection HCPCS J2562 | not published | not published | $18.73 – $185.97 | 5 |
| Plethysmography lung volumes/airway resistance CPT 94726 | not published | not published | $166.42 – $166.42 | 1 |
| Plmt nephroureteral catheter CPT 50433 | not published | not published | $861.93 – $861.93 | 1 |
| Plug insert indwelling 16f HCPCS L8511 | not published | not published | $65.56 – $93.53 | 12 |
| Pm device progr eval dual CPT 93280 | not published | not published | $278.32 – $278.32 | 1 |
| Pm device progr eval multi CPT 93281 | not published | not published | $312.33 – $312.33 | 1 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $1,751.44 | 14 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $758.36 – $3,744.29 | 14 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $769.58 – $2,929.56 | 13 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $177.39 | 13 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $142.04 – $142.04 | 1 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.50 – $899.94 | 14 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $676.50 – $5,041.59 | 14 |
| Pms2 known familial variants CPT 81318 | not published | not published | $331.00 – $1,260.00 | 14 |
| Pneum full leg splnt pre ots HCPCS L4370 | not published | not published | $175.37 – $250.19 | 12 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $36.64 – $178.25 | 4 |
| Pn soln nos 10 grams lipids HCPCS B4185 | not published | not published | $12.22 – $16.29 | 2 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | not published | not published | $20.02 – $109.78 | 15 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $99.55 – $362.44 | 5 |
| Polycentric hinge pair HCPCS L6600 | not published | not published | $182.44 – $260.29 | 12 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | not published | not published | $2,861.76 – $2,861.76 | 1 |
| Polysom any age 1-3> param CPT 95808 | not published | not published | $2,586.14 – $2,586.14 | 1 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | not published | not published | $3,729.63 – $3,729.63 | 1 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $8.07 – $54.36 | 15 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $21,648.41 – $64,205.31 | 2 |
| Portable 02 contents, gas HCPCS E0443 | not published | not published | $46.39 – $66.19 | 12 |
| Portable 02 contents, liquid HCPCS E0444 | not published | not published | $46.39 – $66.19 | 12 |
| Positional nystagmus test CPT 92532 | not published | not published | $104.44 – $104.44 | 1 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $19.19 – $95.18 | 15 |
| Postop applicat rigid dsg on HCPCS L6388 | not published | not published | $403.66 – $575.88 | 12 |
| Postop app non-wgt bear dsg HCPCS L5450 | not published | not published | $394.10 – $562.25 | 12 |
| Postop app non-wgt bear dsg HCPCS L5460 | not published | not published | $580.88 – $828.72 | 12 |
| Postop dress & 1 cast chg bk HCPCS L5400 | not published | not published | $1,105.07 – $1,576.57 | 12 |
| Postop dsg & 1 cast chg ak/d HCPCS L5420 | not published | not published | $1,395.66 – $1,991.14 | 12 |
| Postop dsg ak ea add cast ch HCPCS L5430 | not published | not published | $616.06 – $878.92 | 12 |
| Postop dsg bk ea add cast ch HCPCS L5410 | not published | not published | $484.15 – $690.73 | 12 |
| Postop dsg cast chg elb dis/ HCPCS L6382 | not published | not published | $1,436.55 – $2,049.48 | 12 |
| Postop dsg cast chg wrst/elb HCPCS L6380 | not published | not published | $1,200.49 – $1,712.70 | 12 |
| Postop ea cast chg & realign HCPCS L6386 | not published | not published | $420.38 – $599.75 | 12 |
| Post-operative body jacket HCPCS L1310 | not published | not published | $1,631.12 – $2,327.07 | 12 |
| Post-op hip abduct custom fa HCPCS L1685 | not published | not published | $1,071.67 – $1,528.91 | 12 |
| Potassium 24 hour urine CPT 84133 | $177.34 | $177.34 | $3.63 – $24.40 | 15 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | not published | $0.16 – $0.32 | 5 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $4.48 – $22.19 | 15 |
| Potassium serum/plasma/whole blood CPT 84132 | $177.34 | $177.34 | $3.65 – $26.07 | 15 |
| Pouch clsd w barr attached HCPCS A5051 | not published | not published | $2.21 – $3.15 | 12 |
| Pouch drainable w barrier at HCPCS A5061 | not published | not published | $3.78 – $5.39 | 12 |
| Pouch high output 2pc 50mm red HCPCS A4413 | not published | not published | $5.89 – $8.40 | 12 |
| Pouch ostmy flat lk n 2.5in roll premier 1pc trnsp HCPCS A4388 | not published | not published | $4.66 – $6.64 | 12 |
| Pouch ostmy nb pouchkin ctf HCPCS A5062 | not published | not published | $2.39 – $3.40 | 12 |
| Pouch uros new (both sides) 2.75in clr HCPCS A4432 | not published | not published | $3.83 – $5.47 | 12 |
| Powder prem protct 1oz HCPCS A4371 | not published | not published | $3.90 – $5.56 | 12 |
| Ppp2r2b gen detc abnor allel CPT 81343 | not published | not published | $137.00 – $521.51 | 13 |
| Pq biliary strict dil s&i CPT 74363 | not published | not published | $146.52 – $1,307.52 | 2 |
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.