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 |
|---|---|---|---|---|
| Pq dr cath chg w cont s&i CPT 75984 | $1,021.38 | $1,021.38 | $141.82 – $512.03 | 2 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $280.33 – $1,040.71 | 5 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | $595.40 | $595.40 | $80.47 – $275.71 | 2 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | not published | not published | $103.86 – $113.36 | 11 |
| Prealbumin CPT 84134 | $266.77 | $266.77 | $11.21 – $82.74 | 15 |
| Pr ecg 12 lead report only CPT 93010 | not published | not published | $35.00 – $35.00 | 1 |
| Pr ecg external < 48 hours continuous recording/storage r&i by a phys/qhp CPT 93227 | not published | not published | $11.05 – $111.33 | 3 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $0.47 – $0.47 | 1 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | $33.37 | $33.37 | $0.36 – $2.44 | 5 |
| Prednisone 1 mg tablet HCPCS J7512 | not published | not published | $0.01 – $0.03 | 5 |
| Prefab glove for term device HCPCS L6890 | not published | not published | $156.17 – $222.81 | 12 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $11.56 – $82.30 | 15 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $2,378.78 | $2,378.78 | $181.49 – $601.65 | 4 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $1,131.35 | $1,131.35 | $178.80 – $601.65 | 4 |
| Pr e&m preventive medicine initial comprehensive new patient 12-17 years CPT 99384 | not published | not published | $59.38 – $79.17 | 2 |
| Prep ak ischial direct form HCPCS L5570 | not published | not published | $1,855.32 – $2,646.92 | 12 |
| Prep ak ischial laminated HCPCS L5590 | not published | not published | $2,207.26 – $3,149.02 | 12 |
| Prep ak ischial plast molded HCPCS L5560 | not published | not published | $1,784.57 – $2,545.99 | 12 |
| Prep ak ischial thermo mold HCPCS L5580 | not published | not published | $2,165.95 – $3,090.10 | 12 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $49.76 – $242.08 | 3 |
| Prep bk ptb laminated socket HCPCS L5540 | not published | not published | $1,739.26 – $2,481.35 | 12 |
| Prep bk ptb open end socket HCPCS L5535 | not published | not published | $1,647.11 – $2,349.87 | 12 |
| Prep bk ptb plaster molded HCPCS L5510 | not published | not published | $1,336.75 – $1,907.10 | 12 |
| Prep bk ptb thermopls molded HCPCS L5530 | not published | not published | $1,671.36 – $2,384.47 | 12 |
| Pressure max expiratory/inspiratory CPT 94799 | $43.09 | $43.09 | $146.05 – $146.05 | 1 |
| Pressure velocity wire add ves CPT 93572 | not published | not published | $679.08 – $679.08 | 1 |
| Pre-tibial shell molded to p HCPCS L2340 | not published | not published | $496.13 – $707.82 | 12 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $3.87 – $725.66 | 4 |
| Pretreat rbc absorption reference CPT 86978 | not published | not published | $3.87 – $164.63 | 4 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $4.50 – $725.66 | 4 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $3.22 – $164.63 | 4 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $2.57 – $1,416.98 | 4 |
| Prev med cnsl indiv apprx 15 CPT 99401 | not published | not published | $14.23 – $18.98 | 2 |
| Prev med cnsl indiv apprx 30 CPT 99402 | not published | not published | $28.74 – $38.32 | 2 |
| Prev med cnsl indiv apprx 45 CPT 99403 | not published | not published | $42.97 – $57.30 | 2 |
| Prev med cnsl indiv apprx 60 CPT 99404 | not published | not published | $57.94 – $77.25 | 2 |
| Prgrmg dev eval impltbl sys CPT 93260 | not published | not published | $120.52 – $120.52 | 1 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | not published | not published | $252.26 – $252.26 | 1 |
| Prgrmg dev eval scrms ip CPT 93285 | not published | not published | $108.38 – $108.38 | 1 |
| Prgrmg eval implantable dfb CPT 93282 | not published | not published | $332.92 – $332.92 | 1 |
| Prgrmg eval implantable dfb CPT 93283 | not published | not published | $369.98 – $369.98 | 1 |
| Prgrmg eval implantable dfb CPT 93284 | not published | not published | $391.49 – $391.49 | 1 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $693.28 | $693.28 | $213.25 – $913.00 | 5 |
| Procalcitonin CPT 84145 | $693.65 | $693.65 | $20.90 – $154.00 | 15 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $137.86 – $137.86 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $167.56 | $167.56 | $2.19 – $6.68 | 5 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.32 – $2.07 | 2 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $101.95 – $336.92 | 4 |
| Progesterone CPT 84144 | $836.57 | $836.57 | $16.02 – $118.35 | 15 |
| Prolactin CPT 84146 | $961.52 | $961.52 | $14.88 – $109.94 | 15 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | not published | not published | $18.10 – $24.13 | 2 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.08 – $0.77 | 2 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $2.48 – $10.52 | 5 |
| Propofol infusion 10 mg/ml HCPCS J2704 | not published | not published | $0.07 – $0.24 | 5 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | not published | $9.05 – $29.12 | 2 |
| Pros sheath/sock w gel cushn HCPCS L8417 | not published | not published | $67.74 – $96.64 | 12 |
| Pros soc insert gasket/seal HCPCS L7700 | not published | not published | $132.31 – $188.77 | 12 |
| Pros sock multi ply upper lm HCPCS L8435 | not published | not published | $19.30 – $27.54 | 12 |
| Pros sock single ply ak HCPCS L8480 | not published | not published | $8.45 – $12.06 | 12 |
| Pros sock single ply upper l HCPCS L8485 | not published | not published | $10.62 – $15.15 | 12 |
| Prostate biopsy, any mthd HCPCS G0416 | not published | not published | $291.26 – $1,416.98 | 4 |
| Prostate ca screening; dre HCPCS G0102 | not published | not published | $95.85 – $95.85 | 1 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | not published | not published | $98.43 – $140.43 | 12 |
| Prosthesis voc lopres 20f 22mm HCPCS L8507 | not published | not published | $37.76 – $53.86 | 12 |
| Prosthetic sock multi ply bk HCPCS L8420 | not published | not published | $18.81 – $26.84 | 12 |
| Prosthetic type socket molde HCPCS L2350 | not published | not published | $856.86 – $1,222.45 | 12 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | not published | not published | $6.13 – $8.74 | 12 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $1,765.80 | $1,765.80 | $1.05 – $4.16 | 5 |
| Protect body sock ea pre ots HCPCS L0984 | not published | not published | $58.25 – $83.11 | 12 |
| Protector nerve neurawrap 4cm HCPCS C9353 | not published | not published | $1,027.64 – $1,027.64 | 1 |
| Protein analysis w/probe CPT 88372 | not published | not published | $26.22 – $129.07 | 14 |
| Protein c activity CPT 85303 | not published | not published | $10.63 – $78.44 | 15 |
| Protein c concentrate HCPCS J2724 | not published | not published | $11.27 – $39.78 | 5 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $676.06 | $676.06 | $8.25 – $60.94 | 15 |
| Protein s total CPT 85305 | not published | not published | $8.92 – $65.77 | 15 |
| Protein total 24 hour urine CPT 84156 | $665.23 | $665.23 | $2.82 – $20.79 | 15 |
| Protein total body fluid CPT 84157 | not published | not published | $3.07 – $20.79 | 15 |
| Protein total serum plasma whole blood CPT 84155 | $477.39 | $477.39 | $2.82 – $20.79 | 15 |
| Protein western blot tissue CPT 88371 | not published | not published | $22.23 – $126.06 | 14 |
| Prothrombin complex kcentra HCPCS J7168 | not published | not published | $2.77 – $5.54 | 2 |
| Prothrombin time substitution plasma fractions each CPT 85611 | not published | not published | $3.02 – $22.37 | 15 |
| Proton treatment complex CPT 77525 | not published | not published | $1,832.29 – $1,832.29 | 1 |
| Proton trmt intermediate CPT 77523 | not published | not published | $5,164.42 – $5,164.42 | 1 |
| Proton trmt simple w/comp CPT 77522 | not published | not published | $3,947.90 – $3,947.90 | 1 |
| Proton trmt simple without comp CPT 77520 | not published | not published | $1,301.26 – $1,301.26 | 1 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $7.48 – $48.84 | 15 |
| Pr planning advance care 1st 30 minutes CPT 99497 | not published | not published | $89.71 – $95.99 | 10 |
| Prq card angio/athrect addl CPT 92925 | not published | not published | $131.78 – $131.78 | 1 |
| Prq cardiac angio addl art CPT 92921 | not published | not published | $146.40 – $146.40 | 1 |
| Prq card revasc chronic addl CPT 92944 | not published | not published | $31.95 – $31.95 | 1 |
| Prq card revasc mi 1 vsl CPT 92941 | not published | not published | $2,730.09 – $2,730.09 | 1 |
| Prq card stent/ath/angio CPT 92934 | not published | not published | $29.29 – $29.29 | 1 |
| Prq card stent w/angio addl CPT 92929 | not published | not published | $95.85 – $95.85 | 1 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | not published | not published | $2,367.53 – $2,367.53 | 1 |
| Prq revasc byp graft addl CPT 92938 | not published | not published | $94.50 – $94.50 | 1 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | not published | not published | $2,367.53 – $2,367.53 | 1 |
| Prq trlml c athrc st angiop1 CPT 92933 | not published | not published | $2,727.15 – $2,727.15 | 1 |
| Prq trluml c angiop 1art&/br CPT 92920 | not published | not published | $2,072.67 – $2,072.67 | 1 |
| Prq trluml c athrc 1 art&/br CPT 92924 | not published | not published | $2,505.48 – $2,505.48 | 1 |
| Prq trluml revsc ch occ ant CPT 92943 | not published | not published | $2,730.09 – $2,730.09 | 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.