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 |
|---|---|---|---|---|
| Smear special stain inclusion bodies/parasites CPT 87207 | not published | not published | $4.60 – $33.98 | 15 |
| Smear wet mount CPT 87210 | $400.70 | $400.70 | $4.47 – $24.20 | 15 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $301.35 – $1,147.15 | 13 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $185.20 – $704.99 | 13 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $567.43 | 14 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $51.07 – $194.42 | 14 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $967.78 – $1,380.70 | 12 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $737.76 – $1,052.54 | 12 |
| Socket insert above knee HCPCS L5658 | not published | not published | $353.70 – $504.61 | 12 |
| Socket insert below knee HCPCS L5655 | not published | not published | $257.82 – $367.82 | 12 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $363.19 – $518.16 | 12 |
| Socket insert symes HCPCS L5654 | not published | not published | $304.51 – $434.44 | 12 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $537.56 – $766.91 | 12 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $645.08 – $920.31 | 12 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $30.08 – $42.92 | 12 |
| Sock wool above knee HCPCS L8430 | not published | not published | $20.33 – $29.00 | 12 |
| Sodium 24 hour urine CPT 84300 | $211.39 | $211.39 | $3.88 – $26.39 | 15 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $319.58 | $319.58 | $1.85 – $5.27 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $319.58 | $319.58 | $0.93 – $3.42 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.46 – $1.75 | 5 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.15 – $0.27 | 2 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $300.30 | $300.30 | $1.46 – $5.86 | 5 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $55.47 – $193.37 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $211.39 | $211.39 | $3.69 – $27.28 | 15 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $469.88 | $469.88 | $0.75 – $2.33 | 2 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $74.84 – $106.78 | 12 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $1,439.48 | 10 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $1,279.54 | 10 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $3,518.71 | 10 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $1,119.59 | 10 |
| Solid skin barrier HCPCS A4362 | not published | not published | $3.16 – $4.50 | 12 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $6.77 – $9.66 | 12 |
| Somatosensory testing CPT 95927 | not published | not published | $275.94 – $275.94 | 1 |
| Somatropin injection HCPCS J2941 | not published | not published | $144.29 – $436.99 | 2 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $3,198.82 | 10 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $896.87 – $959.65 | 10 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $22.41 – $66.49 | 2 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $143.69 – $204.99 | 12 |
| Special physics consult CPT 77370 | not published | not published | $637.79 – $637.79 | 1 |
| Special radiation dosimetry CPT 77331 | not published | not published | $77.67 – $278.02 | 2 |
| Special radiation treatment CPT 77470 | not published | not published | $155.34 – $2,491.28 | 2 |
| Special teletx port plan CPT 77321 | not published | not published | $179.90 – $943.03 | 2 |
| Specific gravity body fluid CPT 84315 | not published | not published | $2.52 – $14.21 | 15 |
| Specimen fat stain CPT 89125 | not published | not published | $4.51 – $24.48 | 15 |
| Speech audiometry complete CPT 92556 | not published | not published | $100.11 – $100.11 | 1 |
| Speech evaluation complex CPT 70371 | not published | not published | $158.63 – $568.20 | 4 |
| Speech recep thresh CPT 92555 | not published | not published | $66.74 – $66.74 | 1 |
| Sperm antibody test CPT 89325 | not published | not published | $8.19 – $60.53 | 15 |
| Sperm evaluation test CPT 89329 | not published | not published | $15.04 – $118.96 | 15 |
| Sperm identification CPT 89257 | not published | not published | $49.76 – $242.08 | 3 |
| Sperm isolation complex CPT 89261 | not published | not published | $49.76 – $248.67 | 4 |
| Sperm isolation simple CPT 89260 | not published | not published | $49.76 – $242.08 | 4 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | not published | not published | $226.38 – $226.38 | 1 |
| Spleen imaging CPT 78185 | not published | not published | $60.30 – $848.52 | 4 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | not published | not published | $360.50 – $514.31 | 12 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | not published | not published | $42.38 – $60.47 | 12 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $79.03 – $112.75 | 12 |
| Splint finger frog med HCPCS L3927 | not published | not published | $28.63 – $40.84 | 12 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $2.01 – $2.87 | 12 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | not published | not published | $79.03 – $112.75 | 12 |
| Split blood or products CPT 86985 | $670.38 | $670.38 | $2.81 – $725.66 | 4 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $66.13 – $94.34 | 12 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $104.44 – $104.44 | 1 |
| Spring-ass rot wrst with latch HCPCS L6623 | not published | not published | $677.17 – $966.09 | 12 |
| Sputum specimen collection CPT 89220 | not published | not published | $72.26 – $725.66 | 4 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $3,480.75 – $10,987.80 | 2 |
| Srs cranial lesion complex CPT 61798 | not published | not published | $827.98 – $1,103.97 | 2 |
| Srs cran les complex addl CPT 61799 | not published | not published | $177.59 – $236.78 | 2 |
| Srs cran les simple addl CPT 61797 | not published | not published | $128.66 – $171.55 | 2 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $667.68 | 13 |
| Srs linear based CPT 77372 | not published | not published | $3,780.33 – $3,780.33 | 1 |
| Srs multisource CPT 77371 | not published | not published | $29,309.72 – $29,309.72 | 1 |
| Staggered spondaic word test CPT 92572 | not published | not published | $15.87 – $15.87 | 1 |
| Stainless steel any wrist HCPCS L6630 | not published | not published | $197.89 – $282.32 | 12 |
| St analysis behavior qualitative voice/resonance CPT 92524 | not published | not published | $79.34 – $146.26 | 13 |
| Stance phase only HCPCS L5858 | not published | not published | $16,752.38 – $23,900.06 | 12 |
| Standard control cable extra HCPCS L6655 | not published | not published | $68.98 – $98.41 | 12 |
| Staph a dna amp probe CPT 87640 | not published | not published | $26.95 – $201.82 | 15 |
| Static or dynami afo pre ots HCPCS L4397 | not published | not published | $150.94 – $215.35 | 12 |
| Stationary o2 contents, gas HCPCS E0441 | not published | not published | $51.21 – $73.06 | 12 |
| Stationary o2 contents, liq HCPCS E0442 | not published | not published | $51.21 – $73.06 | 12 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | not published | not published | $74.00 – $111.86 | 12 |
| Stem cells total count CPT 86367 | not published | not published | $59.72 – $296.11 | 15 |
| Stenger test pure tone CPT 92565 | not published | not published | $70.01 – $70.01 | 1 |
| Stenger test speech CPT 92577 | not published | not published | $125.74 – $125.74 | 1 |
| Stereotactic radiation trmt CPT 77432 | not published | not published | $261.31 – $1,774.12 | 4 |
| Sterile gauze <= 16 sq in HCPCS A6402 | not published | not published | $0.11 – $0.16 | 12 |
| Sterile water/saline, 10 ml HCPCS A4216 | not published | not published | $0.43 – $0.62 | 12 |
| Sterile water/saline, 500 ml HCPCS A4217 | not published | not published | $3.03 – $4.32 | 12 |
| Sternal pad HCPCS L1050 | not published | not published | $86.49 – $123.39 | 12 |
| St evaluate speech sound production CPT 92522 | not published | not published | $80.71 – $146.26 | 13 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $924.21 | $924.21 | $146.26 – $243.96 | 13 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $617.48 | $617.48 | $65.95 – $567.40 | 13 |
| St evaluation swallow function CPT 92610 | $833.11 | $833.11 | $61.94 – $567.40 | 13 |
| Stocking sup grips 4 pre ots HCPCS L0982 | not published | not published | $14.03 – $20.02 | 12 |
| Stoma absorptive cover HCPCS A5083 | not published | not published | $0.69 – $0.98 | 12 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $149.16 – $725.66 | 3 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $291.26 – $1,416.98 | 3 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $149.16 – $725.66 | 3 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $149.16 – $725.66 | 4 |
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.