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 |
|---|---|---|---|---|
| Tc-99m sestamibi p study dose HCPCS A9500 | $1,097.74 | $1,097.74 | $90.34 – $1,194.04 | 2 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $1,418.86 | $1,418.86 | $556.38 – $1,748.81 | 2 |
| Tc-99m sulfur colloid HCPCS A9541 | $1,290.52 | $1,290.52 | $248.17 – $1,991.21 | 2 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $754.60 | $754.60 | $79.15 – $309.79 | 2 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $614.08 – $614.08 | 1 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $1,200.79 – $1,200.79 | 1 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $1,203.91 – $1,203.91 | 1 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $1,099.58 – $1,099.58 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | not published | not published | $36.08 – $266.54 | 15 |
| T cells absolute cd 4 count CPT 86361 | $72.36 | $72.36 | $20.57 – $151.88 | 15 |
| T cells total count CPT 86359 | not published | not published | $28.97 – $213.96 | 15 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $161.07 – $588.86 | 5 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $3,933.01 – $3,933.01 | 1 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $48.19 – $68.75 | 12 |
| Telavancin injection HCPCS J3095 | not published | not published | $5.32 – $19.53 | 5 |
| Telehealth original site facility fee HCPCS Q3014 | not published | not published | $23.26 – $31.01 | 2 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $555.45 – $823.30 | 2 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $286.11 – $653.91 | 2 |
| Temozolomide HCPCS J8700 | not published | not published | $0.29 – $1.43 | 5 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $7.81 – $27.56 | 5 |
| Temperature gradient studies CPT 93740 | not published | not published | $38.13 – $38.13 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $22.74 – $53.85 | 5 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $121.84 – $495.47 | 5 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $2,316.74 – $2,316.74 | 1 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $2,879.40 – $4,107.94 | 12 |
| Tens suppl 2 lead per month HCPCS A4595 | not published | not published | $9.93 – $14.17 | 12 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $167.56 | $167.56 | $1.06 – $6.55 | 5 |
| Teriparatide injection HCPCS J3110 | not published | not published | $46.72 – $207.76 | 2 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $3,685.07 – $5,257.37 | 12 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $2,845.78 – $4,059.98 | 12 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $1,243.01 – $1,773.36 | 12 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $768.04 – $1,095.73 | 12 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $1,350.25 – $1,926.35 | 12 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $320.37 – $457.06 | 12 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $330.51 – $471.53 | 12 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $324.73 – $463.28 | 12 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $180.16 – $257.02 | 12 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $537.72 – $767.15 | 12 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $185.20 – $704.99 | 13 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $4.61 – $34.02 | 15 |
| Test for porphobilinogen CPT 84106 | not published | not published | $4.47 – $24.32 | 15 |
| Test for urine cystines CPT 82615 | not published | not published | $7.33 – $46.32 | 15 |
| Testicular imaging w/vasc flow CPT 78761 | not published | not published | $125.85 – $940.07 | 4 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $97.59 – $97.59 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $39.65 – $292.97 | 15 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $1.52 – $5.49 | 5 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $183.06 | $183.06 | $33.84 – $221.84 | 3 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $238.75 – $340.61 | 12 |
| Test socket above knee HCPCS L5624 | not published | not published | $371.95 – $530.66 | 12 |
| Test socket below knee HCPCS L5620 | not published | not published | $255.27 – $364.19 | 12 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $495.19 – $706.48 | 12 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $522.84 – $745.92 | 12 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $389.84 – $556.18 | 12 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $320.06 – $456.61 | 12 |
| Test socket symes HCPCS L5618 | not published | not published | $290.53 – $414.50 | 12 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $213.02 – $303.91 | 12 |
| Test stress cardiovascular tracing only CPT 93017 | $3,045.92 | $3,045.92 | $286.73 – $286.73 | 1 |
| Test urine for lactose CPT 83633 | not published | not published | $8.64 – $42.81 | 15 |
| Test urine for porphyrins CPT 84119 | not published | not published | $10.26 – $50.84 | 15 |
| Test urine urobilinogen CPT 84578 | not published | not published | $3.44 – $17.04 | 15 |
| Tetanus ig im CPT 90389 | not published | not published | $661.63 – $2,084.99 | 2 |
| Tetanus immune globulin inj HCPCS J1670 | $1,013.95 | $1,013.95 | $431.82 – $1,559.63 | 5 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $13.33 – $47.22 | 5 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $137.00 – $521.51 | 13 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $759.53 – $2,891.25 | 13 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,919.60 – $11,113.92 | 13 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $597.91 – $2,276.03 | 13 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $149.16 – $725.66 | 3 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $149.16 – $725.66 | 4 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $149.16 – $725.66 | 3 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $49.76 – $242.08 | 3 |
| Theophylline therapeutic drug level CPT 80198 | not published | not published | $10.86 – $80.27 | 15 |
| Therapeutic procd strg endur HCPCS G0237 | not published | not published | $114.33 – $114.33 | 1 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | not published | not published | $26.44 – $35.25 | 12 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | not published | not published | $23.05 – $30.74 | 12 |
| Ther nma rdctj intus/obstrcj CPT 74283 | not published | not published | $397.05 – $905.43 | 4 |
| Ther/proph/diag inj ia CPT 96373 | not published | not published | $416.34 – $416.34 | 1 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $103.52 – $696.04 | 4 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $66.68 – $468.79 | 4 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $43.21 – $311.27 | 4 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $183.51 | $183.51 | $1.32 – $4.80 | 5 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $4.33 – $4.33 | 1 |
| Thigh/wght bear high roll cu HCPCS L2550 | not published | not published | $247.53 – $353.14 | 12 |
| Thigh/wght bear lacer molded HCPCS L2540 | not published | not published | $364.37 – $519.84 | 12 |
| Thigh/wght bear lacer non-mo HCPCS L2530 | not published | not published | $202.49 – $288.89 | 12 |
| Thi/glut/ischia wgt bearing HCPCS L2500 | not published | not published | $280.09 – $399.60 | 12 |
| Thiotepa 15 mg solution for injection HCPCS J9341 | not published | not published | $102.16 – $102.16 | 1 |
| Thiotepa injection HCPCS J9340 | not published | not published | $183.79 – $245.05 | 3 |
| Thorac cont lat support upri HCPCS L2680 | not published | not published | $144.28 – $205.85 | 12 |
| Thorac cont paraspinal uprig HCPCS L2670 | not published | not published | $155.77 – $222.23 | 12 |
| Thoracic control thoracic ba HCPCS L2660 | not published | not published | $160.63 – $229.16 | 12 |
| Thoracic intern lock elbow HCPCS L6350 | not published | not published | $3,596.47 – $5,130.96 | 12 |
| Thoracic pad HCPCS L1060 | not published | not published | $103.74 – $148.00 | 12 |
| Thor rib belt custom fabrica HCPCS L0220 | not published | not published | $121.54 – $173.39 | 12 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $59.12 – $517.49 | 4 |
| Thrombin time CPT 85670 | not published | not published | $4.43 – $29.07 | 15 |
| Thrombin time titer CPT 85675 | not published | not published | $5.26 – $29.07 | 15 |
| Thrombomodulin CPT 85337 | not published | not published | $13.26 – $65.78 | 15 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $7.39 – $48.27 | 15 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | not published | not published | $4.96 – $36.70 | 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.