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 |
|---|---|---|---|---|
| Thromboxane urine CPT 84431 | not published | not published | $26.96 – $133.63 | 15 |
| Th/wght bear nar m-l brim cu HCPCS L2526 | not published | not published | $638.26 – $910.59 | 12 |
| Th/wght bear nar m-l brim mo HCPCS L2525 | not published | not published | $1,118.46 – $1,595.67 | 12 |
| Th/wght bear quad-lat brim c HCPCS L2520 | not published | not published | $414.56 – $591.43 | 12 |
| Th/wght bear quad-lat brim m HCPCS L2510 | not published | not published | $628.44 – $896.57 | 12 |
| Thyroglobulin antibody CPT 86800 | $676.06 | $676.06 | $12.22 – $90.21 | 15 |
| Thyroid imaging CPT 78013 | not published | not published | $64.16 – $983.16 | 4 |
| Thyroid met imaging CPT 78015 | not published | not published | $119.38 – $1,037.91 | 4 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $123.50 – $1,267.21 | 4 |
| Thyroid mets imag whole body CPT 78018 | not published | not published | $146.40 – $1,413.45 | 4 |
| Thyroid met uptake CPT 78020 | not published | not published | $100.34 – $380.35 | 2 |
| Thyroid (TSH) Test CPT 84443 | $1,032.61 | $1,032.61 | $12.90 – $95.29 | 15 |
| Thyroid Ultrasound CPT 76536 | $1,612.29 | $1,612.29 | $101.59 – $482.96 | 4 |
| Thyroid uptake measurement CPT 78012 | not published | not published | $33.38 – $983.16 | 4 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $1,559.03 – $5,632.95 | 5 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $38.71 – $285.86 | 15 |
| Thyroxine binding globulin (tbg) CPT 84442 | not published | not published | $11.35 – $83.88 | 15 |
| Tibial length sock fx or equ HCPCS L2840 | not published | not published | $47.87 – $68.29 | 12 |
| Tibial tubercle hgt with toe f HCPCS L5020 | not published | not published | $1,819.61 – $2,595.98 | 12 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | not published | not published | $309.74 – $309.74 | 1 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | not published | not published | $309.74 – $309.74 | 1 |
| Tigecycline injection HCPCS J3243 | not published | not published | $0.22 – $1.48 | 5 |
| Tilt table locking hip sing HCPCS L5270 | not published | not published | $4,722.32 – $6,737.17 | 12 |
| Tilt table study CPT 93660 | not published | not published | $394.48 – $394.48 | 1 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $3.18 – $3.18 | 1 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $2.66 – $9.14 | 5 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $434,078.25 – $1,501,307.95 | 4 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $141.49 – $519.59 | 5 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $30.33 – $51.33 | 2 |
| Tissue culture placenta CPT 88235 | not published | not published | $115.41 – $835.30 | 15 |
| Tissue culture skin/biopsy CPT 88233 | $642.39 | $642.39 | $108.06 – $798.32 | 15 |
| Tissue culture tumor CPT 88239 | not published | not published | $113.27 – $836.85 | 15 |
| Tissue dermagraft 2x3in 37.5sqcm-cost per sq cm HCPCS Q4431 | not published | not published | $336.92 – $336.92 | 1 |
| Tissue exam koh skin/hair/nails CPT 87220 | not published | not published | $3.28 – $19.61 | 15 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $336.92 – $336.92 | 1 |
| Tissue matrix xcm thk 20x30cm -cost per sq cm HCPCS Q4142 | not published | not published | $336.92 – $336.92 | 1 |
| Tissue transglutaminase iga CPT 86364 | not published | not published | $8.85 – $46.81 | 15 |
| Tl-201 thallium diag per mci HCPCS A9505 | $485.25 | $485.25 | $30.31 – $126.56 | 2 |
| Tlso 2mod symphis-xipho pre HCPCS L0458 | not published | not published | $802.31 – $1,144.63 | 12 |
| Tlso 2 piece rigid shell HCPCS L0491 | not published | not published | $690.91 – $985.71 | 12 |
| Tlso 2 shl symphys-stern cst HCPCS L0460 | not published | not published | $903.06 – $1,288.37 | 12 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | not published | not published | $1,123.27 – $1,602.53 | 12 |
| Tlso 3 piece rigid shell HCPCS L0492 | not published | not published | $454.39 – $648.27 | 12 |
| Tlso corset front HCPCS L0970 | not published | not published | $115.89 – $165.34 | 12 |
| Tlso flex trnk sj-t9 pre ots HCPCS L0455 | not published | not published | $202.03 – $288.23 | 12 |
| Tlso full corset HCPCS L0974 | not published | not published | $154.57 – $220.53 | 12 |
| Tlso r fram soft ant pre cst HCPCS L0466 | not published | not published | $325.02 – $463.70 | 12 |
| Tlso r fram soft pre ots HCPCS L0467 | not published | not published | $226.58 – $323.25 | 12 |
| Tlso rig fram pelvic pre cst HCPCS L0468 | not published | not published | $430.60 – $614.32 | 12 |
| Tlso rig fram pelvic pre ots HCPCS L0469 | not published | not published | $288.70 – $411.88 | 12 |
| Tlso rigid frame pre subclav HCPCS L0470 | not published | not published | $549.47 – $783.90 | 12 |
| Tlso rigid lined custom fab HCPCS L0482 | not published | not published | $1,425.45 – $2,033.64 | 12 |
| Tlso rigid lined pre one pie HCPCS L0488 | not published | not published | $903.06 – $1,288.37 | 12 |
| Tlso rigid plastic cust fab HCPCS L0484 | not published | not published | $1,531.61 – $2,185.09 | 12 |
| Tlso rigid plastic custom fa HCPCS L0480 | not published | not published | $1,227.20 – $1,750.81 | 12 |
| Tlso rigid plastic pre one HCPCS L0490 | not published | not published | $254.50 – $363.08 | 12 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | not published | not published | $312.01 – $445.13 | 12 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $44.79 – $158.44 | 2 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $1.20 – $5.49 | 5 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $11.10 – $33.05 | 5 |
| Tobramycin peak therapeutic drug level CPT 80200 | not published | not published | $12.38 – $91.43 | 15 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $4.41 – $14.87 | 5 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $5.68 – $20.06 | 5 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $69.94 | $69.94 | $11.22 – $111.25 | 13 |
| Tomosynthesis breast screen bilateral CPT 77063 | $64.55 | $64.55 | $17.18 – $138.11 | 14 |
| Tone decay hearing test CPT 92563 | not published | not published | $66.74 – $66.74 | 1 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $0.95 – $3.31 | 5 |
| Topotecan oral HCPCS J8705 | not published | not published | $93.68 – $331.49 | 5 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $29.33 – $106.56 | 5 |
| Torsion ank & half solid sti HCPCS L2375 | not published | not published | $122.05 – $174.12 | 12 |
| Torsion straight knee joint HCPCS L2380 | not published | not published | $106.10 – $151.37 | 12 |
| Total Hip Replacement CPT 27130 | not published | not published | $16,603.53 – $16,603.53 | 1 |
| Total Knee Replacement CPT 27447 | not published | not published | $16,603.53 – $16,603.53 | 1 |
| Total tau CPT 84394 | not published | not published | $128.92 – $137.94 | 10 |
| Tot contact ak/knee disart s HCPCS L5650 | not published | not published | $448.25 – $639.50 | 12 |
| Tot estradiol response panel CPT 80415 | not published | not published | $42.91 – $317.00 | 15 |
| Toxoplasma antibody igg CPT 86777 | not published | not published | $11.05 – $81.65 | 15 |
| Toxoplasma antibody igm CPT 86778 | not published | not published | $11.06 – $81.69 | 15 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $641.85 – $2,443.28 | 13 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $308.00 – $1,172.44 | 13 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $329.51 – $1,254.33 | 13 |
| Tpmt gene com vrnts CPT 81335 | not published | not published | $174.81 – $665.45 | 13 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $272.87 – $1,036.34 | 5 |
| Trach care kit for new trach HCPCS A4625 | not published | not published | $7.40 – $10.56 | 12 |
| Tracheostoma hmes filter HCPCS A7504 | not published | not published | $0.73 – $1.04 | 12 |
| Tracheostoma stent/stud/bttn HCPCS A7524 | not published | not published | $82.75 – $118.05 | 12 |
| Tracheostomy care kit HCPCS A4629 | not published | not published | $4.97 – $7.09 | 12 |
| Trach/laryn tube plug/stop HCPCS A7527 | not published | not published | $3.82 – $5.46 | 12 |
| Train for caregiver add 15 HCPCS G0540 | not published | not published | $15.16 – $20.22 | 2 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | not published | not published | $39.32 – $61.18 | 12 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $624.41 | $624.41 | $0.34 – $0.34 | 1 |
| Transcatheter bx s&i CPT 75970 | not published | not published | $140.50 – $2,290.87 | 2 |
| Transcutaneous carboxyhb CPT 88740 | not published | not published | $7.19 – $35.67 | 15 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $3.85 – $28.83 | 15 |
| Transcutaneous methb CPT 88741 | not published | not published | $7.19 – $35.67 | 15 |
| Transferrin CPT 84466 | $352.83 | $352.83 | $9.79 – $60.62 | 15 |
| Transparent film >16<=48 in HCPCS A6258 | not published | not published | $4.60 – $6.57 | 12 |
| Transparent film <= 16 sq in HCPCS A6257 | not published | not published | $1.64 – $2.33 | 12 |
| Trans shoe caliper plate new HCPCS L3610 | not published | not published | $90.38 – $128.95 | 12 |
| Trans shoe calip plate exist HCPCS L3600 | not published | not published | $68.66 – $97.96 | 12 |
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.