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 |
|---|---|---|---|---|
| Trans shoe solid stirrup exi HCPCS L3620 | not published | not published | $68.66 – $97.96 | 12 |
| Trans shoe solid stirrup new HCPCS L3630 | not published | not published | $90.38 – $128.95 | 12 |
| Trapezius sling HCPCS L1070 | not published | not published | $101.30 – $144.51 | 12 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | not published | not published | $56.77 – $194.72 | 5 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | not published | not published | $20.93 – $136.32 | 5 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | not published | not published | $18.70 – $44.55 | 5 |
| Tray trach basic clean/care ster HCPCS A4626 | not published | not published | $3.41 – $4.86 | 12 |
| Trb@ gene rearrange dirprobe CPT 81341 | not published | not published | $49.59 – $188.76 | 14 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $411.79 | $411.79 | $146.12 – $146.12 | 1 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $325.63 | $325.63 | $190.78 – $190.78 | 1 |
| Treatment inhalation pressurized/nonpressurized acute airway obstruction CPT 94640 | $245.68 | $245.68 | $51.26 – $51.26 | 1 |
| Treatment radiation delivery level 2 CPT 77407 | not published | not published | $383.58 – $383.58 | 1 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | not published | not published | $103.68 – $379.00 | 5 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $9.35 – $62.48 | 15 |
| Treponema pallidum antibody CPT 86780 | $145.17 | $145.17 | $10.17 – $76.12 | 15 |
| Treprostinil injection HCPCS J3285 | not published | not published | $42.62 – $144.37 | 5 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $570.30 – $2,098.75 | 5 |
| Trg gene rearrangement anal CPT 81342 | not published | not published | $201.50 – $767.07 | 14 |
| Trh stimulation panel CPT 80439 | not published | not published | $51.61 – $381.15 | 15 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $137.18 | $137.18 | $0.65 – $1.96 | 5 |
| Triamcinolone a inj prs-free HCPCS J3300 | not published | not published | $18.77 – $64.90 | 5 |
| Triamcinolone diacetate inj HCPCS J3302 | not published | not published | $0.25 – $0.87 | 2 |
| Triamcinolone hexacetonl inj HCPCS J3303 | not published | not published | $7.54 – $25.84 | 2 |
| Trichinella antibody CPT 86784 | not published | not published | $9.64 – $71.25 | 15 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $11.74 – $63.30 | 15 |
| #tricyclicantidprssnt CPT 80337 | not published | not published | $101.54 – $101.54 | 1 |
| Triglycerides CPT 84478 | not published | not published | $4.41 – $32.64 | 15 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $4.04 – $14.36 | 5 |
| Trimethobenzamide hci 250mg HCPCS Q0173 | not published | not published | $0.76 – $1.78 | 2 |
| Trimethobenzamide hcl inj HCPCS J3250 | not published | not published | $37.53 – $152.64 | 5 |
| Triptorelin pamoate HCPCS J3315 | not published | not published | $353.72 – $1,227.48 | 5 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | not published | not published | $1,827.46 – $1,827.46 | 1 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | not published | not published | $3,942.99 – $3,942.99 | 1 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | not published | not published | $3,942.99 – $3,942.99 | 1 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | not published | not published | $3,942.99 – $3,942.99 | 1 |
| Trnscath tx thromblytc vein ini day CPT 37212 | not published | not published | $3,942.99 – $3,942.99 | 1 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | not published | not published | $491.99 – $2,439.02 | 14 |
| Trnspl rej kdn mrna qpcr 139 CPT 81558 | not published | not published | $3,240.00 – $3,466.80 | 10 |
| Troponin quantitative CPT 84484 | $590.77 | $590.77 | $9.58 – $49.41 | 15 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $336.92 – $336.92 | 1 |
| Truss addition to std pad wa HCPCS L8320 | not published | not published | $54.82 – $78.22 | 12 |
| Truss add to std pad scrotal HCPCS L8330 | not published | not published | $45.33 – $64.67 | 12 |
| Truss double with standard pad HCPCS L8310 | not published | not published | $122.29 – $174.46 | 12 |
| Truss single with standard pad HCPCS L8300 | not published | not published | $77.46 – $110.51 | 12 |
| Tte w or without contr, cont ecg HCPCS C8930 | not published | not published | $2,699.63 – $2,699.63 | 1 |
| Tte w or without fol w/con,stres HCPCS C8928 | not published | not published | $3,586.17 – $3,586.17 | 1 |
| Tube drain vert dev st 5-40f HCPCS A5200 | not published | not published | $12.08 – $17.23 | 12 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | not published | not published | $50.28 – $71.73 | 12 |
| Tube trach disp innr can 6 xlt HCPCS A4623 | not published | not published | $7.00 – $9.99 | 12 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | not published | not published | $50.74 – $72.40 | 12 |
| Tubing (oxygen) per foot HCPCS A4616 | not published | not published | $0.06 – $0.09 | 12 |
| Tubular dressing HCPCS A6457 | not published | not published | $1.22 – $1.73 | 12 |
| Twelve volt battery utah/equ HCPCS L7364 | not published | not published | $456.86 – $651.78 | 12 |
| Tx atrial fib pulm vein isol CPT 93656 | not published | not published | $34,575.19 – $34,575.19 | 1 |
| Tx l/r atrial fib addl CPT 93657 | not published | not published | $34,575.19 – $34,575.19 | 1 |
| Tx septic abortion surgical 59830 CPT 59830 | not published | not published | $277.73 – $370.31 | 2 |
| Tympanometry & reflex thresh CPT 92550 | not published | not published | $301.32 – $301.32 | 1 |
| Tyms gene com variants CPT 81346 | not published | not published | $174.81 – $665.45 | 13 |
| Typhoid vaccine oral CPT 90690 | not published | not published | $108.72 – $372.96 | 2 |
| U2af1 gene common variants CPT 81357 | not published | not published | $193.25 – $735.63 | 13 |
| Ua w/micro/comp poc CPT 81000 | not published | not published | $3.09 – $17.99 | 15 |
| Ublituximab-xiiy 25 mg/ml intravenous solution HCPCS J2329 | not published | not published | $51.49 – $185.98 | 5 |
| Ue triple control harness HCPCS L6677 | not published | not published | $267.39 – $381.48 | 12 |
| Ugt1a1 gene analy common variants CPT 81350 | not published | not published | $234.00 – $890.75 | 14 |
| Ultrasound abdomen aorta screening study aaa CPT 76706 | $730.07 | $730.07 | $98.60 – $485.84 | 4 |
| Ultrasound bone density measure CPT 76977 | not published | not published | $10.07 – $245.18 | 4 |
| Ultrasound breast complete CPT 76641 | not published | not published | $129.75 – $392.79 | 4 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | not published | not published | $120.67 – $309.43 | 4 |
| Ultrasound chest CPT 76604 | $1,938.57 | $1,938.57 | $106.40 – $358.04 | 4 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $639.59 | $639.59 | $84.37 – $412.99 | 4 |
| Ultrasound dx ophth b-scan CPT 76512 | not published | not published | $73.62 – $551.69 | 4 |
| Ultrasound elastography ea l target les CPT 76983 | not published | not published | $92.77 – $92.77 | 1 |
| Ultrasound elastography parenchyma CPT 76981 | not published | not published | $112.15 – $438.84 | 4 |
| Ultrasound encephalogram CPT 76506 | $2,392.47 | $2,392.47 | $112.94 – $473.35 | 4 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $2,300.90 | $2,300.90 | $133.61 – $643.65 | 4 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $607.13 | $607.13 | $141.60 – $467.33 | 4 |
| Ultrasound guidance for vascular access CPT 76937 | not published | not published | $52.16 – $147.69 | 2 |
| Ultrasound guided needle placement supervision & interpretation CPT 76942 | not published | not published | $121.08 – $652.45 | 2 |
| Ultrasound guide intraoperative CPT 76998 | not published | not published | $184.82 – $184.82 | 1 |
| Ultrasound guide tissue ablation CPT 76940 | not published | not published | $389.78 – $764.97 | 2 |
| Ultrasound hips infant dynamic CPT 76885 | $2,098.27 | $2,098.27 | $131.04 – $580.34 | 4 |
| Ultrasound infant hips ltd without stress CPT 76886 | not published | not published | $110.29 – $406.22 | 4 |
| Ultrasound joint complete left CPT 76881 | $798.94 | $798.94 | $44.02 – $387.92 | 4 |
| Ultrasound joint/nonvascular extremity limited left CPT 76882 | $457.87 | $457.87 | $123.32 – $387.92 | 4 |
| Ultrasound nrv&acc strux 1xtr compre CPT 76883 | not published | not published | $65.56 – $245.64 | 4 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $3,590.29 | $3,590.29 | $166.43 – $429.00 | 2 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $1,131.35 | $1,131.35 | $84.75 – $383.85 | 2 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | not published | not published | $349.51 – $1,105.50 | 4 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $1,400.30 | $1,400.30 | $157.23 – $402.40 | 4 |
| Ultrasound pregnant uterus limited >= 1 fetuses CPT 76815 | not published | not published | $118.17 – $404.12 | 4 |
| Ultrasound pregnant uterus transvaginal CPT 76817 | $748.45 | $748.45 | $136.34 – $439.53 | 4 |
| Ultrasound prostate/transrectal CPT 76872 | not published | not published | $122.79 – $973.59 | 4 |
| Ultrasound retroperitoneal limited CPT 76775 | $1,458.33 | $1,458.33 | $104.13 – $386.38 | 4 |
| Ultrasound scrotum and contents CPT 76870 | $2,098.27 | $2,098.27 | $114.19 – $419.33 | 4 |
| Ultrasound spinal canal and contents CPT 76800 | $2,126.77 | $2,126.77 | $244.13 – $642.17 | 4 |
| Ultrasound transabd ea addl gest CPT 76812 | not published | not published | $330.05 – $638.36 | 2 |
| Ultrasound transvaginal non obstetric CPT 76830 | $1,275.19 | $1,275.19 | $124.64 – $499.78 | 4 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | not published | not published | $286.71 – $837.39 | 4 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | not published | not published | $151.48 – $151.48 | 1 |
| Ultraviolet therapy CPT 97028 | not published | not published | $5.95 – $38.11 | 13 |
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.