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 |
|---|---|---|---|---|
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $27.64 – $131.18 | 5 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $8.20 – $29.23 | 5 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $188.51 – $798.76 | 4 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $151.26 – $717.99 | 4 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $175.28 – $562.81 | 2 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $134.64 – $561.54 | 4 |
| Vaccine mmr live subcutaneous CPT 90707 | $843.43 | $843.43 | $75.68 – $310.42 | 4 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $221.14 – $917.96 | 4 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | $652.49 | $652.49 | $100.10 – $353.70 | 5 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $193.49 – $683.30 | 5 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | $972.49 | $972.49 | $195.86 – $713.67 | 5 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $234.67 – $829.19 | 5 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $33.90 – $151.63 | 4 |
| Vaccine rabies im CPT 90675 | not published | not published | $238.25 – $847.34 | 5 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $234.52 – $1,014.63 | 4 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | $1,964.22 | $1,964.22 | $413.21 – $1,892.29 | 4 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $413.21 – $1,892.29 | 4 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $233.73 – $974.19 | 4 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $116.88 – $495.05 | 4 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $78.56 – $326.32 | 4 |
| Vaccine tdap >=7 years im CPT 90715 | $976.53 | $976.53 | $29.30 – $105.18 | 5 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $374.08 | $374.08 | $25.47 – $103.27 | 5 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $149.39 – $440.93 | 2 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $145.48 – $610.53 | 4 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $228.27 – $815.14 | 2 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.03 | 2 |
| Vacuum drain bottle/tube kit HCPCS A7048 | not published | not published | $44.14 – $62.98 | 12 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | not published | not published | $421.98 – $602.02 | 12 |
| Vad cable power module dc input HCPCS Q0478 | not published | not published | $165.65 – $236.33 | 12 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | not published | not published | $3,765.12 – $5,371.57 | 12 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $1,230.22 – $1,755.12 | 12 |
| Valproate in ns IV syringe 10 mg/ml (pediatric) - cnr HCPCS J3379 | not published | not published | $0.13 – $0.13 | 1 |
| Valproic acid total therapeutic drug level CPT 80164 | $775.96 | $775.96 | $10.39 – $76.86 | 15 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,083.41 – $3,453.85 | 5 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | not published | not published | $0.05 – $0.08 | 2 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $132.65 | $132.65 | $0.18 – $0.27 | 2 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $1.46 – $1.95 | 3 |
| Vancomycin peak therapeutic drug level CPT 80202 | not published | not published | $10.39 – $76.86 | 15 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $26.95 – $201.82 | 15 |
| Vantas implant HCPCS J9225 | not published | not published | $4,523.92 – $12,480.25 | 2 |
| Variable concentration mask HCPCS A4620 | not published | not published | $0.65 – $0.92 | 12 |
| Varicella zoster antibody igg CPT 86787 | not published | not published | $9.89 – $73.08 | 15 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,324.55 – $6,262.98 | 2 |
| Varus/valgus strap padded/li HCPCS L2270 | not published | not published | $47.58 – $67.88 | 12 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | $333.19 | $333.19 | $1.06 – $1.95 | 5 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $15.87 – $56.63 | 5 |
| Veeg cont 2-12 hrs CPT 95713 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Veeg ea 12-26hr cont mntr CPT 95716 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Veeg intrmnt 2-12 hrs CPT 95712 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Veeg unmon 12-26 hrs CPT 95714 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Veeg unmon 2-12 hrs CPT 95711 | not published | not published | $3,012.60 – $3,012.60 | 1 |
| Vein x-ray adrenal gland CPT 75840 | not published | not published | $201.40 – $6,438.74 | 4 |
| Vein x-ray adrenal glands CPT 75842 | not published | not published | $509.36 – $2,623.91 | 2 |
| Vein x-ray eye socket CPT 75880 | not published | not published | $124.56 – $1,218.65 | 4 |
| Vein x-ray kidney CPT 75831 | not published | not published | $191.26 – $6,438.74 | 4 |
| Vein x-ray liver CPT 75891 | not published | not published | $193.30 – $6,438.74 | 4 |
| Vein x-ray liver w/hemodynam CPT 75885 | not published | not published | $242.43 – $6,438.74 | 4 |
| Vein x-ray liver w/hemodynam CPT 75889 | $8,675.81 | $8,675.81 | $191.98 – $6,438.74 | 4 |
| Vein x-ray liver without hemodyn CPT 75887 | not published | not published | $242.43 – $6,438.74 | 4 |
| Vein x-ray skull CPT 75870 | not published | not published | $236.37 – $6,438.74 | 4 |
| Vein x-ray skull epidural CPT 75872 | not published | not published | $201.40 – $2,559.21 | 4 |
| Vein x-ray spleen/liver CPT 75810 | not published | not published | $179.14 – $6,438.74 | 4 |
| Velaglucerase alfa 400 unit intravenous solution HCPCS J3385 | not published | not published | $280.77 – $1,024.04 | 5 |
| Vemp test i&r cervical CPT 92517 | not published | not published | $495.40 – $495.40 | 1 |
| Vemp test i&r ocular CPT 92518 | not published | not published | $495.40 – $495.40 | 1 |
| Vemp tst i&r cervical&ocular CPT 92519 | not published | not published | $938.80 – $938.80 | 1 |
| Ven blood coll snf/hha HCPCS G0471 | not published | not published | $8.32 – $41.24 | 14 |
| Vendaje, per square centimet HCPCS Q4252 | not published | not published | $74.33 – $336.92 | 4 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | not published | not published | $33.69 – $33.69 | 1 |
| Venogram ext bil s&i CPT 75822 | not published | not published | $257.61 – $3,163.82 | 4 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | not published | not published | $184.14 – $3,163.82 | 4 |
| Venous sampling s&i CPT 75893 | not published | not published | $99.28 – $10,733.33 | 4 |
| Venous thrombosis imaging CPT 78457 | not published | not published | $136.56 – $1,101.15 | 4 |
| Ven thrombosis images bilat CPT 78458 | not published | not published | $160.56 – $934.04 | 4 |
| Ventilator each subsequent day CPT 94003 | $1,226.06 | $1,226.06 | $554.79 – $554.79 | 1 |
| Ventilator initial day CPT 94002 | $1,722.86 | $1,722.86 | $333.24 – $333.24 | 1 |
| Verteporfin injection HCPCS J3396 | not published | not published | $8.64 – $30.63 | 5 |
| Very long chain fatty acids CPT 82726 | not published | not published | $15.16 – $102.43 | 15 |
| Vest large holster HCPCS Q0498 | not published | not published | $463.02 – $660.58 | 12 |
| Vest wrp airway ther disp lg slot 1use HCPCS A7025 | not published | not published | $46.49 – $66.33 | 12 |
| Vinblastine 1 mg/ml intravenous solution HCPCS J9360 | not published | not published | $3.85 – $13.73 | 5 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | not published | not published | $6.15 – $21.60 | 5 |
| Vinorelbine 10 mg/ml intravenous solution (wrapper) HCPCS J9390 | $1,326.11 | $1,326.11 | $3.05 – $14.42 | 5 |
| Viper venom prothrombin time CPT 85612 | not published | not published | $13.43 – $66.60 | 15 |
| Virus isolation addl studies ea CPT 87253 | not published | not published | $15.51 – $114.57 | 15 |
| Visual audiometry (vra) CPT 92579 | not published | not published | $126.13 – $126.13 | 1 |
| Vital capacity test CPT 94150 | $43.09 | $43.09 | $94.68 – $94.68 | 1 |
| Vitamin b-12 CPT 82607 | $717.22 | $717.22 | $11.58 – $85.50 | 15 |
| Vitamin D Test CPT 82306 | $331.12 | $331.12 | $22.73 – $167.92 | 15 |
| Vkorc1 gene CPT 81355 | not published | not published | $88.20 – $335.75 | 14 |
| Voice amplifier HCPCS L8510 | not published | not published | $227.77 – $324.95 | 12 |
| Voiding pressure study/intra-abd 51797 CPT 51797 | not published | not published | $1,186.34 – $1,186.34 | 1 |
| Vol reduction of blood/prod CPT 86960 | not published | not published | $3.58 – $725.66 | 4 |
| Volume measurement urine timed CPT 81050 | $66.60 | $66.60 | $2.80 – $17.01 | 15 |
| Vonvendi inj 1 iu vwf:rco HCPCS J7179 | not published | not published | $1.37 – $4.88 | 5 |
| Voriconazole in ns IV syringe 5 mg/ml (pediatric) - cnr HCPCS J3465 | $560.46 | $560.46 | $0.80 – $1.99 | 5 |
| Vutrisiran 25 mg/0.5 ml subcutaneous syringe HCPCS J0225 | not published | not published | $3,717.23 – $13,275.33 | 5 |
| Vyjuvek 5x10^9pfu/ml, 0.1 ml HCPCS J3401 | not published | not published | $762.50 – $2,689.19 | 5 |
| Waist belt HCPCS L2190 | not published | not published | $80.36 – $114.65 | 12 |
| Warde 1003990 aldosterone CPT 82088 | $651.38 | $651.38 | $31.29 – $231.18 | 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.