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 |
|---|---|---|---|---|
| Wrist X-ray CPT 73110 | not published | not published | $33.50 – $189.46 | 4 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $1,744.20 – $2,488.39 | 12 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $12.07 – $41.34 | 2 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $236.78 – $811.67 | 2 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $914.00 – $3,479.28 | 13 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $914.00 – $3,479.28 | 13 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $24.67 – $120.02 | 4 |
| X-ray abdomen 1 view CPT 74018 | $1,080.87 | $1,080.87 | $33.42 – $182.03 | 4 |
| X-ray abdomen 2 views CPT 74019 | $1,188.25 | $1,188.25 | $41.26 – $245.18 | 4 |
| X-ray abdomen >=3 views CPT 74021 | not published | not published | $47.69 – $245.18 | 4 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $1,539.56 | $1,539.56 | $57.76 – $245.18 | 4 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | not published | not published | $36.11 – $182.03 | 4 |
| X-ray ankle 2 views (both sides) CPT 73600 | not published | not published | $30.89 – $182.03 | 4 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | not published | not published | $103.07 – $828.27 | 4 |
| X-ray assay calculus CPT 82370 | not published | not published | $9.62 – $71.09 | 15 |
| X-ray bone age studies CPT 77072 | $582.91 | $582.91 | $34.71 – $245.18 | 4 |
| X-ray bone length studies CPT 77073 | $928.99 | $928.99 | $50.11 – $245.18 | 4 |
| X-ray bone survey complete CPT 77075 | $1,770.79 | $1,770.79 | $98.94 – $429.70 | 4 |
| X-ray bone survey infant CPT 77076 | not published | not published | $124.56 – $521.32 | 4 |
| X-ray cervical spine 2-3 views CPT 72040 | $1,084.99 | $1,084.99 | $39.97 – $182.03 | 4 |
| X-ray cervical spine 4-5 views CPT 72050 | $1,078.25 | $1,078.25 | $50.04 – $245.18 | 4 |
| X-ray cervical spine >= 6 views CPT 72052 | $1,160.56 | $1,160.56 | $55.22 – $285.47 | 4 |
| X-ray clavicle complete (both sides) CPT 73000 | not published | not published | $30.89 – $182.03 | 4 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | not published | not published | $183.57 – $603.81 | 4 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $1,657.79 | $1,657.79 | $222.10 – $923.71 | 4 |
| X-ray consultation CPT 76140 | not published | not published | $205.27 – $273.70 | 2 |
| X-ray elbow 2 views (both sides) CPT 73070 | not published | not published | $30.89 – $182.03 | 4 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | not published | not published | $32.13 – $182.03 | 4 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $967.51 | $967.51 | $106.70 – $401.74 | 4 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $65.67 – $358.26 | 4 |
| X-ray exam entire spi 6/> vw CPT 72084 | not published | not published | $76.00 – $453.73 | 4 |
| X-ray exam of arm infant CPT 73092 | not published | not published | $29.52 – $245.18 | 4 |
| X-ray exam of eye sockets CPT 70200 | $1,492.80 | $1,492.80 | $50.34 – $245.18 | 4 |
| X-ray exam of femur 1 CPT 73551 | not published | not published | $30.89 – $182.03 | 4 |
| X-ray exam of jaw joint CPT 70328 | $506.96 | $506.96 | $33.42 – $182.03 | 4 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $96.33 – $517.79 | 4 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $33.42 – $245.18 | 4 |
| X-ray exam of middle ear CPT 70134 | not published | not published | $64.72 – $1,086.50 | 4 |
| X-ray exam of penis CPT 74445 | not published | not published | $207.83 – $455.23 | 4 |
| X-ray exam of perineum CPT 74775 | not published | not published | $110.29 – $517.79 | 4 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $30.81 – $182.03 | 4 |
| X-ray exam of sinuses CPT 70210 | not published | not published | $32.13 – $182.03 | 4 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $53.86 – $517.79 | 4 |
| X-ray exam of teeth CPT 70300 | not published | not published | $20.51 – $182.03 | 4 |
| X-ray exam of teeth CPT 70310 | not published | not published | $30.89 – $517.79 | 4 |
| X-ray exam si joints CPT 72200 | not published | not published | $32.13 – $245.18 | 4 |
| X-ray exam thorac spine4/>vw CPT 72074 | not published | not published | $43.79 – $245.18 | 4 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $1,554.53 | $1,554.53 | $33.42 – $182.03 | 4 |
| X-ray facial bones complete > 3 views CPT 70150 | $1,770.79 | $1,770.79 | $47.77 – $245.18 | 4 |
| X-ray fallopian tube CPT 74742 | not published | not published | $108.02 – $708.98 | 2 |
| X-ray femur >=2 views (both sides) CPT 73552 | not published | not published | $33.42 – $182.03 | 4 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | not published | not published | $25.70 – $182.03 | 4 |
| X-ray foot 2 views (both sides) CPT 73620 | not published | not published | $29.52 – $182.03 | 4 |
| X-ray forearm 2 views (both sides) CPT 73090 | not published | not published | $29.52 – $182.03 | 4 |
| X-ray hand 2 views (both sides) CPT 73120 | not published | not published | $30.89 – $245.18 | 4 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $33.50 – $182.03 | 4 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | not published | not published | $29.52 – $182.03 | 4 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | not published | not published | $51.36 – $270.02 | 4 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $1,079.75 | $1,079.75 | $41.29 – $245.18 | 4 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $1,161.31 | $1,161.31 | $53.94 – $245.18 | 4 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $1,242.68 | $1,242.68 | $56.51 – $270.02 | 4 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | not published | not published | $34.78 – $182.03 | 4 |
| X-ray humerus >= 2 views left CPT 73060 | not published | not published | $30.89 – $182.03 | 4 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $63.10 – $245.18 | 4 |
| X-ray knee 1-2 views (both sides) CPT 73560 | not published | not published | $30.89 – $182.03 | 4 |
| X-ray knee 3 views (both sides) CPT 73562 | not published | not published | $36.11 – $183.70 | 4 |
| X-ray knee ap standing bilateral CPT 73565 | not published | not published | $32.21 – $183.70 | 4 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | not published | not published | $29.52 – $182.03 | 4 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $625.94 | $625.94 | $41.29 – $245.18 | 4 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $1,507.02 | $1,507.02 | $48.75 – $245.18 | 4 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $1,539.56 | $1,539.56 | $55.22 – $296.03 | 4 |
| X-ray male genital tract CPT 74440 | not published | not published | $69.83 – $517.79 | 4 |
| X-ray mandible complete > 4 views CPT 70110 | $1,700.07 | $1,700.07 | $45.16 – $245.18 | 4 |
| X-ray mandible ltd <4 views CPT 70100 | $1,277.67 | $1,277.67 | $34.78 – $182.03 | 4 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $266.61 – $266.61 | 1 |
| X-ray nasal bones complete > 3 views CPT 70160 | $981.36 | $981.36 | $32.13 – $182.03 | 4 |
| X-ray neck soft tissue CPT 70360 | $865.75 | $865.75 | $33.42 – $182.03 | 4 |
| X-ray nose to rectum for foreign body child CPT 76010 | $852.29 | $852.29 | $32.10 – $182.03 | 4 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $80.77 – $601.08 | 4 |
| X-ray optic foramina CPT 70190 | not published | not published | $40.05 – $182.03 | 4 |
| X-ray pelvis 1-2 views CPT 72170 | $1,160.56 | $1,160.56 | $32.13 – $245.18 | 4 |
| X-ray pelvis complete > 3 views CPT 72190 | $1,196.11 | $1,196.11 | $47.46 – $245.18 | 4 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $3,088.49 | $3,088.49 | $95.46 – $828.27 | 4 |
| X-ray ribs 2 views left CPT 71100 | not published | not published | $39.97 – $182.03 | 4 |
| X-ray ribs 3 views bilateral CPT 71110 | $1,154.96 | $1,154.96 | $51.59 – $245.18 | 4 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | not published | not published | $48.68 – $245.18 | 4 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $1,539.56 | $1,539.56 | $57.76 – $245.18 | 4 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $928.99 | $928.99 | $39.89 – $245.18 | 4 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $774.84 | $774.84 | $32.13 – $182.03 | 4 |
| X-ray scapula complete (both sides) CPT 73010 | not published | not published | $34.86 – $245.18 | 4 |
| X-ray sella turcica CPT 70240 | not published | not published | $34.71 – $182.03 | 4 |
| X-ray shoulder 1 view (both sides) CPT 73020 | not published | not published | $28.24 – $182.03 | 4 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $1,761.43 | $1,761.43 | $39.97 – $197.45 | 4 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $2,264.60 | $2,264.60 | $91.94 – $1,086.50 | 4 |
| X-ray skull < 4 views CPT 70250 | $1,235.02 | $1,235.02 | $33.42 – $245.18 | 4 |
| X-ray skull > 4 views complete CPT 70260 | $1,781.62 | $1,781.62 | $50.34 – $245.18 | 4 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $104.13 – $356.34 | 4 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $967.51 | $967.51 | $143.68 – $482.96 | 4 |
| X-ray small intestine follow-through study CPT 74248 | $2,006.86 | $2,006.86 | $123.24 – $667.70 | 2 |
| X-ray spine single view CPT 72020 | $900.17 | $900.17 | $29.52 – $182.03 | 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.