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 |
|---|---|---|---|---|
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $72.86 – $278.22 | 5 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $48.73 – $147.47 | 2 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $377,130.75 – $1,410,309.44 | 4 |
| Axillary crutch extension HCPCS L0978 | not published | not published | $181.90 – $259.51 | 12 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.24 – $1.22 | 5 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $0.16 – $3.33 | 5 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $232.05 – $671.85 | 2 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | not published | not published | $1.67 – $5.41 | 5 |
| Azithromycin dihydrate, oral HCPCS Q0144 | not published | not published | $22.92 – $34.53 | 2 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $1.86 – $5.91 | 5 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $131.10 – $480.90 | 5 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $40.37 – $157.70 | 5 |
| Baclofen eval charges CPT 97750 | not published | not published | $24.73 – $76.22 | 13 |
| Bacterial meningitis antigen CPT 86403 | not published | not published | $8.86 – $57.81 | 15 |
| Bacterial vaginosis pcr CPT 87801 | not published | not published | $53.90 – $398.16 | 15 |
| Bactericidal level serum CPT 87197 | not published | not published | $11.54 – $65.93 | 15 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $26.95 – $199.10 | 15 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $7.10 – $10.12 | 12 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.22 – $0.32 | 12 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $2.59 – $3.70 | 12 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $10.55 – $15.05 | 12 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $6.63 – $9.46 | 12 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $5.26 – $7.50 | 12 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $9.36 – $13.35 | 12 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $26.95 – $199.10 | 15 |
| Bartonella dna quant CPT 87472 | not published | not published | $32.89 – $163.11 | 15 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $1,421.63 – $1,421.63 | 1 |
| Basiliximab HCPCS J0480 | not published | not published | $3,515.74 – $12,669.84 | 5 |
| Battery chrgr 12 volt utah/e HCPCS L7366 | not published | not published | $615.50 – $878.12 | 12 |
| Battery chrgr six volt otto HCPCS L7362 | not published | not published | $247.16 – $352.62 | 12 |
| Battery elec/combo vad, rep HCPCS Q0496 | not published | not published | $1,351.37 – $1,927.95 | 12 |
| Battery pneum vad replacemnt HCPCS Q0503 | not published | not published | $1,172.13 – $1,672.24 | 12 |
| B cells total count CPT 86355 | not published | not published | $28.97 – $216.93 | 15 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $2.35 – $8.69 | 5 |
| Bcg vaccine intravesical CPT 90586 | not published | not published | $117.72 – $434.52 | 5 |
| Bcg vaccine percut CPT 90585 | not published | not published | $180.06 – $578.65 | 2 |
| Bckdhb gene CPT 81205 | not published | not published | $94.99 – $584.07 | 14 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $42.07 – $42.07 | 1 |
| Bedside drainage bag HCPCS A4357 | not published | not published | $9.20 – $13.12 | 12 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $2.92 – $10.31 | 5 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $41.23 – $151.47 | 5 |
| Below elbow myoelectronic CT HCPCS L6935 | not published | not published | $7,923.00 – $11,303.48 | 12 |
| Below elbow prosth tiss shap HCPCS L6400 | not published | not published | $2,135.05 – $3,046.00 | 12 |
| Below knee acrylic socket HCPCS L5629 | not published | not published | $378.16 – $539.50 | 12 |
| Below knee cuff suspension HCPCS L5666 | not published | not published | $69.86 – $99.67 | 12 |
| Below knee cushion socket HCPCS L5646 | not published | not published | $503.08 – $717.72 | 12 |
| Below knee flex cover system HCPCS L5962 | not published | not published | $539.70 – $769.97 | 12 |
| Below knee leather socket HCPCS L5638 | not published | not published | $446.84 – $637.50 | 12 |
| Below knee suction socket HCPCS L5647 | not published | not published | $730.38 – $1,042.01 | 12 |
| Below knee sus/seal sleeve HCPCS L5685 | not published | not published | $115.45 – $164.72 | 12 |
| Below knee total contact HCPCS L5637 | not published | not published | $312.51 – $445.85 | 12 |
| Below knee wood socket HCPCS L5639 | not published | not published | $1,048.28 – $1,495.54 | 12 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $7.85 – $11.19 | 12 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $4,368.35 | $4,368.35 | $0.93 – $5.43 | 5 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $10.65 – $36.17 | 5 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $10.19 – $34.00 | 5 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $20.43 – $84.77 | 5 |
| #_benzodiazconfur CPT 80346 | not published | not published | $89.36 – $89.36 | 1 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $905.71 | $905.71 | $12.58 – $36.62 | 5 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | not published | not published | $19.54 – $144.29 | 15 |
| Beta-2 microglobulin CPT 82232 | not published | not published | $12.43 – $91.80 | 15 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $128.92 – $137.94 | 10 |
| Beta-amyloid 1-42 CPT 82234 | not published | not published | $128.92 – $137.94 | 10 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $125.97 | $125.97 | $5.14 – $18.31 | 5 |
| Bethanechol chloride inject HCPCS J0520 | not published | not published | $4.09 – $4.09 | 1 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $6,759.96 | $6,759.96 | $54.55 – $195.12 | 5 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $22.37 – $63.18 | 5 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $20.21 – $68.37 | 5 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $1.85 – $4.88 | 2 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | not published | not published | $57.47 – $79.25 | 12 |
| Bfb train ea addl 15 min 90913 CPT 90913 | not published | not published | $23.21 – $31.77 | 12 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $12.95 – $95.69 | 15 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $20.41 – $150.75 | 15 |
| Bilicheck CPT 88720 | $174.45 | $174.45 | $3.85 – $28.50 | 15 |
| Bilirubin direct CPT 82248 | $245.43 | $245.43 | $3.85 – $28.50 | 15 |
| Bilirubin total CPT 82247 | $245.43 | $245.43 | $3.85 – $28.50 | 15 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | not published | not published | $32.10 – $45.80 | 12 |
| Bio-connekt per square cm HCPCS Q4161 | not published | not published | $336.92 – $2,574.33 | 4 |
| Biodfence dryflex, 1cm HCPCS Q4138 | not published | not published | $70.70 – $336.92 | 4 |
| Biofeedback, pt CPT 90901 | not published | not published | $29.19 – $39.26 | 12 |
| Biopsy of heart lining CPT 93505 | not published | not published | $1,271.36 – $1,271.36 | 1 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $149.16 – $725.66 | 3 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $149.16 – $725.66 | 3 |
| Biotinidase - quest CPT 82261 | not published | not published | $12.95 – $95.69 | 15 |
| Biovance 1 square cm HCPCS Q4154 | not published | not published | $100.25 – $336.92 | 4 |
| Biovance tri or 3l, sq cm HCPCS Q4283 | not published | not published | $336.92 – $711.86 | 5 |
| Bis xtracell fluid analysis CPT 93702 | not published | not published | $236.15 – $236.15 | 1 |
| Bivalirudin HCPCS J0583 | $9,061.47 | $9,061.47 | $0.11 – $0.42 | 5 |
| Bk/ak locking mechanism HCPCS L5671 | not published | not published | $456.72 – $651.59 | 12 |
| Bk back check HCPCS L5686 | not published | not published | $59.61 – $85.04 | 12 |
| Bk flex inner socket ext fra HCPCS L5645 | not published | not published | $732.61 – $1,045.19 | 12 |
| Bk fork strap HCPCS L5684 | not published | not published | $44.20 – $63.06 | 12 |
| Bk joint covers pair HCPCS L5678 | not published | not published | $36.46 – $52.01 | 12 |
| Bk knee joints polycentric p HCPCS L5677 | not published | not published | $452.72 – $645.87 | 12 |
| Bk knee joints single axis p HCPCS L5676 | not published | not published | $332.72 – $474.68 | 12 |
| Bk molded distal cushion HCPCS L5668 | not published | not published | $93.28 – $133.08 | 12 |
| Bk molded supracondylar susp HCPCS L5670 | not published | not published | $283.96 – $405.11 | 12 |
| Bk mold socket sach ft endo HCPCS L5301 | not published | not published | $2,108.18 – $3,007.66 | 12 |
| Bk removable medial brim sus HCPCS L5672 | not published | not published | $346.95 – $494.98 | 12 |
| Bk thigh lacer glut/ischia m HCPCS L5682 | not published | not published | $574.22 – $819.22 | 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.