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 |
|---|---|---|---|---|
| Bk thigh lacer non-molded HCPCS L5680 | not published | not published | $318.00 – $453.68 | 12 |
| Bk waist belt padded and lin HCPCS L5690 | not published | not published | $108.60 – $154.94 | 12 |
| Bk waist belt webbing HCPCS L5688 | not published | not published | $56.09 – $80.01 | 12 |
| Bladder calculi irrig sol HCPCS Q2004 | not published | not published | $38.05 – $38.05 | 1 |
| Bladder irrigation tubing HCPCS A4355 | not published | not published | $9.53 – $13.60 | 12 |
| Bld prd mix CPT 86965 | not published | not published | $3.58 – $725.66 | 4 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | $3,005.53 | $3,005.53 | $16.17 – $61.00 | 5 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $114.21 – $433.75 | 5 |
| Blink reflex test CPT 95933 | not published | not published | $261.49 – $261.49 | 1 |
| Blm gene CPT 81209 | not published | not published | $39.31 – $189.52 | 14 |
| Bln ureth 5ml 28f 2wy ltx st HCPCS A4338 | not published | not published | $13.11 – $18.70 | 12 |
| Blood clot lysis time CPT 85175 | not published | not published | $15.64 – $77.54 | 15 |
| Blood clot retraction CPT 85170 | not published | not published | $11.53 – $62.07 | 15 |
| Blood Clotting (PT/INR) Test CPT 85610 | $359.16 | $359.16 | $3.29 – $22.29 | 15 |
| Blood Clotting (PTT) Test CPT 85730 | $359.16 | $359.16 | $4.61 – $34.02 | 15 |
| Blood Count (CBC) Test CPT 85025 | not published | not published | $5.96 – $44.09 | 15 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $304.55 | $304.55 | $4.96 – $36.70 | 15 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $5.38 – $26.64 | 15 |
| Blood Culture Test CPT 87040 | $771.10 | $771.10 | $7.93 – $58.55 | 15 |
| Blood draw capillary 36416 CPT 36416 | $95.41 | $95.41 | $1.06 – $15.28 | 3 |
| Blood gases o2 saturation direct measurement CPT 82805 | not published | not published | $60.48 – $299.84 | 15 |
| Blood gases ph venous CPT 82800 | not published | not published | $8.45 – $48.03 | 15 |
| Blood mucoprotein HCPCS P2038 | not published | not published | $3.80 – $28.50 | 15 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | not published | not published | $12.23 – $90.21 | 15 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $84.24 | $84.24 | $3.25 – $18.72 | 15 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $195.69 | $195.69 | $3.36 – $18.43 | 15 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $545.49 | $545.49 | $4.09 – $20.26 | 15 |
| Blood smear interpretation CPT 85060 | not published | not published | $24.77 – $120.51 | 4 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | not published | not published | $2.92 – $19.53 | 15 |
| Blood thymol turbidity HCPCS P2033 | not published | not published | $3.80 – $24.81 | 14 |
| Blood typing abo CPT 86900 | $165.36 | $165.36 | $2.99 – $16.93 | 14 |
| Blood typing ag donor ea ag CPT 86902 | $40.41 | $40.41 | $6.35 – $53.55 | 14 |
| Blood typing antigen system CPT 86911 | not published | not published | $2.47 – $112.04 | 3 |
| Blood typing paternity test CPT 86910 | not published | not published | $2.81 – $129.02 | 3 |
| Blood typing patient serum CPT 86904 | not published | not published | $16.34 – $62.19 | 14 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $202.78 | $202.78 | $3.83 – $21.68 | 14 |
| Blood typing rh (d) CPT 86901 | $203.54 | $203.54 | $2.99 – $17.17 | 14 |
| Blood typing rh phenotype complete reference CPT 86906 | not published | not published | $7.75 – $43.97 | 14 |
| Blood volume CPT 78122 | not published | not published | $79.79 – $1,101.15 | 4 |
| Body jacket mold to patient HCPCS L1300 | not published | not published | $1,587.46 – $2,264.77 | 12 |
| Bone acellular derm matrix 2x4cm 0.4-1.0mm allomend-cost per sq cm-8sq cm HCPCS Q4433 | not published | not published | $336.92 – $336.92 | 1 |
| Bone Density Scan (DEXA) CPT 77080 | $1,588.20 | $1,588.20 | $36.00 – $282.09 | 4 |
| Bone imaging multiple areas CPT 78305 | not published | not published | $146.21 – $1,214.38 | 4 |
| Bone/joint imaging ltd area CPT 78300 | not published | not published | $107.99 – $1,023.01 | 4 |
| Bone marrow imaging body CPT 78104 | not published | not published | $137.36 – $1,112.28 | 4 |
| Bone marrow imaging ltd CPT 78102 | not published | not published | $94.93 – $848.52 | 4 |
| Bone marrow imaging mult CPT 78103 | not published | not published | $111.88 – $848.52 | 4 |
| Bone marrow interpretation CPT 85097 | $178.08 | $178.08 | $122.49 – $3,192.17 | 4 |
| Bone mineral dual photon CPT 78351 | not published | not published | $15.23 – $63.48 | 5 |
| Bone mineral single photon CPT 78350 | not published | not published | $48.67 – $185.82 | 3 |
| Bone survey-lead poisoning CPT 77074 | $1,362.23 | $1,362.23 | $79.48 – $311.08 | 4 |
| Bone tendon board add on HCPCS C9356 | $621.00 | $621.00 | $101.97 – $101.97 | 1 |
| Boot heel care softcare one sz HCPCS E0191 | not published | not published | $10.68 – $15.24 | 12 |
| Boot j walker l HCPCS L4386 | not published | not published | $142.62 – $203.47 | 12 |
| Boot mlti podous univ xlg HCPCS L4396 | not published | not published | $150.94 – $215.35 | 12 |
| Boot softgait shrt m HCPCS L4387 | not published | not published | $142.62 – $203.47 | 12 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | not published | not published | $265.19 – $378.34 | 12 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | not published | not published | $265.19 – $378.34 | 12 |
| Borrelia antibody CPT 86619 | not published | not published | $10.27 – $75.88 | 15 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $923.00 | $923.00 | $13.08 – $96.63 | 15 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $26.95 – $142.47 | 15 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | $15,963.77 | $15,963.77 | $1.88 – $7.10 | 5 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $2.63 – $19.53 | 15 |
| Botulism ig IV CPT 90288 | not published | not published | $44,321.55 – $44,321.55 | 1 |
| Bowel imaging CPT 78290 | not published | not published | $119.34 – $1,547.28 | 4 |
| Brace adj motion lerman type HCPCS L2186 | not published | not published | $162.42 – $231.72 | 12 |
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $384.17 – $548.08 | 12 |
| Brace afo lg left 6607 HCPCS L1930 | not published | not published | $203.88 – $290.87 | 12 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $509.60 – $727.02 | 12 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $755.53 – $1,077.89 | 12 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $103.65 – $147.87 | 12 |
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $86.27 – $123.07 | 12 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $59.32 – $84.63 | 12 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $80.34 – $114.62 | 12 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $239.50 – $341.68 | 12 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $692.06 – $987.34 | 12 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $579.35 – $826.53 | 12 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | not published | not published | $369.81 – $527.60 | 12 |
| Brace back pinnacle tlso 464 HCPCS L0464 | not published | not published | $1,337.23 – $1,907.78 | 12 |
| Brace back t-lso custom HCPCS L0486 | not published | not published | $1,624.95 – $2,318.26 | 12 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $598.12 – $853.31 | 12 |
| Brace cust back lso HCPCS L0631 | not published | not published | $923.54 – $1,317.58 | 12 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $824.12 – $1,175.75 | 12 |
| Brace fx hum ovr shldr sm HCPCS L3980 | not published | not published | $270.05 – $385.27 | 12 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $80.97 – $115.52 | 12 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $1,657.02 – $2,364.02 | 12 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $525.37 – $749.52 | 12 |
| Brace knee extender plus 22-30in HCPCS L1832 | not published | not published | $609.52 – $869.58 | 12 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $131.49 – $187.59 | 12 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $417.23 – $595.25 | 12 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $837.66 – $1,195.06 | 12 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $84.88 – $121.09 | 12 |
| Brace m arm board HCPCS L3809 | not published | not published | $204.73 – $292.08 | 12 |
| Brace ortho exos 28-50in sm HCPCS L0637 | not published | not published | $966.45 – $1,378.80 | 12 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | not published | not published | $894.74 – $1,276.50 | 12 |
| Brace oths wrist hnd fngr without HCPCS L3807 | not published | not published | $204.73 – $292.08 | 12 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $108.82 – $155.26 | 12 |
| Brace wrist classic lft sm HCPCS L3908 | not published | not published | $56.73 – $80.93 | 12 |
| Brachytx isodose complex CPT 77318 | not published | not published | $589.14 – $1,357.29 | 2 |
| Brachytx isodose intermed CPT 77317 | not published | not published | $371.84 – $933.24 | 2 |
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.