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 |
|---|---|---|---|---|
| Brachytx isodose plan simple CPT 77316 | not published | not published | $284.78 – $633.83 | 2 |
| Braf gene CPT 81210 | $731.16 | $731.16 | $175.40 – $667.68 | 14 |
| Brain flow imaging only CPT 78610 | not published | not published | $52.54 – $1,101.15 | 4 |
| Brain image < 4 views CPT 78600 | not published | not published | $77.18 – $849.93 | 4 |
| Brain image 4+ views CPT 78605 | not published | not published | $95.04 – $1,101.15 | 4 |
| Brain image w/flow < 4 views CPT 78601 | not published | not published | $89.78 – $1,016.81 | 4 |
| Brain image w/flow 4 + views CPT 78606 | $1,457.97 | $1,457.97 | $110.52 – $1,562.62 | 4 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $9,927.14 | $9,927.14 | $260.75 – $4,408.36 | 3 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | not published | not published | $211.73 – $2,306.92 | 3 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $5,786.65 | $5,786.65 | $211.73 – $2,308.68 | 3 |
| Brain MRI (with and without contrast) CPT 70553 | $11,569.87 | $11,569.87 | $404.39 – $5,062.54 | 3 |
| Brain MRI (with contrast) CPT 70552 | $7,306.38 | $7,306.38 | $314.91 – $2,843.25 | 3 |
| Brain MRI (without contrast) CPT 70551 | $7,306.38 | $7,306.38 | $260.75 – $2,369.93 | 3 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $33.53 – $47.83 | 12 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $468.00 – $11,865.35 | 14 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $584.23 – $11,865.35 | 14 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $375.25 – $1,687.46 | 14 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $301.35 – $6,216.87 | 14 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $282.88 – $6,216.87 | 14 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $185.12 – $7,424.72 | 14 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $375.25 – $1,687.46 | 14 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $282.88 – $1,076.83 | 13 |
| Brcassure ashkenazi panel-sendout CPT 81212 | not published | not published | $440.00 – $2,042.71 | 14 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $1,401.23 – $10,092.59 | 15 |
| Breast prosthesis bra & form HCPCS L8001 | not published | not published | $113.08 – $161.32 | 12 |
| Breast prosthesis w adhesive HCPCS L8031 | not published | not published | $297.31 – $424.17 | 12 |
| Breast prosthes without adhesive HCPCS L8030 | not published | not published | $297.31 – $424.17 | 12 |
| Breath hydrogen test 91065 CPT 91065 | not published | not published | $269.23 – $269.23 | 1 |
| Breathing response hypoxia CPT 94450 | not published | not published | $199.58 – $199.58 | 1 |
| Breath recording infant CPT 94772 | not published | not published | $152.33 – $152.33 | 1 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $72.50 – $552.46 | 15 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $8.49 – $65.22 | 15 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $186.70 – $711.39 | 5 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $367,049.25 – $1,297,043.03 | 4 |
| Brief chkin, 5-10, non-e/m HCPCS G2251 | not published | not published | $7.71 – $15.38 | 12 |
| Brief chkin by md/qhp, 11-20 HCPCS G2252 | not published | not published | $15.26 – $20.35 | 2 |
| Brompheniramine maleate inj HCPCS J0945 | not published | not published | $0.73 – $0.87 | 2 |
| Bronchial allergy tests CPT 95070 | not published | not published | $373.03 – $373.03 | 1 |
| Bronchial challenge CPT 94070 | not published | not published | $234.12 – $234.12 | 1 |
| Brst prsth bra & bilat form HCPCS L8002 | not published | not published | $148.70 – $212.15 | 12 |
| Brush provox 4-10mm HCPCS L8513 | not published | not published | $4.68 – $6.68 | 12 |
| Btk gene common variants CPT 81233 | not published | not published | $175.40 – $667.68 | 13 |
| Budesonide comp unit HCPCS J7627 | not published | not published | $0.28 – $12.40 | 2 |
| Budesonide non-comp con HCPCS J7633 | not published | not published | $4.39 – $4.39 | 1 |
| Budesonide non-comp unit HCPCS J7626 | not published | not published | $0.89 – $2.78 | 5 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | not published | not published | $0.43 – $0.95 | 5 |
| Bundled special stain group 1 microorganisms CPT 88312 | $482.27 | $482.27 | $49.76 – $325.32 | 4 |
| Bundled special stain group 2 CPT 88313 | $688.78 | $688.78 | $33.84 – $266.76 | 4 |
| Bundle his recording CPT 93600 | not published | not published | $787.14 – $787.14 | 1 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | not published | not published | $0.01 – $0.03 | 5 |
| Bupivacaine implant, 1 mg HCPCS C9089 | not published | not published | $0.77 – $0.77 | 1 |
| Bupren/nal 3.1 to 6mg bupren HCPCS J0573 | not published | not published | $26.95 – $26.95 | 1 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | $17.05 | $17.05 | $16.19 – $16.19 | 1 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | $45.96 | $45.96 | $24.86 – $24.86 | 1 |
| Buprenorphine hydrochloride HCPCS J0592 | not published | not published | $3.13 – $11.16 | 5 |
| Buprenorphine oral 1mg HCPCS J0571 | not published | not published | $0.63 – $3.34 | 2 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $1,443.92 – $5,296.10 | 5 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | not published | not published | $1,443.92 – $5,296.10 | 5 |
| Bupropion hcl sr 60 tablets HCPCS S0106 | not published | not published | $14.29 – $14.29 | 1 |
| Busulfan injection HCPCS J0594 | not published | not published | $1.09 – $2.85 | 5 |
| Butorphanol tartrate 1 mg HCPCS J0595 | not published | not published | $3.52 – $14.68 | 5 |
| Butorphanol tartrate, nasal HCPCS S0012 | not published | not published | $56.28 – $56.28 | 1 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $54.20 – $201.03 | 5 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $47.91 – $173.92 | 5 |
| C1 esterase inhibitor func - sendout CPT 86161 | not published | not published | $9.22 – $68.13 | 15 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | not published | not published | $166.28 – $611.62 | 5 |
| Cabergoline, oral 0.25mg HCPCS J8515 | not published | not published | $1.46 – $48.57 | 2 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $17.35 – $64.02 | 5 |
| Cacna1a gen detc abnor allel CPT 81184 | not published | not published | $137.00 – $521.51 | 13 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $846.27 – $3,221.48 | 13 |
| Cacna1a gen known famil vrnt CPT 81186 | not published | not published | $185.20 – $704.99 | 13 |
| Cadd pump refill CPT 96521 | not published | not published | $519.15 – $519.15 | 1 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | not published | not published | $1.32 – $5.38 | 2 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $57.40 – $217.51 | 5 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $12,689.28 | $12,689.28 | $1,392.30 – $3,797.98 | 2 |
| Calcitonin stimul panel CPT 80410 | not published | not published | $61.71 – $455.65 | 15 |
| Calcium 24 hour urine CPT 82340 | not published | not published | $4.63 – $34.23 | 15 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | $11.12 | $11.12 | $0.02 – $0.08 | 2 |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe HCPCS J0618 | $59.32 | $59.32 | $0.08 – $0.08 | 1 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | not published | not published | $0.04 – $0.08 | 5 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $125.03 | $125.03 | $0.06 – $0.24 | 5 |
| Calcium glycer & lact/10 ml HCPCS J0620 | not published | not published | $8.14 – $30.10 | 2 |
| Calcium infusion test CPT 82331 | not published | not published | $10.25 – $50.77 | 15 |
| Calcium ionized CPT 82330 | $582.91 | $582.91 | $10.51 – $77.51 | 15 |
| Calcium total CPT 82310 | $477.39 | $477.39 | $3.96 – $29.23 | 15 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $9.88 – $73.04 | 15 |
| Calculus analysis qual CPT 82355 | not published | not published | $8.89 – $65.65 | 15 |
| Caloric vestibular test CPT 92533 | not published | not published | $104.44 – $104.44 | 1 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $109.23 – $109.23 | 1 |
| Calprotectin fecal CPT 83993 | $216.25 | $216.25 | $15.08 – $112.87 | 15 |
| Camisole mastectomy wht/l post-surg gental touch HCPCS L8015 | not published | not published | $54.04 – $77.09 | 12 |
| Campylobacter antibody CPT 86625 | not published | not published | $10.07 – $74.42 | 15 |
| Canakinumab injection HCPCS J0638 | not published | not published | $102.42 – $391.51 | 5 |
| Candida dna CPT 87480 | not published | not published | $15.40 – $113.76 | 15 |
| Candida dna quant CPT 87482 | not published | not published | $42.80 – $212.19 | 15 |
| Candida skin test CPT 86485 | not published | not published | $2.18 – $120.02 | 4 |
| Cannula nasal HCPCS A4615 | not published | not published | $0.78 – $1.11 | 12 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $511.69 – $1,739.73 | 5 |
| Capecitabine, oral, 50 mg HCPCS J8522 | not published | not published | $0.05 – $0.11 | 5 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $2.54 – $9.06 | 5 |
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.