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 |
|---|---|---|---|---|
| Carbamazepine free CPT 80157 | not published | not published | $10.18 – $75.19 | 15 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $14.31 – $75.68 | 15 |
| Carbamazepine total therapeutic drug level CPT 80156 | $612.22 | $612.22 | $11.19 – $82.58 | 15 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $176.83 – $646.04 | 5 |
| Carbohydrate deficient transf - sendout CPT 82373 | not published | not published | $13.87 – $102.43 | 15 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $4.22 – $31.22 | 15 |
| Carbon dioxide CPT 82374 | not published | not published | $3.75 – $27.73 | 15 |
| Carbon graphite lamination HCPCS L2755 | not published | not published | $117.52 – $167.67 | 12 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | not published | not published | $2.20 – $7.76 | 5 |
| Carboprost tromethamine 250 mcg/ml intramuscular solution HCPCS J0675 | $706.81 | $706.81 | $36.31 – $36.31 | 1 |
| Carboxyhemoglobin quantitative CPT 82375 | $491.98 | $491.98 | $9.46 – $69.91 | 15 |
| Carcinoembryonic ag (cea) CPT 82378 | $685.03 | $685.03 | $14.56 – $107.63 | 15 |
| Cardiac drug stress test CPT 93024 | not published | not published | $436.47 – $436.47 | 1 |
| Cardiac MRI seg dys strain HCPCS C9762 | not published | not published | $1,086.50 – $1,086.50 | 1 |
| Cardiac MRI seg dys stress HCPCS C9763 | not published | not published | $1,086.50 – $1,086.50 | 1 |
| Cardiac MRI w/stress img CPT 75559 | not published | not published | $522.63 – $1,455.97 | 3 |
| Cardiac perf planar mult/ef/wm CPT 78454 | not published | not published | $235.05 – $2,938.37 | 3 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $174.72 – $2,938.37 | 3 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $5,160.18 | $5,160.18 | $243.56 – $2,938.37 | 3 |
| Cardiac shunt imaging CPT 78428 | not published | not published | $135.16 – $848.52 | 4 |
| Cardiac Stress Test CPT 93015 | not published | not published | $441.83 – $441.83 | 1 |
| Cardiokymography HCPCS Q0035 | not published | not published | $390.04 – $390.04 | 1 |
| Cardiolipin antibody iga CPT 86147 | not published | not published | $19.54 – $144.29 | 15 |
| Cardiology hrt trnspl mrna CPT 81595 | not published | not published | $2,487.83 – $12,333.58 | 14 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $2,756.46 | $2,756.46 | $1,353.01 – $1,353.01 | 1 |
| Cardioversion/elective/internal 92961 CPT 92961 | not published | not published | $1,026.34 – $1,026.34 | 1 |
| Card MRI veloc flow mapping CPT 75565 | not published | not published | $43.79 – $4,354.68 | 2 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | not published | not published | $38.71 – $57.02 | 12 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | not published | not published | $19.04 – $27.99 | 12 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | not published | not published | $38.89 – $147.37 | 5 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $584.90 – $4,872.00 | 14 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $584.90 – $2,226.55 | 13 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | not published | not published | $109.20 – $616.44 | 5 |
| Carotene CPT 82380 | not published | not published | $7.08 – $52.33 | 15 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $2,151.84 | $2,151.84 | $877.23 – $1,035.25 | 2 |
| Caspofungin acetate HCPCS J0637 | not published | not published | $2.50 – $10.12 | 5 |
| Cassette provox xtraflow hme HCPCS A7507 | not published | not published | $2.67 – $3.81 | 12 |
| Cast sup lng arm splint fbrg HCPCS Q4018 | not published | not published | $13.86 – $19.77 | 12 |
| Cast sup lng arm splint plst HCPCS Q4017 | not published | not published | $8.70 – $12.41 | 12 |
| Cast sup lng arm splnt ped f HCPCS Q4020 | not published | not published | $6.96 – $9.93 | 12 |
| Cast sup lng arm splnt ped p HCPCS Q4019 | not published | not published | $4.35 – $6.21 | 12 |
| Cast sup lng leg ped fbrgls HCPCS Q4032 | not published | not published | $36.34 – $51.85 | 12 |
| Cast sup lng leg ped plaster HCPCS Q4031 | not published | not published | $13.79 – $19.68 | 12 |
| Cast sup lng leg splnt fbrgl HCPCS Q4042 | not published | not published | $32.62 – $46.53 | 12 |
| Cast sup lng leg splnt ped f HCPCS Q4044 | not published | not published | $16.34 – $23.30 | 12 |
| Cast sup lng leg splnt ped p HCPCS Q4043 | not published | not published | $9.55 – $13.63 | 12 |
| Cast sup long arm adult fbrg HCPCS Q4006 | not published | not published | $27.90 – $39.80 | 12 |
| Cast sup long arm adult plst HCPCS Q4005 | not published | not published | $12.38 – $17.67 | 12 |
| Cast sup long arm ped fbrgls HCPCS Q4008 | not published | not published | $13.94 – $19.89 | 12 |
| Cast sup long arm ped plster HCPCS Q4007 | not published | not published | $6.19 – $8.83 | 12 |
| Cast sup long leg fiberglass HCPCS Q4030 | not published | not published | $72.69 – $103.70 | 12 |
| Cast sup shrt leg ped fbrgls HCPCS Q4040 | not published | not published | $19.67 – $28.07 | 12 |
| Cast sup shrt leg ped plster HCPCS Q4039 | not published | not published | $7.88 – $11.24 | 12 |
| Cast sup shrt leg plaster HCPCS Q4037 | not published | not published | $15.69 – $22.38 | 12 |
| Cast sup sht arm adult fbrgl HCPCS Q4010 | not published | not published | $18.60 – $26.54 | 12 |
| Cast sup sht arm adult plstr HCPCS Q4009 | not published | not published | $8.27 – $11.80 | 12 |
| Cast sup sht arm ped fbrglas HCPCS Q4012 | not published | not published | $9.32 – $13.30 | 12 |
| Cast sup sht arm ped plaster HCPCS Q4011 | not published | not published | $4.13 – $5.89 | 12 |
| Cast sup sht arm splint fbrg HCPCS Q4022 | not published | not published | $11.63 – $16.59 | 12 |
| Cast sup sht arm splint plst HCPCS Q4021 | not published | not published | $6.44 – $9.19 | 12 |
| Cast sup sht arm splnt ped f HCPCS Q4024 | not published | not published | $5.82 – $8.30 | 12 |
| Cast sup sht arm splnt ped p HCPCS Q4023 | not published | not published | $3.23 – $4.61 | 12 |
| Cast sup sht leg splnt fbrgl HCPCS Q4046 | not published | not published | $17.84 – $25.46 | 12 |
| Cast sup sht leg splnt ped f HCPCS Q4048 | not published | not published | $8.93 – $12.73 | 12 |
| Cast sup sht leg splnt ped p HCPCS Q4047 | not published | not published | $5.52 – $7.88 | 12 |
| Cast sup sht leg splnt plstr HCPCS Q4045 | not published | not published | $11.09 – $15.83 | 12 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $20.96 – $103.96 | 15 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | not published | not published | $10,004.40 – $10,004.40 | 1 |
| Cath council tip 16fr 5cc HCPCS A4344 | not published | not published | $17.11 – $24.41 | 12 |
| Cath entrl fd nutri 5fr 40cm HCPCS B4082 | not published | not published | $10.28 – $13.71 | 2 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | not published | not published | $3.00 – $33.61 | 15 |
| Catheter w/bag 3-way HCPCS A4313 | not published | not published | $16.83 – $24.01 | 12 |
| Catheter without bag 2-way latex HCPCS A4311 | not published | not published | $13.46 – $19.20 | 12 |
| Cath ext adhere actv m 28mm HCPCS A4349 | not published | not published | $2.15 – $3.07 | 12 |
| Cath follower heyman 20f HCPCS A4352 | not published | not published | $6.86 – $9.79 | 12 |
| Cath indw foley 3 way HCPCS A4346 | not published | not published | $20.93 – $29.86 | 12 |
| Cath infuse micro 150cm rapidtransit HCPCS A4351 | not published | not published | $1.74 – $2.48 | 12 |
| Cath insertion tray w/bag HCPCS A4354 | not published | not published | $10.73 – $15.31 | 12 |
| Cath left heart/lv gram CPT 93452 | not published | not published | $9,557.88 – $9,557.88 | 1 |
| Cath pezzer 34fr drain bardex propor head mushrm ltx HCPCS A4340 | not published | not published | $33.94 – $48.42 | 12 |
| Cath right heart w/o2 sat & card CPT 93451 | not published | not published | $3,516.67 – $3,516.67 | 1 |
| Cath stripping venous s&i CPT 75901 | not published | not published | $85.54 – $447.78 | 2 |
| Cath suction replogle 8fr neonatal esophageal HCPCS A4624 | not published | not published | $2.40 – $3.42 | 12 |
| Cath w/drainage 2-way latex HCPCS A4314 | not published | not published | $22.97 – $32.77 | 12 |
| Cath w/drainage 2-way silcne HCPCS A4315 | not published | not published | $23.96 – $34.19 | 12 |
| Cath without bag 2-way silicone HCPCS A4312 | not published | not published | $16.39 – $23.38 | 12 |
| Cbc/diffwbc without platelet HCPCS G0306 | not published | not published | $5.96 – $44.09 | 15 |
| CBC without platelet HCPCS G0307 | not published | not published | $4.96 – $36.70 | 15 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $13.82 – $102.11 | 15 |
| Cciiv4 vacc abx free im CPT 90756 | not published | not published | $29.07 – $29.07 | 1 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | not published | not published | $30.68 – $30.68 | 1 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $207.31 – $841.68 | 14 |
| Cdna analysis for variants CPT 81403 | not published | not published | $185.20 – $704.99 | 14 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $454.93 – $454.93 | 1 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $387.06 – $387.06 | 1 |
| Cebpa gene full sequence CPT 81218 | not published | not published | $241.90 – $1,337.81 | 14 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | not published | not published | $0.62 – $2.20 | 5 |
| Cefepime 1 gram solution for injection HCPCS J0692 | not published | not published | $0.90 – $2.31 | 5 |
| Cefotaxime sodium injection HCPCS J0698 | not published | not published | $9.10 – $19.48 | 2 |
| Cefotetan 1 gm vial HCPCS S0074 | $279.54 | $279.54 | $11.24 – $11.24 | 1 |
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.