Inova Loudoun Hospital
44045 Riverside Parkway, Leesburg, VA · Inova · · NPI 1376564302
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 |
|---|---|---|---|---|
| Flt3 gene CPT 81245 | $422.50 | $845.00 | $165.51 – $531.59 | 9 |
| Flt3 gene analysis CPT 81246 | $302.50 | $605.00 | $51.70 – $380.61 | 9 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $39.93 | $79.85 | $3.15 – $19.16 | 5 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | $93.99 | $187.98 | $68.20 – $111.52 | 8 |
| Fluidotherapy charges pt CPT 97022 | $95.00 | $190.00 | $17.76 – $119.53 | 9 |
| Fluid pressure muscle 20950 CPT 20950 | $1,190.00 | $2,380.00 | $251.48 – $1,509.00 | 9 |
| Fluorescent antibody titer dna CPT 86256 | $62.00 | $124.00 | $12.05 – $78.01 | 9 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $532.00 | $1,064.00 | $207.07 – $701.18 | 9 |
| Fluoroguide needle placement CPT 77002 | $553.50 | $1,107.00 | $251.44 – $729.51 | 9 |
| Fluoro polarize fetal lung CPT 83663 | $171.50 | $343.00 | $14.35 – $215.78 | 9 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $569.00 | $1,138.00 | $167.33 – $749.94 | 9 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $26.07 | $52.13 | $2.67 – $18.40 | 5 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $11.59 | $23.17 | $10.20 – $38.33 | 5 |
| Fmri brain by phys/psych CPT 70555 | $731.00 | $1,462.00 | $241.72 – $2,149.00 | 9 |
| Fmri brain by tech CPT 70554 | $731.00 | $1,462.00 | $241.72 – $2,149.00 | 9 |
| Fna bx w/ct gdn 1st les CPT 10009 | $2,076.00 | $4,152.00 | $703.59 – $2,485.00 | 9 |
| Fna bx w/ct gdn ea addl CPT 10010 | $1,083.50 | $2,167.00 | $883.55 – $1,509.00 | 8 |
| Foam stability fetal lung CPT 83662 | $171.50 | $343.00 | $14.35 – $215.78 | 9 |
| Folic acid CPT 82746 | $148.00 | $296.00 | $14.35 – $186.21 | 9 |
| Follow-up angiography CPT 75898 | $1,646.50 | $3,293.00 | $439.91 – $2,170.09 | 9 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $1,519.63 – $3,529.00 | 9 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $19.32 | $38.64 | $6.28 – $6.90 | 7 |
| Fondaparinux sodium HCPCS J1652 | $3.89 | $7.77 | $1.01 – $7.63 | 5 |
| Foot drp splt w/exp heel lg HCPCS L4398 | $93.00 | $186.00 | $61.38 – $145.08 | 3 |
| Foot X-ray CPT 73630 | $339.50 | $679.00 | $80.04 – $447.46 | 9 |
| Foot X-ray (2 views, both feet) CPT 73620 | $339.50 | $679.00 | $80.04 – $447.46 | 9 |
| Forearm X-ray (both sides) CPT 73090 | $329.50 | $659.00 | $80.04 – $434.28 | 9 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $394.00 | $788.00 | $243.21 – $1,509.00 | 9 |
| Foscarnet sodium injection HCPCS J1455 | $65.62 | $131.23 | $16.08 – $24.26 | 8 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $9.18 | $18.35 | $4.15 – $12.06 | 3 |
| Fractionation ketosteroids CPT 83593 | $393.00 | $786.00 | $15.74 – $494.47 | 9 |
| Fracture assessment via dxa CPT 77086 | $256.00 | $512.00 | $88.05 – $337.41 | 9 |
| _fragile x methylation-sendout CPT 81244 | $245.50 | $491.00 | $44.89 – $308.89 | 9 |
| Fragmenting of kidney stone CPT 50590 | not published | not published | $3,448.97 – $6,895.00 | 9 |
| Frenectomy 41115 CPT 41115 | $6,038.50 | $12,077.00 | $1,481.28 – $3,529.00 | 9 |
| Frenulotomy of penis CPT 54164 | not published | not published | $2,048.51 – $4,413.00 | 9 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $351.00 | $702.00 | $71.09 – $386.10 | 8 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $295.50 | $591.00 | $84.29 – $325.05 | 8 |
| Fresh frozen plasma thawing ea un CPT 86927 | $56.50 | $113.00 | $2.33 – $128.72 | 9 |
| Frozen blood freeze/thaw CPT 86932 | $209.50 | $419.00 | $11.63 – $263.59 | 9 |
| Frozen blood prep CPT 86930 | $209.50 | $419.00 | $13.70 – $263.59 | 9 |
| Frozen blood thaw CPT 86931 | $209.50 | $419.00 | $10.25 – $263.59 | 9 |
| Frozen cell preparation CPT 88241 | $74.50 | $149.00 | $5.86 – $93.74 | 9 |
| Frozen plasma, pooled, sd HCPCS P9023 | $182.00 | $364.00 | $1.35 – $200.20 | 8 |
| Fructosamine glycated protein CPT 82985 | $114.50 | $229.00 | $14.35 – $144.06 | 9 |
| Ftl cgen abnor four anal CPT 81511 | $525.50 | $1,051.00 | $153.50 – $661.18 | 9 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $346.50 | $693.00 | $80.04 – $456.69 | 9 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $2,896.00 | $5,792.00 | $1,829.23 – $3,529.00 | 9 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | $2,469.00 | $4,938.00 | $1,829.23 – $4,413.00 | 9 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $3,221.50 | $6,443.00 | $1,829.23 – $4,413.00 | 9 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $13.47 | $26.94 | $0.03 – $0.79 | 4 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $3,689.00 – $12,194.49 | 9 |
| Fusion of big toe joint CPT 28750 | not published | not published | $3,689.00 – $8,272.00 | 9 |
| Fusion of big toe joint CPT 28755 | not published | not published | $3,145.37 – $8,272.00 | 9 |
| Fusion of finger joint CPT 26860 | not published | not published | $1,919.20 – $6,895.00 | 9 |
| Fusion of foot bones CPT 28730 | not published | not published | $3,689.00 – $9,927.00 | 9 |
| Fusion of foot bones CPT 28735 | not published | not published | $3,689.00 – $11,913.00 | 9 |
| Fusion of foot bones CPT 28740 | not published | not published | $3,689.00 – $9,927.00 | 9 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $1,509.00 – $5,515.00 | 9 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $3,689.00 – $12,194.49 | 9 |
| G6pc gene CPT 81250 | $353.00 | $706.00 | $51.70 – $495.94 | 9 |
| G6pd full gene sequence CPT 81249 | $1,763.00 | $3,526.00 | $600.00 – $2,218.21 | 9 |
| G6pd gene alys cmn variant CPT 81247 | $513.50 | $1,027.00 | $174.81 – $646.09 | 9 |
| G6pd known familial variant CPT 81248 | $1,102.00 | $2,204.00 | $375.25 – $1,386.54 | 9 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $7.72 | $15.43 | $12.03 – $36.30 | 2 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $1.82 | $3.63 | $0.38 – $1.19 | 5 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $9.67 | $19.33 | $2.06 – $15.08 | 5 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | $2.64 | $5.28 | $0.16 – $0.94 | 5 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $22.50 | $45.00 | $20.57 – $26.53 | 5 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $182.00 | $364.00 | $14.35 – $228.99 | 9 |
| Galactokinase - sendout CPT 82759 | $193.50 | $387.00 | $14.35 – $243.46 | 9 |
| Galactose transferase test CPT 82776 | $43.50 | $87.00 | $11.74 – $54.73 | 9 |
| Galectin-3 CPT 82777 | $92.50 | $185.00 | $33.33 – $116.38 | 9 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,135.50 | $2,271.00 | $401.83 – $1,496.59 | 9 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,387.00 | $2,774.00 | $531.39 – $1,828.07 | 9 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $3,469.00 – $8,272.00 | 9 |
| Gammaglobulin iga CPT 82784 | $142.00 | $284.00 | $6.47 – $178.66 | 9 |
| Gammaglobulin ige CPT 82785 | $134.50 | $269.00 | $14.35 – $169.23 | 9 |
| Gamma glutamyltransferase CPT 82977 | $126.50 | $253.00 | $6.47 – $159.16 | 9 |
| Gamunex-c/gammaked HCPCS J1561 | $81.25 | $162.50 | $48.96 – $74.76 | 8 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $44.89 | $89.78 | $55.20 – $114.51 | 5 |
| Gardner vag dna quant CPT 87512 | $201.50 | $403.00 | $41.76 – $253.53 | 9 |
| Gastric analy w/ph ea spec CPT 82930 | $72.00 | $144.00 | $6.47 – $90.59 | 9 |
| Gastric emptying imag study CPT 78265 | $1,442.50 | $2,885.00 | $401.83 – $1,901.22 | 9 |
| Gastric emptying imag study CPT 78266 | $1,665.50 | $3,331.00 | $531.39 – $2,195.13 | 9 |
| Gastrin test CPT 82938 | $159.50 | $319.00 | $15.74 – $200.68 | 9 |
| Gastroesophageal reflux study CPT 78262 | $1,329.00 | $2,658.00 | $401.83 – $1,751.62 | 9 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $516.52 – $972.35 | 8 |
| Gba gene CPT 81251 | $396.50 | $793.00 | $47.25 – $944.55 | 9 |
| Gemcitabine 1 gram intravenous solution HCPCS J9201 | $17.18 | $34.36 | $4.37 – $16.95 | 5 |
| Gemtuzumab ozogamicin 4.5 mg (1 mg/ml initial concentration) IV soln HCPCS J9203 | $309.31 | $618.62 | $236.62 – $368.31 | 8 |
| Generator barostim neo2 2014 HCPCS C1767 | $85,279.40 | $170,558.80 | $16,878.41 – $39,894.43 | 2 |
| Generator emblem MRI sicd subq HCPCS C1722 | $47,086.11 | $94,172.22 | $14,117.40 – $33,368.40 | 2 |
| Genetic tstg severe inh cond CPT 81443 | $6,981.00 | $13,962.00 | $2,448.56 – $8,783.49 | 9 |
| Genioplasty augmentation CPT 21120 | not published | not published | $3,855.49 – $14,298.00 | 9 |
| Genome sequence analysis CPT 81425 | $7,547.00 | $15,094.00 | $2,785.95 – $9,495.64 | 9 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $38.75 | $77.49 | $3.08 – $9.32 | 5 |
| Gentamicin peak therapeutic drug level CPT 80170 | $179.00 | $358.00 | $14.43 – $225.22 | 9 |
| G-esoph reflx tst w/electrod CPT 91035 | not published | not published | $516.52 – $1,932.76 | 8 |
| Ghs abscess perianal iandd CPT 46050 | $1,530.50 | $3,061.00 | $911.71 – $3,529.00 | 9 |
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.