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 |
|---|---|---|---|---|
| Hymenotomy CPT 56442 | not published | not published | $752.86 – $3,529.00 | 9 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $2,067.00 – $11,913.00 | 9 |
| Hypothermia ill neonate CPT 99184 | $2,049.00 | $4,098.00 | $401.61 – $3,196.44 | 7 |
| Hysterosalpingography s&i CPT 74740 | $663.50 | $1,327.00 | $167.33 – $874.49 | 9 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $3,413.47 – $6,895.00 | 9 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $3,179.53 – $4,413.00 | 9 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $1,509.00 – $4,413.00 | 9 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $2,149.00 – $5,515.00 | 9 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $3,179.53 – $4,413.00 | 9 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $3,508.00 – $6,895.00 | 9 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $3,413.47 – $6,895.00 | 9 |
| I-123 iobenguane diag HCPCS A9582 | $159.38 | $318.75 | $248.63 – $2,282.29 | 7 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $83.71 | $167.41 | $130.58 – $193.20 | 3 |
| Iaadi respiratory synctial virus CPT 87280 | $77.00 | $154.00 | $11.72 – $96.88 | 9 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $195.00 | $390.00 | $35.09 – $245.35 | 9 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $113.00 | $226.00 | $13.38 – $142.18 | 9 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $44.50 | $89.00 | $13.38 – $204.89 | 9 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | $6,981.00 | $13,962.00 | $2,448.56 – $8,783.49 | 9 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $27,600.00 | $55,200.00 | $15,246.79 – $36,037.87 | 2 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $35,650.00 | $71,300.00 | $21,520.70 – $50,867.11 | 2 |
| Icd crtp serena MRI HCPCS C2621 | $12,518.90 | $25,037.80 | $8,033.26 – $18,987.70 | 2 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $5,523.00 | $11,046.00 | $1,509.00 – $6,895.00 | 9 |
| Idarubicin hcl injection HCPCS J9211 | $58.73 | $117.46 | $51.19 – $69.38 | 8 |
| Idet 1 or more levels CPT 22527 | $3,207.50 | $6,415.00 | $943.00 – $8,545.00 | 9 |
| Idet single level CPT 22526 | $3,347.50 | $6,695.00 | $943.00 – $8,545.00 | 9 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $18,127.00 | $36,254.00 | $1,509.00 – $4,413.00 | 9 |
| Idh1 common variants CPT 81120 | $459.50 | $919.00 | $190.07 – $578.14 | 9 |
| Idh2 common variants CPT 81121 | $702.50 | $1,405.00 | $190.07 – $883.89 | 9 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | $4,711.00 | $9,422.00 | $2,149.00 – $4,413.00 | 9 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $15,178.00 | $30,356.00 | $1,509.00 – $3,529.00 | 9 |
| Idursulfase injection HCPCS J1743 | $739.64 | $1,479.28 | $558.46 – $869.45 | 8 |
| I&d vag hemtma obst/postpart CPT 57022 | $6,173.00 | $12,346.00 | $1,847.42 – $2,976.53 | 9 |
| Ifnl3 gene CPT 81283 | $222.00 | $444.00 | $51.70 – $279.32 | 9 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $48.66 | $97.31 | $35.19 – $58.43 | 5 |
| Igh@/bcl2 translocation alys CPT 81278 | $447.50 | $895.00 | $190.07 – $939.11 | 9 |
| Igh gene rearrang dir probe CPT 81262 | $168.50 | $337.00 | $51.70 – $325.03 | 9 |
| Igh gene rearrange amp meth CPT 81261 | $941.00 | $1,882.00 | $190.07 – $1,183.97 | 9 |
| Igh@ var region somatic mutation analy CPT 81263 | $1,072.00 | $2,144.00 | $190.07 – $1,348.79 | 9 |
| Igk rearrangeabn clonal pop CPT 81264 | $1,683.50 | $3,367.00 | $172.73 – $2,118.18 | 9 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $242.50 | $485.00 | $46.88 – $305.11 | 9 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $443.00 | $886.00 | $231.10 – $563.08 | 9 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $253.50 | $507.00 | $152.32 – $318.95 | 9 |
| Ikbkap gene CPT 81260 | $485.00 | $970.00 | $39.31 – $610.23 | 9 |
| Iliac/fem angio cath insert HCPCS G0278 | $256.00 | $512.00 | $228.25 – $7,036.86 | 8 |
| Imatinib 100 mg tab HCPCS S0088 | $9.90 | $19.80 | $15.44 – $519.48 | 6 |
| Immob elbow child sm HCPCS L3762 | $118.00 | $236.00 | $77.88 – $184.08 | 3 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $154.00 | $308.00 | $30.59 – $134.95 | 3 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $110.00 | $220.00 | $72.60 – $171.60 | 3 |
| Immobilizer shldr sling med HCPCS L3660 | $117.50 | $235.00 | $77.55 – $183.30 | 3 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $2,149.00 – $11,913.00 | 9 |
| Immune complex assay CPT 86332 | $187.50 | $375.00 | $13.38 – $235.91 | 9 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $76.34 | $152.68 | $45.31 – $74.40 | 8 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $180.50 | $361.00 | $13.38 – $227.11 | 9 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $180.50 | $361.00 | $13.38 – $227.11 | 9 |
| Immunoassay tumor qual CPT 86294 | $140.50 | $281.00 | $13.38 – $176.78 | 9 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $118.50 | $237.00 | $11.98 – $149.10 | 9 |
| Immunodiffusion nes CPT 86329 | $136.50 | $273.00 | $13.38 – $171.74 | 9 |
| Immunofixation electrophoresis serum CPT 86334 | $192.50 | $385.00 | $13.38 – $242.20 | 9 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $206.50 | $413.00 | $46.88 – $362.08 | 9 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $212.50 | $425.00 | $134.41 – $267.37 | 9 |
| Immunoglobulin assay CPT 86023 | $111.50 | $223.00 | $12.46 – $140.29 | 9 |
| Immunology procedure CPT 86849 | $865.50 | $1,731.00 | $13.38 – $221.11 | 9 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $1,700.00 | $3,400.00 | $357.06 – $843.96 | 3 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $10,235.00 | $20,470.00 | $1,442.10 – $3,408.60 | 2 |
| Implant cochlear device CPT 69930 | not published | not published | $4,817.00 – $34,988.60 | 9 |
| Implant cochlear osia osi300 HCPCS L8690 | $10,586.10 | $21,172.19 | $6,986.82 – $16,514.31 | 2 |
| Implant neuroelectrode CPT 61863 | not published | not published | $4,016.13 – $30,680.58 | 6 |
| Implant neuroelectrode CPT 61867 | not published | not published | $4,016.13 – $30,680.58 | 6 |
| Implant neuroelectrodes CPT 64555 | $12,467.50 | $24,935.00 | $1,509.00 – $8,272.00 | 9 |
| Implant neuroelectrodes CPT 64561 | not published | not published | $3,508.00 – $7,219.19 | 9 |
| Implant neurostim arrays CPT 61886 | not published | not published | $3,508.00 – $30,680.58 | 9 |
| Implant spine infusion pump CPT 62361 | not published | not published | $2,149.00 – $18,385.64 | 9 |
| Implant spine infusion pump CPT 62362 | not published | not published | $2,149.00 – $18,385.64 | 9 |
| Implant tcat pulm vlv perq CPT 33477 | $5,517.00 | $11,034.00 | $4,016.13 – $21,835.12 | 9 |
| Implant ureth bulk agent HCPCS L8606 | $1,517.08 | $3,034.16 | $870.10 – $2,056.59 | 2 |
| Impl neurostim electr perc CPT 63650 | $7,636.00 | $15,272.00 | $2,149.00 – $7,219.19 | 9 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $4,588.00 – $13,381.49 | 9 |
| In-111 autol wbc diag per dose HCPCS A9570 | $1,594.51 | $3,189.02 | $1,031.39 – $1,134.53 | 7 |
| In-111 pentetreotide HCPCS A9572 | $879.73 | $1,759.46 | $1,372.38 – $2,106.07 | 7 |
| Incise wrist/forearm tendon CPT 25290 | not published | not published | $2,493.27 – $5,515.00 | 9 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $3,399.00 | $6,798.00 | $1,509.00 – $3,529.00 | 9 |
| Incision of achilles tendon CPT 27605 | not published | not published | $1,509.00 – $3,529.00 | 9 |
| Incision of achilles tendon CPT 27606 | not published | not published | $1,509.00 – $5,515.00 | 9 |
| Incision of anal sphincter CPT 46080 | not published | not published | $1,847.42 – $3,529.00 | 9 |
| Incision of breast lesion CPT 19020 | $11,024.00 | $22,048.00 | $1,620.24 – $3,529.00 | 9 |
| Incision of eardrum CPT 69420 | not published | not published | $232.22 – $3,508.00 | 9 |
| Incision of eardrum CPT 69421 | not published | not published | $1,847.42 – $3,529.00 | 9 |
| Incision of eye CPT 66172 | not published | not published | $2,280.73 – $4,413.00 | 9 |
| Incision of foot fascia CPT 28008 | not published | not published | $3,145.37 – $3,529.00 | 9 |
| Incision of heel bone CPT 28300 | not published | not published | $2,149.00 – $14,298.00 | 9 |
| Incision of hip bones CPT 27151 | not published | not published | $3,469.00 – $11,913.00 | 8 |
| Incision of hip tendon CPT 27001 | not published | not published | $3,244.61 – $5,515.00 | 9 |
| Incision of metatarsal CPT 28306 | not published | not published | $3,145.37 – $8,272.00 | 9 |
| Incision of metatarsal CPT 28308 | not published | not published | $2,149.00 – $6,895.00 | 9 |
| Incision of metatarsals CPT 28309 | not published | not published | $3,689.00 – $9,927.00 | 9 |
| Incision of midfoot bones CPT 28304 | not published | not published | $2,149.00 – $9,927.00 | 9 |
| Incision of prostate CPT 52450 | not published | not published | $2,470.01 – $5,515.00 | 9 |
| Incision of rectal abscess CPT 46060 | not published | not published | $1,847.42 – $4,413.00 | 9 |
| Incision of tendon sheath CPT 25000 | not published | not published | $1,600.41 – $3,529.00 | 9 |
| Incision of thigh tendon CPT 27306 | not published | not published | $3,244.61 – $4,413.00 | 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.