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 |
|---|---|---|---|---|
| Intraventricular pacing CPT 93612 | $4,356.50 | $8,713.00 | $892.68 – $12,223.00 | 9 |
| Intrinsic factor antibody CPT 86340 | $134.50 | $269.00 | $13.38 – $169.23 | 9 |
| Intro cath dialysis circuit CPT 36901 | $2,540.50 | $5,081.00 | $1,285.16 – $2,485.00 | 9 |
| Intro cath dialysis circuit w/pta CPT 36902 | $8,761.00 | $17,522.00 | $4,817.00 – $9,927.00 | 9 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $18,260.50 | $36,521.00 | $4,817.00 – $18,086.00 | 9 |
| Intro catheter aorta CPT 36200 | $673.00 | $1,346.00 | $307.56 – $2,149.00 | 9 |
| Intro cath svc/ivc CPT 36010 | $536.00 | $1,072.00 | $244.95 – $1,509.00 | 9 |
| Intro long gi tube CPT 44500 | $1,311.50 | $2,623.00 | $516.52 – $2,485.00 | 9 |
| Intro long gi tube w/mult fluo CPT 74340 | $334.50 | $669.00 | $294.34 – $475.13 | 9 |
| Intro windpipe wire/tube CPT 31730 | $1,295.00 | $2,590.00 | $1,724.47 – $2,485.00 | 9 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $3,200.50 | $6,401.00 | $883.55 – $4,992.78 | 7 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $799.00 | $1,598.00 | $730.29 – $2,190.02 | 7 |
| Intubation endotracheal emergency procedure CPT 31500 | $653.00 | $1,306.00 | $232.22 – $1,509.00 | 9 |
| Ionm in operatng room 15 min CPT 95940 | $50.50 | $101.00 | $45.03 – $637.00 | 7 |
| Ionm remote/>1 pt or per hr CPT 95941 | $182.50 | $365.00 | $162.72 – $637.00 | 7 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $15.68 | $31.35 | $0.48 – $1.90 | 5 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $7.19 | $14.37 | $0.21 – $1.08 | 5 |
| Io radiation tx management CPT 77469 | $1,309.50 | $2,619.00 | $563.23 – $1,725.92 | 9 |
| Io rad tx deliver by elctrns CPT 77425 | $37,382.00 | $74,764.00 | $2,010.35 – $49,269.48 | 9 |
| Io rad tx delivery by x-ray CPT 77424 | $31,152.50 | $62,305.00 | $2,010.35 – $41,059.00 | 9 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $247.78 | $495.55 | $183.48 – $285.50 | 8 |
| Ipratropium bromide non-comp HCPCS J7644 | $7.63 | $15.26 | $0.55 – $11.50 | 5 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $9.80 | $19.59 | $2.18 – $9.79 | 5 |
| Iron CPT 83540 | $81.00 | $162.00 | $6.47 – $101.91 | 9 |
| Iron binding capacity CPT 83550 | $107.00 | $214.00 | $6.47 – $134.63 | 9 |
| Irradiation of blood product each unit reference CPT 86945 | $400.00 | $800.00 | $3.45 – $503.28 | 9 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $106.00 | $212.00 | $59.40 – $169.01 | 9 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | $126.50 | $253.00 | $59.40 – $1,043.00 | 9 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,829.23 – $2,485.00 | 9 |
| Ivc venogram s&i CPT 75825 | $1,890.50 | $3,781.00 | $1,685.57 – $2,755.02 | 9 |
| IV Fluids (each additional hour) CPT 96361 | $115.50 | $231.00 | $46.14 – $177.99 | 9 |
| IV Fluids (first hour) CPT 96360 | $390.00 | $780.00 | $210.69 – $667.98 | 9 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $142.00 | $284.00 | $126.61 – $424.56 | 9 |
| IV inj ra drug dx study CPT 78808 | $716.50 | $1,433.00 | $401.83 – $1,268.98 | 9 |
| IV Medicine Infusion (additional drug) CPT 96367 | $237.50 | $475.00 | $71.17 – $298.82 | 9 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $154.00 | $308.00 | $46.14 – $215.69 | 9 |
| IV Medicine Infusion (first hour) CPT 96365 | $476.50 | $953.00 | $210.69 – $937.81 | 9 |
| IV Push Injection (each additional drug) CPT 96375 | $232.50 | $465.00 | $46.14 – $292.53 | 9 |
| IV Push Injection (first drug) CPT 96374 | $267.00 | $534.00 | $74.35 – $401.45 | 9 |
| Ivp w/nephrotomography CPT 74415 | $1,040.00 | $2,080.00 | $167.33 – $1,370.72 | 9 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $946.00 | $1,892.00 | $167.33 – $1,246.83 | 9 |
| Jak2 targeted sequence analysis CPT 81279 | $872.00 | $1,744.00 | $185.20 – $1,097.15 | 9 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $276.00 | $552.00 | $80.04 – $363.77 | 9 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $250.50 | $501.00 | $80.04 – $330.16 | 9 |
| Jejunstmy tube plcmt CPT 44372 | $902.50 | $1,805.00 | $1,407.90 – $3,529.00 | 9 |
| John cunningham antibody CPT 86711 | $86.00 | $172.00 | $13.38 – $108.21 | 9 |
| J-tube placement CPT 44015 | $331.00 | $662.00 | $302.53 – $6,063.87 | 9 |
| Kerecis marigen shld sq cm HCPCS A2019 | $2,122.00 | $4,244.00 | $1,164.32 – $3,310.32 | 2 |
| Ketogenic steroids fract CPT 83582 | $214.00 | $428.00 | $15.47 – $269.25 | 9 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $98.00 | $196.00 | $6.47 – $123.30 | 9 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | $17.76 | $35.51 | $0.30 – $0.54 | 8 |
| Kidney endoscopy CPT 50553 | $5,728.00 | $11,456.00 | $1,509.00 – $9,927.00 | 9 |
| Kidney endoscopy & treatment CPT 50561 | $5,728.00 | $11,456.00 | $1,509.00 – $9,927.00 | 9 |
| Kidney imaging morphology CPT 78700 | $912.50 | $1,825.00 | $401.83 – $1,202.68 | 9 |
| Kidney imag w/bld flow multi CPT 78709 | $1,566.50 | $3,133.00 | $531.39 – $2,064.65 | 9 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $1,105.00 | $2,210.00 | $531.39 – $1,456.39 | 9 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $582.50 | $1,165.00 | $106.34 – $767.74 | 9 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $556.00 | $1,112.00 | $106.34 – $732.81 | 9 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $10,810.00 | $21,620.00 | $7,061.61 – $16,691.08 | 2 |
| Kit gene analys d816 variant CPT 81273 | $401.00 | $802.00 | $51.70 – $565.66 | 9 |
| Kit lead specify 5-6-5 HCPCS C1778 | $20,065.78 | $40,131.55 | $2,960.10 – $6,996.60 | 2 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,679.00 | $3,358.00 | $1,107.81 – $2,618.46 | 2 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $2,782.78 | $5,565.56 | $1,836.63 – $4,341.14 | 2 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $3,125.34 – $5,515.00 | 9 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $3,125.34 – $6,895.00 | 9 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $3,125.34 – $4,413.00 | 9 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $3,125.34 – $5,515.00 | 9 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,600.41 – $3,689.00 | 9 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $3,125.34 – $5,515.00 | 9 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $3,125.34 – $5,515.00 | 9 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $3,125.34 – $5,515.00 | 9 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $3,125.34 – $5,515.00 | 9 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $3,125.34 – $5,515.00 | 9 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $3,125.34 – $5,515.00 | 9 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $3,125.34 – $6,895.00 | 9 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $3,125.34 – $4,413.00 | 9 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $3,125.34 – $5,515.00 | 9 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $3,125.34 – $4,413.00 | 9 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $3,508.00 – $7,858.10 | 9 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $3,508.00 – $16,441.00 | 9 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $3,508.00 – $18,086.00 | 9 |
| Knee MRI (with and without contrast) CPT 73723 | $1,419.00 | $2,838.00 | $357.13 – $3,947.31 | 9 |
| Knee MRI (with contrast) CPT 73722 | $887.50 | $1,775.00 | $580.28 – $2,212.07 | 9 |
| Knee MRI (without contrast) CPT 73721 | $835.00 | $1,670.00 | $241.72 – $2,149.00 | 9 |
| Knee orth pos locking joint HCPCS L1831 | $718.00 | $1,436.00 | $473.88 – $1,120.08 | 3 |
| Knee X-ray CPT 73564 | $320.50 | $641.00 | $80.04 – $422.42 | 9 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $255.50 | $511.00 | $80.04 – $336.75 | 9 |
| Knee X-ray (3 views, both knees) CPT 73562 | $301.00 | $602.00 | $80.04 – $396.72 | 9 |
| Knee X-ray (standing, both knees) CPT 73565 | $144.50 | $289.00 | $80.04 – $190.45 | 9 |
| Kras gene addl variants CPT 81276 | $667.00 | $1,334.00 | $190.07 – $893.27 | 9 |
| Kras gene variants exon 2 CPT 81275 | $692.00 | $1,384.00 | $190.07 – $870.67 | 9 |
| Kyleena, 19.5 mg HCPCS J7296 | $1,659.49 | $3,318.98 | $691.98 – $761.18 | 6 |
| Labioplasty 56800 CPT 56800 | not published | not published | $3,179.53 – $5,515.00 | 9 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $0.81 | $1.61 | $1.14 – $1.14 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $64.00 | $128.00 | $6.04 – $80.52 | 9 |
| Lactic acid CPT 83605 | $107.00 | $214.00 | $11.57 – $134.63 | 9 |
| Lactoferrin fecal qualitative CPT 83630 | $126.00 | $252.00 | $14.35 – $158.53 | 9 |
| Lactoferrin fecal quant CPT 83631 | $204.00 | $408.00 | $14.35 – $256.67 | 9 |
| Lam facetec & foramot crv CPT 63045 | not published | not published | $3,469.00 – $11,913.00 | 9 |
| Lam facetec & foramot lumbar CPT 63047 | not published | not published | $3,469.00 – $9,927.00 | 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.