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 |
|---|---|---|---|---|
| Perc d-e cor revasc chro sin HCPCS C9607 | $17,162.50 | $34,325.00 | $6,371.53 – $18,878.75 | 8 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $17,013.50 | $34,027.00 | $12,299.91 – $22,196.00 | 8 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $17,162.50 | $34,325.00 | $6,371.53 – $18,878.75 | 8 |
| Perc d-e cor stent ather br HCPCS C9603 | $17,013.50 | $34,027.00 | $12,299.91 – $22,196.00 | 8 |
| Perc d-e cor stent ather s HCPCS C9602 | $17,162.50 | $34,325.00 | $6,371.53 – $18,878.75 | 8 |
| Perc drug-el cor stent bran HCPCS C9601 | $17,013.50 | $34,027.00 | $2,190.02 – $22,196.00 | 8 |
| Perc drug-el cor stent sing HCPCS C9600 | $21,200.50 | $42,401.00 | $6,371.53 – $23,320.55 | 8 |
| Perc rf ablate renal tumor CPT 50592 | $17,686.00 | $35,372.00 | $2,067.00 – $9,927.00 | 9 |
| Percut ablate liver rf CPT 47382 | $4,014.00 | $8,028.00 | $3,668.80 – $11,913.00 | 9 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $55.38 | $110.75 | $56.76 – $255.59 | 5 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $786.50 | $1,573.00 | $718.86 – $8,206.00 | 9 |
| Pericardiocentesis wwo imaging CPT 33016 | $4,861.50 | $9,723.00 | $1,285.16 – $3,529.00 | 9 |
| Peri-implt capslc brst compl CPT 19371 | not published | not published | $3,689.00 – $6,895.00 | 9 |
| Perineoplasty rpr per nonob CPT 56810 | not published | not published | $3,179.53 – $5,515.00 | 9 |
| Peripheral vascular rehab CPT 93668 | $93.50 | $187.00 | $59.40 – $117.64 | 9 |
| Peri-proc device eval icd CPT 93287 | $82.50 | $165.00 | $51.70 – $103.80 | 9 |
| Peri-proc device eval pm CPT 93286 | $73.50 | $147.00 | $51.70 – $92.48 | 9 |
| Peritoneal cath sub q resv per CPT 49419 | $6,288.50 | $12,577.00 | $2,067.00 – $6,895.00 | 9 |
| Peritoneogram rs&i CPT 74190 | $314.50 | $629.00 | $167.33 – $414.51 | 9 |
| Perit-vens shunt pat tst CPT 78291 | $1,204.00 | $2,408.00 | $401.83 – $1,586.87 | 9 |
| Permanent tear duct plug HCPCS A4263 | $262.41 | $524.82 | $173.19 – $409.36 | 2 |
| Perq art m-thrombect &/nfs CPT 61645 | $4,282.00 | $8,564.00 | $1,956.87 – $20,775.33 | 9 |
| Perq clsr tcat l atr apndge CPT 33340 | $18,493.50 | $36,987.00 | $4,016.13 – $23,094.84 | 9 |
| Perq dev breast 1st mr guide CPT 19287 | $820.00 | $1,640.00 | $639.60 – $3,508.00 | 9 |
| Perq dev breast 1st strtctc CPT 19283 | $814.00 | $1,628.00 | $634.92 – $2,485.00 | 9 |
| Perq nl/pl lithotrp cplx>2cm CPT 50081 | $33,517.00 | $67,034.00 | $3,469.00 – $16,441.00 | 9 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $23,535.00 | $47,070.00 | $3,689.00 – $14,298.00 | 9 |
| Perq p-art revsc 1 abnor bi CPT 33903 | $21,287.50 | $42,575.00 | $4,385.00 – $12,474.63 | 9 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $34,447.50 | $68,895.00 | $4,385.00 – $18,674.99 | 9 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | $21,287.50 | $42,575.00 | $4,817.00 – $12,474.63 | 9 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | $21,287.50 | $42,575.00 | $4,817.00 – $12,474.63 | 9 |
| Perq p-art revsc each addl CPT 33904 | $10,644.00 | $21,288.00 | $943.00 – $13,529.90 | 9 |
| Perq plmt bile duct stent CPT 47538 | $11,224.00 | $22,448.00 | $943.00 – $6,067.73 | 9 |
| Perq plmt bile duct stent CPT 47539 | $8,325.00 | $16,650.00 | $943.00 – $6,067.73 | 9 |
| Perq plmt bile duct stent CPT 47540 | $8,325.00 | $16,650.00 | $943.00 – $6,417.80 | 9 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $482.50 | $965.00 | $243.21 – $1,509.00 | 9 |
| Perq transcath closure each CPT 93592 | $1,688.00 | $3,376.00 | $883.55 – $21,835.12 | 9 |
| Perq transcath closure pda CPT 93582 | $18,277.50 | $36,555.00 | $4,385.00 – $44,668.33 | 9 |
| Perq transcath cls aortic CPT 93591 | $35,645.00 | $71,290.00 | $8,206.00 – $39,209.50 | 9 |
| Perq transcath cls mitral CPT 93590 | $35,645.00 | $71,290.00 | $8,206.00 – $39,209.50 | 9 |
| Perq transcath septal reduxn CPT 93583 | $2,214.50 | $4,429.00 | $2,435.95 – $21,835.12 | 9 |
| Perq trluml angp nt/recr coa CPT 33897 | $1,509.00 | $3,018.00 | $943.00 – $12,791.91 | 9 |
| Pertussis ag if CPT 87265 | $126.00 | $252.00 | $11.72 – $158.53 | 9 |
| Pertuzumab 30 mg/ml desensitization HCPCS J9306 | $22.48 | $44.95 | $17.02 – $26.30 | 8 |
| Pertuzu, trastuzu, 10 mg HCPCS J9316 | $106.67 | $213.33 | $62.10 – $98.67 | 8 |
| Pessary 3.5 in 7 vag sil rng fold HCPCS A4562 | $105.00 | $210.00 | $115.50 – $163.80 | 2 |
| Pet CT skull-mid thgh initial CPT 78815 | $5,133.00 | $10,266.00 | $1,458.59 – $4,496.00 | 9 |
| Pet CT whole body initial CPT 78816 | $5,356.50 | $10,713.00 | $1,458.59 – $4,496.00 | 9 |
| Pet fdg brain metoblic eval sb CPT 78608 | $4,379.00 | $8,758.00 | $1,458.59 – $3,132.03 | 9 |
| Pet image w/ct lmtd CPT 78814 | $4,911.00 | $9,822.00 | $1,458.59 – $4,496.00 | 9 |
| Pet scan brain perf study CPT 78609 | $4,297.00 | $8,594.00 | $246.02 – $3,831.21 | 9 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $24,127.00 | $48,254.00 | $8.07 – $19.06 | 2 |
| Pharmacologic management w/psytx CPT 90863 | $170.50 | $341.00 | $49.77 – $214.52 | 9 |
| Ph body fluid CPT 83986 | $37.00 | $74.00 | $3.58 – $46.55 | 9 |
| Phencyclidine (pcp) CPT 83992 | $159.50 | $319.00 | $4.45 – $200.68 | 9 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | $40.27 | $80.53 | $22.20 – $63.79 | 5 |
| Phenobarbital therapeutic drug level CPT 80184 | $98.50 | $197.00 | $14.43 – $123.93 | 9 |
| Phentolaine mesylate inj HCPCS J2760 | $591.75 | $1,183.50 | $172.84 – $679.47 | 8 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | $2.54 | $5.08 | $0.01 – $1.19 | 5 |
| Phenytoin total therapeutic drug level CPT 80185 | $141.50 | $283.00 | $13.25 – $178.04 | 9 |
| Phlebotomy therapeutic CPT 99195 | $249.00 | $498.00 | $102.78 – $313.29 | 9 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $7,847.00 | $15,694.00 | $3,147.50 – $3,529.00 | 9 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $8,192.00 | $16,384.00 | $3,147.50 – $3,529.00 | 9 |
| Phosphorus CPT 84100 | $47.00 | $94.00 | $4.74 – $59.14 | 9 |
| Phosphorus 24 hour urine CPT 84105 | $46.00 | $92.00 | $5.78 – $57.88 | 9 |
| Photopheresis CPT 36522 | $7,921.50 | $15,843.00 | $2,149.00 – $6,895.00 | 9 |
| Phys blood bank serv authrj CPT 86079 | $168.50 | $337.00 | $50.75 – $212.01 | 9 |
| Phys blood bank serv reactj CPT 86078 | $168.50 | $337.00 | $111.19 – $212.01 | 9 |
| Phys blood bank serv xmatch CPT 86077 | $167.50 | $335.00 | $24.49 – $210.75 | 9 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $246.00 | $492.00 | $110.07 – $369.00 | 9 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $212.00 | $424.00 | $110.07 – $348.87 | 9 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $212.50 | $425.00 | $110.07 – $348.87 | 9 |
| Physical Therapy Re-Evaluation CPT 97164 | $183.00 | $366.00 | $76.38 – $348.87 | 9 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | $25.72 | $51.44 | $3.21 – $8.55 | 5 |
| Pik3ca gene trgt seq alys CPT 81309 | $652.00 | $1,304.00 | $190.07 – $820.35 | 9 |
| Pin finger fracture each CPT 26756 | not published | not published | $2,149.00 – $3,569.07 | 9 |
| Pin hand dislocation CPT 26676 | not published | not published | $2,149.00 – $4,413.00 | 9 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $1,847.42 – $4,413.00 | 9 |
| Pinworm exam CPT 87172 | $82.00 | $164.00 | $4.27 – $103.17 | 9 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | $25.68 | $51.35 | $1.49 – $15.28 | 5 |
| Place cath intracranial art CPT 36228 | $921.00 | $1,842.00 | $420.90 – $6,969.84 | 9 |
| Place cath xtrnl carotid CPT 36227 | $1,301.00 | $2,602.00 | $594.56 – $6,969.84 | 9 |
| Place cecostomy tube perc CPT 49442 | $2,290.00 | $4,580.00 | $1,179.08 – $3,529.00 | 9 |
| Place device/marker, non pro HCPCS C9728 | $5,246.00 | $10,492.00 | $1,368.26 – $2,485.00 | 8 |
| Place duod/jej tube perc CPT 49441 | $1,443.50 | $2,887.00 | $516.52 – $3,529.00 | 9 |
| Place gastrostomy tube perc CPT 49440 | $1,443.50 | $2,887.00 | $516.52 – $3,529.00 | 9 |
| Placement bile duct support CPT 47801 | $1,999.50 | $3,999.00 | $1,827.54 – $8,521.32 | 9 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $754.00 | $1,508.00 | $588.12 – $2,485.00 | 9 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $321.50 | $643.00 | $293.85 – $2,005.33 | 9 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $820.00 | $1,640.00 | $639.60 – $2,485.00 | 9 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $5,733.00 | $11,466.00 | $943.00 – $2,230.39 | 9 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $528.00 | $1,056.00 | $580.80 – $1,127.36 | 4 |
| Placement of seton CPT 46020 | not published | not published | $2,117.94 – $4,413.00 | 9 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $13,964.50 | $27,929.00 | $11,340.57 – $22,408.00 | 9 |
| Place needles pelvic for right CPT 55920 | $8,331.00 | $16,662.00 | $1,509.00 – $11,913.00 | 9 |
| Place non-slctv cath thoracic arta CPT 36221 | $4,137.50 | $8,275.00 | $1,048.63 – $3,462.25 | 9 |
| Placental lactogen CPT 83632 | $291.50 | $583.00 | $14.35 – $366.77 | 9 |
| Place po breast cath for rad CPT 19296 | $34,156.00 | $68,312.00 | $3,455.55 – $8,545.00 | 9 |
| Place right device/marker pros CPT 55876 | $997.50 | $1,995.00 | $1,132.96 – $3,529.00 | 9 |
| Place slctv cath carotd art uni CPT 36224 | $19,107.00 | $38,214.00 | $1,226.88 – $5,946.27 | 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.