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 |
|---|---|---|---|---|
| Revision of collar bone CPT 23485 | $9,884.00 | $19,768.00 | $4,817.00 – $14,153.50 | 9 |
| Revision of colostomy CPT 44340 | not published | not published | $2,960.02 – $5,515.00 | 9 |
| Revision of cranial nerve CPT 64716 | not published | not published | $1,952.77 – $6,895.00 | 9 |
| Revision of eyelid CPT 67880 | not published | not published | $1,979.47 – $3,529.00 | 9 |
| Revision of eyelid CPT 67950 | $6,138.00 | $12,276.00 | $1,979.47 – $4,413.00 | 9 |
| Revision of eyelid CPT 67961 | not published | not published | $2,332.96 – $4,413.00 | 9 |
| Revision of eyelid CPT 67966 | not published | not published | $2,332.96 – $4,413.00 | 9 |
| Revision of foot CPT 28116 | not published | not published | $3,145.37 – $5,515.00 | 9 |
| Revision of foot and ankle CPT 28262 | not published | not published | $3,689.00 – $16,441.00 | 9 |
| Revision of foot tendon CPT 28238 | not published | not published | $3,508.00 – $8,272.00 | 9 |
| Revision of iris CPT 66761 | not published | not published | $548.60 – $2,485.00 | 9 |
| Revision of knee joint CPT 27446 | not published | not published | $11,913.00 – $28,340.00 | 9 |
| Revision of neck muscle CPT 21700 | not published | not published | $2,149.00 – $7,501.83 | 9 |
| Revision of neck muscle/rib CPT 21705 | not published | not published | $943.00 – $7,934.63 | 8 |
| Revision of nose CPT 30430 | not published | not published | $3,508.00 – $6,895.00 | 9 |
| Revision of nose CPT 30435 | not published | not published | $3,469.00 – $9,927.00 | 9 |
| Revision of nose CPT 30450 | not published | not published | $4,817.00 – $9,927.00 | 9 |
| Revision of nose CPT 30460 | not published | not published | $4,817.00 – $6,895.00 | 9 |
| Revision of penis CPT 54300 | not published | not published | $2,841.76 – $4,413.00 | 9 |
| Revision of penis CPT 54304 | not published | not published | $2,841.76 – $5,515.00 | 9 |
| Revision of penis CPT 54430 | $6,276.50 | $12,553.00 | $2,841.76 – $7,897.09 | 9 |
| Revision of sciatic nerve CPT 64712 | not published | not published | $1,952.77 – $9,927.00 | 9 |
| Revision of scrotum CPT 55175 | not published | not published | $1,509.00 – $6,895.00 | 9 |
| Revision of scrotum CPT 55180 | not published | not published | $2,149.00 – $6,895.00 | 9 |
| Revision of spinal shunt CPT 63744 | not published | not published | $3,508.00 – $9,927.00 | 9 |
| Revision of testis CPT 54660 | not published | not published | $2,149.00 – $11,913.00 | 9 |
| Revision of thigh muscles CPT 27430 | not published | not published | $3,689.00 – $8,272.00 | 9 |
| Revision of toe CPT 28312 | not published | not published | $3,145.37 – $5,515.00 | 9 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $3,508.00 – $11,913.00 | 9 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $4,817.00 – $9,927.00 | 9 |
| Revision of urethra CPT 53450 | not published | not published | $1,509.00 – $4,413.00 | 9 |
| Revision open av fistula without thromb CPT 36832 | $6,941.00 | $13,882.00 | $3,689.00 – $8,272.00 | 9 |
| Revision tips CPT 37183 | $7,622.00 | $15,244.00 | $4,588.00 – $11,913.00 | 9 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $3,469.00 – $14,118.52 | 9 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $3,469.00 – $14,933.05 | 8 |
| Revitalon 1 square cm HCPCS Q4157 | $478.40 | $956.80 | $334.79 – $746.30 | 2 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $4,817.00 – $9,927.00 | 9 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $4,817.00 – $9,927.00 | 9 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $4,817.00 – $9,927.00 | 9 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $4,120.50 | $8,241.00 | $1,509.00 – $5,515.00 | 9 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $1,509.00 – $5,515.00 | 9 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $2,149.00 – $18,086.00 | 9 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $7,910.00 | $15,820.00 | $1,952.77 – $3,689.00 | 9 |
| Rheumatoid factor qualitative CPT 86430 | $47.00 | $94.00 | $6.14 – $59.14 | 9 |
| Rheumatoid factor quantitative CPT 86431 | $48.00 | $96.00 | $5.67 – $60.39 | 9 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | $10,456.50 | $20,913.00 | $3,689.00 – $6,895.00 | 9 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $254.00 | $508.00 | $6.78 – $161.28 | 8 |
| Rho(d) immune globulin h, sd HCPCS J2792 | $66.50 | $133.00 | $25.46 – $47.90 | 8 |
| Rho d immune globulin inj HCPCS J2790 | $396.50 | $793.00 | $115.29 – $161.28 | 8 |
| R hrt cath chd abnl nt cnj CPT 93594 | $2,988.50 | $5,977.00 | $3,216.41 – $10,187.63 | 9 |
| R hrt cath chd nml nt cnj CPT 93593 | $2,988.50 | $5,977.00 | $3,216.41 – $10,187.63 | 9 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $329.00 | $658.00 | $80.04 – $433.62 | 9 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $449.00 | $898.00 | $80.04 – $591.78 | 9 |
| Rib cartilage graft CPT 21230 | not published | not published | $4,817.00 – $11,913.00 | 9 |
| Rib X-ray (3 views, both sides) CPT 71110 | $353.50 | $707.00 | $80.04 – $465.91 | 9 |
| Right ventric recording CPT 93603 | $5,570.00 | $11,140.00 | $717.07 – $12,223.00 | 9 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $23.19 | $46.38 | $14.94 – $23.10 | 8 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $131.27 | $262.54 | $75.22 – $118.19 | 8 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $73.19 | $146.37 | $29.38 – $48.54 | 8 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $77.32 | $154.63 | $26.51 – $46.56 | 8 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $72.20 | $144.40 | $27.85 – $41.25 | 8 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $2,988.50 | $5,977.00 | $3,216.41 – $10,187.63 | 9 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $2,988.50 | $5,977.00 | $3,216.41 – $10,187.63 | 9 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,509.00 – $3,529.00 | 9 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $16,523.00 | $33,046.00 | $1,847.42 – $5,515.00 | 9 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | $1,985.50 | $3,971.00 | $1,179.08 – $3,529.00 | 9 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $5,498.00 | $10,996.00 | $1,285.16 – $3,529.00 | 9 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $1,509.00 – $9,927.00 | 9 |
| Rmvl icd by tv extr CPT 33244 | $1,849.00 | $3,698.00 | $2,188.26 – $12,868.00 | 9 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $30,181.50 | $60,363.00 | $3,508.00 – $24,690.81 | 9 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $34,798.50 | $69,597.00 | $3,508.00 – $33,541.04 | 9 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $34,564.00 | $69,128.00 | $3,508.00 – $24,690.81 | 9 |
| Rmvl icd pulse gen only CPT 33241 | $2,325.00 | $4,650.00 | $3,627.00 – $12,868.00 | 9 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | $1,418.50 | $2,837.00 | $1,296.51 – $11,912.50 | 9 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $480.00 | $960.00 | $438.72 – $2,485.00 | 9 |
| Rmvl perm pm pulse gen CPT 33233 | $5,509.50 | $11,019.00 | $2,149.00 – $9,103.58 | 9 |
| Rmvl perq right heart vad CPT 33997 | $452.50 | $905.00 | $413.59 – $10,791.93 | 9 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $7,855.00 | $15,710.00 | $3,508.00 – $19,834.01 | 9 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $7,162.00 | $14,324.00 | $3,508.00 – $9,103.58 | 9 |
| Rmvl pq iabp CPT 33968 | $191.00 | $382.00 | $174.57 – $10,791.93 | 9 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $527.50 | $1,055.00 | $482.14 – $10,791.93 | 9 |
| Rmvl sq defib electrode CPT 33272 | $1,688.00 | $3,376.00 | $2,188.26 – $11,913.00 | 9 |
| Rmvl subq card rhythm mntr CPT 33286 | $768.50 | $1,537.00 | $702.41 – $2,485.00 | 9 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | $9,381.00 | $18,762.00 | $1,509.00 – $5,515.00 | 9 |
| Rmvl tv pm lead dual CPT 33235 | $2,325.00 | $4,650.00 | $2,188.26 – $6,895.00 | 9 |
| Rmvl tv pm lead sgl CPT 33234 | $2,325.00 | $4,650.00 | $2,188.26 – $5,515.00 | 9 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $44.65 | $89.29 | $30.78 – $48.38 | 8 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $15.24 | $30.47 | $11.01 – $17.11 | 8 |
| Rotavirus antibody CPT 86759 | $107.50 | $215.00 | $13.38 – $135.26 | 9 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $1,325.50 | $2,651.00 | $1,285.16 – $3,529.00 | 9 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,001.50 | $2,003.00 | $401.83 – $1,319.98 | 9 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $3,397.50 | $6,795.00 | $1,146.67 – $4,477.91 | 9 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $3,854.00 | $7,708.00 | $1,146.67 – $5,079.57 | 9 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $1,472.50 | $2,945.00 | $1,285.16 – $2,485.00 | 9 |
| Rpl tun-cvad w subq port CPT 36582 | $4,294.00 | $8,588.00 | $3,092.54 – $5,515.00 | 9 |
| Rpl tun-cvad w subq pump CPT 36583 | $4,479.50 | $8,959.00 | $3,092.54 – $4,413.00 | 9 |
| Rpl tun cvc wo subq port CPT 36581 | $3,414.00 | $6,828.00 | $2,149.00 – $3,529.00 | 9 |
| Rpr aa hrn 1st > 10 ncr/strn CPT 49596 | not published | not published | $3,689.00 – $8,545.00 | 9 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $3,689.00 – $6,895.00 | 9 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $3,689.00 – $6,895.00 | 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.