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 |
|---|---|---|---|---|
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $3,689.00 – $6,895.00 | 9 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $3,529.06 – $6,895.00 | 9 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $3,689.00 – $6,895.00 | 9 |
| Rpr aa hrn rcr > 10 ncr/strn CPT 49618 | not published | not published | $3,469.00 – $8,545.00 | 9 |
| Rpr aa hrn rcr > 10 rdc CPT 49617 | not published | not published | $3,689.00 – $7,029.89 | 9 |
| Rpr aa hrn rcr 3-10 ncr/strn CPT 49616 | not published | not published | $3,469.00 – $8,545.00 | 9 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $3,689.00 – $6,895.00 | 9 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $3,469.00 – $6,895.00 | 9 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $3,529.06 – $6,895.00 | 9 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | $22,718.00 | $45,436.00 | $3,275.00 – $11,913.00 | 9 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $3,529.06 – $6,895.00 | 9 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $3,689.00 – $6,895.00 | 9 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $2,841.76 – $6,895.00 | 9 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $943.00 – $3,881.97 | 9 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $943.00 – $3,881.97 | 9 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $3,689.00 – $6,895.00 | 9 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $3,469.00 – $5,515.00 | 9 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | $14,553.50 | $29,107.00 | $2,149.00 – $8,272.00 | 9 |
| Rsv assay w/optic CPT 87807 | $190.00 | $380.00 | $11.72 – $239.06 | 9 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $198.50 | $397.00 | $84.50 – $249.75 | 9 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $56.50 | $113.00 | $37.29 – $71.09 | 9 |
| Rtm dev sply resp sys 16-30d CPT 98976 | $59.00 | $118.00 | $37.29 – $74.23 | 9 |
| Rubella antibody igg CPT 86762 | $126.50 | $253.00 | $13.38 – $159.16 | 9 |
| Rubeola antibody igg CPT 86765 | $119.50 | $239.00 | $12.88 – $150.35 | 9 |
| Russell viper venom diluted CPT 85613 | $87.00 | $174.00 | $5.25 – $109.46 | 9 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $426.00 | $852.00 | $468.60 – $953.76 | 9 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $48.87 | $97.73 | $36.28 – $56.45 | 8 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $337.00 | $674.00 | $80.04 – $444.17 | 9 |
| Salivary gland imaging CPT 78230 | $1,204.00 | $2,408.00 | $397.25 – $1,586.87 | 9 |
| Salmonella antibody CPT 86768 | $102.00 | $204.00 | $13.19 – $128.34 | 9 |
| Sars-cov-2 antb quantitative CPT 86413 | $53.50 | $107.00 | $42.22 – $190.85 | 9 |
| Sarscov coronavirus ag ia CPT 87426 | $46.00 | $92.00 | $11.72 – $204.89 | 9 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $187.00 | $374.00 | $30.94 – $332.91 | 9 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $679.00 | $1,358.00 | $237.75 – $854.32 | 9 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $523.50 | $1,047.00 | $106.34 – $658.67 | 9 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $619.50 | $1,239.00 | $106.34 – $779.45 | 9 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $786.50 | $1,573.00 | $106.34 – $989.57 | 9 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $523.00 | $1,046.00 | $106.34 – $723.74 | 9 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $517.00 | $1,034.00 | $106.34 – $650.49 | 9 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $2,921.50 | $5,843.00 | $1,059.89 – $2,485.00 | 9 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $3,145.37 – $4,413.00 | 9 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | $115.00 | $230.00 | $24.23 – $144.69 | 9 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $143.00 | $286.00 | $24.23 – $179.92 | 9 |
| Screen cerv/vag thin layer HCPCS G0123 | $108.50 | $217.00 | $20.26 – $136.51 | 9 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $911.71 – $2,485.00 | 9 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $911.71 – $2,485.00 | 9 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $71.50 | $143.00 | $13.38 – $100.66 | 9 |
| Screening Mammogram CPT 77067 | $345.50 | $691.00 | $67.44 – $455.37 | 9 |
| Screening prostate cancer PSA HCPCS G0103 | $118.50 | $237.00 | $13.38 – $149.10 | 9 |
| Screen pap by tech w md supv HCPCS P3000 | $78.50 | $157.00 | $15.92 – $98.77 | 9 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $17,861.80 | $35,723.60 | $4.39 – $10.37 | 2 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $714.00 | $1,428.00 | $106.34 – $941.05 | 9 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $1,638.00 | $3,276.00 | $883.55 – $16,437.79 | 9 |
| Sedimentation rate erythrocyte automated CPT 85652 | $57.50 | $115.00 | $2.70 – $72.35 | 9 |
| Select picture audiometry CPT 92583 | $99.00 | $198.00 | $47.15 – $149.81 | 9 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $78.00 | $156.00 | $36.20 – $98.14 | 9 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $73.50 | $147.00 | $61.58 – $92.48 | 9 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $57.00 | $114.00 | $50.82 – $71.72 | 9 |
| Semen analysis presence/motility CPT 89321 | $152.00 | $304.00 | $5.86 – $191.25 | 9 |
| Sept9 promoter methylation analysis CPT 81327 | $248.00 | $496.00 | $190.07 – $312.03 | 9 |
| Serpina1 gene CPT 81332 | $318.00 | $636.00 | $43.65 – $400.11 | 9 |
| Set radiation therapy field CPT 77280 | $731.50 | $1,463.00 | $132.77 – $964.12 | 9 |
| Set radiation therapy field CPT 77285 | $1,658.00 | $3,316.00 | $255.94 – $2,185.24 | 9 |
| Set radiation therapy field CPT 77290 | $2,007.00 | $4,014.00 | $255.94 – $2,645.23 | 9 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $1,179.08 – $2,485.00 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $639.50 | $1,279.00 | $198.70 – $1,043.00 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $653.00 | $1,306.00 | $198.70 – $1,043.00 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $1,058.00 | $2,116.00 | $251.22 – $1,331.18 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $1,152.50 | $2,305.00 | $251.22 – $1,450.08 | 9 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $342.00 | $684.00 | $198.70 – $1,043.00 | 9 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $427.00 | $854.00 | $198.70 – $1,043.00 | 9 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $627.00 | $1,254.00 | $198.70 – $1,043.00 | 9 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $1,152.50 | $2,305.00 | $251.22 – $1,450.08 | 9 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $316.00 | $632.00 | $251.22 – $1,043.00 | 9 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $331.00 | $662.00 | $198.70 – $1,043.00 | 9 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $342.00 | $684.00 | $198.70 – $1,043.00 | 9 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $7,465.88 | $14,931.76 | $4,927.48 – $11,646.77 | 2 |
| Shigella antibody CPT 86771 | $128.00 | $256.00 | $13.38 – $161.05 | 9 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $3,125.34 – $5,515.00 | 9 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $3,508.00 – $9,927.00 | 9 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $3,508.00 – $11,913.00 | 9 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $3,125.34 – $6,895.00 | 9 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $3,125.34 – $6,895.00 | 9 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $3,125.34 – $6,895.00 | 9 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $3,508.00 – $11,913.00 | 9 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $3,125.34 – $6,895.00 | 9 |
| Shoe post-op mens m HCPCS L3260 | $8.50 | $17.00 | $3.30 – $7.80 | 2 |
| Shorten radius or ulna CPT 25390 | not published | not published | $3,508.00 – $11,913.00 | 9 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $109.00 | $218.00 | $71.17 – $212.87 | 9 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $301.00 | $602.00 | $80.04 – $396.72 | 9 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $3,469.00 – $11,913.00 | 9 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $334.00 | $668.00 | $80.04 – $440.21 | 9 |
| Shoulder MRI (with and without contrast) CPT 73223 | $1,381.50 | $2,763.00 | $357.13 – $3,947.31 | 9 |
| Shoulder MRI (with contrast) CPT 73222 | $835.00 | $1,670.00 | $580.28 – $2,212.07 | 9 |
| Shoulder MRI (without contrast) CPT 73221 | $835.00 | $1,670.00 | $241.72 – $2,149.00 | 9 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $943.00 – $7,638.95 | 8 |
| Shoulder X-ray CPT 73030 | $298.00 | $596.00 | $80.04 – $392.76 | 9 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $242.00 | $484.00 | $80.04 – $318.96 | 9 |
| Shrinker prosth above knee HCPCS L8460 | $83.00 | $166.00 | $54.78 – $129.48 | 3 |
| Shrinker prosth below knee HCPCS L8440 | $52.00 | $104.00 | $34.32 – $81.12 | 3 |
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.