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 |
|---|---|---|---|---|
| Shrinker upper limb HCPCS L8465 | $73.50 | $147.00 | $48.51 – $114.66 | 3 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $5,869.60 | $11,739.20 | $910.80 – $2,152.80 | 2 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $498.00 | $996.00 | $106.34 – $656.36 | 9 |
| Sialidase enzyme assay CPT 87905 | $148.00 | $296.00 | $11.72 – $186.21 | 9 |
| Sialography s&i CPT 70390 | $498.00 | $996.00 | $167.33 – $656.36 | 9 |
| Sickling rbc CPT 85660 | $73.00 | $146.00 | $5.51 – $91.85 | 9 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $911.71 – $2,485.00 | 9 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $1,179.08 – $2,485.00 | 9 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,179.08 – $2,485.00 | 9 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $1,509.00 – $4,528.00 | 9 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $1,509.00 – $3,529.00 | 9 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,179.08 – $2,485.00 | 9 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $911.71 – $2,485.00 | 9 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,179.08 – $3,529.00 | 9 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,179.08 – $2,485.00 | 9 |
| Sildenafil citrate, 25 mg HCPCS S0090 | $3.76 | $7.51 | $3.47 – $3.47 | 1 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $38.63 | $77.26 | $38.91 – $211.66 | 8 |
| Sinus CT scan (with and without contrast) CPT 70488 | $886.50 | $1,773.00 | $178.02 – $1,432.00 | 9 |
| Sinus CT scan (with contrast) CPT 70487 | $853.00 | $1,706.00 | $178.02 – $1,432.00 | 9 |
| Sinus CT scan (without contrast) CPT 70486 | $628.00 | $1,256.00 | $106.34 – $1,432.00 | 9 |
| Sinus/juglr venogram s&i CPT 75860 | $1,292.50 | $2,585.00 | $1,152.39 – $2,604.74 | 9 |
| Sinus X-ray (complete) CPT 70220 | $211.00 | $422.00 | $80.04 – $278.10 | 9 |
| Sinus X-ray (limited) CPT 70210 | $211.00 | $422.00 | $80.04 – $278.10 | 9 |
| Sirolimus, oral HCPCS J7520 | $8.32 | $16.63 | $1.21 – $17.83 | 5 |
| Skin Biopsy CPT 11102 | $410.50 | $821.00 | $198.70 – $1,509.00 | 9 |
| Skin test unlisted antigen ea CPT 86486 | $298.50 | $597.00 | $12.97 – $375.57 | 9 |
| Skull X-ray (1 to 3 views) CPT 70250 | $344.50 | $689.00 | $80.04 – $454.05 | 9 |
| Skull X-ray (complete) CPT 70260 | $516.00 | $1,032.00 | $80.04 – $680.09 | 9 |
| Sleep Study (Polysomnography) CPT 95810 | $3,165.00 | $6,330.00 | $1,017.39 – $3,902.94 | 9 |
| Sleep study unattended CPT 95806 | $234.00 | $468.00 | $156.46 – $797.32 | 9 |
| Sleeve fing rolyan med HCPCS L3933 | $232.50 | $465.00 | $153.45 – $362.70 | 3 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $25.00 | $50.00 | $4.62 – $10.92 | 2 |
| Sling suprapubic suburetheral HCPCS C1771 | $16,936.28 | $33,872.56 | $1,259.94 – $2,978.04 | 2 |
| Slitting of prepuce CPT 54001 | not published | not published | $2,048.51 – $3,529.00 | 9 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $245.50 | $491.00 | $120.48 – $419.46 | 9 |
| Slp eval non-spch gen comm dev CPT 92605 | $317.50 | $635.00 | $120.48 – $443.66 | 9 |
| Slp pure tone screening CPT 92551 | $174.00 | $348.00 | $43.58 – $218.93 | 9 |
| Slp ther svc non-spch gen CPT 92606 | $517.50 | $1,035.00 | $40.32 – $651.12 | 9 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $575.00 | $1,150.00 | $167.33 – $757.85 | 9 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,446.33 – $3,529.00 | 9 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,847.42 – $3,529.00 | 9 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,847.42 – $3,529.00 | 9 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,446.33 – $3,529.00 | 9 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,446.33 – $2,485.00 | 9 |
| Small bowel endoscopy CPT 44382 | not published | not published | $937.56 – $2,485.00 | 9 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,446.33 – $3,529.00 | 9 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $937.56 – $2,485.00 | 9 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $86.50 | $173.00 | $5.39 – $108.83 | 9 |
| Smear gram stain CPT 87205 | $69.00 | $138.00 | $4.27 – $86.82 | 9 |
| Smear nasal eosinophil CPT 89190 | $69.50 | $139.00 | $5.79 – $87.44 | 9 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $76.00 | $152.00 | $5.99 – $95.62 | 9 |
| Smear wet mount CPT 87210 | $72.50 | $145.00 | $5.82 – $91.22 | 9 |
| Smn1 gene full gene sequence CPT 81336 | $860.00 | $1,720.00 | $190.07 – $1,082.05 | 9 |
| Smpd1 gene common variants CPT 81330 | $284.50 | $569.00 | $47.00 – $633.11 | 9 |
| Snrpn/ube3a gene CPT 81331 | $478.00 | $956.00 | $51.07 – $601.42 | 9 |
| Sock wool above knee HCPCS L8430 | $29.50 | $59.00 | $19.47 – $46.02 | 3 |
| Sodium 24 hour urine CPT 84300 | $48.50 | $97.00 | $5.06 – $61.02 | 9 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $38.21 | $76.42 | $1.76 – $59.61 | 5 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $34.57 | $69.14 | $0.90 – $7.45 | 5 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $10.24 | $20.47 | $2.83 – $6.47 | 5 |
| Sodium serum/plasma/whole blood CPT 84295 | $51.50 | $103.00 | $4.81 – $64.80 | 9 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | $2,296.00 | $4,592.00 | $423.71 – $2,888.83 | 9 |
| So gsap cll fr dna/dna&rna CPT 81462 | $2,296.00 | $4,592.00 | $423.71 – $2,888.83 | 9 |
| So gsap cll fr mcrstl ins CPT 81464 | $2,296.00 | $4,592.00 | $423.71 – $3,420.05 | 9 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | $2,296.00 | $4,592.00 | $423.71 – $2,888.83 | 9 |
| Somatosensory testing CPT 95927 | $816.00 | $1,632.00 | $193.05 – $1,026.69 | 9 |
| So neo gsap dna/dna&rna CPT 81459 | $2,296.00 | $4,592.00 | $423.71 – $3,109.13 | 9 |
| So neo gsap dna mcrstl ins CPT 81457 | $2,296.00 | $4,592.00 | $423.71 – $2,888.83 | 9 |
| Sotalol hydrochloride IV HCPCS C9482 | $30.67 | $61.34 | $25.05 – $27.55 | 7 |
| Sp bone algrft morsel add-on CPT 20930 | not published | not published | $943.00 – $21,805.00 | 8 |
| Special physics consult CPT 77370 | $600.00 | $1,200.00 | $132.77 – $790.80 | 9 |
| Special radiation dosimetry CPT 77331 | $647.50 | $1,295.00 | $132.77 – $853.41 | 9 |
| Special radiation treatment CPT 77470 | $2,538.50 | $5,077.00 | $578.47 – $3,345.74 | 9 |
| Special teletx port plan CPT 77321 | $1,299.00 | $2,598.00 | $255.94 – $1,712.08 | 9 |
| Specific gravity body fluid CPT 84315 | $34.00 | $68.00 | $3.28 – $42.78 | 9 |
| Specimen fat stain CPT 89125 | $40.00 | $80.00 | $5.86 – $50.33 | 9 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $726.50 | $1,453.00 | $120.48 – $914.08 | 9 |
| Speech audiometry complete CPT 92556 | $133.00 | $266.00 | $47.15 – $167.34 | 9 |
| Speech evaluation complex CPT 70371 | $340.00 | $680.00 | $167.33 – $452.79 | 9 |
| Speech recep thresh CPT 92555 | $91.50 | $183.00 | $47.15 – $115.13 | 9 |
| Speech Therapy Session (one-on-one) CPT 92507 | $235.50 | $471.00 | $83.75 – $419.46 | 9 |
| Sperm antibody test CPT 89325 | $125.50 | $251.00 | $5.86 – $157.90 | 9 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $1,826.50 | $3,653.00 | $692.52 – $2,485.00 | 9 |
| Spine X-ray (single view, one level) CPT 72020 | $320.00 | $640.00 | $80.04 – $421.76 | 9 |
| Spleen imaging CPT 78185 | $1,287.50 | $2,575.00 | $401.83 – $1,696.93 | 9 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $479.00 | $958.00 | $316.14 – $747.24 | 3 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $58.00 | $116.00 | $38.28 – $90.48 | 3 |
| Splint finger fold over sm HCPCS L3924 | $106.50 | $213.00 | $70.29 – $166.14 | 3 |
| Splint finger frog med HCPCS L3927 | $38.50 | $77.00 | $25.41 – $60.06 | 3 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $106.50 | $213.00 | $70.29 – $166.14 | 3 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $5,309.00 | $10,618.00 | $2,149.00 – $5,515.00 | 9 |
| Split blood or products CPT 86985 | $262.50 | $525.00 | $3.00 – $330.28 | 9 |
| Sputum specimen collection CPT 89220 | $316.00 | $632.00 | $41.35 – $397.59 | 9 |
| Srs linear based CPT 77372 | $24,352.50 | $48,705.00 | $3,012.45 – $32,096.60 | 9 |
| Staggered spondaic word test CPT 92572 | $253.00 | $506.00 | $15.38 – $318.32 | 9 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $402.00 | $804.00 | $118.82 – $505.80 | 9 |
| Staph a dna amp probe CPT 87640 | $320.00 | $640.00 | $35.09 – $402.62 | 9 |
| Static or dynami afo pre ots HCPCS L4397 | $93.50 | $187.00 | $61.71 – $145.86 | 3 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $451.50 | $903.00 | $111.29 – $919.43 | 9 |
| Stem cells total count CPT 86367 | $279.50 | $559.00 | $48.37 – $351.67 | 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.