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 |
|---|---|---|---|---|
| Stenger test pure tone CPT 92565 | $81.50 | $163.00 | $47.15 – $102.54 | 9 |
| Stenger test speech CPT 92577 | $867.00 | $1,734.00 | $114.85 – $1,090.86 | 9 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $73,600.00 | $147,200.00 | $512.33 – $1,210.95 | 2 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $758.40 | $1,516.80 | $78.94 – $186.58 | 2 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $37,077.51 | $74,155.02 | $865.26 – $2,045.16 | 2 |
| Sternal debridement CPT 21627 | not published | not published | $943.00 – $3,689.00 | 8 |
| St evaluate speech sound production CPT 92522 | $230.50 | $461.00 | $120.48 – $419.46 | 9 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $343.50 | $687.00 | $100.14 – $549.82 | 9 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $1,274.00 | $2,548.00 | $401.83 – $1,679.13 | 9 |
| Strapping of hand or finger CPT 29280 | $211.00 | $422.00 | $59.40 – $1,043.00 | 9 |
| Strapping of knee CPT 29530 | $490.00 | $980.00 | $106.80 – $1,043.00 | 9 |
| Strep a ag ia CPT 87430 | $93.50 | $187.00 | $11.72 – $117.64 | 9 |
| Strep a dna dir probe CPT 87650 | $111.00 | $222.00 | $11.72 – $139.66 | 9 |
| Strep b assay w/optic CPT 87802 | $190.00 | $380.00 | $11.72 – $239.06 | 9 |
| Strep b dna amp probe CPT 87653 | $195.50 | $391.00 | $35.09 – $245.98 | 9 |
| Streptokinase antibody CPT 86590 | $148.50 | $297.00 | $12.66 – $186.84 | 9 |
| Stress test pulmonary CPT 94618 | $295.00 | $590.00 | $83.53 – $495.36 | 9 |
| Stress tte complete CPT 93351 | $2,268.00 | $4,536.00 | $548.30 – $2,853.60 | 9 |
| Str markers spec anal addl CPT 81266 | $1,012.00 | $2,024.00 | $190.07 – $1,273.30 | 9 |
| Str markers specimen anal CPT 81265 | $1,081.00 | $2,162.00 | $190.07 – $1,360.11 | 9 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $3.41 | $6.82 | $1.29 – $2.70 | 3 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $2,589.23 – $4,413.00 | 9 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $2,589.23 – $5,515.00 | 9 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,829.23 – $3,529.00 | 9 |
| Sugars multiple quant CPT 84379 | $155.00 | $310.00 | $11.53 – $195.02 | 9 |
| Sugars single quant CPT 84378 | $149.00 | $298.00 | $11.53 – $187.47 | 9 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $25.13 | $50.25 | $25.92 – $270.20 | 3 |
| Support clav 29.6-40.5in med HCPCS L3650 | $77.00 | $154.00 | $50.82 – $120.12 | 3 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $1,847.42 – $3,529.00 | 9 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $3,689.00 – $16,441.00 | 9 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $3,469.00 – $7,429.48 | 9 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $3,469.00 – $9,927.00 | 9 |
| Surgical pathology level 1 gross examination only CPT 88300 | $87.50 | $175.00 | $24.47 – $110.09 | 9 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $115.00 | $230.00 | $25.23 – $144.69 | 9 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $184.50 | $369.00 | $46.88 – $232.14 | 9 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $224.00 | $448.00 | $46.88 – $281.84 | 9 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $346.50 | $693.00 | $231.10 – $435.97 | 9 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $492.50 | $985.00 | $231.10 – $849.58 | 9 |
| Susceptibility agar dilution per agent CPT 87181 | $48.00 | $96.00 | $4.75 – $60.39 | 9 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $40.00 | $80.00 | $4.75 – $50.33 | 9 |
| Susceptibility mic per plate CPT 87186 | $92.50 | $185.00 | $8.65 – $116.38 | 9 |
| Suscept studies macrobroth dilution ea CPT 87188 | $51.50 | $103.00 | $6.64 – $64.80 | 9 |
| Svc venogram s&i CPT 75827 | $1,890.50 | $3,781.00 | $1,553.44 – $2,491.68 | 9 |
| Swallowing Evaluation (Bedside) CPT 92610 | $343.50 | $687.00 | $76.42 – $549.82 | 9 |
| Swallowing Therapy Session CPT 92526 | $210.00 | $420.00 | $50.91 – $335.92 | 9 |
| Sweat collection by iontophoresis CPT 89230 | $260.00 | $520.00 | $5.30 – $327.13 | 9 |
| Synthetic sentence id test CPT 92576 | $65.00 | $130.00 | $39.25 – $81.78 | 9 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $54.50 | $109.00 | $4.40 – $68.57 | 9 |
| System pacing micra av HCPCS C1786 | $30,406.00 | $60,812.00 | $3,846.61 – $9,091.99 | 2 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $7,504.69 | $15,009.38 | $4,476.87 – $10,581.70 | 2 |
| System sealant biosentry tract HCPCS C2613 | $1,022.00 | $2,044.00 | $674.52 – $1,594.32 | 2 |
| T3 (triiodothyronine) free CPT 84481 | $129.50 | $259.00 | $15.74 – $162.94 | 9 |
| T3 (triiodothyronine) total CPT 84480 | $143.50 | $287.00 | $14.18 – $180.55 | 9 |
| T4 (thyroxine) free CPT 84439 | $97.50 | $195.00 | $9.02 – $122.67 | 9 |
| T4 (thyroxine) total CPT 84436 | $77.50 | $155.00 | $6.87 – $97.51 | 9 |
| Tacrol astagraf ex rel oral HCPCS J7508 | $0.93 | $1.86 | $0.81 – $1.45 | 5 |
| Tacrol envarsus ex rel oral HCPCS J7503 | $1.48 | $2.96 | $1.51 – $3.02 | 5 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $4.89 | $9.78 | $0.24 – $1.15 | 5 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | $40.65 | $81.30 | $63.41 – $408.19 | 8 |
| Tacrolimus therapeutic drug level CPT 80197 | $186.50 | $373.00 | $13.73 – $234.65 | 9 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $18.97 | $37.93 | $14.31 – $21.91 | 8 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $312.00 | $624.00 | $80.04 – $411.22 | 9 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $100.73 | $201.46 | $72.62 – $112.70 | 8 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | $2.28 | $4.55 | $2.83 – $2.83 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | $3,149.50 | $6,299.00 | $759.53 – $3,962.70 | 9 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $4,379.50 | $8,759.00 | $2,785.95 – $5,510.29 | 9 |
| Target gsa panel organ neop CPT 81445 | $2,296.00 | $4,592.00 | $423.71 – $2,888.83 | 9 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $2,093.55 | $4,187.10 | $1,564.64 – $2,439.97 | 8 |
| Tas congenital car anomal CPT 33741 | $1,068.00 | $2,136.00 | $976.15 – $21,835.12 | 9 |
| Tavr perq femoral CPT 33361 | $12,868.50 | $25,737.00 | $4,016.13 – $21,835.12 | 9 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $0.95 | $1.89 | $0.28 – $0.46 | 8 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $356.00 | $712.00 | $48.37 – $480.72 | 9 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $388.50 | $777.00 | $48.37 – $488.81 | 9 |
| Tc-99m mebrofenin HCPCS A9537 | $12.88 | $25.75 | $18.19 – $187.21 | 3 |
| Tc-99m medronate HCPCS A9503 | $1,188.83 | $2,377.65 | $20.68 – $624.74 | 3 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $3.56 | $7.11 | $2.69 – $17.61 | 3 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $61.93 | $123.85 | $67.25 – $101.86 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $13.54 | $27.07 | $21.11 – $743.46 | 3 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $123.51 | $247.01 | $192.67 – $808.05 | 2 |
| Tc-99m sulfur colloid HCPCS A9541 | $4.60 | $9.20 | $6.22 – $1,239.81 | 3 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $241.78 | $483.55 | $135.62 – $377.17 | 3 |
| Tc-99m tilmanocept diag HCPCS A9520 | $633.87 | $1,267.73 | $112.32 – $1,052.16 | 2 |
| Tcd emboli detect w/inj CPT 93893 | $177.00 | $354.00 | $106.34 – $1,163.58 | 9 |
| Tcd emboli detect without inj CPT 93892 | $603.00 | $1,206.00 | $106.34 – $1,166.61 | 9 |
| T-cell depletion of harvest CPT 38210 | $830.50 | $1,661.00 | $437.18 – $1,044.94 | 9 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $412.00 | $824.00 | $46.98 – $518.38 | 9 |
| T cells absolute cd 4 count CPT 86361 | $143.00 | $286.00 | $26.78 – $179.92 | 9 |
| T cells total count CPT 86359 | $200.50 | $401.00 | $37.73 – $252.27 | 9 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | $7,438.00 | $14,876.00 | $3,399.17 – $6,070.59 | 9 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $2,187.00 | $4,374.00 | $675.71 – $4,750.57 | 8 |
| Telethx isodose plan cplx CPT 77307 | $566.50 | $1,133.00 | $255.94 – $746.65 | 9 |
| Telethx isodose plan simple CPT 77306 | $460.50 | $921.00 | $171.97 – $606.94 | 9 |
| Temozolomide HCPCS J8700 | $1.30 | $2.60 | $0.56 – $4.21 | 5 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $12.92 | $25.84 | $10.39 – $16.19 | 8 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $103.08 | $206.15 | $26.71 – $50.26 | 8 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $447.73 | $895.45 | $172.22 – $267.65 | 8 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $3,508.00 – $9,927.00 | 9 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | $7,553.00 | $15,106.00 | $1,847.42 – $4,413.00 | 9 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $1,985.00 | $3,970.00 | $1,600.41 – $3,529.00 | 9 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $14.98 | $29.95 | $4.27 – $16.70 | 5 |
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.