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 |
|---|---|---|---|---|
| Tert gene targeted seq alys CPT 81345 | $333.50 | $667.00 | $185.20 – $419.61 | 9 |
| Test for chlorohydrocarbons CPT 82441 | $92.50 | $185.00 | $6.01 – $116.38 | 9 |
| Test for porphobilinogen CPT 84106 | $41.00 | $82.00 | $5.82 – $51.59 | 9 |
| Testicular imaging w/vasc flow CPT 78761 | $1,127.00 | $2,254.00 | $401.83 – $1,485.39 | 9 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $115.50 | $231.00 | $47.15 – $127.05 | 8 |
| Test stress cardiovascular tracing only CPT 93017 | $1,105.50 | $2,211.00 | $245.97 – $1,390.94 | 9 |
| Test urine for lactose CPT 83633 | $50.50 | $101.00 | $11.25 – $63.54 | 9 |
| Test urine for porphyrins CPT 84119 | $107.00 | $214.00 | $13.36 – $134.63 | 9 |
| Test urine urobilinogen CPT 84578 | $44.00 | $88.00 | $4.47 – $55.36 | 9 |
| Tetanus immune globulin inj HCPCS J1670 | $675.18 | $1,350.35 | $275.01 – $898.23 | 8 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | $3,149.50 | $6,299.00 | $759.53 – $3,962.70 | 9 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $5,255.50 | $10,511.00 | $2,785.95 – $6,612.47 | 9 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $2,296.00 | $4,592.00 | $597.91 – $2,888.83 | 9 |
| Thaw preserved stem cells CPT 38208 | $815.00 | $1,630.00 | $437.18 – $1,043.00 | 9 |
| Theophylline therapeutic drug level CPT 80198 | $150.50 | $301.00 | $14.14 – $189.36 | 9 |
| Therapeutic procd strg endur HCPCS G0237 | $137.00 | $274.00 | $24.49 – $155.40 | 8 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | $114.00 | $228.00 | $100.55 – $238.71 | 8 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $128.00 | $256.00 | $39.33 – $161.05 | 9 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $124.00 | $248.00 | $32.34 – $156.02 | 9 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $39.50 | $79.00 | $35.08 – $308.93 | 9 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $32.00 | $64.00 | $28.53 – $308.93 | 9 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | $314.50 | $629.00 | $152.00 – $395.70 | 9 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $3,243.07 – $4,413.00 | 9 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $732.50 | $1,465.00 | $167.33 – $965.44 | 9 |
| Ther/proph/diag inj ia CPT 96373 | $117.50 | $235.00 | $74.35 – $403.44 | 9 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $15.15 | $30.29 | $2.53 – $5.84 | 5 |
| Thigh Bone (Femur) X-ray (both sides) CPT 73552 | $211.00 | $422.00 | $80.04 – $278.10 | 9 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $2,323.00 | $4,646.00 | $618.26 – $2,485.00 | 9 |
| Thoracoscopy lymph node exc CPT 32674 | not published | not published | $195.76 – $4,563.52 | 3 |
| Thoracoscopy remove cortex CPT 32651 | not published | not published | $7,345.73 – $8,080.30 | 6 |
| Thoracoscopy remove segment CPT 32669 | not published | not published | $1,238.05 – $8,080.30 | 6 |
| Thoracoscopy w/bx med space CPT 32606 | not published | not published | $3,508.00 – $9,927.00 | 9 |
| Thoracoscopy w/lobectomy CPT 32663 | not published | not published | $4,016.13 – $8,080.30 | 6 |
| Thoracoscopy w/mediast exc CPT 32662 | not published | not published | $4,016.13 – $8,080.30 | 6 |
| Thoracoscopy w/pericard exc CPT 32661 | not published | not published | $4,016.13 – $14,298.00 | 7 |
| Thoracoscopy w/thymus resect CPT 32673 | not published | not published | $1,121.98 – $8,080.30 | 6 |
| Thoracoscopy w/wedge resect CPT 32666 | not published | not published | $808.09 – $8,080.30 | 6 |
| Thoracotomy w/expl CPT 32100 | $7,484.50 | $14,969.00 | $943.00 – $9,417.00 | 9 |
| Thoracotomy with cardiac massage CPT 32160 | $10,203.00 | $20,406.00 | $4,016.13 – $12,837.41 | 9 |
| Thorcscpy w/biop pleura CPT 32609 | $4,897.00 | $9,794.00 | $3,327.83 – $9,927.00 | 9 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | $4,897.00 | $9,794.00 | $3,508.00 – $14,298.00 | 9 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | $4,897.00 | $9,794.00 | $3,508.00 – $14,298.00 | 9 |
| Three-Phase Bone Scan (Nuclear Medicine) CPT 78315 | $1,725.50 | $3,451.00 | $401.83 – $2,274.21 | 9 |
| Throat x-ray & fluoroscopy CPT 70370 | $308.00 | $616.00 | $80.04 – $405.94 | 9 |
| Thrombectmy crnry perq mechanical CPT 92973 | $3,580.00 | $7,160.00 | $883.55 – $18,714.00 | 9 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $11,942.50 | $23,885.00 | $3,469.00 – $9,927.00 | 9 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $17,706.00 | $35,412.00 | $4,817.00 – $18,086.00 | 9 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $36,582.50 | $73,165.00 | $4,817.00 – $19,893.00 | 9 |
| Thrombin time CPT 85670 | $53.50 | $107.00 | $5.25 – $67.31 | 9 |
| Thrombin time titer CPT 85675 | $61.50 | $123.00 | $5.25 – $77.38 | 9 |
| Thromboendarterectomy common femoral CPT 35371 | $3,456.00 | $6,912.00 | $1,579.39 – $6,070.59 | 9 |
| Thromboendarterectomy sfa CPT 35302 | $7,566.00 | $15,132.00 | $3,457.66 – $6,070.59 | 9 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $57.50 | $115.00 | $5.25 – $72.35 | 9 |
| Thromboxane urine CPT 84431 | $95.00 | $190.00 | $33.33 – $119.53 | 9 |
| Thyroglobulin antibody CPT 86800 | $112.00 | $224.00 | $13.38 – $140.92 | 9 |
| Thyroid imaging CPT 78013 | $550.50 | $1,101.00 | $401.83 – $783.45 | 9 |
| Thyroid met imaging CPT 78015 | $1,173.00 | $2,346.00 | $401.83 – $1,546.01 | 9 |
| Thyroid mets imag whole body CPT 78018 | $1,420.00 | $2,840.00 | $531.39 – $1,871.56 | 9 |
| Thyroid met uptake CPT 78020 | $163.00 | $326.00 | $145.33 – $552.65 | 9 |
| Thyroid (TSH) Test CPT 84443 | $161.50 | $323.00 | $15.74 – $203.20 | 9 |
| Thyroid Ultrasound CPT 76536 | $640.50 | $1,281.00 | $106.34 – $844.18 | 9 |
| Thyroid uptake measurement CPT 78012 | $420.00 | $840.00 | $374.47 – $783.45 | 9 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | $2,814.47 | $5,628.94 | $1,377.23 – $3,289.47 | 8 |
| Thyroxine binding globulin (tbg) CPT 84442 | $128.50 | $257.00 | $14.78 – $161.68 | 9 |
| Tigecycline injection HCPCS J3243 | $1.58 | $3.16 | $0.53 – $3.18 | 5 |
| Tilt table study CPT 93660 | $1,495.00 | $2,990.00 | $245.97 – $1,881.01 | 9 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | $4.81 | $9.62 | $3.91 – $66.22 | 8 |
| Tis cgen car anomal 1st shnt CPT 33745 | $2,996.50 | $5,993.00 | $2,738.80 – $21,835.12 | 9 |
| Tis cgen car anomal ea addl CPT 33746 | $1,176.50 | $2,353.00 | $1,075.32 – $21,835.12 | 9 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | $249.78 | $499.56 | $188.76 – $293.65 | 8 |
| Tissue culture placenta CPT 88235 | $949.00 | $1,898.00 | $150.30 – $1,194.03 | 9 |
| Tissue culture skin/biopsy CPT 88233 | $906.00 | $1,812.00 | $140.73 – $1,139.93 | 9 |
| Tissue culture tumor CPT 88239 | $950.50 | $1,901.00 | $147.52 – $1,195.92 | 9 |
| Tissue exam koh skin/hair/nails CPT 87220 | $30.00 | $60.00 | $4.27 – $37.75 | 9 |
| Tissue transglutaminase iga CPT 86364 | $167.50 | $335.00 | $11.53 – $210.75 | 9 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $3,275.00 – $14,298.00 | 9 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $3,275.00 – $16,441.00 | 9 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $3,275.00 – $16,441.00 | 9 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $3,275.00 – $16,441.00 | 9 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $22.49 | $44.98 | $3.25 – $7.05 | 5 |
| Tobramycin non-comp unit HCPCS J7682 | $198.95 | $397.90 | $8.46 – $85.21 | 5 |
| Tobramycin peak therapeutic drug level CPT 80200 | $216.50 | $433.00 | $14.43 – $272.40 | 9 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $8.96 | $17.92 | $5.71 – $9.01 | 8 |
| Toe X-ray (both feet) CPT 73660 | $264.00 | $528.00 | $80.04 – $347.95 | 9 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $86.50 | $173.00 | $48.25 – $95.15 | 8 |
| Tomosynthesis breast screen bilateral CPT 77063 | $91.50 | $183.00 | $54.50 – $114.67 | 9 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $3,107.67 – $4,413.00 | 9 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $3,107.67 – $4,528.00 | 9 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $2.14 | $4.28 | $2.10 – $5.57 | 5 |
| Total hip arthroplasty CPT 27132 | not published | not published | $3,275.00 – $14,933.05 | 8 |
| Total Hip Replacement CPT 27130 | not published | not published | $12,866.82 – $28,340.00 | 9 |
| Total hysterectomy CPT 58150 | not published | not published | $4,016.13 – $9,268.12 | 8 |
| Total Knee Replacement CPT 27447 | not published | not published | $11,913.00 – $28,340.00 | 9 |
| Total lung lavage CPT 32997 | $2,036.00 | $4,072.00 | $930.45 – $5,801.69 | 9 |
| Total tau CPT 84394 | $312.00 | $624.00 | $190.07 – $392.56 | 8 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $3,275.00 – $20,229.06 | 9 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $3,275.00 – $19,893.00 | 8 |
| Toxoplasma antibody igg CPT 86777 | $126.50 | $253.00 | $13.38 – $159.16 | 9 |
| Toxoplasma antibody igm CPT 86778 | $126.50 | $253.00 | $13.38 – $159.16 | 9 |
| Tp53 gene full gene sequence CPT 81351 | $963.00 | $1,926.00 | $641.85 – $1,211.65 | 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.