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 |
|---|---|---|---|---|
| Tp53 gene trgt sequence alys CPT 81352 | $783.50 | $1,567.00 | $190.07 – $985.80 | 9 |
| Tpmt gene com vrnts CPT 81335 | $492.00 | $984.00 | $174.81 – $619.03 | 9 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $5,905.50 | $11,811.00 | $5,083.62 – $8,272.00 | 9 |
| Trabeculoplasty laser surg CPT 65855 | not published | not published | $548.60 – $2,485.00 | 9 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $1,630.00 | $3,260.00 | $509.25 – $2,485.00 | 9 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | $9,913.00 | $19,826.00 | $2,149.00 – $5,515.00 | 9 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $143.00 | $286.00 | $59.27 – $157.30 | 8 |
| Tranexamic acid 1,000 mg/10 ml (100 mg/ml) intravenous solution HCPCS J3290 | $6.50 | $13.00 | $0.80 – $0.80 | 1 |
| Transabdom amnioinfus w/us CPT 59070 | $668.50 | $1,337.00 | $304.19 – $2,485.00 | 9 |
| Transcath biopsy CPT 37200 | $3,144.50 | $6,289.00 | $2,067.00 – $8,272.00 | 9 |
| Transcath closure of asd CPT 93580 | $18,837.00 | $37,674.00 | $4,385.00 – $49,316.46 | 9 |
| Transcath closure of vsd CPT 93581 | $18,837.00 | $37,674.00 | $4,385.00 – $41,646.98 | 9 |
| Transcatheter bx s&i CPT 75970 | $1,108.50 | $2,217.00 | $294.34 – $1,825.53 | 9 |
| Transcath mv repair addl prosthesis CPT 33419 | $1,816.50 | $3,633.00 | $883.55 – $21,835.12 | 9 |
| Transcath mv repair init prosthesis CPT 33418 | $7,742.50 | $15,485.00 | $4,016.13 – $21,835.12 | 9 |
| Transcath occlusion cns CPT 61624 | $29,810.50 | $59,621.00 | $4,817.00 – $27,246.80 | 9 |
| Transcath occlusion non-cns CPT 61626 | $18,773.00 | $37,546.00 | $3,275.00 – $19,893.00 | 9 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $4,060.50 | $8,121.00 | $3,147.50 – $4,413.00 | 9 |
| Transcrv abltj utrn fibrd rf CPT 58580 | $18,633.50 | $37,267.00 | $3,469.00 – $20,496.85 | 9 |
| Transferrin CPT 84466 | $114.00 | $228.00 | $12.76 – $143.43 | 9 |
| Transfer skin pedicle flap CPT 15650 | not published | not published | $1,829.23 – $4,413.00 | 9 |
| Transperi needle place pros CPT 55875 | $6,203.00 | $12,406.00 | $5,083.62 – $7,804.61 | 9 |
| Transplant forearm tendon CPT 25310 | not published | not published | $2,493.27 – $6,895.00 | 9 |
| Transplj hematopoietic boost CPT 38243 | $2,652.00 | $5,304.00 | $1,509.00 – $4,413.00 | 9 |
| Transplt allo hct/donor CPT 38240 | $100,001.50 | $200,003.00 | $3,469.00 – $61,508.02 | 9 |
| Transplt allo lymphocytes CPT 38242 | $2,042.00 | $4,084.00 | $1,639.28 – $3,529.00 | 9 |
| Transplt autol hct/donor CPT 38241 | $2,583.50 | $5,167.00 | $1,639.28 – $4,413.00 | 9 |
| Transvaginal Pelvic Ultrasound (not pregnancy) CPT 76830 | $575.50 | $1,151.00 | $106.34 – $758.51 | 9 |
| Transvaginal Pregnancy Ultrasound CPT 76817 | $523.50 | $1,047.00 | $106.34 – $689.97 | 9 |
| Trastuzumab 150 mg intravenous solution HCPCS J9355 | $144.67 | $289.34 | $75.03 – $118.59 | 8 |
| Trastuzumab-anns 150 mg intravenous solution HCPCS Q5117 | $117.96 | $235.92 | $47.55 – $67.37 | 8 |
| Trastuzumab-qyyp 150 mg intravenous solution HCPCS Q5116 | $66.31 | $132.61 | $27.99 – $44.55 | 8 |
| Trauma partial team response w/critical care services level 4 HCPCS G0390 | $8,095.50 | $16,191.00 | $1,323.17 – $8,818.72 | 9 |
| Tray bonemarrw oncontrol 102mm HCPCS C1830 | $1,151.00 | $2,302.00 | $189.09 – $446.94 | 2 |
| Trb@ gene rearrange dirprobe CPT 81341 | $168.50 | $337.00 | $49.59 – $212.01 | 9 |
| Treat ankle dislocation CPT 27842 | $5,261.00 | $10,522.00 | $1,458.67 – $3,529.00 | 9 |
| Treat ankle fracture CPT 28445 | not published | not published | $3,508.00 – $9,927.00 | 9 |
| Treat big toe fracture CPT 28505 | not published | not published | $3,244.61 – $6,895.00 | 9 |
| Treat ectopic pregnancy CPT 59150 | not published | not published | $3,689.00 – $11,913.00 | 9 |
| Treat ectopic pregnancy CPT 59151 | not published | not published | $3,689.00 – $9,927.00 | 9 |
| Treat elbow dislocation CPT 24605 | $6,313.00 | $12,626.00 | $1,458.67 – $3,529.00 | 9 |
| Treat elbow dislocation CPT 24615 | not published | not published | $3,508.00 – $9,927.00 | 9 |
| Treat elbow fracture CPT 24586 | not published | not published | $3,689.00 – $16,441.00 | 9 |
| Treat elbow fracture CPT 24620 | $5,261.00 | $10,522.00 | $700.38 – $2,485.00 | 9 |
| Treat elbow fracture CPT 24635 | not published | not published | $3,508.00 – $16,441.00 | 9 |
| Treat finger fracture each CPT 26727 | not published | not published | $3,244.61 – $4,817.00 | 9 |
| Treat finger fracture each CPT 26742 | $3,960.50 | $7,921.00 | $700.38 – $2,485.00 | 9 |
| Treat foot bone lesion CPT 28005 | not published | not published | $3,244.61 – $5,515.00 | 9 |
| Treat foot dislocation CPT 28576 | not published | not published | $943.00 – $7,858.10 | 9 |
| Treat foot dislocation CPT 28600 | $379.50 | $759.00 | $239.88 – $1,509.00 | 9 |
| Treat foot dislocation CPT 28606 | not published | not published | $2,149.00 – $9,927.00 | 9 |
| Treat fracture of radius CPT 25505 | $5,261.00 | $10,522.00 | $700.38 – $2,485.00 | 9 |
| Treat fracture of radius CPT 25520 | $5,619.00 | $11,238.00 | $700.38 – $2,485.00 | 9 |
| Treat fracture of ulna CPT 25535 | $760.00 | $1,520.00 | $239.88 – $1,509.00 | 9 |
| Treat/graft heel fracture CPT 28420 | not published | not published | $3,689.00 – $8,610.07 | 9 |
| Treat hand dislocation CPT 26685 | not published | not published | $3,244.61 – $6,895.00 | 9 |
| Treat heel fracture CPT 28415 | not published | not published | $3,508.00 – $14,298.00 | 9 |
| Treat hip dislocation CPT 27252 | $4,683.00 | $9,366.00 | $1,285.16 – $2,485.00 | 9 |
| Treat hip dislocation CPT 27257 | $6,313.00 | $12,626.00 | $1,285.16 – $3,508.00 | 9 |
| Treat hip dislocation CPT 27258 | not published | not published | $3,689.00 – $6,110.14 | 8 |
| Treat hip socket fracture CPT 27222 | not published | not published | $560.34 – $1,509.00 | 8 |
| Treat humerus fracture CPT 24515 | not published | not published | $3,689.00 – $16,441.00 | 9 |
| Treat humerus fracture CPT 24516 | not published | not published | $3,689.00 – $16,441.00 | 9 |
| Treat humerus fracture CPT 24535 | $5,261.00 | $10,522.00 | $700.38 – $2,485.00 | 9 |
| Treat humerus fracture CPT 24545 | not published | not published | $3,689.00 – $11,913.00 | 9 |
| Treat humerus fracture CPT 24546 | not published | not published | $3,469.00 – $14,298.00 | 9 |
| Treat humerus fracture CPT 24565 | $5,261.00 | $10,522.00 | $700.38 – $2,485.00 | 9 |
| Treat humerus fracture CPT 24575 | not published | not published | $3,508.00 – $16,441.00 | 9 |
| Treat humerus fracture CPT 24579 | not published | not published | $3,508.00 – $16,441.00 | 9 |
| Treat humerus fracture CPT 24582 | not published | not published | $2,149.00 – $7,858.10 | 9 |
| Treat kneecap dislocation CPT 27562 | $760.00 | $1,520.00 | $239.88 – $2,485.00 | 9 |
| Treat kneecap dislocation CPT 27566 | not published | not published | $2,149.00 – $8,272.00 | 9 |
| Treat kneecap fracture CPT 27524 | not published | not published | $3,508.00 – $9,927.00 | 9 |
| Treat knee dislocation CPT 27552 | $4,683.00 | $9,366.00 | $1,458.67 – $3,529.00 | 9 |
| Treat knee fracture CPT 27535 | not published | not published | $3,508.00 – $8,610.07 | 8 |
| Treat knee fracture CPT 27536 | not published | not published | $3,469.00 – $8,610.07 | 8 |
| Treat knee fracture CPT 27540 | not published | not published | $3,469.00 – $9,927.00 | 8 |
| Treat knuckle dislocation CPT 26705 | $3,788.00 | $7,576.00 | $883.55 – $2,485.00 | 9 |
| Treat knuckle dislocation CPT 26715 | $6,549.00 | $13,098.00 | $3,244.61 – $4,413.00 | 9 |
| Treat lower leg fracture CPT 27827 | not published | not published | $3,508.00 – $16,441.00 | 9 |
| Treat lower leg fracture CPT 27828 | not published | not published | $3,689.00 – $16,441.00 | 9 |
| Treat lower leg joint CPT 27829 | not published | not published | $2,149.00 – $9,927.00 | 9 |
| Treatment fx radial distal open w/internal fixation 2 frag left (restricted method ii cah) CPT 25608 | not published | not published | $3,469.00 – $7,858.10 | 9 |
| Treatment fx radial distal open w/internal fixation 3+ frag left (restricted method ii cah) CPT 25609 | not published | not published | $3,469.00 – $7,858.10 | 9 |
| Treatment fx radial distal open w/internal fixation left (restricted method ii cah) CPT 25607 | not published | not published | $3,469.00 – $7,858.10 | 9 |
| Treatment incomplete abortion completed surgically any trimester CPT 59812 | $7,766.50 | $15,533.00 | $2,584.94 – $4,413.00 | 9 |
| Treatment inhalation continuous aerosol medication acute airway obstruction 1st hour CPT 94644 | $184.00 | $368.00 | $83.53 – $231.51 | 9 |
| Treatment inhalation continuous aerosol medication acute airway obstruction each additional hour CPT 94645 | $155.00 | $310.00 | $83.53 – $195.02 | 9 |
| Treatment missed abortion completed surgically 1st trimester CPT 59820 | $7,780.00 | $15,560.00 | $2,584.94 – $3,529.00 | 9 |
| Treatment of ankle fracture CPT 27792 | not published | not published | $3,508.00 – $9,927.00 | 9 |
| Treatment of ankle fracture CPT 27814 | not published | not published | $3,508.00 – $11,913.00 | 9 |
| Treatment of ankle fracture CPT 27822 | not published | not published | $3,508.00 – $14,298.00 | 9 |
| Treatment of ankle fracture CPT 27823 | not published | not published | $3,508.00 – $14,298.00 | 9 |
| Treatment of foot infection CPT 28002 | $2,441.00 | $4,882.00 | $1,600.41 – $4,413.00 | 9 |
| Treatment of foot infection CPT 28003 | not published | not published | $2,626.58 – $5,515.00 | 9 |
| Treatment of miscarriage CPT 59821 | not published | not published | $2,584.94 – $4,413.00 | 9 |
| Treatment of retinal lesion CPT 67210 | $1,586.00 | $3,172.00 | $548.60 – $3,469.00 | 9 |
| Treatment of thigh fracture CPT 27509 | not published | not published | $3,508.00 – $8,272.00 | 9 |
| Treatment of thigh fracture CPT 27510 | $4,908.00 | $9,816.00 | $700.38 – $3,529.00 | 9 |
| Treatment of thigh fracture CPT 27511 | not published | not published | $943.00 – $8,610.07 | 8 |
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.