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 |
|---|---|---|---|---|
| Treatment of tibia fracture CPT 27758 | not published | not published | $3,689.00 – $16,441.00 | 9 |
| Treatment of tibia fracture CPT 27759 | not published | not published | $3,689.00 – $16,441.00 | 9 |
| Treatment of urethra lesion CPT 53265 | not published | not published | $2,048.51 – $4,413.00 | 9 |
| Treatment radiation delivery level 2 CPT 77407 | $458.00 | $916.00 | $258.04 – $305.66 | 8 |
| Treatment x10sv retinopathy CPT 67228 | not published | not published | $548.60 – $2,485.00 | 9 |
| Treat metacarpal fracture CPT 26608 | not published | not published | $3,244.61 – $4,413.00 | 9 |
| Treat metacarpal fracture CPT 26615 | not published | not published | $3,244.61 – $6,895.00 | 9 |
| Treat metatarsal fracture CPT 28476 | not published | not published | $2,149.00 – $6,895.00 | 9 |
| Treat metatarsal fracture CPT 28485 | not published | not published | $3,689.00 – $9,927.00 | 9 |
| Treat midfoot fracture each CPT 28455 | $3,156.50 | $6,313.00 | $700.38 – $4,413.00 | 9 |
| Treat midfoot fracture each CPT 28465 | not published | not published | $3,508.00 – $11,913.00 | 9 |
| Treat pelvic ring fracture CPT 27216 | not published | not published | $943.00 – $8,610.07 | 7 |
| Treat pelvic ring fracture CPT 27217 | not published | not published | $943.00 – $8,610.07 | 7 |
| Treat penis lesion graft CPT 54112 | not published | not published | $2,149.00 – $16,441.00 | 9 |
| Treat radius fracture CPT 24665 | not published | not published | $3,689.00 – $9,927.00 | 9 |
| Treat radius fracture CPT 24666 | not published | not published | $3,689.00 – $9,927.00 | 9 |
| Treat skull fracture CPT 62005 | not published | not published | $4,016.13 – $6,379.74 | 6 |
| Treat slipped epiphysis CPT 27176 | not published | not published | $3,469.00 – $18,086.00 | 8 |
| Treat thigh fracture CPT 27235 | not published | not published | $3,689.00 – $9,927.00 | 9 |
| Treat thigh fracture CPT 27248 | not published | not published | $3,469.00 – $9,927.00 | 8 |
| Treat thumb fracture CPT 26650 | not published | not published | $2,149.00 – $4,413.00 | 9 |
| Treat thumb fracture CPT 26665 | not published | not published | $3,244.61 – $6,895.00 | 9 |
| Treat toe dislocation CPT 28665 | $440.00 | $880.00 | $265.58 – $3,529.00 | 9 |
| Treat toe fracture CPT 28525 | not published | not published | $3,244.61 – $5,515.00 | 9 |
| Treat ulnar fracture CPT 24675 | $2,192.00 | $4,384.00 | $700.38 – $2,485.00 | 9 |
| Treat ulnar fracture CPT 24685 | not published | not published | $3,508.00 – $11,913.00 | 9 |
| Treat vaginal bleeding CPT 57180 | $392.00 | $784.00 | $201.17 – $1,043.00 | 9 |
| Treat wrist bone fracture CPT 25635 | $9,527.00 | $19,054.00 | $700.38 – $2,485.00 | 9 |
| Treat wrist dislocation CPT 25675 | $760.00 | $1,520.00 | $239.88 – $2,485.00 | 9 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | $192.55 | $385.09 | $140.90 – $219.73 | 8 |
| Treponema pallidum antibody CPT 86780 | $75.50 | $151.00 | $13.24 – $94.99 | 9 |
| Treprostinil injection HCPCS J3285 | $78.63 | $157.25 | $39.67 – $86.36 | 8 |
| Trg gene rearrangement anal CPT 81342 | $489.50 | $979.00 | $190.07 – $615.89 | 9 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | $10.39 | $20.77 | $1.18 – $2.97 | 5 |
| Triamcinolone a inj prs-free HCPCS J3300 | $5.22 | $10.43 | $8.14 – $38.15 | 8 |
| Trichinella antibody CPT 86784 | $167.50 | $335.00 | $12.56 – $210.75 | 9 |
| Trichomonas assay w/optic CPT 87808 | $78.00 | $156.00 | $11.72 – $98.14 | 9 |
| Triglycerides CPT 84478 | $70.00 | $140.00 | $5.74 – $88.07 | 9 |
| Trim nondyst nails CPT 11719 | $177.50 | $355.00 | $59.40 – $1,043.00 | 9 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $3,469.00 – $5,515.00 | 9 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | $19,745.00 | $39,490.00 | $3,469.00 – $21,719.50 | 9 |
| Trml dstrj ios bvn ea addl CPT 64629 | $4,628.00 | $9,256.00 | $1,127.36 – $15,067.24 | 9 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $1,544.00 | $3,088.00 | $943.00 – $23,964.00 | 9 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $3,593.00 | $7,186.00 | $1,976.15 – $23,964.00 | 9 |
| Trnscath plc stnt ante carotid art CPT 37218 | $6,069.00 | $12,138.00 | $2,773.53 – $20,775.33 | 9 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $4,715.00 | $9,430.00 | $943.00 – $23,964.00 | 9 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $4,715.00 | $9,430.00 | $943.00 – $23,964.00 | 9 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $13,763.50 | $27,527.00 | $9,927.00 – $22,408.00 | 9 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $3,232.50 | $6,465.00 | $3,147.50 – $5,515.00 | 9 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $14,444.00 | $28,888.00 | $1,509.00 – $9,927.00 | 9 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $2,544.50 | $5,089.00 | $1,285.16 – $3,529.00 | 9 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $2,544.50 | $5,089.00 | $1,285.16 – $3,529.00 | 9 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $3,776.00 | $7,552.00 | $1,509.00 – $5,515.00 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $4,661.00 | $9,322.00 | $2,788.84 – $5,515.00 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $831.00 | $1,662.00 | $759.53 – $2,900.39 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $3,665.00 | $7,330.00 | $1,829.23 – $3,529.00 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $3,714.50 | $7,429.00 | $1,829.23 – $3,529.00 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | $9,344.50 | $18,689.00 | $1,829.23 – $3,529.00 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $3,157.50 | $6,315.00 | $1,829.23 – $3,529.00 | 9 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $3,547.00 | $7,094.00 | $1,829.23 – $3,529.00 | 9 |
| Troponin quantitative CPT 84484 | $133.00 | $266.00 | $12.47 – $167.34 | 9 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $548.60 – $2,485.00 | 9 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | not published | not published | $2,149.00 – $3,586.93 | 9 |
| Tte w or without contr, cont ecg HCPCS C8930 | $3,082.00 | $6,164.00 | $675.71 – $2,615.98 | 8 |
| Tte w or without fol w/con,stres HCPCS C8928 | $2,187.00 | $4,374.00 | $675.71 – $3,475.05 | 8 |
| Tte w or without fol w/cont, com HCPCS C8921 | $3,062.00 | $6,124.00 | $675.71 – $2,591.73 | 8 |
| Tte w or without fol w/cont, f/u HCPCS C8922 | $2,180.50 | $4,361.00 | $675.71 – $2,663.04 | 8 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $3,508.00 – $6,417.80 | 9 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $132.50 | $265.00 | $43.56 – $102.96 | 2 |
| Tumor cell deplete of harvst CPT 38211 | $830.50 | $1,661.00 | $437.18 – $3,529.00 | 9 |
| Tx atrial fib pulm vein isol CPT 93656 | $24,742.00 | $49,484.00 | $9,042.00 – $33,503.85 | 9 |
| Tx closed distal humerus fx CPT 24999 | $720.00 | $1,440.00 | $239.88 – $11,913.00 | 9 |
| Tx closed hip disl traumatic without anes CPT 27250 | $760.00 | $1,520.00 | $239.88 – $1,509.00 | 9 |
| Tx closed tib fx proximal w/w/o manip w/skel trac CPT 27532 | $10,915.00 | $21,830.00 | $700.38 – $6,895.00 | 9 |
| Tx closed tib shaft fx without manip CPT 27750 | $760.00 | $1,520.00 | $239.88 – $1,509.00 | 9 |
| Tx l/r atrial fib addl CPT 93657 | $3,078.00 | $6,156.00 | $4,801.68 – $33,503.85 | 9 |
| Tx open art fx mcp/iphlngl jnt incl int fixtn ea CPT 26746 | $7,859.00 | $15,718.00 | $3,244.61 – $5,515.00 | 9 |
| Tx open dstl phlngl fx f/t internal fixation ea CPT 26765 | $9,658.00 | $19,316.00 | $3,244.61 – $4,413.00 | 9 |
| Tx open iphlngl jt disl internal fixation sngl CPT 26785 | $5,457.50 | $10,915.00 | $2,149.00 – $4,413.00 | 9 |
| Tx open nsl fx uncomp CPT 21325 | $7,512.00 | $15,024.00 | $3,243.07 – $4,413.00 | 9 |
| Tx open nsl sptl fx CPT 21336 | $6,445.00 | $12,890.00 | $3,244.61 – $5,515.00 | 9 |
| Tx phalangeal shaft fx open prox/middle ea CPT 26735 | $8,051.00 | $16,102.00 | $3,244.61 – $6,895.00 | 9 |
| Tympanic membrane repair CPT 69610 | not published | not published | $1,481.28 – $3,529.00 | 9 |
| Tympanometry & reflex thresh CPT 92550 | $136.00 | $272.00 | $114.85 – $291.99 | 9 |
| Ugt1a1 gene analy common variants CPT 81350 | $525.50 | $1,051.00 | $190.07 – $661.18 | 9 |
| Ultrasound breast complete CPT 76641 | $1,526.00 | $3,052.00 | $106.34 – $1,005.63 | 9 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $992.00 | $1,984.00 | $88.05 – $653.73 | 9 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $378.00 | $756.00 | $106.34 – $498.20 | 9 |
| Ultrasound dx ophth b-scan CPT 76512 | $418.50 | $837.00 | $106.34 – $551.58 | 9 |
| Ultrasound elastography ea l target les CPT 76983 | $231.50 | $463.00 | $156.92 – $305.12 | 8 |
| Ultrasound elastography parenchyma CPT 76981 | $450.50 | $901.00 | $106.34 – $593.76 | 9 |
| Ultrasound encephalogram CPT 76506 | $276.00 | $552.00 | $106.34 – $363.77 | 9 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $556.00 | $1,112.00 | $106.34 – $732.81 | 9 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $482.50 | $965.00 | $106.34 – $635.94 | 9 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $422.00 | $844.00 | $155.87 – $556.20 | 9 |
| Ultrasound guidance for vascular access CPT 76937 | $307.50 | $615.00 | $117.69 – $405.29 | 9 |
| Ultrasound guide intraoperative CPT 76998 | $660.50 | $1,321.00 | $155.87 – $870.54 | 9 |
| Ultrasound guide tissue ablation CPT 76940 | $463.50 | $927.00 | $155.87 – $610.89 | 9 |
| Ultrasound hips infant dynamic CPT 76885 | $403.00 | $806.00 | $88.05 – $531.15 | 9 |
| Ultrasound infant hips ltd without stress CPT 76886 | $367.00 | $734.00 | $88.05 – $483.71 | 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.