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 |
|---|---|---|---|---|
| Ultrasound joint complete left CPT 76881 | $706.00 | $1,412.00 | $106.34 – $930.51 | 9 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $616.50 | $1,233.00 | $143.89 – $812.55 | 9 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $391.50 | $783.00 | $143.89 – $516.00 | 9 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $770.00 | $1,540.00 | $143.89 – $1,014.86 | 9 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $566.00 | $1,132.00 | $106.34 – $745.99 | 9 |
| Ultrasound prostate/transrectal CPT 76872 | $625.50 | $1,251.00 | $106.34 – $824.41 | 9 |
| Ultrasound spinal canal and contents CPT 76800 | $380.00 | $760.00 | $106.34 – $500.84 | 9 |
| Ultrasound transabd ea addl gest CPT 76812 | $391.50 | $783.00 | $143.89 – $516.00 | 9 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $525.00 | $1,050.00 | $178.02 – $691.95 | 9 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | $239.50 | $479.00 | $237.75 – $315.66 | 8 |
| Ultraviolet therapy CPT 97028 | $24.00 | $48.00 | $9.28 – $51.80 | 9 |
| Umbilical cord occlud w/us CPT 59072 | $569.50 | $1,139.00 | $304.19 – $1,509.00 | 9 |
| Unit mobile power mpu HCPCS Q0479 | $9,309.50 | $18,619.00 | $6,141.30 – $13,398.84 | 3 |
| Unlisted chemotherapy px CPT 96549 | $96.50 | $193.00 | $46.14 – $121.42 | 9 |
| Unlisted cranfcl&maxlfcl px CPT 21299 | $365.00 | $730.00 | $232.22 – $5,515.00 | 9 |
| Unlisted CT procedure CPT 76497 | $186.50 | $373.00 | $88.05 – $1,432.00 | 9 |
| Unlisted dx gi procedure CPT 91299 | not published | not published | $156.46 – $595.53 | 8 |
| Unlisted fetal invas px w/us CPT 59897 | $304.50 | $609.00 | $201.17 – $1,509.00 | 9 |
| Unlisted fluoroscopic px CPT 76496 | $256.00 | $512.00 | $80.04 – $337.41 | 9 |
| Unlisted hystsc px uterus CPT 58579 | not published | not published | $201.17 – $4,413.00 | 9 |
| Unlisted laparoscopic liver biopy 47379 CPT 47379 | not published | not published | $3,306.05 – $9,927.00 | 9 |
| Unlisted laparoscopic procedure 49659 CPT 49659 | not published | not published | $3,469.00 – $9,927.00 | 9 |
| Unlisted laparoscopic reduction intestine 44238 CPT 44238 | not published | not published | $2,960.02 – $9,927.00 | 8 |
| Unlisted laparoscopy procedure biliary tract 47579 CPT 47579 | not published | not published | $3,306.05 – $9,927.00 | 9 |
| Unlisted laps px appendix CPT 44979 | not published | not published | $2,960.02 – $9,927.00 | 9 |
| Unlisted laps px bladder CPT 51999 | not published | not published | $2,263.05 – $16,441.00 | 9 |
| Unlisted laps px lymphtc sys CPT 38589 | not published | not published | $3,508.00 – $11,913.00 | 9 |
| Unlisted laps px ovidct ovry CPT 58679 | not published | not published | $3,413.47 – $6,895.00 | 9 |
| Unlisted laps px renal CPT 50549 | not published | not published | $2,144.61 – $16,441.00 | 9 |
| Unlisted laps px spleen CPT 38129 | not published | not published | $3,508.00 – $14,298.00 | 9 |
| Unlisted laps px ureter CPT 50949 | not published | not published | $2,144.61 – $16,441.00 | 9 |
| Unlisted laps px uterus CPT 58578 | not published | not published | $3,413.47 – $11,913.00 | 9 |
| Unlisted misc path test CPT 89240 | $83.00 | $166.00 | $34.84 – $104.43 | 9 |
| Unlisted mr procedure CPT 76498 | $739.50 | $1,479.00 | $88.05 – $2,149.00 | 9 |
| Unlisted muscskel px head CPT 21499 | $373.00 | $746.00 | $232.22 – $6,895.00 | 9 |
| Unlisted neurological dx px CPT 95999 | $394.50 | $789.00 | $156.46 – $496.36 | 9 |
| Unlisted orl service/px CPT 92700 | $153.00 | $306.00 | $24.49 – $192.50 | 9 |
| Unlisted procedure colon CPT 45399 | $1,640.00 | $3,280.00 | $911.71 – $3,529.00 | 9 |
| Unlisted procedure esophagus CPT 43499 | $1,215.50 | $2,431.00 | $937.56 – $5,515.00 | 9 |
| Unlisted procedure eyelids CPT 67999 | $833.00 | $1,666.00 | $298.93 – $4,413.00 | 9 |
| Unlisted procedure larynx CPT 31599 | $516.50 | $1,033.00 | $232.22 – $4,413.00 | 9 |
| Unlisted procedure liver CPT 47399 | $941.50 | $1,883.00 | $703.59 – $8,272.00 | 9 |
| Unlisted procedure microbiology CPT 87999 | $523.50 | $1,047.00 | $11.72 – $1,874.97 | 9 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $703.59 – $5,515.00 | 8 |
| Unlisted procedure rectum CPT 45999 | $1,395.50 | $2,791.00 | $911.71 – $3,529.00 | 9 |
| Unlisted procedure spine CPT 22899 | $463.50 | $927.00 | $239.88 – $6,895.00 | 9 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $239.88 – $6,895.00 | 9 |
| Unlisted px biliary tract CPT 47999 | $1,236.50 | $2,473.00 | $937.56 – $3,529.00 | 9 |
| Unlisted px casting/strpg CPT 29799 | $250.00 | $500.00 | $106.80 – $1,043.00 | 9 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $4,016.13 – $10,491.04 | 6 |
| Unlisted px external ear CPT 69399 | not published | not published | $232.22 – $3,529.00 | 8 |
| Unlisted px foot/toes CPT 28899 | $463.50 | $927.00 | $239.88 – $6,895.00 | 9 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $239.88 – $4,413.00 | 9 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $298.93 – $3,529.00 | 8 |
| Unlisted px leg/ankle CPT 27899 | $811.00 | $1,622.00 | $239.88 – $6,895.00 | 9 |
| Unlisted px male genital sys CPT 55899 | $175.50 | $351.00 | $92.00 – $2,149.00 | 9 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $1,454.03 – $1,599.43 | 6 |
| Unlisted px middle ear CPT 69799 | not published | not published | $232.22 – $5,515.00 | 9 |
| Unlisted px neck/thorax CPT 21899 | $435.00 | $870.00 | $232.22 – $5,515.00 | 9 |
| Unlisted px pelvis/hip joint CPT 27299 | $927.00 | $1,854.00 | $239.88 – $8,272.00 | 9 |
| Unlisted px small intestine CPT 44799 | $1,819.50 | $3,639.00 | $937.56 – $3,529.00 | 9 |
| Unlisted resp px dx nuc med CPT 78599 | $854.50 | $1,709.00 | $401.83 – $1,126.23 | 9 |
| Unlisted surgical path px CPT 88399 | $56.50 | $113.00 | $47.15 – $71.09 | 9 |
| Unlisted ultrasound procedure CPT 76999 | $234.50 | $469.00 | $88.05 – $309.07 | 9 |
| Upgrade pm system CPT 33214 | $11,016.50 | $22,033.00 | $8,272.00 – $12,868.00 | 9 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $285.00 | $570.00 | $80.04 – $375.63 | 9 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $885.50 | $1,771.00 | $178.02 – $1,432.00 | 9 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $651.50 | $1,303.00 | $106.34 – $1,432.00 | 9 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $1,479.00 | $2,958.00 | $357.13 – $4,068.18 | 9 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $887.50 | $1,775.00 | $357.13 – $2,289.43 | 9 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $835.00 | $1,670.00 | $241.72 – $2,149.00 | 9 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $322.50 | $645.00 | $80.04 – $425.06 | 9 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $343.00 | $686.00 | $80.04 – $452.07 | 9 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $1,484.00 | $2,968.00 | $937.56 – $2,485.00 | 9 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,484.00 | $2,968.00 | $937.56 – $2,485.00 | 9 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $575.00 | $1,150.00 | $167.33 – $757.85 | 9 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $428.00 | $856.00 | $167.33 – $564.10 | 9 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $937.56 – $2,485.00 | 9 |
| Urea nitrogen CPT 84520 | $61.50 | $123.00 | $3.95 – $77.38 | 9 |
| Urea nitrogen 24 hour urine CPT 84540 | $73.50 | $147.00 | $5.56 – $92.48 | 9 |
| Urea nitrogen clearance CPT 84545 | $105.50 | $211.00 | $6.47 – $132.74 | 9 |
| Ureteral embolization/occl CPT 50705 | $7,771.00 | $15,542.00 | $883.55 – $10,441.88 | 9 |
| Ureteral reflux study CPT 78740 | $952.50 | $1,905.00 | $401.83 – $1,255.40 | 9 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $1,509.00 – $9,927.00 | 9 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $584.00 | $1,168.00 | $167.33 – $769.71 | 9 |
| Urethrocystography void s&i CPT 74455 | $615.00 | $1,230.00 | $167.33 – $810.57 | 9 |
| Uric acid blood CPT 84550 | $72.00 | $144.00 | $4.52 – $90.59 | 9 |
| Uric acid urine CPT 84560 | $55.00 | $110.00 | $5.08 – $69.20 | 9 |
| Urinalysis microscopic only CPT 81015 | $30.50 | $61.00 | $3.05 – $38.38 | 9 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $28.00 | $56.00 | $2.17 – $35.23 | 9 |
| Urinalysis (with microscopy) CPT 81001 | $44.50 | $89.00 | $3.17 – $55.99 | 9 |
| Urinalysis (without microscopy) CPT 81003 | $33.00 | $66.00 | $2.25 – $41.52 | 9 |
| Urinary bldr retent nuc study CPT 78730 | $207.50 | $415.00 | $185.01 – $552.65 | 9 |
| Urine Culture Test CPT 87086 | $77.00 | $154.00 | $8.07 – $96.88 | 9 |
| Urine pregnancy test CPT 81025 | $74.50 | $149.00 | $3.50 – $93.74 | 9 |
| Urography, antegrade CPT 74425 | $719.00 | $1,438.00 | $167.33 – $947.64 | 9 |
| Urography inf drip &/or bolus CPT 74410 | $946.00 | $1,892.00 | $167.33 – $1,246.83 | 9 |
| Use 1st target lesion CPT 76982 | $450.50 | $901.00 | $106.34 – $593.76 | 9 |
| Vaccine Administration (one shot) CPT 90471 | $65.00 | $130.00 | $57.38 – $115.17 | 9 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | $60.38 | $120.75 | $36.65 – $251.63 | 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.