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 |
|---|---|---|---|---|
| Bx prostate trnsrctl u/s guid CPT 55707 | $5,732.50 | $11,465.00 | $2,470.01 – $7,212.63 | 9 |
| Bx shoulder tissues deep 23066 CPT 23066 | $5,996.00 | $11,992.00 | $2,149.00 – $4,413.00 | 9 |
| Bx shoulder tissues supf 23065 CPT 23065 | $2,040.00 | $4,080.00 | $1,285.16 – $3,529.00 | 9 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $457.00 | $914.00 | $621.13 – $1,509.00 | 8 |
| Bx skin punch ea sep/ addl les CPT 11105 | $206.00 | $412.00 | $321.36 – $1,509.00 | 8 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $206.00 | $412.00 | $321.36 – $1,509.00 | 8 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $2,273.00 | $4,546.00 | $1,285.16 – $2,485.00 | 9 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | $2,023.00 | $4,046.00 | $1,285.16 – $3,529.00 | 9 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | $5,749.00 | $11,498.00 | $1,620.24 – $3,529.00 | 9 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $2,749.00 | $5,498.00 | $1,285.16 – $2,485.00 | 9 |
| Bx spinal cord pq ndl CPT 62269 | $1,557.50 | $3,115.00 | $1,098.37 – $2,485.00 | 9 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $631.00 | $1,262.00 | $703.59 – $2,485.00 | 9 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $2,562.00 | $5,124.00 | $752.86 – $2,485.00 | 9 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $779.00 | $1,558.00 | $752.86 – $2,485.00 | 9 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $560.00 | $1,120.00 | $511.84 – $1,509.00 | 9 |
| Bypass temp external fem-fem CPT 37799 | $1,406.50 | $2,813.00 | $618.26 – $4,413.00 | 9 |
| C-1 esterase, berinert HCPCS J0597 | $96.16 | $192.32 | $75.86 – $118.09 | 8 |
| C1 esterase inhibitor func - sendout CPT 86161 | $157.50 | $315.00 | $12.00 – $198.17 | 9 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | $312.35 | $624.69 | $227.28 – $353.51 | 8 |
| Cabergoline, oral 0.25mg HCPCS J8515 | $1.95 | $3.89 | $2.42 – $30.24 | 3 |
| Cable cath 22-pin diag HCPCS C1730 | $4,446.42 | $8,892.84 | $73.28 – $173.21 | 2 |
| Cable centrimag pressure HCPCS Q0508 | $1,298.00 | $2,596.00 | $18.15 – $42.90 | 3 |
| Cacna1a gene full gene seq CPT 81185 | $1,269.50 | $2,539.00 | $775.43 – $1,597.28 | 9 |
| Cad breast MRI w/r&i HCPCS C8937 | $500.50 | $1,001.00 | $550.55 – $780.78 | 3 |
| Cadd pump refill CPT 96521 | $502.00 | $1,004.00 | $74.35 – $631.62 | 9 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | $7.72 | $15.43 | $2.37 – $8.21 | 3 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | $101.28 | $202.55 | $82.08 – $127.50 | 8 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $601.71 | $1,203.42 | $484.97 – $533.47 | 7 |
| Calcium 24 hour urine CPT 82340 | $46.00 | $92.00 | $6.03 – $57.88 | 9 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | $0.77 | $1.53 | $0.06 – $0.79 | 5 |
| Calcium ionized CPT 82330 | $181.00 | $362.00 | $13.68 – $227.73 | 9 |
| Calcium total CPT 82310 | $44.00 | $88.00 | $5.16 – $55.36 | 9 |
| Calculi urinary-sendout CPT 82360 | $122.00 | $244.00 | $12.87 – $153.50 | 9 |
| Calculus analysis qual CPT 82355 | $111.00 | $222.00 | $11.58 – $139.66 | 9 |
| Caloric vstblr test w/rec CPT 92538 | $218.00 | $436.00 | $105.85 – $274.29 | 9 |
| Calprotectin fecal CPT 83993 | $214.50 | $429.00 | $14.35 – $269.88 | 9 |
| Campylobacter antibody CPT 86625 | $101.50 | $203.00 | $13.12 – $127.71 | 9 |
| Candida dna CPT 87480 | $129.00 | $258.00 | $11.72 – $162.31 | 9 |
| Canthotomy 67715 CPT 67715 | $7,386.00 | $14,772.00 | $1,509.00 – $3,529.00 | 9 |
| Capecitabine, oral, 50 mg HCPCS J8522 | $1.05 | $2.10 | $0.04 – $0.08 | 8 |
| Cap nerve 2x15mm HCPCS C1763 | $5,980.00 | $11,960.00 | $371.91 – $879.06 | 2 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | $5,067.00 | $10,134.00 | $1,600.41 – $3,529.00 | 9 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | $8,067.00 | $16,134.00 | $3,145.37 – $5,515.00 | 9 |
| Cap trach decann 15mm HCPCS C1750 | $1,052.24 | $2,104.48 | $86.53 – $204.52 | 2 |
| Carbamazepine free CPT 80157 | $122.50 | $245.00 | $13.25 – $154.13 | 9 |
| Carbamazepine free -sendout CPT 80161 | $172.00 | $344.00 | $14.43 – $216.41 | 9 |
| Carbamazepine total therapeutic drug level CPT 80156 | $155.00 | $310.00 | $14.43 – $195.02 | 9 |
| Carbohydrate deficient transf - sendout CPT 82373 | $234.50 | $469.00 | $14.35 – $295.05 | 9 |
| Carbohydrate urine - sendout CPT 84377 | $76.50 | $153.00 | $5.50 – $96.25 | 9 |
| Carbon dioxide CPT 82374 | $55.00 | $110.00 | $4.88 – $69.20 | 9 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | $17.49 | $34.97 | $3.28 – $14.46 | 5 |
| Carboxyhemoglobin quantitative CPT 82375 | $125.50 | $251.00 | $12.32 – $157.90 | 9 |
| Carcinoembryonic ag (cea) CPT 82378 | $189.50 | $379.00 | $14.35 – $238.43 | 9 |
| Cardiac MRI seg dys stress HCPCS C9763 | $716.00 | $1,432.00 | $345.07 – $787.60 | 8 |
| Cardiac MRI w/stress img CPT 75559 | $898.00 | $1,796.00 | $345.07 – $2,149.00 | 9 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $2,968.00 | $5,936.00 | $903.28 – $3,911.82 | 9 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | $2,968.00 | $5,936.00 | $494.10 – $3,911.82 | 9 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $3,024.00 | $6,048.00 | $1,220.27 – $3,985.63 | 9 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $205.00 | $410.00 | $125.91 – $257.93 | 9 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $152.00 | $304.00 | $125.91 – $191.25 | 9 |
| Cardiac shunt imaging CPT 78428 | $1,490.00 | $2,980.00 | $401.83 – $1,963.82 | 9 |
| Cardioassist internal CPT 92970 | $2,078.00 | $4,156.00 | $2,285.80 – $8,122.00 | 9 |
| Cardiolipin antibody iga CPT 86147 | $223.50 | $447.00 | $13.38 – $281.21 | 9 |
| Cardioversion/elective/internal 92961 CPT 92961 | $912.50 | $1,825.00 | $654.38 – $2,682.00 | 9 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $1,385.50 | $2,771.00 | $654.38 – $2,682.00 | 9 |
| Card MRI veloc flow mapping CPT 75565 | $600.50 | $1,201.00 | $345.07 – $3,470.13 | 9 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $86.50 | $173.00 | $44.28 – $109.40 | 9 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $42.00 | $84.00 | $23.79 – $103.43 | 9 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | $80.70 | $161.40 | $55.65 – $85.75 | 8 |
| Car ion chnnlpath inc 10 gns CPT 81413 | $2,033.00 | $4,066.00 | $423.71 – $5,436.00 | 9 |
| Car ion chnnlpath inc 2 gns CPT 81414 | $2,319.00 | $4,638.00 | $423.71 – $2,917.77 | 9 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | $251.31 | $502.62 | $238.46 – $270.29 | 8 |
| Carotene CPT 82380 | $109.50 | $219.00 | $6.47 – $137.77 | 9 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $941.50 | $1,883.00 | $237.75 – $1,184.60 | 9 |
| Car outp meas drg cath chd CPT 93598 | $73.50 | $147.00 | $80.85 – $8,122.00 | 9 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $1,952.77 – $3,529.00 | 9 |
| Car-t admn autologous CPT 38228 | $508.00 | $1,016.00 | $331.69 – $639.17 | 9 |
| Car-t therapy hrvg bld-drv t lymphcyt pr day CPT 38225 | $2,464.00 | $4,928.00 | $883.55 – $3,100.20 | 9 |
| Car-t therapy prepj bld-drv t lymphcyt f/trns CPT 38226 | $838.50 | $1,677.00 | $739.56 – $1,166.65 | 9 |
| Car-t therapy receipt & prepj car-t cells f/admn CPT 38227 | $594.50 | $1,189.00 | $524.35 – $1,103.01 | 9 |
| Cataract Surgery CPT 66984 | not published | not published | $2,280.73 – $3,529.00 | 9 |
| Catecholamines,fractionated, urine CPT 82382 | $181.50 | $363.00 | $15.74 – $228.36 | 9 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $543.38 | $1,086.75 | $118.67 – $280.50 | 2 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $9,229.35 | $18,458.69 | $6,038.82 – $14,273.57 | 2 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $12,765.00 | $25,530.00 | $30.36 – $71.76 | 2 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $7,971.01 | $15,942.02 | $1,176.29 – $2,780.33 | 2 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $27,504.92 | $55,009.84 | $98.87 – $233.70 | 2 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $4,325.65 | $8,651.30 | $726.36 – $1,716.86 | 2 |
| Cath bi-dir df smarttouch HCPCS C1732 | $8,658.86 | $17,317.72 | $404.04 – $954.99 | 2 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $5,081.94 | $10,163.88 | $1,235.85 – $2,921.09 | 2 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $7,035.50 | $14,071.00 | $3,216.41 – $9,694.40 | 9 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $3,889.06 | $7,778.11 | $46.53 – $109.98 | 2 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $2,127.50 | $4,255.00 | $221.64 – $523.88 | 2 |
| Catheter declot mechanical CPT 36596 | $1,325.50 | $2,651.00 | $1,062.77 – $2,485.00 | 9 |
| Catheter insert artery CPT 36625 | $173.00 | $346.00 | $97.68 – $1,006.13 | 9 |
| Catheter stripping venous CPT 36595 | $3,414.00 | $6,828.00 | $1,062.77 – $4,413.00 | 9 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $1,045.84 | $2,091.67 | $258.06 – $609.96 | 2 |
| Cath hawkone s directional HCPCS C1714 | $6,802.96 | $13,605.91 | $4,489.95 – $10,612.61 | 2 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $2,359.22 | $4,718.44 | $956.42 – $2,260.62 | 2 |
| Cath impl vasc access portal HCPCS A4300 | $305.00 | $610.00 | $83.82 – $198.12 | 2 |
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.