StoneSprings Hospital Center
Dulles, VA
Posts prices for 26 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-30.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $3,122.52 | $3,122.52 | 28.9× |
| MRI brain without contrast (70551) | $7,306.38 | $7,306.38 | 29.6× |
| MRI brain with contrast (70552) | $7,306.38 | $7,306.38 | 20.2× |
| MRI brain without and with contrast (70553) | $11,569.87 | $11,569.87 | 32.1× |
| X-ray lower spine, 4+ views (72110) | $1,507.02 | $1,507.02 | 13.9× |
| MRI lumbar spine without contrast (72148) | $7,497.38 | $7,497.38 | 30.4× |
| CT pelvis with contrast (72193) | $5,155.57 | $5,155.57 | 28.4× |
| MRI lower-extremity joint without contrast (73721) | $9,860.15 | $9,860.15 | 39.9× |
| CT abdomen and pelvis with contrast (74177) | $8,828.07 | $8,828.07 | 24.5× |
| Ultrasound, abdomen complete (76700) | $3,089.02 | $3,089.02 | 28.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $2,378.78 | $2,378.78 | 22.0× |
| Ultrasound, transvaginal (76830) | $1,275.19 | $1,275.19 | 11.8× |
| Mammography, one breast (diagnostic) (77065) | $1,168.12 | $1,168.12 | 13.6× |
| Mammography, both breasts (diagnostic) (77066) | $1,292.85 | $1,292.85 | 11.7× |
| Mammography, screening (bilateral) (77067) | $1,043.06 | $1,043.06 | 11.4× |
| Basic metabolic panel (80048) | $927.48 | $927.48 | 109.6× |
| Comprehensive metabolic panel (80053) | $1,442.29 | $1,442.29 | 136.6× |
| Lipid panel (80061) | $1,074.15 | $1,074.15 | 80.2× |
| Renal function panel (80069) | $1,074.15 | $1,074.15 | 123.8× |
| Hepatic function panel (80076) | $810.01 | $810.01 | 99.1× |
| PSA, total (84153) | $749.40 | $749.40 | 40.8× |
| Thyroid stimulating hormone (TSH) (84443) | $1,032.61 | $1,032.61 | 61.5× |
| CBC, automated (85027) | $304.55 | $304.55 | 47.1× |
| Prothrombin time (PT) (85610) | $359.16 | $359.16 | 83.7× |
| Partial thromboplastin time (PTT) (85730) | $359.16 | $359.16 | 59.8× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $227.02 | $227.02 | 7.8× |
More prices at this hospital
- Imaging: 219 codes with posted prices and Medicare benchmarks
- Lab & pathology: 411 codes with posted prices and Medicare benchmarks
- Visits & medical services: 75 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 5 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 13 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (JSON, 240.8 MB) ↓ — captured 2026-08-30
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