Imaging prices at StoneSprings Hospital Center
Dulles, VA · every code in this section with a posted price and a Medicare benchmark.
219 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Abdomen 2 views (74019) | $1,188.25 | $1,188.25 | 11.0× |
| Acute gi blood loss imaging (78278) | $1,837.20 | $1,837.20 | 4.4× |
| Angiography pelvic slctv/supraslctv rs&i (75736) | $9,962.41 | $9,962.41 | 1.7× |
| Angiography pulmonary bilateral slctv rs&i (75743) | $9,962.46 | $9,962.46 | 3.0× |
| Angiography visceral slctv/supraslctv rs&i (75726) | $9,962.46 | $9,962.46 | 1.7× |
| Ankle 2 views (73600) | $858.64 | $858.64 | 9.5× |
| Arthrogram hip (73525) | $3,265.82 | $3,265.82 | 9.0× |
| Arthrogram knee (73580) | $2,721.09 | $2,721.09 | 7.5× |
| Arthrogram shoulder (73040) | $2,002 | $2,002 | 5.5× |
| Bone &/joint imaging whole body (78306) | $3,754.25 | $3,754.25 | 9.1× |
| Bone age studies (77072) | $582.91 | $582.91 | 5.4× |
| Bone Imaging 3 Phase (78315) | $3,369.79 | $3,369.79 | 8.1× |
| Bone survey complete (77075) | $1,770.79 | $1,770.79 | 16.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,457.97 | $1,457.97 | 2.6× |
| Cervical spine 2 or 3 views (72040) | $1,084.99 | $1,084.99 | 12.1× |
| Chest 1 view (71045) | $963.03 | $963.03 | 10.7× |
| Chest xray 3 views (71047) | $1,131.39 | $1,131.39 | 12.6× |
| Cine/Vid X-Ray Throat/Esoph - Fl Esoph Barium Swlw W/ Video & Speech (74230) | $1,023.63 | $1,023.63 | 5.6× |
| Clavicle complete (73000) | $741.53 | $741.53 | 8.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $442.48 | $442.48 | 4.1× |
| CT abdomen and pelvis without and with contrast (74178) | $10,434.61 | $10,434.61 | 28.9× |
| CT abdomen and pelvis without contrast (74176) | $7,772.27 | $7,772.27 | 31.5× |
| CT abdomen w contrast (74160) | $4,721.21 | $4,721.21 | 26.0× |
| CT abdomen w wo contrast (74170) | $6,083.80 | $6,083.80 | 33.5× |
| CT abdomen w/o contrast (74150) | $3,995.02 | $3,995.02 | 36.9× |
| CT angio lwr extr w/o&w/dye (73706) | $3,728.62 | $3,728.62 | 20.5× |
| CT angiography upper extremity lt (73206) | $3,728.62 | $3,728.62 | 20.5× |
| CT c-spine w/contrast (72126) | $5,459 | $5,459 | 15.1× |
| CT c-spine w/o contrast (72125) | $4,447.72 | $4,447.72 | 41.1× |
| CT chest w contrast (71260) | $4,497.10 | $4,497.10 | 24.8× |
| CT chest w/wo contrast (71270) | $6,002.62 | $6,002.62 | 33.1× |
| CT head/brain with contrast (70460) | $3,904.47 | $3,904.47 | 21.5× |
| CT head/brain without and with contrast (70470) | $4,683.42 | $4,683.42 | 25.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,696.33 | $1,696.33 | 4.7× |
| CT heart w/o contrast quant eval coronary calcium (75571) | $1,542.18 | $1,542.18 | 17.1× |
| CT iac w contrast (70481) | $4,336.59 | $4,336.59 | 23.9× |
| CT limited/localized follow up study (76380) | $2,641.02 | $2,641.02 | 29.3× |
| CT lower ext w/o (73700) | $4,425.27 | $4,425.27 | 40.9× |
| CT lower extremity w wo contrast (73702) | $7,585.21 | $7,585.21 | 41.8× |
| CT lower extremity w/contrast material (73701) | $6,014.58 | $6,014.58 | 33.1× |
| CT lumbar spine w & w/o contrast (72133) | $7,023.34 | $7,023.34 | 38.7× |
| CT lumbar spine w/contrast (72132) | $6,772.97 | $6,772.97 | 18.8× |
| CT lumbar spine w/o contrast (72131) | $6,014.58 | $6,014.58 | 55.6× |
| CT maxillofacial w contrast (70487) | $5,170.92 | $5,170.92 | 28.5× |
| CT maxillofacial wo contrast (70486) | $4,106.87 | $4,106.87 | 38.0× |
| CT orbits w/o contrast (70480) | $3,413.61 | $3,413.61 | 31.6× |
| CT pelvis w/o contrast (72192) | $4,185.82 | $4,185.82 | 38.7× |
| CT pelvis w/wo contrast (72194) | $6,267.89 | $6,267.89 | 34.5× |
| CT scan of arm combo (73202) | $7,217.80 | $7,217.80 | 39.8× |
| CT soft tissue neck w contrast (70491) | $4,549.48 | $4,549.48 | 25.1× |
| CT soft tissue neck w/o & w/contrast material (70492) | $5,559.94 | $5,559.94 | 30.6× |
| CT soft tissue neck w/o contrast (70490) | $3,460 | $3,460 | 32.0× |
| CT thoracic spine w/o contrast (72128) | $6,014.58 | $6,014.58 | 55.6× |
| CT thoracic spine w/wo contrast (72130) | $7,023.34 | $7,023.34 | 38.7× |
| CT thorax w/o contrast (71250) | $3,510.52 | $3,510.52 | 32.5× |
| CT upper ext wo (73200) | $3,686.72 | $3,686.72 | 34.1× |
| CT upper extremity with contrast (73201) | $5,459 | $5,459 | 15.1× |
| Cta Aa&Bi Iliofem Lxtr Rs&I C-/C+ Post-Pxessing (75635) | $4,242.68 | $4,242.68 | 23.4× |
| Cta Abdomen (74175) | $4,242.68 | $4,242.68 | 23.4× |
| CTA abdomen pelvis (74174) | $7,480.83 | $7,480.83 | 20.7× |
| CTA chest (71275) | $5,980.91 | $5,980.91 | 33.0× |
| Cta Head (70496) | $3,427.81 | $3,427.81 | 18.9× |
| Cta Neck (70498) | $3,427.81 | $3,427.81 | 18.9× |
| Cta Pelvis (72191) | $4,242.68 | $4,242.68 | 23.4× |
| Cystography minimum 3 views rs&i (74430) | $2,388.47 | $2,388.47 | 6.6× |
| Dxa bone density study 1/> sites axial skel (77080) | $1,588.20 | $1,588.20 | 14.7× |
| Esophagus (74220) | $967.51 | $967.51 | 5.3× |
| Facial bones min 3 views (70150) | $1,770.79 | $1,770.79 | 16.4× |
| Fetal biophysical profile non-stress testing (76818) | $1,797.96 | $1,797.96 | 16.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $607.13 | $607.13 | 5.6× |
| Fluoroscopy up to 1 hr (76000) | $1,197.98 | $1,197.98 | 4.9× |
| Foot 2 views (73620) | $852.29 | $852.29 | 9.5× |
| Forearm 2 views (73090) | $1,140.74 | $1,140.74 | 12.7× |
| Hand 2 views (73120) | $741.53 | $741.53 | 6.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $8,675.81 | $8,675.81 | 2.7× |
| Hepatobil Syst Imag Inc Gb W/Pharma Intervenj (78227) | $3,134.88 | $3,134.88 | 5.6× |
| Hepatobiliary syst imaging including gallbladder (78226) | $3,134.88 | $3,134.88 | 7.6× |
| Hysterosalpingogram (74740) | $2,524.28 | $2,524.28 | 10.2× |
| Kidney Img Morphology Vascular Flow 1 W/O Rx (78707) | $3,257.71 | $3,257.71 | 5.8× |
| Kidney img morphology vascular flow 1 w/rx (78708) | $5,570.79 | $5,570.79 | 9.9× |
| Lymphoscintigraphy (78195) | $1,730.34 | $1,730.34 | 3.1× |
| Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) Non-Facility (73222) | $6,698.03 | $6,698.03 | 8.3× |
| Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by… (73220) | $6,900.02 | $6,900.02 | 19.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $64.80 | $64.80 | 2.2× |
| MRA head w & w/o contrast (70546) | $9,927.14 | $9,927.14 | 27.5× |
| MRA head w/o contrast (70544) | $5,786.65 | $5,786.65 | 23.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $9,927.14 | $9,927.14 | 27.5× |
| MRA neck w/o contrast (70547) | $5,786.65 | $5,786.65 | 23.4× |
| MRI abdomen w contrast (74182) | $11,123.29 | $11,123.29 | 30.8× |
| MRI abdomen w/o & w/contrast material (74183) | $11,123.29 | $11,123.29 | 30.8× |
| MRI abdomen w/o contrast (74181) | $10,152.15 | $10,152.15 | 41.1× |
| MRI any jt lower extrem w/contrast material (73722) | $9,436.60 | $9,436.60 | 11.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $11,094.44 | $11,094.44 | 30.7× |
| MRI cervical spine w/o contrast (72141) | $7,242.86 | $7,242.86 | 29.3× |
| MRI chest w/o & w/contrast material (71552) | $11,032.25 | $11,032.25 | 30.6× |
| MRI chest w/o contrast (71550) | $6,900.02 | $6,900.02 | 28.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $9,860.15 | $9,860.15 | 27.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $8,222.25 | $8,222.25 | 33.3× |
| MRI orbit face &/neck w/o contrast (70540) | $6,201.88 | $6,201.88 | 25.1× |
| MRI orbit/face/neck w&w/o cont (70543) | $11,094.44 | $11,094.44 | 30.7× |
| MRI pelvis w/o & w/contrast material (72197) | $11,123.29 | $11,123.29 | 30.8× |
| MRI pelvis w/o contrast (72195) | $6,198.54 | $6,198.54 | 25.1× |
| MRI spinal canal cervical w/o & w/contr matrl (72156) | $11,569.87 | $11,569.87 | 32.1× |
| MRI spinal canal lumbar w/o & w/contr matrl (72158) | $11,569.87 | $11,569.87 | 32.1× |
| MRI spinal canal thoracic w/o & w/contr matrl (72157) | $11,569.87 | $11,569.87 | 32.1× |
| MRI temporomandibular joint (70336) | $6,900.02 | $6,900.02 | 28.0× |
| MRI thoracic spine w/o contrast (72146) | $7,242.86 | $7,242.86 | 29.3× |
| MRI up ext w/o contrast (73218) | $6,091.03 | $6,091.03 | 24.7× |
| MRI upper ext joint w/o contrast (73221) | $6,900.02 | $6,900.02 | 28.0× |
| MRI, joint upper extrem combo (73223) | $11,094.44 | $11,094.44 | 30.7× |
| Myocardial Spect Multiple Studies (78452) | $7,136.16 | $7,136.16 | 5.3× |
| Myocardial spect single study at rest or stress (78451) | $5,160.18 | $5,160.18 | 3.9× |
| Neck soft tissue (70360) | $865.75 | $865.75 | 9.6× |
| Nm cisternogram (78630) | $2,124.44 | $2,124.44 | 3.8× |
| Nm gastric emptying study (78264) | $2,973.22 | $2,973.22 | 7.2× |
| Osseous survey limited (77074) | $1,362.23 | $1,362.23 | 12.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,806.06 | $2,806.06 | 6.8× |
| Pelvis 1 or 2 views (72170) | $1,160.56 | $1,160.56 | 10.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,758.14 | $2,758.14 | 6.7× |
| Pulmonary Ventilation & Perfusion Imaging (78582) | $7,404.13 | $7,404.13 | 13.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,264.60 | $2,264.60 | 4.0× |
| Radex Ankle Compl Minimum 3 Views (73610) | $1,140.74 | $1,140.74 | 12.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $792.81 | $792.81 | 8.8× |
| Radex Elbw Compl Minimum 3 Views (73080) | $967.51 | $967.51 | 10.7× |
| Radex Entir Thrc Lmbr Crv Sac Spi W/Skull 1 Vw - Xr Scoliosis 1 Vw (72081) | $625.94 | $625.94 | 7.0× |
| Radex entir thrc lmbr crv sac spi w/skull 2/3 vw (72082) | $755.76 | $755.76 | 7.0× |
| Radex fingr minimum 2 views (73140) | $657.36 | $657.36 | 7.3× |
| Radex Foot Compl Minimum 3 Views (73630) | $1,119.79 | $1,119.79 | 12.4× |
| Radex Hand Minimum 3 Views (73130) | $852.29 | $852.29 | 9.5× |
| Radex Hip Unilateral With Pelvis 1 View (73501) | $916.63 | $916.63 | 10.2× |
| Radex Hips Bilateral With Pelvis 2 Views (73521) | $1,079.75 | $1,079.75 | 10.0× |
| Radex Hips Bilateral With Pelvis Minimum 5 Views (73523) | $1,242.68 | $1,242.68 | 11.5× |
| Radex Humerus Minimum 2 Views (73060) | $582.91 | $582.91 | 6.5× |
| Radex Kne 1/2 Views (73560) | $928.99 | $928.99 | 10.3× |
| Radex Kne Compl 4/More Views (73564) | $1,657.79 | $1,657.79 | 15.3× |
| Radex Mndbl Compl Minimum 4 Views (70110) | $1,700.07 | $1,700.07 | 15.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $981.36 | $981.36 | 10.9× |
| Radex Pelvis Compl Minimum 3 Views (72190) | $1,196.11 | $1,196.11 | 11.1× |
| Radex Sho Compl Minimum 2 Views (73030) | $1,264.22 | $1,264.22 | 14.0× |
| Radex Spine Lumbosacral Only Bending 2/3 Views (72120) | $625.94 | $625.94 | 5.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,462.11 | $1,462.11 | 16.2× |
| Radex Toe Minimum 2 Views (73660) | $657.36 | $657.36 | 7.3× |
| Radex upper extremity infant minimum 2 views (73092) | $836.94 | $836.94 | 7.7× |
| Radex Wrst Compl Minimum 3 Views (73110) | $774.84 | $774.84 | 8.6× |
| Radiologic Exam Abdomen 1 View - Xr Abdomen 1 View (74018) | $1,080.87 | $1,080.87 | 12.0× |
| Radiologic exam chest 2 views (71046) | $1,056.20 | $1,056.20 | 11.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,621.88 | $1,621.88 | 8.9× |
| Radiologic exam upr gi trc single contrast study (74240) | $1,346.14 | $1,346.14 | 7.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,462.11 | $1,462.11 | 16.2× |
| Radiological examination surgical specimen (76098) | $906.54 | $906.54 | 1.6× |
| Ribs bilateral 3 views (71110) | $1,154.96 | $1,154.96 | 10.7× |
| Rp loclzj tum spect 1 area single day imaging (78803) | $4,281.37 | $4,281.37 | 7.6× |
| Saline Infus Sonohysterography W/Color Doppler (76831) | $2,438.27 | $2,438.27 | 9.9× |
| Scapula (73010) | $767.73 | $767.73 | 7.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $64.55 | $64.55 | 2.8× |
| Shoulder 1 view (73020) | $522.29 | $522.29 | 5.8× |
| Small bowel series (74250) | $967.51 | $967.51 | 5.3× |
| Spine thoracic 3 views (72072) | $852.29 | $852.29 | 7.9× |
| Thoracolumbar 2 views (72080) | $625.94 | $625.94 | 7.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,806.06 | $2,806.06 | 6.8× |
| Tmj unilateral (70328) | $506.96 | $506.96 | 5.6× |
| Ultrasound breast complete (76641) | $1,380.83 | $1,380.83 | 12.8× |
| Ultrasound Exam Aaa Screen (76706) | $730.07 | $730.07 | 6.7× |
| Ultrasound, abdomen limited (76705) | $2,126.77 | $2,126.77 | 19.7× |
| Umbilical-artery Doppler (OB) (76820) | $639.59 | $639.59 | 5.9× |
| Urethrocystogram voiding (74455) | $1,657.79 | $1,657.79 | 6.7× |
| Urethrocystography retrograde rs&i (74450) | $2,331.60 | $2,331.60 | 9.4× |
| Us breast unilateral limited (76642) | $1,139.63 | $1,139.63 | 12.7× |
| Us chest (76604) | $1,938.57 | $1,938.57 | 17.9× |
| Us compl joint r-t w/image documentation (76881) | $798.94 | $798.94 | 7.4× |
| Us encephalogram (76506) | $2,392.47 | $2,392.47 | 22.1× |
| Us infant hips w manipulation (76885) | $2,098.27 | $2,098.27 | 23.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $457.87 | $457.87 | 4.2× |
| Us ob limited (76815) | $1,400.30 | $1,400.30 | 12.9× |
| Us ob transvaginal (76817) | $748.45 | $748.45 | 6.9× |
| Us pelvic non ob complete (76856) | $1,275.19 | $1,275.19 | 11.8× |
| Us pelvic nonobstetric image dcmtn limited/f/u (76857) | $1,295.40 | $1,295.40 | 12.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,131.35 | $1,131.35 | 10.5× |
| Us pg uter r-t img f-up tabdl appr pr fetus (76816) | $1,400.30 | $1,400.30 | 12.9× |
| Us retroperitoneal complete (76770) | $2,199.24 | $2,199.24 | 20.3× |
| Us retroperitoneal limited (76775) | $1,458.33 | $1,458.33 | 13.5× |
| Us scrotum and contents (76870) | $2,098.27 | $2,098.27 | 19.4× |
| Us soft tissue head/neck (76536) | $1,612.29 | $1,612.29 | 14.9× |
| Us spinal canal and contents (76800) | $2,126.77 | $2,126.77 | 19.7× |
| Us,transplanted kidney, real time/ doppler (76776) | $2,300.90 | $2,300.90 | 21.3× |
| Venography caval superior serialography rs&i (75827) | $8,675.81 | $8,675.81 | 5.3× |
| Wrist 2 views (73100) | $657.36 | $657.36 | 7.3× |
| X-Ray Abdomen,Comp Acute Series - Xr Abdomen 2 Vws With Chest 1 View (74022) | $1,539.56 | $1,539.56 | 14.2× |
| X-Ray Colon Air Contrast - Fl Barium Enema Air Contrast (74280) | $1,657.79 | $1,657.79 | 9.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $741.53 | $741.53 | 8.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $998.19 | $998.19 | 11.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,161.31 | $1,161.31 | 10.7× |
| X-ray exam of femur 2/> (73552) | $1,010.16 | $1,010.16 | 11.2× |
| X-ray eye for foreign body (70030) | $1,554.53 | $1,554.53 | 17.3× |
| X-Ray Facial Bones <3 Vw - Xr Facial Bones 1-2 Views (70140) | $792.81 | $792.81 | 8.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,277.67 | $1,277.67 | 14.2× |
| X-ray leg, infant (73592) | $721.71 | $721.71 | 8.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,036.74 | $1,036.74 | 9.6× |
| X-Ray Lumbar Spine 6+ Vw - Xr Lumbar Spine 6+ Vws Including Bending (72114) | $1,539.56 | $1,539.56 | 14.2× |
| X-ray nose-rectum child f.b. (76010) | $852.29 | $852.29 | 9.5× |
| X-Ray Orbits - Xr Orbits Complete 4+ Views (70200) | $1,492.80 | $1,492.80 | 13.8× |
| X-ray retrograde pyelogram (74420) | $3,088.49 | $3,088.49 | 8.6× |
| X-Ray Ribs 2 Vw Unilat - Xr Ribs 2 Views Right (71100) | $1,065.16 | $1,065.16 | 11.8× |
| X-Ray Ribs, Chest 3+ Vw - Xr Ribs 2 Vws Lt W/ Chest Anteroposterior (71101) | $1,312.84 | $1,312.84 | 12.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,539.56 | $1,539.56 | 14.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $928.99 | $928.99 | 8.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $774.84 | $774.84 | 8.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,761.43 | $1,761.43 | 19.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,781.62 | $1,781.62 | 16.5× |
| X-Ray Skull <4 Vw - Xr Skull 1-3 Views (70250) | $1,235.02 | $1,235.02 | 11.4× |
| X-Ray Spine One View - Xr Spine (72020) | $900.17 | $900.17 | 10.0× |
| X-Ray Sterno-Clavicluar Jt - Xr Sternoclavicular Joints 3+ Views (71130) | $928.99 | $928.99 | 10.3× |
| X-Ray Sternum 2+ Vw - Xr Sternum 2+ Views (71120) | $1,119.79 | $1,119.79 | 12.4× |
| X-Ray Thoracic Spine 2 Vw - Xr Thoracic Spine 2 Views (72070) | $928.99 | $928.99 | 8.6× |
| Xr bone length studies (77073) | $928.99 | $928.99 | 8.6× |
| Xr c-spine 4 or 5 views (72050) | $1,078.25 | $1,078.25 | 10.0× |
| Xr c-spine 6 or more views (72052) | $1,160.56 | $1,160.56 | 10.7× |
| Xr chest 4+ views (71048) | $1,207.06 | $1,207.06 | 11.2× |
| Xr urogram antegrade (74425) | $1,199.47 | $1,199.47 | 3.3× |