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 | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $1,080.87 | $1,080.87 | 12.0× |
| Abdomen 2 views (74019) | $1,188.25 | $1,188.25 | 11.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,837.20 | $1,837.20 | 4.4× |
| Angio pulmonary bilat (75743) | $9,962.46 | $9,962.46 | 3.0× |
| Ankle 2 views (73600) | $858.64 | $858.64 | 9.5× |
| Artery X-Rays Abdomen (75726) | $9,962.46 | $9,962.46 | 1.7× |
| Artery X-Rays Pelvis (75736) | $9,962.41 | $9,962.41 | 1.7× |
| Arthrogram hip (73525) | $3,265.82 | $3,265.82 | 9.0× |
| Bone age studies (77072) | $582.91 | $582.91 | 5.4× |
| Bone Imaging 3 Phase (78315) | $3,369.79 | $3,369.79 | 8.1× |
| Bone Imaging Whole Body (78306) | $3,754.25 | $3,754.25 | 9.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,457.97 | $1,457.97 | 2.6× |
| Cat Scan Follow-Up Study (76380) | $2,641.02 | $2,641.02 | 29.3× |
| Cerebrospinal Fluid Scan (78630) | $2,124.44 | $2,124.44 | 3.8× |
| Chest 1 view (71045) | $963.03 | $963.03 | 10.7× |
| Chest 2 views (71046) | $1,056.20 | $1,056.20 | 11.7× |
| Chest 3 views (71047) | $1,131.39 | $1,131.39 | 12.6× |
| Chest 4 or more views (71048) | $1,207.06 | $1,207.06 | 11.2× |
| 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× |
| Contrast X-Ray Bladder (74430) | $2,388.47 | $2,388.47 | 6.6× |
| Contrast X-Ray Of Knee Joint (73580) | $2,721.09 | $2,721.09 | 7.5× |
| 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 Abdomen and Pelvis (74174) | $7,480.83 | $7,480.83 | 20.7× |
| CT Angio Chest (71275) | $5,980.91 | $5,980.91 | 33.0× |
| CT Angio Head (70496) | $3,427.81 | $3,427.81 | 18.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,728.62 | $3,728.62 | 20.5× |
| CT Angio Neck (70498) | $3,427.81 | $3,427.81 | 18.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,728.62 | $3,728.62 | 20.5× |
| CT cervical spine w/ contrast (72126) | $5,459 | $5,459 | 15.1× |
| CT cervical 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 no contrast quant eval coronry calcium (75571) | $1,542.18 | $1,542.18 | 17.1× |
| CT iac w contrast (70481) | $4,336.59 | $4,336.59 | 23.9× |
| CT l-spine w&w/o contrast (72133) | $7,023.34 | $7,023.34 | 38.7× |
| CT lower ext w/o (73700) | $4,425.27 | $4,425.27 | 40.9× |
| CT lower extremity w/contrast material (73701) | $6,014.58 | $6,014.58 | 33.1× |
| 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 neck tissue combo (70492) | $5,559.94 | $5,559.94 | 30.6× |
| CT orbits w/o contrast (70480) | $3,413.61 | $3,413.61 | 31.6× |
| CT pelvis w&w/o contrast (72194) | $6,267.89 | $6,267.89 | 34.5× |
| CT pelvis w/o contrast (72192) | $4,185.82 | $4,185.82 | 38.7× |
| CT scan of leg combo (73702) | $7,585.21 | $7,585.21 | 41.8× |
| CT soft tissue neck w contrast (70491) | $4,549.48 | $4,549.48 | 25.1× |
| 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 cont (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 w/o & w/contrast material (73202) | $7,217.80 | $7,217.80 | 39.8× |
| CT upper extremity with contrast (73201) | $5,459 | $5,459 | 15.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,242.68 | $4,242.68 | 23.4× |
| Cta Abdomen (74175) | $4,242.68 | $4,242.68 | 23.4× |
| CTA pelvis (72191) | $4,242.68 | $4,242.68 | 23.4× |
| Dxa Bone Density Axial (77080) | $1,588.20 | $1,588.20 | 14.7× |
| Echo exam uterus (76831) | $2,438.27 | $2,438.27 | 9.9× |
| Esophagram (74220) | $967.51 | $967.51 | 5.3× |
| Fetal Biophys Profile W/Nst (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) range across 2 matching MRF lines |
$1,196.11–$1,199.85 | $1,196.11–$1,199.85 | varies |
| Foot 2 views (73620) | $852.29 | $852.29 | 9.5× |
| Forearm 2 views (73090) | $1,140.74 | $1,140.74 | 12.7× |
| Gastric emptying imaging study (78264) | $2,973.22 | $2,973.22 | 7.2× |
| 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 Image W/Drug (78227) | $3,134.88 | $3,134.88 | 5.6× |
| Hepatobiliary System Imaging (78226) | $3,134.88 | $3,134.88 | 7.6× |
| Ht Muscle Image Spect Sing (78451) | $5,160.18 | $5,160.18 | 3.9× |
| Hysterosalpingogram (74740) | $2,524.28 | $2,524.28 | 10.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $2,098.27 | $2,098.27 | 23.3× |
| K Flow/Funct Image W/Drug (78708) | $5,570.79 | $5,570.79 | 9.9× |
| K Flow/Funct Image W/O Drug (78707) | $3,257.71 | $3,257.71 | 5.8× |
| Lung Ventilat&Perfus Imaging (78582) | $7,404.13 | $7,404.13 | 13.2× |
| Lymph System Imaging (78195) | $1,730.34 | $1,730.34 | 3.1× |
| Magnetic Image Jaw Joint (70336) | $6,900.02 | $6,900.02 | 28.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $64.80 | $64.80 | 2.2× |
| Mra Head W/O & W/Contrast Material (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 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 any jt upper extremity w/contrast matrl (73222) | $6,698.03 | $6,698.03 | 8.3× |
| MRI cervical spine w/o cont (72141) | $7,242.86 | $7,242.86 | 29.3× |
| MRI chest w/o contrast (71550) | $6,900.02 | $6,900.02 | 28.0× |
| MRI chest wo w contrast (71552) | $11,032.25 | $11,032.25 | 30.6× |
| 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 Neck Spine W/O & W/Dye (72156) | $11,569.87 | $11,569.87 | 32.1× |
| MRI orbit face &/neck w/o contrast (70540) | $6,201.88 | $6,201.88 | 25.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $11,094.44 | $11,094.44 | 30.7× |
| MRI pelvis w/o & w contrast (72197) | $11,123.29 | $11,123.29 | 30.8× |
| MRI pelvis w/o contrast (72195) | $6,198.54 | $6,198.54 | 25.1× |
| MRI thoracic spine w/o contrast (72146) | $7,242.86 | $7,242.86 | 29.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $6,091.03 | $6,091.03 | 24.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $6,900.02 | $6,900.02 | 19.1× |
| MRI, abdomen, combo (74183) | $11,123.29 | $11,123.29 | 30.8× |
| MRI, dorsal spine combo (72157) | $11,569.87 | $11,569.87 | 32.1× |
| MRI, joint upper extrem (73221) | $6,900.02 | $6,900.02 | 28.0× |
| MRI, joint upper extrem combo (73223) | $11,094.44 | $11,094.44 | 30.7× |
| MRI, lumbar spine combo (72158) | $11,569.87 | $11,569.87 | 32.1× |
| Myocardial Spect Multiple Studies (78452) | $7,136.16 | $7,136.16 | 5.3× |
| Neck soft tissue (70360) | $865.75 | $865.75 | 9.6× |
| 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× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,539.56 | $1,539.56 | 14.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,264.60 | $2,264.60 | 4.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$1,140.74–$2,279.61 | $1,140.74–$2,279.61 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $792.81 | $792.81 | 8.8× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$967.51–$1,932.41 | $967.51–$1,932.41 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,770.79 | $1,770.79 | 16.4× |
| Radex fingr minimum 2 views (73140) | $657.36 | $657.36 | 7.3× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$1,119.79–$2,236.58 | $1,119.79–$2,236.58 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$852.29–$1,701.57 | $852.29–$1,701.57 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $721.71 | $721.71 | 8.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $981.36 | $981.36 | 10.9× |
| Radex Ribs Unilateral 2 Views (71100) | $1,065.16 | $1,065.16 | 11.8× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$1,264.22–$2,525.05 | $1,264.22–$2,525.05 | varies |
| Radex Spine 1 View Specify Level (72020) | $900.17 | $900.17 | 10.0× |
| Radex Sternum Minimum 2 Views (71120) | $1,119.79 | $1,119.79 | 12.4× |
| 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 Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$774.84–$1,546.67 | $774.84–$1,546.67 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,700.07 | $1,700.07 | 15.7× |
| Radiologic exam colon double contrast study (74280) | $1,657.79 | $1,657.79 | 9.1× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,657.79–$3,311.10 | $1,657.79–$3,311.10 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,196.11 | $1,196.11 | 11.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $967.51 | $967.51 | 5.3× |
| Radiologic exam swallow function contrast study (74230) | $1,023.63 | $1,023.63 | 5.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,621.88 | $1,621.88 | 8.9× |
| Radiologic examination femur minimum 2 views (73552) | $1,010.16 | $1,010.16 | 11.2× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$928.99–$1,853.46 | $928.99–$1,853.46 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $1,362.23 | $1,362.23 | 12.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$1,462.11–$2,923.48 | $1,462.11–$2,923.48 | varies |
| 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× |
| 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× |
| Shoulder Arthrography (73040) | $2,002 | $2,002 | 5.5× |
| Skull less than 4 views (70250) | $1,235.02 | $1,235.02 | 11.4× |
| Sternoclavicular joints (71130) | $928.99 | $928.99 | 10.3× |
| Thoracic spine 2 views (72070) | $928.99 | $928.99 | 8.6× |
| Thoracic spine 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× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,139.63–$2,278.18 | $1,139.63–$2,278.18 | varies |
| 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× |
| Upper gi w/o kub (74240) | $1,346.14 | $1,346.14 | 7.4× |
| Urethrocystogram voiding (74455) | $1,657.79 | $1,657.79 | 6.7× |
| Urethrocystography retrograde (74450) | $2,331.60 | $2,331.60 | 9.4× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,380.83–$2,761.30 | $1,380.83–$2,761.30 | varies |
| Us chest (76604) | $1,938.57 | $1,938.57 | 17.9× |
| Us complete joint (76881) | $798.94 | $798.94 | 7.4× |
| Us exam, pelvic, limited (76857) | $1,295.40 | $1,295.40 | 12.0× |
| Us head (76506) | $2,392.47 | $2,392.47 | 22.1× |
| Us kidney transplant (76776) | $2,300.90 | $2,300.90 | 21.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $457.87 | $457.87 | 4.2× |
| Us ob limited 1 or more fetuses (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 pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,131.35 | $1,131.35 | 10.5× |
| Us preg uterus real time f/u trnsabdl per 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 spinal canal and contents (76800) | $2,126.77 | $2,126.77 | 19.7× |
| Us thyroid (76536) | $1,612.29 | $1,612.29 | 14.9× |
| Vein X-Ray Chest (75827) | $8,675.81 | $8,675.81 | 5.3× |
| Wrist 2 views (73100) | $657.36 | $657.36 | 7.3× |
| X-ray antegrade pyelogram tube (74425) | $1,199.47 | $1,199.47 | 3.3× |
| X-Ray Bend Only L-S Spine (72120) | $625.94 | $625.94 | 5.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $741.53 | $741.53 | 8.2× |
| X-Ray Exam Breast Specimen (76098) | $906.54 | $906.54 | 1.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $625.94 | $625.94 | 7.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $755.76 | $755.76 | 7.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $916.63 | $916.63 | 10.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $998.19 | $998.19 | 11.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,079.75 | $1,079.75 | 10.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,161.31 | $1,161.31 | 10.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,242.68 | $1,242.68 | 11.5× |
| X-Ray Exam L-S Spine Bending (72114) | $1,539.56 | $1,539.56 | 14.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,084.99 | $1,084.99 | 12.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,160.56 | $1,160.56 | 10.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,312.84 | $1,312.84 | 12.1× |
| X-ray eye for foreign body (70030) | $1,554.53 | $1,554.53 | 17.3× |
| X-ray humerus (73060) | $582.91 | $582.91 | 6.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,277.67 | $1,277.67 | 14.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,036.74 | $1,036.74 | 9.6× |
| X-ray nose-rectum child f.b. (76010) | $852.29 | $852.29 | 9.5× |
| 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 Tmj Unilat (70328) | $506.96 | $506.96 | 5.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $3,088.49 | $3,088.49 | 8.6× |
| X-Rays Bone Length Studies (77073) | $928.99 | $928.99 | 8.6× |
| X-Rays Bone Survey Complete (77075) | $1,770.79 | $1,770.79 | 16.4× |
| Xr c-spine 4 or 5 views (72050) | $1,078.25 | $1,078.25 | 10.0× |
| Xr facial bones less than 3 views (70140) | $792.81 | $792.81 | 8.8× |
| Xr orbits complete 4 views (70200) | $1,492.80 | $1,492.80 | 13.8× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.