Supplies, drugs & other prices at StoneSprings Hospital Center
Dulles, VA · every code in this section with a posted price and a Medicare benchmark.
13 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 1st (M0249) | $612.22 | $612.22 | 1.3× |
| Admin influenza virus vac (G0008) | $377.98 | $377.98 | 7.8× |
| Admin pneumococcal vaccine (G0009) | $377.98 | $377.98 | 7.8× |
| Direct refer hospital observ (G0379) | $1,602.74 | $1,602.74 | 2.6× |
| Drug test def 1-7 classes (G0480) | $1,626.36 | $1,626.36 | 14.2× |
| Mra w/o fol w/cont, abd (C8902) | $7,242.86 | $7,242.86 | 20.1× |
| Mra w/o fol w/cont, chest (C8911) | $6,900.02 | $6,900.02 | 19.1× |
| Mri w/o fol w/cont, breast, (C8908) | $11,107.83 | $11,107.83 | 30.8× |
| Pathogen test for platelets (P9100) | $183.06 | $183.06 | 3.0× |
| Psa screening (G0103) | $749.36 | $749.36 | 38.8× |
| Tomosynthesis, mammo (G0279) | $69.94 | $69.94 | 5.5× |
| Tte w or wo fol wcon,doppler (C8929) | $7,143.14 | $7,143.14 | 8.8× |
| Unsched dialysis esrd pt hos (G0257) | $2,966.89 | $2,966.89 | 4.2× |