Visits & medical services prices at StoneSprings Hospital Center

Dulles, VA · every code in this section with a posted price and a Medicare benchmark.

75 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $245.68 $245.68 1.1×
Bedside Swallowing Eval (92610) $833.11 $833.11 9.8×
Canalith Repositioning Procedure (95992) $227.02 $227.02 5.6×
Cardiac Stress Tst,Tracing Only (93017) $3,045.92 $3,045.92 13.6×
Cardioversion (92960) $2,756.46 $2,756.46 4.0×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $55.43 $55.43 2.1×
Cbt 1st hour (94644) $411.79 $411.79 3.0×
Color/duplex Doppler, complete (93975) $2,296.80 $2,296.80 9.3×
Cpap/bipap (94660) $827.46 $827.46 3.7×
Cpt initial (94667) $291.09 $291.09 2.1×
Critical care (99291) $5,416.31 $5,416.31 6.3×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $2,504.64 $2,504.64 10.1×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $1,247 $1,247 11.5×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $1,999.31 $1,999.31 8.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $2,177.60 $2,177.60 20.1×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $2,782.54 $2,782.54 11.3×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $2,304.69 $2,304.69 21.3×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $3,448.30 $3,448.30 14.0×
Dup-scan xtr veins unilateral/limited study (93971) $1,808.99 $1,808.99 16.7×
Duplex scan extracranial art compl bi study (93880) $2,151.84 $2,151.84 8.7×
Echo Heart Xthoracic,Limited (93308) $1,145.35 $1,145.35 4.6×
Echo transesophageal (93312) $6,568.62 $6,568.62 11.6×
Echo Transthoracic - Congenital Tte Complete (93303) $4,763.19 $4,763.19 8.4×
Echo Transthoracic - Congenital Tte Limited (93304) $773.44 $773.44 1.4×
EEG awake and asleep (95819) $2,543.45 $2,543.45 11.4×
Electrocardiogram Tracing (93005) $704.92 $704.92 11.6×
Er level 1 (99281) $609.76 $609.76 7.0×
Er level ii (99282) $1,662.91 $1,662.91 10.5×
Er level iii (99283) $3,148.78 $3,148.78 11.1×
Er level IV (99284) $3,613.45 $3,613.45 8.4×
Er level v (99285) $5,012.60 $5,012.60 8.1×
Immunization Admin (90471) $412.15 $412.15 5.5×
Interrog device eval heart (93289) $386.72 $386.72 10.0×
Intrapulmonary Surfactant Administj Phys/Qhp (94610) $804.58 $804.58 3.6×
IV infusion hydration each additional hour (96361) $323.83 $323.83 6.7×
IV infusion hydration initial 31 min-1 hour (96360) $1,193.22 $1,193.22 5.4×
IV infusion ther proph addl sequential to 1 hr (96367) $792.72 $792.72 10.6×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $1,520.80 $1,520.80 6.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $1,145.79 $1,145.79 23.6×
IV push ea addl new drug (96375) $444.80 $444.80 9.2×
IV push initial (96374) $1,122.58 $1,122.58 5.1×
Manual therapy 15 min (97140) $227.02 $227.02 8.2×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $617.48 $617.48 6.7×
Newborn resuscitation (99465) $415.29 $415.29 0.6×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $1,028.17 $1,028.17 7.5×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $227.02 $227.02 7.1×
Ot eval high complex 60 min (97167) $881.96 $881.96 8.8×
Ot eval low complex 30 min (97165) $881.96 $881.96 8.8×
Ot eval mod complex 45 min (97166) $881.96 $881.96 8.8×
Ot re-evaluation (97168) $526.38 $526.38 7.7×
Ot therapeutic activity 15 min (97530) $227.02 $227.02 6.5×
Pt eval high complex 45 min (97163) $881.96 $881.96 9.0×
Pt eval low complex 20 min (97161) $881.96 $881.96 9.0×
Pt eval mod complex 30 min (97162) $881.96 $881.96 9.0×
Pt gait training 15 min (97116) $219.67 $219.67 7.6×
Pt group caregiver training (97552) $24.19 $24.19 1.1×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $315.91 $315.91 9.7×
Pt re-evaluation (97164) $526.38 $526.38 7.8×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $180.74 $180.74 5.6×
Pulmonary Service/Procedure (94799) $43.09 $43.09 0.3×
Rt Chest Wall Manipulation,Subsequent (94668) $201.43 $201.43 1.5×
Slp caregiver training 1st 30 min (97550) $103.06 $103.06 2.0×
Speech sound lang comprehen (92523) $924.21 $924.21 4.1×
Temp transcutaneous pacing (92953) $1,812.05 $1,812.05 2.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $215.99 $215.99 9.7×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $215.99 $215.99 10.3×
Therapeutic prophylactic/dx injection subq/im (96372) $402.82 $402.82 5.4×
Tte w/doppler, complete (93306) $7,143.14 $7,143.14 12.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $590.66 $590.66 7.8×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $590.66 $590.66 7.0×
Upr/lxtr art stdy 3+ lvls (93923) $1,091.04 $1,091.04 4.9×
Vasc Duplex Scan Extracranial,Limited (93882) $1,277.22 $1,277.22 11.8×
Vent mgmt inpat init day (94002) $1,722.86 $1,722.86 2.7×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $1,226.06 $1,226.06 1.9×
Vital capacity, total (94150) $43.09 $43.09 0.3×