Dulles, VA
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Mar 1, 2026 | Jul 20, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Stonesprings Hospital Center’s price for it.
The codes Stonesprings Hospital Center has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Bilateral screening mammogram with computer-aided detectionCPT 77067 | $367 | $401 | $268 | 67% | 172–181 | $66 | $914 |
| Bilateral breast tomosynthesis imagingCPT 77063 | $46 | $70 | $58 | 82% | 158–167 | $12 | $218 |
| Complete blood count (CBC), automatedCPT 85027 | $31 | $63 | $80 | 127% | 71–80 | $5 | $259 |
| Chest X-ray, two viewsCPT 71046 | $137 | $245 | $252 | 103% | 50–59 | $39 | $898 |
| Comprehensive metabolic blood panelCPT 80053 | $51 | $251 | $393 | 156% | 39–48 | $8 | $1.2k |
| Basic metabolic panel, total calciumCPT 80048 | $41 | $169 | $257 | 152% | 25 | $7 | $788 |
| Chest X-ray, single viewCPT 71045 | $103 | $223 | $239 | 107% | 14–23 | $32 | $819 |
| Troponin blood test, quantitativeCPT 84484 | $50 | $117 | $156 | 133% | 17 | $10 | $502 |
| Prothrombin time blood testCPT 85610 | $21 | $67 | $98 | 147% | 14 | $3 | $305 |
| Blood type testing (ABO)CPT 86900 | $15 | $34 | $45 | 132% | 12 | $3 | $141 |
EIN: 04-3665595
Last updated: Mar 1, 2026
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Hospital ID: a0474795e86bc69b5b7954c93f6d287bfad61eca1f64c3e52b023f80c4ba164e