| Procedure | Reston Hospital Center | Stonesprings Hospital Center | Medicare |
|---|
| 3D mammogram (tomosynthesis) | $66 | $65 | $51 |
| Abdominal ultrasound | $2,204 | $3,089 | $100 |
| Abdominal ultrasound (complete) | $3,144 | $3,089 | $114 |
| Abdominal ultrasound (limited) | $2,164 | $2,127 | $86 |
| Aldosterone test | $652 | $651 | $41 |
| ALT liver enzyme test | $238 | $233 | $5 |
| Ammonia blood test | $626 | $626 | $15 |
| Amylase test | $521 | $536 | $6 |
| Antinuclear antibody (ANA) test | $214 | $212 | $12 |
| Arterial blood gas (ABG) | $329 | $329 | $26 |
| Barium swallow study | $1,024 | $996 | $107 |
| Basic metabolic panel | $902 | $927 | $8 |
| Bilirubin blood test | $242 | $245 | $5 |
| Blood clotting test (PT/INR) | $346 | $359 | $4 |
| Blood crossmatch | $547 | $547 | — |
| Blood transfusion | $3,685 | $3,501 | $47 |
| Blood type and screen | $392 | $392 | $10 |
| Blood type test | $184 | $184 | $3 |
| Blood type test (ABO group) | $165 | $165 | $3 |
| Blood type test (Rh/D antigen) | $204 | $204 | $3 |
| BNP (heart failure) test | $485 | $511 | $39 |
| Bone density scan (DEXA) | $1,588 | $1,588 | $39 |
| Bone scan (nuclear) | $4,014 | $3,754 | $259 |
| Breast ultrasound | $1,431 | $1,381 | $92 |
| Breast ultrasound (complete) | $1,431 | $1,381 | $100 |
| Breast ultrasound (limited) | $1,182 | $1,140 | $84 |
| C-reactive protein (CRP) | $492 | $492 | $5 |
| CA 19-9 tumor marker test | $819 | $804 | $21 |
| CA-125 ovarian marker test | $890 | $890 | $21 |
| Cardiac stress test | $3,102 | $3,046 | $39 |
| Cardioversion | $2,756 | $2,756 | $155 |
| Carotid artery ultrasound | $2,092 | $1,715 | $156 |
| CEA tumor marker test | $679 | $685 | $19 |
| Chest X-ray | $1,152 | $1,094 | $37 |
| Chest X-ray (1 view) | $972 | $963 | $25 |
| Chest X-ray (2 views) | $1,066 | $1,056 | $33 |
| Clotting time test (PTT) | $346 | $359 | $6 |
| Complete blood count (CBC) | $293 | $305 | $7 |
| Copper blood test | $457 | $470 | $12 |
| COVID-19 PCR test | $83 | $85 | $51 |
| CPAP titration study | $804 | $827 | $69 |
| CT angiography of the chest | $6,094 | $5,981 | $281 |
| CT angiography of the head | $3,557 | $3,428 | $274 |
| CT scan of the abdomen | $4,788 | $4,721 | $230 |
| CT scan of the abdomen and pelvis | $8,995 | $8,828 | $300 |
| CT scan of the abdomen and pelvis with and without contrast | $10,632 | $10,435 | $338 |
| CT scan of the abdomen and pelvis with contrast | $8,995 | $8,828 | $300 |
| CT scan of the abdomen and pelvis without contrast | $7,919 | $7,772 | $183 |
| CT scan of the abdomen with and without contrast | $6,170 | $6,084 | $259 |
| CT scan of the abdomen with contrast | $4,788 | $4,721 | $230 |
| CT scan of the abdomen without contrast | $4,108 | $3,995 | $136 |
| CT scan of the arm | $5,988 | $5,459 | $199 |
| CT scan of the arm with contrast | $6,427 | $5,459 | $199 |
| CT scan of the arm without contrast | $4,105 | $3,687 | $161 |
| CT scan of the chest | $4,624 | $4,497 | $167 |
| CT scan of the chest with and without contrast | $6,172 | $6,003 | $196 |
| CT scan of the chest with contrast | $4,624 | $4,497 | $167 |
| CT scan of the chest without contrast | $3,577 | $3,511 | $133 |
| CT scan of the head | $3,978 | $3,904 | $148 |
| CT scan of the head with and without contrast | $4,816 | $4,683 | $173 |
| CT scan of the head with contrast | $3,978 | $3,904 | $148 |
| CT scan of the head without contrast | $3,211 | $3,123 | $107 |
| CT scan of the leg | $6,242 | $6,015 | $166 |
| CT scan of the leg with contrast | $6,242 | $6,015 | $166 |
| CT scan of the leg without contrast | $4,592 | $4,425 | $130 |
| CT scan of the lower back (lumbar spine) | $6,965 | $6,773 | $169 |
| CT scan of the lower back (lumbar spine) with and without contrast | $7,800 | $7,023 | $197 |
| CT scan of the lower back (lumbar spine) with contrast | $6,965 | $6,773 | $169 |
| CT scan of the lower back (lumbar spine) without contrast | $6,185 | $6,015 | $130 |
| CT scan of the neck | $4,614 | $4,549 | $183 |
| CT scan of the neck (cervical spine) | $5,588 | $4,953 | $168 |
| CT scan of the neck (cervical spine) with contrast | $5,588 | $5,459 | $168 |
| CT scan of the neck (cervical spine) without contrast | $4,553 | $4,448 | $131 |
| CT scan of the neck with and without contrast | $5,483 | $5,560 | $220 |
| CT scan of the neck with contrast | $4,614 | $4,549 | $183 |
| CT scan of the neck without contrast | $3,509 | $3,460 | $150 |
| CT scan of the pelvis | $5,301 | $5,156 | $226 |
| CT scan of the pelvis with and without contrast | $6,357 | $6,268 | $251 |
| CT scan of the pelvis with contrast | $5,301 | $5,156 | $226 |
| CT scan of the pelvis without contrast | $4,304 | $4,186 | $133 |
| CT scan of the sinuses | $5,317 | $4,639 | $152 |
| CT scan of the sinuses with contrast | $5,317 | $5,171 | $152 |
| CT scan of the sinuses without contrast | $4,223 | $4,107 | $128 |
| D-dimer test | $785 | $815 | $10 |
| DHEA-sulfate test | $352 | $352 | $22 |
| Diagnostic mammogram | $1,252 | $1,230 | $140 |
| Echocardiogram | $4,144 | $4,144 | $138 |
| Echocardiogram with and without contrast | $1,145 | $1,145 | $101 |
| EEG (awake and asleep) | $2,402 | $2,543 | $482 |
| EKG / ECG (tracing only) | $666 | $705 | $7 |
| Electrocardiogram (EKG) | $666 | $705 | $8 |
| Electroencephalogram (EEG) | $2,402 | $2,543 | $448 |
| Emergency department visit | $2,068 | $3,149 | $69 |
| Emergency department visit (level 1) | $500 | $1,090 | $11 |
| Emergency department visit (level 2) | $1,456 | $1,663 | $40 |
| Emergency department visit (level 3) | $2,757 | $3,149 | $69 |
| Emergency department visit (level 4) | $3,164 | $3,613 | $118 |
| Emergency department visit (level 5) | $4,389 | $5,013 | $171 |
| Estradiol (estrogen) test | $1,094 | $1,074 | $28 |
| Fallopian tube X-ray (HSG) | $2,489 | $2,524 | $164 |
| Fecal occult blood (stool) test | $196 | $196 | $10 |
| Fecal occult blood (stool) test (guaiac, gFOBT) | $196 | $196 | $4 |
| Ferritin (iron) test | $212 | $210 | $14 |
| Fibrinogen test | $441 | $616 | $10 |
| Folate (folic acid) test | $705 | $705 | $15 |
| Free T4 thyroid test | $574 | $563 | $9 |
| FSH hormone test | $844 | $868 | $19 |
| Gallbladder scan (HIDA) | $3,447 | $3,135 | $334 |
| GGT liver test | $231 | $238 | $7 |
| Glucose tolerance test | $588 | $591 | $8 |
| Hematocrit test | $94 | $94 | $2 |
| Hemoglobin A1c (diabetes test) | $544 | $577 | $10 |
| Hepatitis B test | $565 | $563 | $10 |
| HIV test | $259 | $259 | $19 |
| HIV test (antigen/antibody combo) | $259 | $259 | $24 |
| Iron blood test | $484 | $484 | $6 |
| IV infusion therapy | $1,196 | $1,318 | $44 |
| IV infusion therapy (each additional) | $1,034 | $1,146 | $21 |
| IV infusion therapy (initial) | $1,385 | $1,521 | $67 |
| Kidney scan (nuclear) | $5,956 | $5,571 | $172 |
| Kidney ultrasound | $1,875 | $1,829 | $84 |
| Kidney ultrasound (limited) | $1,512 | $1,458 | $61 |
| Lactate test | $525 | $545 | $12 |
| LDH test | $411 | $411 | $6 |
| Leg vein ultrasound (Doppler) | $2,628 | $2,629 | $150 |
| Leg vein ultrasound (Doppler) (limited) | $1,809 | $1,809 | $116 |
| LH hormone test | $844 | $868 | $19 |
| Lipase test | $595 | $612 | $7 |
| Liver function panel | $810 | $810 | $8 |
| Lung scan (V/Q) | $8,142 | $7,404 | $291 |
| MMR vaccine | $883 | $843 | — |
| MRA of the brain | $8,229 | $7,857 | $226 |
| MRA of the brain without contrast | $10,397 | $9,927 | $328 |
| MRA of the neck | $6,642 | $7,857 | $245 |
| MRA of the neck without contrast | $10,208 | $9,927 | $343 |
| MRI of the abdomen | $11,121 | $11,123 | $300 |
| MRI of the abdomen with contrast | $11,438 | $11,123 | $300 |
| MRI of the abdomen without contrast | $10,439 | $10,152 | $194 |
| MRI of the ankle | $9,156 | $9,041 | $261 |
| MRI of the ankle without contrast | $8,416 | $8,222 | $222 |
| MRI of the brain | $7,305 | $7,306 | $269 |
| MRI of the brain with contrast | $7,305 | $7,306 | $269 |
| MRI of the brain without contrast | $7,305 | $7,306 | $195 |
| MRI of the chest | $9,121 | $8,966 | $371 |
| MRI of the chest without contrast | $11,344 | $11,032 | $466 |
| MRI of the knee | $10,139 | $9,860 | $315 |
| MRI of the knee with contrast | $9,434 | $9,437 | $315 |
| MRI of the knee without contrast | $10,139 | $9,860 | $204 |
| MRI of the lower back (lumbar spine) | $7,495 | $9,534 | $270 |
| MRI of the lower back (lumbar spine) without contrast | $7,495 | $7,497 | $192 |
| MRI of the mid-back (thoracic spine) | $7,495 | $9,406 | $271 |
| MRI of the mid-back (thoracic spine) with and without contrast | $11,567 | $11,570 | $319 |
| MRI of the mid-back (thoracic spine) without contrast | $7,241 | $7,243 | $190 |
| MRI of the neck (cervical spine) | $7,495 | $9,406 | $274 |
| MRI of the neck (cervical spine) with and without contrast | $11,567 | $11,570 | $318 |
| MRI of the neck (cervical spine) without contrast | $7,241 | $7,243 | $191 |
| MRI of the pelvis | $9,012 | $8,661 | $268 |
| MRI of the pelvis without contrast | $6,374 | $6,199 | $227 |
| MRI of the shoulder | $7,063 | $6,900 | $313 |
| MRI of the shoulder with contrast | $6,887 | $6,698 | $313 |
| MRI of the shoulder without contrast | $7,063 | $6,900 | $205 |
| MRI of the wrist | $6,803 | $6,496 | $330 |
| MRI of the wrist without contrast | $6,380 | $6,091 | $303 |
| Nebulizer breathing treatment | $246 | $246 | $9 |
| Nuclear cardiac stress test | $7,630 | $7,136 | $428 |
| Occupational therapy evaluation | $882 | $882 | $101 |
| Occupational therapy evaluation (high complexity) | $882 | $882 | $101 |
| Occupational therapy evaluation (low complexity) | $898 | $882 | $101 |
| Occupational therapy evaluation (moderate complexity) | $882 | $882 | $101 |
| Pelvic ultrasound | $1,308 | $1,285 | $78 |
| Pelvic ultrasound (complete) | $1,298 | $1,275 | $105 |
| Pelvic ultrasound (limited) | $1,318 | $1,295 | $51 |
| Phosphorus blood test | $236 | $245 | $5 |
| Physical therapy evaluation | $882 | $882 | $98 |
| Physical therapy evaluation (high complexity) | $882 | $882 | $98 |
| Physical therapy evaluation (moderate complexity) | $882 | $882 | $98 |
| Platelet count | $212 | $211 | $4 |
| Pneumonia vaccine | $683 | $652 | — |
| Pregnancy blood test (hCG) | $473 | $626 | $8 |
| Pregnancy ultrasound | $1,797 | $1,755 | $126 |
| Pregnancy ultrasound (first trimester) | $1,173 | $1,131 | $117 |
| Pregnancy ultrasound (second or third trimester) | $2,421 | $2,379 | $136 |
| Procalcitonin test | $642 | $694 | $27 |
| Prolactin test | $961 | $962 | $19 |
| Prostate test (PSA) | $749 | $749 | $18 |
| Scoliosis spine X-ray | $626 | $691 | $58 |
| Scoliosis spine X-ray (1 view) | $626 | $626 | $44 |
| Scoliosis spine X-ray (3 views) | $756 | $756 | $72 |
| Screening mammogram | $1,064 | $1,043 | $126 |
| Scrotal ultrasound | $2,135 | $2,098 | $99 |
| Sex hormone binding globulin test | $622 | $622 | $22 |
| Soft tissue ultrasound | $475 | $458 | $64 |
| Speech therapy | $591 | $591 | $76 |
| Swallow study | $833 | $833 | $85 |
| T3 thyroid test | $229 | $224 | $14 |
| Thyroid ultrasound | $1,640 | $1,612 | $109 |
| Thyroid uptake scan | $3,086 | $2,806 | $145 |
| Total IgE allergy test | $603 | $603 | $16 |
| Transesophageal echocardiogram (TEE) | $6,569 | $6,569 | $239 |
| Transesophageal echocardiogram (TEE) with and without contrast | $6,569 | $6,569 | $239 |
| Transvaginal ultrasound | $1,298 | $1,275 | $118 |
| Triglycerides test | $359 | $352 | $6 |
| Troponin (heart) test | $575 | $591 | $12 |
| Upper GI series (barium) | $1,461 | $1,484 | $128 |
| Uric acid (gout) test | $223 | $219 | $5 |
| Urinalysis | $253 | $249 | $3 |
| Urine pregnancy test | $354 | $364 | $9 |
| Vaccine administration | $405 | $412 | $19 |
| Vaccine administration (each additional) | $241 | $242 | $16 |
| Vitamin B12 test | $731 | $717 | $15 |
| Vitamin D test | $331 | $331 | $30 |
| X-ray of the abdomen | $1,135 | $1,135 | $36 |
| X-ray of the ankle | $1,109 | $1,141 | $37 |
| X-ray of the collarbone | $731 | $742 | $33 |
| X-ray of the elbow | $968 | $968 | $33 |
| X-ray of the facial bones | $793 | $1,282 | $39 |
| X-ray of the foot | $1,089 | $1,120 | $34 |
| X-ray of the forearm | $1,136 | $1,141 | $29 |
| X-ray of the hand | $852 | $852 | $38 |
| X-ray of the hip | $1,007 | $957 | $49 |
| X-ray of the hip (1 view) | $933 | $917 | $34 |
| X-ray of the hip (3 views) | $1,007 | $998 | $49 |
| X-ray of the knee | $1,029 | $1,658 | $42 |
| X-ray of the knee (2 views) | $903 | $929 | $34 |
| X-ray of the knee (4+ views) | $1,612 | $1,658 | $49 |
| X-ray of the lower back (lumbar spine) | $1,251 | $1,272 | $47 |
| X-ray of the lower back (lumbar spine) (2 views) | $1,022 | $1,037 | $40 |
| X-ray of the lower back (lumbar spine) (4+ views) | $1,486 | $1,507 | $53 |
| X-ray of the lower leg | $1,489 | $1,462 | $31 |
| X-ray of the mid-back (thoracic spine) | $891 | $891 | $36 |
| X-ray of the mid-back (thoracic spine) (2 views) | $929 | $929 | $33 |
| X-ray of the mid-back (thoracic spine) (3 views) | $852 | $852 | $39 |
| X-ray of the neck (cervical spine) | $1,082 | $1,082 | $47 |
| X-ray of the neck (cervical spine) (3 views) | $1,085 | $1,085 | $40 |
| X-ray of the pelvis | $1,162 | $1,178 | $36 |
| X-ray of the pelvis (1 view) | $1,145 | $1,161 | $28 |
| X-ray of the ribs | $1,139 | $1,155 | $42 |
| X-ray of the ribs (2 views) | $1,065 | $1,065 | $36 |
| X-ray of the ribs (3 views) | $1,313 | $1,313 | $42 |
| X-ray of the shoulder | $1,229 | $1,264 | $36 |
| X-ray of the skull | $1,508 | $1,508 | $40 |
| X-ray of the upper arm | $567 | $583 | $32 |
| X-ray of the wrist | $775 | $775 | $43 |
Green = lower cash price. Source: hospitals' machine-readable files (45 CFR §180). Estimates — confirm with the hospital.
