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Dominion Hospital

Falls Church, VA · 116 beds · 55 procedures priced

Sourced from this hospital's machine-readable file, posted Thu Jun 04 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 76/100 · source file ↗

Category

Procedure ▲	Negotiated i	Cash i	Gross i
ACL Reconstruction (Arthroscopic)	$7,312	—	—
Basic Metabolic Panel	$258$8$495	$550	$550
Bunion Correction Surgery	$7,312	—	—
Cardiac Catheterization (Left Heart)	$11,181	—	—
Carpal Tunnel Release Surgery	$5,124	—	—
Cataract Surgery with Lens Implant	$10,583	—	—
Colonoscopy with Biopsy	$5,124	—	—
Complete Blood Count (CBC) with Differential	$8$8$9	—	—
Comprehensive Metabolic Panel	$637$11$1.2k	$1,355	$1,355
Coronary Angioplasty with Stent	$31,504	—	—
Critical Care, First Hour	$5,530	—	—
Diagnostic Colonoscopy	$5,124	—	—
Diagnostic Mammogram (Both Breasts)	$118$113$129	—	—
Ear Tube Placement (Tympanostomy)	$7,312	—	—
EKG (Electrocardiogram, 12-lead)	$13$13$13	—	—
Emergency Room Visit (Level 3)	$500$60$2.4k	—	—
Group Therapy Session	$345$55$437	$486	$486
Hemodialysis Treatment	$92$89$92	—	—
Hemoglobin A1c (Diabetes Test)	$295$10$565	$628	$628
HIV Antibody Test	$586$9$1.1k	$1,247	$1,247
Holter Monitor (24-48 Hour Heart Monitor)	$68$66$68	—	—
Individual Therapy Session (45 Minutes)	$88	—	—
Inguinal Hernia Repair (Open)	$8,526	—	—
Initial Hospital Admission (Level 1)	$119	—	—
Initial Psychiatric Diagnostic Evaluation	$110	—	—
Initial Psychiatric Evaluation with Medication Management	$110	—	—
IUD Insertion	$46$44$46	—	—
Knee Arthroscopy with Meniscectomy	$8,526	—	—
Laparoscopic Gallbladder Removal	$12,893	—	—
Laparoscopic Tubal Ligation	$9,220	—	—
Lipid Panel (Cholesterol Test)	$132$13$253	$281	$281
Lumbar Puncture (Spinal Tap)	$3,755	—	—
Lumpectomy (Partial Mastectomy)	$7,312	—	—
Newborn Circumcision	$3,755	—	—
Office Visit, Established Patient (Level 3)	$73	—	—
Office Visit, New Patient (Level 3)	$813$109$1.1k	$1,146	$1,146
Prostate Biopsy	$5,124	—	—
PSA Prostate Cancer Screening	$19$18$20	—	—
Rotator Cuff Repair (Arthroscopic)	$9,220	—	—
Screening Mammogram	$97$93$107	—	—
Septoplasty (Deviated Septum Repair)	$8,526	—	—
Sinus Surgery (Endoscopic, with Tissue Removal)	$9,220	—	—
Spinal Cord Stimulator Trial	$5,124	—	—
Tonsillectomy and Adenoidectomy (Age 12 and Over)	$9,220	—	—
Tonsillectomy and Adenoidectomy (Under Age 12)	$7,312	—	—
Total Hip Replacement	$17,204$12k$28k	—	—
Total Knee Replacement	$17,204$12k$28k	—	—
Total Mastectomy	$8,526	—	—
TSH Thyroid Function Test	$431$17$825	$916	$916
TURP (Transurethral Prostate Resection)	$8,526	—	—
Umbilical Hernia Repair	$8,526	—	—
Upper GI Endoscopy (EGD)	$3,755	—	—
Urinalysis with Microscopy	$51$3$98	$108	$108
Vasectomy	$5,124	—	—
Vitamin D Blood Test	$388$30$743	$825	$825

Median facility price per procedure. Negotiated shows the median across payers with the full range. Figures as reported in the hospital's file — not a quote.