Virginia / Stonesprings Hospital Center
CMS certification 490145 · Dulles, VA · 4 entries in CMS's price-transparency list
Stonesprings Hospital Center: charges and Medicare payments
Stonesprings Hospital Center reported 194 Medicare inpatient stays across 9 DRGs in 2024. Across them it charged 5.39 times what it was paid — among the higher ratios in Virginia, number 11 of 66 hospitals with at least 100 stays (state median 3.6×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 44 stays at an average charge of $63,472, 30% below the national average. It also billed 591 outpatient services, charging 10.52 times what Medicare paid.
- 1Medicare inpatient stays 194
- 2Charge ÷ paid, inpatient 5.39×
- 3Rank in VA (highest ratio = 1) 11 of 66
- 4CMS price-transparency actions 4
Inpatient stays
For the 9 DRGs that can be compared with the national average, Stonesprings Hospital Center charged more than the national average in 4 (44%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 44 | $63,472 | -30% | $14,114 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 35 | $114,985 | +23% | $15,958 |
| 291 Heart Failure and Shock with MCC | 27 | $41,693 | -26% | $10,001 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 20 | $140,095 | -31% | $33,108 |
| 467 Revision of Hip or Knee Replacement with CC | 16 | $155,426 | -1% | $24,207 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 15 | $55,258 | +13% | $8,199 |
| 193 Simple Pneumonia and Pleurisy with MCC | 14 | $63,029 | +5% | $10,138 |
| 683 Renal Failure with CC | 12 | $46,005 | +13% | $7,946 |
| 682 Renal Failure with MCC | 11 | $62,725 | -5% | $12,994 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Level 5 Musculoskeletal Procedures | 189 | $102,150 | $12,044 |
| Comprehensive Observation Services | 83 | $24,997 | $2,518 |
| Level 5 Urology and Related Services | 76 | $47,949 | $4,801 |
| Level 4 Urology and Related Services | 44 | $33,450 | $3,210 |
| Level 1 Laparoscopy and Related Services | 43 | $63,966 | $5,411 |
| Level 4 Musculoskeletal Procedures | 30 | $61,694 | $6,530 |
| Level 2 Laparoscopy and Related Services | 29 | $99,836 | $9,093 |
| Level 3 Vascular Procedures | 26 | $21,983 | $2,806 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 21 | $11,368 | $1,520 |
| Level 2 Musculoskeletal Procedures | 13 | $13,519 | $1,507 |
| Level 2 Vascular Procedures | 13 | $9,163 | $1,502 |
| Level 3 Musculoskeletal Procedures | 12 | $38,832 | $3,035 |
| Level 5 Neurostimulator and Related Procedures | 12 | $159,141 | $29,032 |
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Stonesprings Hospital Center charged $63,472 on average, 3% less than the Virginia average of $65,235, and was paid $14,114 against a state average of $16,367. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Stonesprings Hospital Center charged $114,985 on average, 7% more than the Virginia average of $107,897, and was paid $15,958 against a state average of $15,677. For Heart Failure and Shock with MCC (DRG 291), Stonesprings Hospital Center charged $41,693 on average, 2% more than the Virginia average of $40,795, and was paid $10,001 against a state average of $11,030. For Combined Anterior and Posterior Spinal Fusion without CC/MCC (DRG 455), Stonesprings Hospital Center charged $140,095 on average, 37% less than the Virginia average of $222,412, and was paid $33,108 against a state average of $40,077. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $102,150 was 22% above the state average of $83,920. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $24,997 was 28% above the state average of $19,506. For Level 5 Urology and Related Services (outpatient APC 5375), its average charge of $47,949 was 44% above the state average of $33,253. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $33,450 was 52% above the state average of $21,969.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Stonesprings Hospital Center in Dulles, VA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-07-20 (CMS case 424)
- CAP Request — 2022-01-12 (CMS case 424)
- Closure Notice — 2023-07-26 (CMS case 424)
- Met Requirements — 2025-04-28 (CMS case 4167)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.