Search
Hospital Profile Psychiatric Proprietary

Dominion Hospital

2960 SLEEPY HOLLOW ROAD, Falls Church, VA 22044

CMS Overall Rating No CMS Rating
Factual Overview

Dominion Hospital is a Psychiatric (Proprietary) operating in Falls Church, VA. Mapped commercial insurance prices across 70 procedures average 7.50x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: urban Bed Count: 116 Beds Teaching Status: Non-Teaching Annual Discharges: 2,867

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): N/A Readmission Rate: N/A

Pricing & Transparency

Procedures Mapped: 70 codes Avg Markup vs Medicare: 7.50x Price File In Index: Yes MRF Version: 3.0.0
Procedure & Code Cash Price Actions
Breast lump removal
CPT Code: 19120
 Contact Desk Calc
Total hip replacement
CPT Code: 27130
 Contact Desk Calc
Total knee replacement
CPT Code: 27447
 Contact Desk Calc
Bunion correction surgery
CPT Code: 28296
 Contact Desk Calc
Knee arthroscopy with meniscus repair
CPT Code: 29881
 Contact Desk Calc
Heart stent placement (inpatient stay)
MS-DRG Code: 322
 Contact Desk Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 Contact Desk Calc
Upper endoscopy with biopsy
CPT Code: 43239
 Contact Desk Calc
Spinal fusion, single level (inpatient stay)
MS-DRG Code: 451
 Contact Desk Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 Contact Desk Calc
Colonoscopy with biopsy
CPT Code: 45380
 Contact Desk Calc
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 Contact Desk Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
 Contact Desk Calc
Inguinal hernia repair
CPT Code: 49505
 Contact Desk Calc
Cataract surgery with lens implant
CPT Code: 66984
 Contact Desk Calc
Diagnostic mammogram (both breasts)
CPT Code: 77066
 Contact Desk Calc
Screening mammogram (both breasts)
CPT Code: 77067
 Contact Desk Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $550 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $1,355 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $281 Calc
Blood test, liver function panel
CPT Code: 80076
 $450 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $108 Calc
Blood test, amylase
CPT Code: 82150
 $570 Calc
Blood test, vitamin D
CPT Code: 82306
 $825 Calc
Blood test, calcium
CPT Code: 82310
 $356 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $385 Calc
Blood test, vitamin B12
CPT Code: 82607
 $299 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $355 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $119 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $628 Calc
Blood test, lipase
CPT Code: 83690
 $507 Calc
Blood test, magnesium
CPT Code: 83735
 $152 Calc
Blood test, potassium
CPT Code: 84132
 $77 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 Contact Desk Calc
Blood test, sodium
CPT Code: 84295
 Contact Desk Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $916 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 Contact Desk Calc
Blood test, hemoglobin
CPT Code: 85018
 Contact Desk Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 Contact Desk Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $98 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $73 Calc
Hepatitis C antibody test
CPT Code: 86803
 $539 Calc
Blood antibody screen
CPT Code: 86850
 Contact Desk Calc
Culture, blood
CPT Code: 87040
 $392 Calc
Culture, bacterial
CPT Code: 87070
 $460 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 Contact Desk Calc
Psychiatric evaluation (first visit)
CPT Code: 90791
 Contact Desk Calc
Psychotherapy session (45 minutes)
CPT Code: 90834
 Contact Desk Calc
Psychotherapy session (60 minutes)
CPT Code: 90837
 Contact Desk Calc
Family therapy session
CPT Code: 90847
 Contact Desk Calc
Group therapy session
CPT Code: 90853
 $486 Calc
Speech therapy (language evaluation)
CPT Code: 92507
 Contact Desk Calc
Speech therapy (group session)
CPT Code: 92508
 Contact Desk Calc
Electrocardiogram (ECG/EKG)
CPT Code: 93000
 Contact Desk Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $381 Calc
Neurobehavioral status check
CPT Code: 96116
 Contact Desk Calc
Psychological testing evaluation
CPT Code: 96136
 Contact Desk Calc
Psychological testing by technician
CPT Code: 96138
 Contact Desk Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 Contact Desk Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 Contact Desk Calc
Physical therapy (gait training)
CPT Code: 97116
 Contact Desk Calc
Physical therapy (manual therapy)
CPT Code: 97140
 Contact Desk Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 Contact Desk Calc
Occupational therapy (self-care training)
CPT Code: 97535
 Contact Desk Calc
Physical therapy (functional capacity test)
CPT Code: 97750
 Contact Desk Calc
Orthotic fitting and training
CPT Code: 97760
 Contact Desk Calc
Prosthetic fitting and training
CPT Code: 97761
 Contact Desk Calc
New patient office visit (30-44 min)
CPT Code: 99203
 $1,146 Calc
Office visit, established patient (20-29 min)
CPT Code: 99213
 Contact Desk Calc
Office visit, established patient (30-39 min)
CPT Code: 99214
 Contact Desk Calc