Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA · Inova · · NPI 1831220714
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Esophagus motility study CPT 91010 | not published | not published | $516.52 – $879.92 | 8 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $1,446.33 – $3,529.00 | 9 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,446.33 – $3,529.00 | 9 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $23.90 – $1,122.09 | 7 |
| Esoph imped function test CPT 91037 | not published | not published | $311.40 – $608.57 | 8 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $514.52 – $551.82 | 8 |
| Establish access to aorta CPT 36160 | $243.50 | $487.00 | $222.56 – $2,149.00 | 9 |
| Establish access to artery CPT 36100 | $494.00 | $988.00 | $225.76 – $1,509.00 | 9 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $4,016.13 – $8,924.71 | 6 |
| Established Patient Office Visit (level 1) CPT 99211 | $151.50 | $303.00 | $135.08 – $236.34 | 7 |
| Established Patient Office Visit (level 3) CPT 99213 | $342.50 | $685.00 | $305.37 – $534.30 | 7 |
| Established Patient Office Visit (level 5) CPT 99215 | $401.50 | $803.00 | $357.98 – $626.34 | 7 |
| Estradiol total CPT 82670 | $277.00 | $554.00 | $15.74 – $348.52 | 9 |
| Estrogens total-sendout CPT 82672 | $207.50 | $415.00 | $15.74 – $261.08 | 9 |
| Ethylene glycol -sendout CPT 82693 | $114.00 | $228.00 | $14.43 – $143.43 | 9 |
| Etonogestrel implant system HCPCS J7307 | $1,628.84 | $3,257.67 | $691.98 – $761.18 | 6 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $21.33 | $42.65 | $1.32 – $8.44 | 5 |
| Euglobulin lysis CPT 85360 | $103.50 | $207.00 | $7.09 – $130.22 | 9 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $3,179.53 – $4,413.00 | 9 |
| Eval aud funcj ea addl 15 CPT 92627 | $35.00 | $70.00 | $31.21 – $419.46 | 9 |
| Eval aud rehab status/first hr 92626 CPT 92626 | $234.00 | $468.00 | $156.46 – $297.28 | 9 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $677.00 | $1,354.00 | $120.48 – $851.80 | 9 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $385.00 | $770.00 | $80.56 – $484.41 | 9 |
| Evaluation heart device CPT 93640 | $1,191.00 | $2,382.00 | $1,857.96 – $14,366.00 | 9 |
| Evaluation of speech fluency 92521 CPT 92521 | $411.50 | $823.00 | $120.48 – $517.75 | 9 |
| Evaluation psychiatric diagnostic CPT 90791 | $361.00 | $722.00 | $160.67 – $451.00 | 9 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $1,470.00 | $2,940.00 | $943.00 – $20,775.33 | 9 |
| Evasc prlng admn rx agnt add CPT 61651 | $628.00 | $1,256.00 | $573.99 – $20,775.33 | 9 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | $3,208.00 | $6,416.00 | $2,932.11 – $23,187.49 | 9 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $3,689.50 | $7,379.00 | $3,372.20 – $23,187.49 | 9 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | $5,492.00 | $10,984.00 | $3,725.00 – $23,187.49 | 9 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | $6,818.50 | $13,637.00 | $3,725.00 – $23,187.49 | 9 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | $1,145.50 | $2,291.00 | $1,046.99 – $23,187.49 | 9 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $4,080.00 | $8,160.00 | $3,725.00 – $23,187.49 | 9 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | $6,801.00 | $13,602.00 | $3,725.00 – $23,187.49 | 9 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | $6,931.00 | $13,862.00 | $3,167.47 – $23,187.49 | 9 |
| Evasc rpr ilio-iliac rpt CPT 34708 | $10,968.00 | $21,936.00 | $4,016.13 – $23,187.49 | 9 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | $2,546.00 | $5,092.00 | $943.00 – $23,187.49 | 9 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | $2,026.50 | $4,053.00 | $943.00 – $23,187.49 | 9 |
| Event monitor CPT 93270 | $328.00 | $656.00 | $37.29 – $412.69 | 9 |
| Evoked auditory tst complete CPT 92588 | $517.00 | $1,034.00 | $114.85 – $650.49 | 9 |
| Evoked oa emissions ltd CPT 92587 | $400.50 | $801.00 | $114.85 – $503.91 | 9 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $63.50 | $127.00 | $47.15 – $308.26 | 9 |
| Evoked potentials upper limbs CPT 95925 | $984.50 | $1,969.00 | $193.05 – $1,238.70 | 9 |
| Evoked potential visual not glaucoma CPT 95930 | $988.50 | $1,977.00 | $193.05 – $1,243.73 | 9 |
| Evok oa screening qual CPT 92558 | $42.00 | $84.00 | $37.45 – $52.84 | 9 |
| Exam of vagina w/scope 57420 CPT 57420 | $535.00 | $1,070.00 | $304.19 – $1,509.00 | 9 |
| Exam pelvic add-on CPT 99459 | $183.50 | $367.00 | $92.00 – $286.26 | 6 |
| Exam plvc w/anes othr thn lcl CPT 57410 | $8,156.50 | $16,313.00 | $314.28 – $3,529.00 | 9 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $1,847.42 – $3,529.00 | 9 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $2,493.27 – $4,413.00 | 9 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $2,626.58 – $4,413.00 | 9 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $2,626.58 – $4,413.00 | 9 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $2,626.58 – $5,515.00 | 9 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $14,036.00 | $28,072.00 | $2,626.58 – $4,413.00 | 9 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $13,528.00 | $27,056.00 | $1,620.24 – $3,529.00 | 9 |
| Exc back les sbq <3 cm 21930 CPT 21930 | $3,399.50 | $6,799.00 | $1,620.24 – $3,529.00 | 9 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $2,626.58 – $4,413.00 | 9 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $3,179.53 – $5,515.00 | 9 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $4,998.00 | $9,996.00 | $1,285.16 – $3,529.00 | 9 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $8,622.00 | $17,244.00 | $2,149.00 – $3,529.00 | 9 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $4,812.00 | $9,624.00 | $1,620.24 – $3,529.00 | 9 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $561.50 | $1,123.00 | $621.13 – $2,485.00 | 9 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $1,191.50 | $2,383.00 | $621.13 – $2,485.00 | 9 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $1,587.00 | $3,174.00 | $621.13 – $2,485.00 | 9 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $4,851.50 | $9,703.00 | $1,285.16 – $3,529.00 | 9 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $2,622.00 | $5,244.00 | $621.13 – $2,485.00 | 9 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $4,812.00 | $9,624.00 | $1,509.00 – $3,529.00 | 9 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $5,389.00 | $10,778.00 | $2,149.00 – $4,413.00 | 9 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $765.50 | $1,531.00 | $399.53 – $2,485.00 | 9 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $2,653.00 | $5,306.00 | $621.13 – $2,485.00 | 9 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $3,508.00 – $16,441.00 | 9 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $2,149.00 – $6,895.00 | 9 |
| Exc excessive skin leg CPT 15833 | not published | not published | $2,589.23 – $8,272.00 | 9 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $2,589.23 – $11,913.00 | 9 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | $16,598.00 | $33,196.00 | $1,509.00 – $4,413.00 | 9 |
| Exc face tum deep < 2 cm CPT 21013 | not published | not published | $1,285.16 – $3,529.00 | 9 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $6,107.00 | $12,214.00 | $1,285.16 – $4,413.00 | 9 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | $2,379.50 | $4,759.00 | $621.13 – $2,485.00 | 9 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $3,333.50 | $6,667.00 | $1,285.16 – $3,529.00 | 9 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | $9,749.00 | $19,498.00 | $1,720.68 – $4,413.00 | 9 |
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | $9,600.00 | $19,200.00 | $1,620.24 – $3,529.00 | 9 |
| Exc forearm les sc 3 cm/> CPT 25071 | not published | not published | $1,620.24 – $3,529.00 | 9 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $1,620.24 – $3,529.00 | 9 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $2,493.27 – $4,413.00 | 9 |
| Exc hand les sc < 1.5 cm CPT 26115 | not published | not published | $1,620.24 – $3,529.00 | 9 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | $1,620.24 – $3,529.00 | 9 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | $3,000.00 | $6,000.00 | $1,620.24 – $3,529.00 | 9 |
| Exchange biliary drg cath CPT 47536 | $4,143.00 | $8,286.00 | $943.00 – $3,670.22 | 9 |
| Exchange drainage catheter CPT 49423 | $1,354.50 | $2,709.00 | $1,059.89 – $3,529.00 | 9 |
| Exchange lens prosthesis CPT 66986 | not published | not published | $2,280.73 – $5,515.00 | 9 |
| Exchange nephrostomy cath CPT 50435 | $3,846.00 | $7,692.00 | $943.00 – $2,230.39 | 9 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | not published | not published | $2,149.00 – $4,413.00 | 9 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | not published | not published | $2,149.00 – $5,515.00 | 9 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $1,847.42 – $5,515.00 | 9 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | $2,626.58 – $5,515.00 | 9 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | $5,453.00 | $10,906.00 | $1,847.42 – $4,413.00 | 9 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | $9,749.00 | $19,498.00 | $1,720.68 – $3,529.00 | 9 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | $10,906.00 | $21,812.00 | $2,626.58 – $4,413.00 | 9 |
| Excise anal ext tag/papilla CPT 46220 | not published | not published | $1,179.08 – $3,529.00 | 9 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.