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 |
|---|---|---|---|---|
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $1,121.00 | $2,242.00 | $497.88 – $1,509.00 | 9 |
| Injection, cangrelor HCPCS C9460 | $25.48 | $50.96 | $19.98 – $21.98 | 7 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $967.00 | $1,934.00 | $295.19 – $1,509.00 | 9 |
| Injection, daratumumab 10 mg HCPCS J9145 | $106.00 | $212.00 | $71.37 – $108.70 | 8 |
| Injection during cath supravalvular aortography CPT 93567 | $319.00 | $638.00 | $51.15 – $8,206.00 | 9 |
| Injection epidural blood patch or clot CPT 62273 | $695.50 | $1,391.00 | $692.52 – $2,485.00 | 9 |
| Injection for arthrography wrist (both sides) CPT 25246 | $527.00 | $1,054.00 | $240.84 – $1,509.00 | 9 |
| Injection for bladder x-ray CPT 51600 | $381.50 | $763.00 | $348.69 – $943.00 | 9 |
| Injection for hip x-ray CPT 27095 | $1,320.00 | $2,640.00 | $497.88 – $1,509.00 | 9 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $1,157.00 | $2,314.00 | $497.88 – $1,509.00 | 9 |
| Injection for spleen x-ray CPT 38200 | $307.50 | $615.00 | $281.06 – $1,509.00 | 9 |
| Injection for tear sac x-ray CPT 68850 | $117.00 | $234.00 | $53.47 – $1,509.00 | 9 |
| Injection for ureter x-ray CPT 50684 | $187.00 | $374.00 | $85.46 – $1,509.00 | 9 |
| Injection for ureter x-ray CPT 50690 | $234.50 | $469.00 | $214.33 – $1,509.00 | 9 |
| Injection, fulvestrant HCPCS J9395 | $125.71 | $251.41 | $3.78 – $10.86 | 8 |
| Injection into brain canal CPT 61055 | $3,222.50 | $6,445.00 | $295.19 – $1,509.00 | 9 |
| Injection, isavuconazonium HCPCS J1833 | $1.36 | $2.72 | $1.01 – $1.11 | 7 |
| Injection jugular CPT 36299 | $751.00 | $1,502.00 | $686.41 – $982.19 | 9 |
| Injection of sinus tract CPT 20500 | $441.50 | $883.00 | $403.53 – $2,485.00 | 9 |
| Injection,onabotulinumtoxina HCPCS J0585 | $9.03 | $18.05 | $6.50 – $10.11 | 8 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $724.00 | $1,448.00 | $401.83 – $1,509.00 | 9 |
| Injection, renflexis HCPCS Q5104 | $56.33 | $112.66 | $27.00 – $38.99 | 8 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,022.00 | $2,044.00 | $642.21 – $2,485.00 | 9 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $3,403.00 | $6,806.00 | $692.52 – $2,485.00 | 9 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $1,172.00 | $2,344.00 | $577.13 – $2,485.00 | 9 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $3,017.00 | $6,034.00 | $890.29 – $2,485.00 | 9 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,505.00 | $3,010.00 | $687.79 – $1,509.00 | 9 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,989.00 | $5,978.00 | $890.29 – $2,485.00 | 9 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $893.00 | $1,786.00 | $408.10 – $1,509.00 | 9 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $3,017.00 | $6,034.00 | $890.29 – $2,485.00 | 9 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $1,932.50 | $3,865.00 | $692.52 – $2,485.00 | 9 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,710.00 | $3,420.00 | $692.52 – $2,485.00 | 9 |
| Injection, siltuximab HCPCS J2860 | $219.98 | $439.95 | $165.83 – $252.10 | 8 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $821.00 | $1,642.00 | $295.19 – $1,509.00 | 9 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $410.50 | $821.00 | $295.19 – $1,509.00 | 9 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $429.00 | $858.00 | $295.19 – $1,509.00 | 9 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $187.50 | $375.00 | $74.35 – $235.91 | 9 |
| Injection treatment of nerve CPT 64681 | $2,466.50 | $4,933.00 | $890.29 – $2,485.00 | 9 |
| Inject sacroiliac joint CPT 27096 | not published | not published | $79.32 – $1,509.00 | 8 |
| Inj., emapalumab-lzsg, 1 mg HCPCS J9210 | $506.87 | $1,013.73 | $384.85 – $594.07 | 8 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,329.00 | $2,658.00 | $692.52 – $2,485.00 | 9 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,415.50 | $2,831.00 | $890.29 – $2,485.00 | 9 |
| Inj., fibryga, 1 mg HCPCS J7177 | $1.11 | $2.21 | $1.23 – $1.88 | 8 |
| Inj for ext venography CPT 36005 | $267.00 | $534.00 | $122.02 – $1,509.00 | 9 |
| Inj for mammo ductogram CPT 19030 | $736.00 | $1,472.00 | $336.35 – $1,509.00 | 9 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | $3,709.35 | $7,418.70 | $2,767.88 – $4,312.67 | 8 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | $108.76 | $217.51 | $61.44 – $98.03 | 8 |
| Inj herzuma 10 mg HCPCS Q5113 | $116.99 | $233.98 | $69.37 – $120.63 | 8 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $201.50 | $403.00 | $58.20 – $8,206.00 | 9 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $254.50 | $509.00 | $81.12 – $8,206.00 | 9 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $260.00 | $520.00 | $86.79 – $8,206.00 | 9 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $197.50 | $395.00 | $58.20 – $8,206.00 | 9 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $196.50 | $393.00 | $306.54 – $8,206.00 | 9 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | $2.53 | $5.06 | $2.61 – $4.06 | 8 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $264.00 | $528.00 | $198.70 – $1,509.00 | 9 |
| Inj intralesional > 7 lsns CPT 11901 | $782.50 | $1,565.00 | $198.70 – $1,509.00 | 9 |
| Inj ivig privigen 500 mg HCPCS J1459 | $55.46 | $110.92 | $50.74 – $78.51 | 8 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $65.49 | $130.97 | $29.84 – $38.07 | 8 |
| Inj levocarnitine per 1 gm HCPCS J1955 | $34.70 | $69.39 | $32.96 – $56.72 | 5 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | $387.00 | $774.00 | $212.85 – $605.99 | 7 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | $158.57 | $317.14 | $95.90 – $168.17 | 8 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | $15.09 | $30.17 | $4.36 – $21.96 | 5 |
| Inj., meropenem, vaborbactam HCPCS J2186 | $2.80 | $5.59 | $2.18 – $2.40 | 7 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | $43.12 | $86.24 | $12.58 – $67.27 | 5 |
| Inj. mycophenolate mofetil HCPCS J7519 | $4.09 | $8.18 | $0.50 – $726.58 | 8 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $2,676.00 | $5,352.00 | $575.91 – $1,509.00 | 9 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $11,412.00 | $22,824.00 | $892.90 – $3,529.00 | 9 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $8,080.00 | $16,160.00 | $892.90 – $3,529.00 | 9 |
| Inj ogivri 10 mg HCPCS Q5114 | $56.80 | $113.59 | $40.29 – $69.42 | 8 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | $520.34 | $1,040.67 | $393.66 – $613.02 | 8 |
| Inj., omadacycline, 1 mg HCPCS J0121 | $5.96 | $11.91 | $4.02 – $6.24 | 8 |
| Inj ontruzant 10 mg HCPCS Q5112 | $96.56 | $193.11 | $19.00 – $34.22 | 8 |
| Inj. pemetrexed, 10 mg HCPCS J9304 | $104.72 | $209.44 | $46.32 – $76.64 | 8 |
| Inj peritoneal venous shunt CPT 49427 | $124.00 | $248.00 | $113.34 – $1,509.00 | 9 |
| Inj proc ankle arthr CPT 27648 | $479.00 | $958.00 | $218.90 – $1,509.00 | 9 |
| Inj proc elbow arthro CPT 24220 | $1,076.00 | $2,152.00 | $491.73 – $1,509.00 | 9 |
| Inj proc for lymphang CPT 38790 | $1,025.00 | $2,050.00 | $468.43 – $1,509.00 | 9 |
| Inj proc lumbr disk ea lvl CPT 62290 | $319.50 | $639.00 | $292.02 – $1,509.00 | 9 |
| Inj proc myelogram lumbar CPT 62284 | $289.50 | $579.00 | $264.60 – $1,509.00 | 9 |
| Inj proc sialogram CPT 42550 | $482.50 | $965.00 | $441.01 – $1,509.00 | 9 |
| Inj prohance multipack HCPCS A9576 | $3.79 | $7.58 | $1.97 – $5.91 | 5 |
| Inj retro urethrocysto CPT 51610 | $540.00 | $1,080.00 | $493.56 – $943.00 | 9 |
| Inj, rimabotulinumtoxinb HCPCS J0587 | $17.73 | $35.46 | $13.29 – $20.77 | 8 |
| Inj scleros sol mult veins CPT 36471 | $614.00 | $1,228.00 | $280.60 – $1,509.00 | 9 |
| Inj scleros sol sgl vein CPT 36470 | $614.00 | $1,228.00 | $280.60 – $1,509.00 | 9 |
| Inj(s) sclerosant spider veins limb/trunk CPT 36468 | $125.00 | $250.00 | $114.25 – $1,509.00 | 9 |
| Inj sulf hexa lipid microsph HCPCS Q9950 | $32.03 | $64.05 | $25.96 – $47.06 | 5 |
| Inj teclistamab cqyv 0.5 mg HCPCS J9380 | $47.42 | $94.84 | $33.58 – $51.78 | 8 |
| Inj thiotepa nos 1 mg HCPCS J9342 | $209.84 | $419.68 | $10.54 – $19.04 | 8 |
| Inj thrc fascial pln blk bi w/wo image CPT 64468 | $236.50 | $473.00 | $260.15 – $2,197.01 | 7 |
| Inj thrc fascial pln blk uni w/wo image CPT 64466 | $409.00 | $818.00 | $224.95 – $605.99 | 7 |
| Inj, tislelizumab-jsgr HCPCS J9329 | $77.42 | $154.83 | $57.45 – $89.38 | 8 |
| Inj w/fluor eval cv device CPT 36598 | $261.00 | $522.00 | $203.58 – $2,149.00 | 9 |
| Inj zanidatamab-hrii, 2 mg HCPCS J9276 | $33.08 | $66.16 | $25.05 – $39.04 | 8 |
| Inj zenocutuzumab-zbco 1 mg HCPCS J9382 | $49.49 | $98.97 | $32.91 – $36.20 | 7 |
| Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln HCPCS J9229 | $3,504.62 | $7,009.24 | $2,698.05 – $4,199.79 | 8 |
| Ins cath ren art 1st bi CPT 36252 | $3,764.00 | $7,528.00 | $2,149.00 – $4,413.00 | 9 |
| Ins cath ren art 1st uni CPT 36251 | $2,666.00 | $5,332.00 | $2,149.00 – $4,413.00 | 9 |
| Ins cath ren art 2nd+ bi CPT 36254 | $2,666.00 | $5,332.00 | $2,149.00 – $5,515.00 | 9 |
| Ins cath ren art 2nd+ uni CPT 36253 | $2,666.00 | $5,332.00 | $2,149.00 – $6,895.00 | 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.