Inova Fair Oaks Hospital
3600 Joseph Siewick Drive Fairfax, VA 22033-1709, VA · Inova · · NPI 1760513980
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $439.50 | $879.00 | $15.74 – $552.98 | 9 |
| 17-hydroxypregnenolone CPT 84143 | $197.50 | $395.00 | $15.74 – $248.49 | 9 |
| 17-ketosteroids CPT 83586 | $193.50 | $387.00 | $12.80 – $243.46 | 9 |
| 2019-ncov diagnostic p HCPCS U0001 | $44.50 | $89.00 | $11.72 – $162.72 | 9 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $3,106.50 | $6,213.00 | $675.71 – $2,894.73 | 8 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $3,106.50 | $6,213.00 | $675.71 – $1,840.54 | 8 |
| 2nd order venous cath CPT 36012 | $939.00 | $1,878.00 | $429.12 – $1,509.00 | 9 |
| 3d ech img cgen car anomal CPT 93319 | $167.50 | $335.00 | $149.34 – $702.74 | 9 |
| 3-d radiotherapy plan CPT 77295 | $4,886.50 | $9,773.00 | $1,368.26 – $6,440.41 | 9 |
| 3d recon without postprocess indpndt CPT 76376 | $920.00 | $1,840.00 | $292.60 – $1,435.20 | 7 |
| 5' nucleotidase - sendout CPT 83915 | $121.00 | $242.00 | $11.15 – $152.24 | 9 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $68.00 | $136.00 | $19.38 – $143.36 | 9 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $81.52 | $163.04 | $44.11 – $69.27 | 8 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $105.00 | $210.00 | $12.01 – $132.11 | 9 |
| Abd aorta w/runoff s&i CPT 75630 | $2,839.50 | $5,679.00 | $2,228.45 – $3,742.46 | 9 |
| Abd/low ext cath 1st CPT 36245 | $1,072.00 | $2,144.00 | $489.90 – $2,149.00 | 9 |
| Abd/low ext cath 2nd CPT 36246 | $1,228.00 | $2,456.00 | $561.20 – $2,149.00 | 9 |
| Abd/low ext cath 3rd CPT 36247 | $1,468.00 | $2,936.00 | $670.88 – $2,149.00 | 9 |
| Abd/low ext cath addl CPT 36248 | $118.50 | $237.00 | $108.31 – $2,149.00 | 9 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $983.50 | $1,967.00 | $237.75 – $1,515.35 | 9 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $899.50 | $1,799.00 | $106.34 – $1,131.75 | 9 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,051.50 | $2,103.00 | $178.02 – $1,476.69 | 9 |
| Abdominal CT scan (with contrast) CPT 74160 | $885.50 | $1,771.00 | $178.02 – $1,432.00 | 9 |
| Abdominal CT scan (without contrast) CPT 74150 | $651.50 | $1,303.00 | $106.34 – $1,432.00 | 9 |
| Abdominal MRI (with and without contrast) CPT 74183 | $1,421.00 | $2,842.00 | $357.13 – $3,973.50 | 9 |
| Abdominal MRI (with contrast) CPT 74182 | $887.50 | $1,775.00 | $357.13 – $2,237.50 | 9 |
| Abdominal MRI (without contrast) CPT 74181 | $835.00 | $1,670.00 | $241.72 – $2,149.00 | 9 |
| Abdominal paracentesis w/image guidance CPT 49083 | $1,445.50 | $2,891.00 | $937.56 – $2,485.00 | 9 |
| Abdominal Ultrasound (complete) CPT 76700 | $867.00 | $1,734.00 | $106.34 – $1,142.71 | 9 |
| Abdominal Ultrasound (limited) CPT 76705 | $658.00 | $1,316.00 | $106.34 – $867.24 | 9 |
| Abdominal X-ray (2 views) CPT 74019 | $281.50 | $563.00 | $80.04 – $371.02 | 9 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $437.50 | $875.00 | $80.04 – $576.63 | 9 |
| Abdominal X-ray (single view) CPT 74018 | $256.00 | $512.00 | $80.04 – $337.41 | 9 |
| Abdominoplasty 15830 CPT 15830 | not published | not published | $2,589.23 – $9,927.00 | 9 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $742.50 | $1,485.00 | $937.56 – $2,485.00 | 9 |
| Abl1 gene CPT 81170 | $1,013.00 | $2,026.00 | $190.07 – $1,492.68 | 9 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | $1,370.00 | $2,740.00 | $1,127.36 – $6,571.21 | 9 |
| Ablate arrhythmia add on CPT 93655 | $5,115.00 | $10,230.00 | $7,979.40 – $33,503.85 | 9 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $22,837.00 | $45,674.00 | $2,149.00 – $11,913.00 | 9 |
| Ablate bone tumor(s) perq CPT 20982 | $16,523.00 | $33,046.00 | $1,509.00 – $16,441.00 | 9 |
| Ablate heart dysrhythm focus CPT 93650 | $5,368.00 | $10,736.00 | $2,220.35 – $22,351.00 | 9 |
| Ablate pulm tumor perq crybl CPT 32994 | $16,920.00 | $33,840.00 | $3,689.00 – $9,927.00 | 9 |
| Ablate pulm tumor perq rf CPT 32998 | $15,197.00 | $30,394.00 | $3,689.00 – $9,927.00 | 9 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $286.00 | $572.00 | $37.44 – $359.85 | 9 |
| Ablation cryo abd perit om CPT 49999 | $1,819.50 | $3,639.00 | $937.56 – $4,413.00 | 9 |
| Ablation cryo adrenal tumor CPT 60699 | $5,515.50 | $11,031.00 | $1,509.00 – $5,253.13 | 9 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $587.50 | $1,175.00 | $239.88 – $6,895.00 | 9 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $11,527.00 | $23,054.00 | $4,588.00 – $9,927.00 | 9 |
| Ablation cryo retro lymph node CPT 38999 | $859.50 | $1,719.00 | $437.18 – $4,413.00 | 9 |
| Ablation cryo thigh/knee CPT 27599 | $927.00 | $1,854.00 | $239.88 – $8,272.00 | 9 |
| Ablation ire liver 1+ tumor(s) w/image pq CPT 47384 | $17,286.00 | $34,572.00 | $8,193.58 – $21,749.25 | 9 |
| Ablation of upper extremity nerves rf CPT 64999 | $591.50 | $1,183.00 | $295.19 – $2,485.00 | 9 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $2,739.50 | $5,479.00 | $1,509.00 – $3,013.45 | 9 |
| Abltj mal prst8 tiss hifu CPT 55880 | $9,919.50 | $19,839.00 | $2,149.00 – $9,066.42 | 9 |
| Abortion CPT 59850 | $266.00 | $532.00 | $414.96 – $2,763.00 | 9 |
| Abortion (mpr) CPT 59866 | $327.00 | $654.00 | $304.19 – $943.00 | 9 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,542.00 | $5,084.00 | $1,059.89 – $3,529.00 | 9 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $561.00 | $1,122.00 | $256.38 – $23,187.49 | 9 |
| Access thoracic lymph duct CPT 38794 | $521.00 | $1,042.00 | $476.19 – $1,006.13 | 9 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $0.56 | $1.11 | $0.07 – $0.87 | 5 |
| Acetaminophen level CPT 80143 | $163.50 | $327.00 | $14.43 – $205.72 | 9 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $53.24 | $106.47 | $26.81 – $72.31 | 5 |
| Acetone qualitative CPT 82009 | $39.50 | $79.00 | $4.52 – $49.70 | 9 |
| Acetylcholine receptor modulating antibody CPT 86043 | $106.50 | $213.00 | $12.05 – $134.00 | 9 |
| Acetylcholinesterase assay CPT 82013 | $168.00 | $336.00 | $12.29 – $211.38 | 9 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $2.58 | $5.16 | $0.53 – $1.59 | 5 |
| Acetylcysteine non-comp unit HCPCS J7608 | $9.64 | $19.27 | $4.97 – $24.11 | 5 |
| Acne surgery 10040 CPT 10040 | $471.50 | $943.00 | $198.70 – $1,043.00 | 9 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $483.00 | $966.00 | $84.50 – $607.71 | 9 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $108.00 | $216.00 | $16.64 – $308.93 | 9 |
| Acoustic immitance testing CPT 92570 | $158.50 | $317.00 | $69.38 – $199.42 | 9 |
| Acute hepatitis panel CPT 80074 | $449.00 | $898.00 | $10.76 – $564.93 | 9 |
| #acylcarnitineprfl CPT 82017 | $285.00 | $570.00 | $14.35 – $358.59 | 9 |
| Acylcarnitines qual CPT 82016 | $244.50 | $489.00 | $14.35 – $307.63 | 9 |
| Adapter b 8 channel 10cm HCPCS C1883 | $2,047.00 | $4,094.00 | $145.73 – $344.45 | 2 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $2.86 | $5.71 | $0.71 – $3.15 | 5 |
| Adenovirus ag ia CPT 87301 | $151.00 | $302.00 | $11.72 – $189.99 | 9 |
| Adenovirus antibody,serum - quest CPT 86603 | $101.00 | $202.00 | $12.87 – $127.08 | 9 |
| Adenovirus assay w/optic CPT 87809 | $173.00 | $346.00 | $11.72 – $217.67 | 9 |
| Adh-sendout CPT 84588 | $267.00 | $534.00 | $33.94 – $335.94 | 9 |
| Adj gastric band via subq port CPT 43999 | $1,819.50 | $3,639.00 | $937.56 – $1,509.00 | 9 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $3,444.61 – $8,272.00 | 9 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $4,386.50 | $8,773.00 | $1,829.23 – $3,529.00 | 9 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $214.00 | $428.00 | $71.17 – $269.25 | 9 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $375.00 | $750.00 | $71.17 – $471.83 | 9 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $872.00 | $1,744.00 | $331.69 – $1,097.15 | 9 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $582.00 | $1,164.00 | $74.35 – $732.27 | 9 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $195.50 | $391.00 | $71.17 – $245.98 | 9 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $264.00 | $528.00 | $71.17 – $332.16 | 9 |
| Administration immunization each additional vaccine CPT 90472 | $32.00 | $64.00 | $28.53 – $75.99 | 9 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $41.00 | $82.00 | $36.56 – $63.12 | 9 |
| Administration vaccine hepatitis b HCPCS G0010 | $17.00 | $34.00 | $15.16 – $50.75 | 8 |
| Administration vaccine influenza virus HCPCS G0008 | $22.00 | $44.00 | $19.62 – $50.75 | 8 |
| Administration vaccine pneumococcal HCPCS G0009 | $22.00 | $44.00 | $19.62 – $50.75 | 8 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $35.50 | $71.00 | $31.65 – $59.68 | 9 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $55.50 | $110.99 | $42.16 – $65.14 | 8 |
| Adrenal cortex & medulla img CPT 78075 | $2,193.50 | $4,387.00 | $920.08 – $2,891.03 | 9 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $602.00 | $1,204.00 | $92.00 – $757.44 | 9 |
| Aep hearing status deter i&r CPT 92651 | $269.00 | $538.00 | $114.85 – $338.46 | 9 |
| Aep neurodiagnostic i&r CPT 92653 | $509.00 | $1,018.00 | $114.85 – $640.42 | 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.