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 |
|---|---|---|---|---|
| CT Angiogram of the Neck CPT 70498 | $992.00 | $1,984.00 | $178.02 – $1,848.55 | 9 |
| CT angio hrt w/3d image CPT 75574 | $794.00 | $1,588.00 | $357.13 – $1,683.80 | 9 |
| CT angio pelvis CPT 72191 | $900.00 | $1,800.00 | $178.02 – $2,039.95 | 9 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $900.00 | $1,800.00 | $178.02 – $1,888.66 | 9 |
| CT cerebral perf w cont & prcssng CPT 70473 | $938.50 | $1,877.00 | $461.67 – $1,236.94 | 9 |
| CT colonography dx CPT 74261 | $364.00 | $728.00 | $106.34 – $1,432.00 | 9 |
| CT colonography screening CPT 74263 | $507.50 | $1,015.00 | $153.25 – $1,432.00 | 9 |
| CT guidance for needle placement CPT 77012 | $658.00 | $1,316.00 | $115.46 – $1,432.00 | 9 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $738.00 | $1,476.00 | $294.34 – $972.68 | 9 |
| CT guid cryo ablat intramuscular CPT 20999 | $421.00 | $842.00 | $239.88 – $4,413.00 | 9 |
| CT guid parench tis ablat CPT 77013 | $689.50 | $1,379.00 | $115.46 – $1,432.00 | 9 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $364.00 | $728.00 | $88.05 – $1,432.00 | 9 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $695.00 | $1,390.00 | $357.13 – $2,280.80 | 9 |
| CT hrt w/3d image CPT 75572 | $794.00 | $1,588.00 | $357.13 – $1,432.00 | 9 |
| CT limited or localized follow-up study CPT 76380 | $416.00 | $832.00 | $88.05 – $1,432.00 | 9 |
| CT lwr extremity w/o&w/dye CPT 73702 | $919.50 | $1,839.00 | $178.02 – $1,432.00 | 9 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $381.00 | $762.00 | $232.22 – $1,509.00 | 9 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,149.00 | $2,298.00 | $357.13 – $3,907.56 | 9 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,064.50 | $2,129.00 | $357.13 – $3,490.66 | 9 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $747.00 | $1,494.00 | $241.72 – $2,554.61 | 9 |
| CT t-spine w /wo contrast CPT 72130 | $919.50 | $1,839.00 | $178.02 – $1,508.95 | 9 |
| CT uppr extremity w/o&w/dye CPT 73202 | $919.50 | $1,839.00 | $178.02 – $1,432.00 | 9 |
| Culture aerobic additional method definitive id each CPT 87077 | $76.00 | $152.00 | $8.08 – $95.62 | 9 |
| Culture afb any source CPT 87116 | $93.50 | $187.00 | $10.80 – $117.64 | 9 |
| Culture anaerobic additional method definitive id each CPT 87076 | $73.00 | $146.00 | $8.08 – $91.85 | 9 |
| Culture anaerobic except blood CPT 87075 | $85.00 | $170.00 | $9.47 – $106.95 | 9 |
| Culture bact stool aero addl path ea CPT 87046 | $89.50 | $179.00 | $9.44 – $112.61 | 9 |
| Culture body fluid CPT 87070 | $92.50 | $185.00 | $8.62 – $116.38 | 9 |
| Culture fungi definitive id mold CPT 87107 | $108.00 | $216.00 | $10.32 – $135.89 | 9 |
| Culture fungi definitive id yeast CPT 87106 | $82.00 | $164.00 | $10.32 – $103.17 | 9 |
| Culture fungi other (except blood) CPT 87102 | $92.50 | $185.00 | $8.41 – $116.38 | 9 |
| Culture fungi skin/hair/nail CPT 87101 | $81.50 | $163.00 | $7.71 – $102.54 | 9 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $79.00 | $158.00 | $11.72 – $99.40 | 9 |
| Culture mycoplasma any source CPT 87109 | $173.00 | $346.00 | $11.72 – $217.67 | 9 |
| Culture quantitative aerobic other source CPT 87071 | $140.00 | $280.00 | $9.89 – $176.15 | 9 |
| Culture screening strep group a CPT 87081 | $76.00 | $152.00 | $6.63 – $95.62 | 9 |
| Culture typing added method CPT 87158 | $31.00 | $62.00 | $7.74 – $39.00 | 9 |
| Culture typing immunologic CPT 87147 | $39.50 | $79.00 | $5.18 – $49.70 | 9 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $2,354.50 | $4,709.00 | $213.69 – $2,962.43 | 9 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $209.00 | $418.00 | $35.09 – $262.96 | 9 |
| Culture urine each isolate CPT 87088 | $68.50 | $137.00 | $8.09 – $86.19 | 9 |
| Cutter lead HCPCS C1773 | $1,494.98 | $2,989.95 | $356.73 – $843.18 | 2 |
| Cv line/pic reposition CPT 36597 | $1,325.50 | $2,651.00 | $1,062.77 – $2,485.00 | 9 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $125.50 | $251.00 | $14.32 – $157.90 | 9 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $18.03 | $36.05 | $1.41 – $24.02 | 5 |
| Cyclic citrullinated peptide antibody CPT 86200 | $93.00 | $186.00 | $12.95 – $117.01 | 9 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1.64 | $3.27 | $0.48 – $0.97 | 8 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $4.08 | $8.15 | $1.52 – $4.73 | 5 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $23.94 | $47.87 | $37.34 – $119.94 | 5 |
| Cyclosporine 2 hour CPT 80158 | $166.00 | $332.00 | $14.43 – $208.86 | 9 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $2.29 | $4.57 | $1.12 – $2.59 | 5 |
| Cyclosporine oral 100 mg HCPCS J7502 | $4.02 | $8.03 | $2.84 – $7.00 | 5 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $24,131.60 | $48,263.20 | $15,926.86 – $37,645.30 | 2 |
| Cyp2c19 gene com variants CPT 81225 | $1,147.00 | $2,294.00 | $190.07 – $1,443.16 | 9 |
| Cyp2c9 gene com variants CPT 81227 | $266.50 | $533.00 | $174.81 – $335.31 | 9 |
| Cyp2d6 gene com variants CPT 81226 | $1,611.50 | $3,223.00 | $423.71 – $2,027.59 | 9 |
| Cyp3a4 gene common variants CPT 81230 | $262.00 | $524.00 | $174.81 – $329.65 | 9 |
| Cyp3a5 gene common variants CPT 81231 | $262.00 | $524.00 | $174.81 – $329.65 | 9 |
| Cystatin c CPT 82610 | $88.00 | $176.00 | $14.35 – $110.72 | 9 |
| Cystic fibrosis cftr CPT 81223 | $9,771.00 | $19,542.00 | $423.71 – $12,293.87 | 9 |
| Cystine urine quantitative CPT 82131 | $153.50 | $307.00 | $14.35 – $193.13 | 9 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $527.50 | $1,055.00 | $167.33 – $695.25 | 9 |
| Cysto impl 4 or more HCPCS C9740 | not published | not published | $3,469.00 – $9,617.04 | 9 |
| Cysto rx balo cath urtl strx CPT 52284 | not published | not published | $3,508.00 – $5,286.96 | 8 |
| Cystoscopy and treatment CPT 52214 | not published | not published | $2,149.00 – $4,413.00 | 9 |
| Cystoscopy and treatment CPT 52224 | $6,962.50 | $13,925.00 | $2,149.00 – $4,413.00 | 9 |
| Cystoscopy and treatment CPT 52234 | $6,962.50 | $13,925.00 | $2,149.00 – $5,515.00 | 9 |
| Cystoscopy and treatment CPT 52235 | not published | not published | $2,263.05 – $5,515.00 | 9 |
| Cystoscopy and treatment CPT 52240 | not published | not published | $2,263.05 – $6,895.00 | 9 |
| Cystoscopy and treatment CPT 52260 | not published | not published | $1,847.42 – $3,529.00 | 9 |
| Cystoscopy and treatment CPT 52276 | not published | not published | $2,048.51 – $4,413.00 | 9 |
| Cystoscopy and treatment CPT 52277 | not published | not published | $2,149.00 – $5,515.00 | 9 |
| Cystoscopy and treatment CPT 52283 | not published | not published | $2,048.51 – $4,413.00 | 9 |
| Cystoscopy and treatment CPT 52300 | not published | not published | $2,149.00 – $4,413.00 | 9 |
| Cystoscopy and treatment CPT 52310 | $1,368.00 | $2,736.00 | $1,847.42 – $3,529.00 | 9 |
| Cystoscopy and treatment CPT 52315 | not published | not published | $2,048.51 – $4,413.00 | 9 |
| Cystoscopy and treatment CPT 52320 | not published | not published | $2,263.05 – $6,895.00 | 9 |
| Cystoscopy and treatment CPT 52330 | $12,616.00 | $25,232.00 | $2,149.00 – $6,895.00 | 9 |
| Cystoscopy (Bladder Scope) CPT 52000 | $506.50 | $1,013.00 | $667.47 – $2,485.00 | 9 |
| Cystoscopy chemodenervation CPT 52287 | not published | not published | $1,847.42 – $4,413.00 | 9 |
| Cystoscopy inject material CPT 52327 | not published | not published | $2,149.00 – $6,895.00 | 9 |
| Cystoscopy prostatic imp 1-3 HCPCS C9739 | not published | not published | $3,689.00 – $5,591.98 | 9 |
| Cystoscopy removal of clots CPT 52001 | $4,646.00 | $9,292.00 | $1,847.42 – $5,515.00 | 9 |
| Cystoscopy & ureter catheter CPT 52005 | $3,274.00 | $6,548.00 | $2,048.51 – $4,413.00 | 9 |
| Cystostomy cystotomy w/drainage 51040 CPT 51040 | $3,027.00 | $6,054.00 | $2,048.51 – $4,413.00 | 9 |
| Cystouretero & or pyeloscope CPT 52351 | $2,864.00 | $5,728.00 | $2,263.05 – $4,413.00 | 9 |
| Cysto/uretero stricture tx CPT 52344 | not published | not published | $2,263.05 – $6,895.00 | 9 |
| Cystouretero w/biopsy CPT 52354 | not published | not published | $3,689.00 – $8,272.00 | 9 |
| Cystouretero w/excise tumor CPT 52355 | not published | not published | $3,689.00 – $8,272.00 | 9 |
| Cysto/uretero w/lithotripsy CPT 52356 | not published | not published | $3,689.00 – $8,272.00 | 9 |
| Cystouretero w/lithotripsy CPT 52353 | not published | not published | $3,689.00 – $6,895.00 | 9 |
| Cystouretero w/renal strict CPT 52346 | not published | not published | $3,508.00 – $8,272.00 | 9 |
| Cystouretero w/stone remove CPT 52352 | not published | not published | $2,263.05 – $6,895.00 | 9 |
| Cystourethro cut ejacul duct CPT 52402 | not published | not published | $3,448.97 – $5,515.00 | 9 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $2,845.50 | $5,691.00 | $1,847.42 – $3,529.00 | 9 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $4,057.50 | $8,115.00 | $2,048.51 – $4,413.00 | 9 |
| Cystourethro w/implant CPT 52441 | not published | not published | $197.24 – $3,508.00 | 7 |
| Cysto with bx(s) with blue light HCPCS C7550 | not published | not published | $2,149.00 – $2,489.36 | 7 |
| Cysto w/ureter stricture tx CPT 52341 | not published | not published | $2,263.05 – $5,515.00 | 9 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $61.21 | $122.41 | $1.15 – $10.44 | 5 |
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.