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 |
|---|---|---|---|---|
| Drain cath image guided visceral pq CPT 49405 | $2,376.50 | $4,753.00 | $1,059.89 – $3,529.00 | 9 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $744.50 | $1,489.00 | $692.52 – $2,485.00 | 9 |
| Drain chst dry seal exp thorastat HCPCS A7041 | $77.83 | $155.66 | $121.41 – $121.41 | 1 |
| Drain finger abscess;simple 26010 CPT 26010 | $543.50 | $1,087.00 | $198.70 – $1,043.00 | 9 |
| Drain lower leg lesion 27603 CPT 27603 | $15,178.00 | $30,356.00 | $2,149.00 – $4,413.00 | 9 |
| Drain neck/chest lesion 21501 CPT 21501 | $2,130.00 | $4,260.00 | $2,149.00 – $4,413.00 | 9 |
| Drain ovarn cyst abd CPT 58805 | $1,261.50 | $2,523.00 | $1,153.01 – $3,508.00 | 9 |
| Drain shoulder lesion CPT 23030 | not published | not published | $1,509.00 – $5,515.00 | 9 |
| Drain thigh/knee lesion 27301 CPT 27301 | $4,934.00 | $9,868.00 | $2,626.58 – $4,413.00 | 9 |
| Drain to peritoneal cavity CPT 49062 | not published | not published | $943.00 – $5,968.31 | 7 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $403.00 | $806.00 | $198.70 – $2,149.00 | 9 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $396.00 | $792.00 | $198.70 – $1,509.00 | 9 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $416.50 | $833.00 | $399.53 – $2,149.00 | 9 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $1,077.50 | $2,155.00 | $273.52 – $3,529.00 | 9 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | $80.50 | $161.00 | $53.81 – $125.58 | 5 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $928.00 | $1,856.00 | $848.19 – $9,147.20 | 9 |
| Drng hand tendon sheath 26020 CPT 26020 | $5,671.00 | $11,342.00 | $1,847.42 – $4,413.00 | 9 |
| Drng of eyelid abscess 67700 CPT 67700 | $2,707.00 | $5,414.00 | $298.93 – $1,509.00 | 9 |
| Drng of finger abscess comp 26011 CPT 26011 | $4,056.00 | $8,112.00 | $1,509.00 – $2,485.00 | 9 |
| Drng of hydrocele 55000 CPT 55000 | $1,900.00 | $3,800.00 | $120.71 – $1,195.29 | 9 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | $2,930.00 | $5,860.00 | $2,485.00 – $3,508.00 | 9 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | $921.50 | $1,843.00 | $1,179.08 – $2,485.00 | 9 |
| Drng of scrotum abscess 55100 CPT 55100 | $4,812.00 | $9,624.00 | $1,509.00 – $2,485.00 | 9 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | $2,265.00 | $4,530.00 | $943.00 – $5,642.77 | 9 |
| Drng peritoneal abscess open 49020 CPT 49020 | $2,481.00 | $4,962.00 | $2,267.63 – $5,642.77 | 9 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $18.52 | $37.04 | $8.35 – $24.84 | 5 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $16,042.50 | $32,085.00 | $17.43 – $25,026.30 | 5 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $22.50 | $45.00 | $16.59 – $35.10 | 5 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $154.85 | $309.70 | $3.48 – $54.83 | 5 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | $27.00 | $54.00 | $24.39 – $49.38 | 4 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $19,031.17 | $38,062.33 | $71.22 – $356.16 | 5 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | $973.79 | $1,947.58 | $97.50 – $205.70 | 3 |
| Drug admin & hemodynmic meas CPT 93463 | $590.00 | $1,180.00 | $74.35 – $8,122.00 | 9 |
| Drug assay caffeine CPT 80155 | $141.00 | $282.00 | $14.43 – $177.41 | 9 |
| Drug assay posaconazole CPT 80187 | $141.00 | $282.00 | $14.43 – $177.41 | 9 |
| Drug assay rufinamide CPT 80210 | $188.00 | $376.00 | $14.43 – $236.54 | 9 |
| Drug assay vedolizumab CPT 80280 | $201.00 | $402.00 | $14.43 – $252.90 | 9 |
| Drug assay voriconazole CPT 80285 | $141.00 | $282.00 | $14.43 – $177.41 | 9 |
| Drug asy hydroxychloroquine CPT 80220 | $173.00 | $346.00 | $14.43 – $217.67 | 9 |
| Drug of abuse screen urine CPT 80305 | $104.50 | $209.00 | $12.60 – $131.48 | 9 |
| Drug screen quant tiagabine CPT 80199 | $188.00 | $376.00 | $14.43 – $236.54 | 9 |
| Drug test def 15-21 classes HCPCS G0482 | $875.50 | $1,751.00 | $190.95 – $1,101.55 | 9 |
| Drug test def 1-7 classes HCPCS G0480 | $403.00 | $806.00 | $82.49 – $507.05 | 9 |
| Drug test def 22+ classes HCPCS G0483 | $1,087.50 | $2,175.00 | $190.95 – $1,368.29 | 9 |
| Drug test def 8-14 classes HCPCS G0481 | $621.00 | $1,242.00 | $156.59 – $781.34 | 9 |
| Drug test prsmv instrmnt CPT 80306 | $159.50 | $319.00 | $16.44 – $200.68 | 9 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $296.50 | $593.00 | $62.14 – $373.06 | 9 |
| Drvvt confirm - quest CPT 85597 | $156.50 | $313.00 | $5.25 – $196.91 | 9 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $10,909.00 | $21,818.00 | $1,509.00 – $3,529.00 | 9 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | $1,152.50 | $2,305.00 | $251.22 – $2,149.00 | 9 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | $1,152.50 | $2,305.00 | $251.22 – $1,509.00 | 9 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | $1,284.00 | $2,568.00 | $251.22 – $1,509.00 | 9 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | $1,810.00 | $3,620.00 | $251.22 – $2,149.00 | 9 |
| Ductogram sgl duct CPT 77053 | $283.50 | $567.00 | $167.33 – $557.69 | 9 |
| Duplex scan bilateral study 93985 CPT 93985 | $407.50 | $815.00 | $156.92 – $801.66 | 9 |
| Duplex scan unilateral study 93986 CPT 93986 | $196.00 | $392.00 | $106.34 – $385.56 | 9 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $298.00 | $596.00 | $106.34 – $693.95 | 9 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $642.00 | $1,284.00 | $156.46 – $858.93 | 9 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $672.00 | $1,344.00 | $156.92 – $954.94 | 9 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | $118.38 | $236.75 | $85.12 – $132.69 | 8 |
| Dxa bone density axl vrt fx CPT 77085 | $374.00 | $748.00 | $106.34 – $492.93 | 9 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | $256.50 | $513.00 | $51.70 – $322.73 | 9 |
| Dx aly aud oi snd prcsr each CPT 92623 | $128.00 | $256.00 | $16.67 – $161.05 | 9 |
| Dx bronchoscope/brush 31623 CPT 31623 | $2,626.00 | $5,252.00 | $1,724.47 – $3,529.00 | 9 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $2,626.00 | $5,252.00 | $1,724.47 – $3,529.00 | 9 |
| Dx bronchoscope/wash 31622 CPT 31622 | $2,626.00 | $5,252.00 | $1,724.47 – $2,485.00 | 9 |
| Dx laryngoscopy newborn CPT 31520 | $874.00 | $1,748.00 | $388.31 – $2,485.00 | 9 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $842.52 – $3,529.00 | 9 |
| Dynamic cavernosometry CPT 54231 | $4,094.00 | $8,188.00 | $243.21 – $5,151.07 | 9 |
| Ear and throat examination CPT 92502 | not published | not published | $266.70 – $529.62 | 8 |
| Ear cartilage graft CPT 21235 | not published | not published | $1,847.42 – $8,272.00 | 9 |
| Ear irrigation 69209 CPT 69209 | $211.00 | $422.00 | $59.40 – $1,509.00 | 9 |
| Ear protector evaluation CPT 92596 | $65.00 | $130.00 | $39.25 – $100.17 | 9 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $209.00 | $418.00 | $24.84 – $262.96 | 9 |
| Ecg < 30 days transmission & analysis CPT 93271 | $552.00 | $1,104.00 | $58.52 – $968.22 | 9 |
| Ecg external < 48 hours recording CPT 93225 | $286.00 | $572.00 | $84.50 – $359.85 | 9 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $263.00 | $526.00 | $59.40 – $360.20 | 9 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $2,229.50 | $4,459.00 | $548.30 – $2,805.16 | 9 |
| Echocardiogram (Limited Follow-Up Heart Ultrasound) CPT 93308 | $711.00 | $1,422.00 | $241.72 – $894.58 | 9 |
| Echocardiography doppler color flow mapping CPT 93325 | $592.50 | $1,185.00 | $156.92 – $745.48 | 9 |
| Echocardiography transthoracic 2d complete w/contrast or without & w/contrast with doppler HCPCS C8929 | $3,082.00 | $6,164.00 | $675.71 – $2,146.18 | 8 |
| Echocardiography transthoracic 2d followup/limited w/contrast or without & w/contrast HCPCS C8924 | $2,195.00 | $4,390.00 | $357.13 – $1,409.61 | 8 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $593.00 | $1,186.00 | $215.62 – $746.11 | 9 |
| Echo exam of fetal heart CPT 76825 | $594.00 | $1,188.00 | $143.89 – $782.89 | 9 |
| Echo exam of fetal heart CPT 76826 | $559.50 | $1,119.00 | $143.89 – $737.42 | 9 |
| Echo exam of fetal heart CPT 76827 | $559.50 | $1,119.00 | $106.34 – $737.42 | 9 |
| Echo exam of fetal heart CPT 76828 | $545.00 | $1,090.00 | $106.34 – $718.31 | 9 |
| Echo exam uterus 76831- CPT 76831 | $669.00 | $1,338.00 | $237.75 – $881.74 | 9 |
| Echograp trans r pros study CPT 76873 | $346.00 | $692.00 | $106.34 – $579.63 | 9 |
| Echo guidance radiotherapy CPT 76965 | $610.50 | $1,221.00 | $155.87 – $1,043.28 | 9 |
| Echo guide for amniocentesis CPT 76946 | $550.00 | $1,100.00 | $155.87 – $724.90 | 9 |
| Echo guide for artery repair CPT 76936 | $1,077.50 | $2,155.00 | $294.34 – $1,420.15 | 9 |
| Echo guide for heart biopsy CPT 76932 | $576.50 | $1,153.00 | $155.87 – $759.83 | 9 |
| Echo guide for transfusion CPT 76941 | $234.50 | $469.00 | $155.87 – $459.31 | 9 |
| Echo guide villus sampling CPT 76945 | $316.00 | $632.00 | $155.87 – $416.49 | 9 |
| Echo stress CPT 93350 | $1,389.00 | $2,778.00 | $548.30 – $1,747.64 | 9 |
| Echo tee cngntl wo ctrst probe plcmnt CPT 93316 | $2,105.00 | $4,210.00 | $173.75 – $2,648.51 | 9 |
| Echo tee guidance CPT 93355 | $791.00 | $1,582.00 | $675.71 – $995.24 | 9 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $2,464.50 | $4,929.00 | $548.30 – $3,100.83 | 9 |
| Echo transesophageal CPT 93313 | $1,880.50 | $3,761.00 | $170.25 – $2,366.05 | 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.