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 |
|---|---|---|---|---|
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $318.50 | $637.00 | $210.21 – $496.86 | 3 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $550.50 | $1,101.00 | $239.91 – $567.06 | 3 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $1,393.50 | $2,787.00 | $919.71 – $2,173.86 | 3 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $763.50 | $1,527.00 | $503.91 – $1,191.06 | 3 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $294.50 | $589.00 | $194.37 – $459.42 | 3 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $351.00 | $702.00 | $231.66 – $547.56 | 3 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | $115.00 | $230.00 | $75.90 – $179.40 | 3 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $294.50 | $589.00 | $194.37 – $459.42 | 3 |
| Orthopantogram CPT 70355 | $241.50 | $483.00 | $80.04 – $318.30 | 9 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $407.50 | $815.00 | $268.95 – $635.70 | 3 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $1,078.50 | $2,157.00 | $711.81 – $1,682.46 | 3 |
| Oscillation chest wall mechanical per session CPT 94669 | $309.50 | $619.00 | $83.53 – $389.41 | 9 |
| Osmolality blood CPT 83930 | $57.00 | $114.00 | $6.47 – $71.72 | 9 |
| Osmolality urine CPT 83935 | $81.50 | $163.00 | $6.47 – $102.54 | 9 |
| Osteochondral knee allograft CPT 27415 | not published | not published | $3,508.00 – $13,381.49 | 9 |
| Osteochondral talus autogrft CPT 28446 | not published | not published | $3,689.00 – $9,927.00 | 9 |
| Other immunoelectrophoresis CPT 86325 | $179.00 | $358.00 | $13.38 – $225.22 | 9 |
| Oth resp proc, group HCPCS G0239 | $137.00 | $274.00 | $39.25 – $161.00 | 8 |
| Oth resp proc, indiv HCPCS G0238 | $137.00 | $274.00 | $24.49 – $148.40 | 8 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $230.50 | $461.00 | $50.91 – $290.02 | 9 |
| Ot re-evaluation patient/family CPT 97168 | $181.00 | $362.00 | $78.68 – $382.25 | 9 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $45.50 | $91.00 | $22.57 – $57.25 | 9 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $48.50 | $97.00 | $23.26 – $99.40 | 9 |
| Oxytocin 10 unit/ml injection solution HCPCS J2590 | $24.14 | $48.27 | $2.23 – $13.89 | 3 |
| Paclitaxel 6 mg/ml concentrate,intravenous HCPCS J9267 | $0.74 | $1.47 | $0.17 – $0.93 | 5 |
| Paclitaxel protein-bound 100 mg intravenous suspension HCPCS J9264 | $20.37 | $40.73 | $10.54 – $18.88 | 8 |
| Palb2 gene full gene seq CPT 81307 | $672.50 | $1,345.00 | $676.50 – $846.14 | 9 |
| Palb2 gene known famil vrnt CPT 81308 | $716.00 | $1,432.00 | $190.07 – $900.87 | 9 |
| Palonosetron hcl HCPCS J2469 | $3.12 | $6.23 | $0.50 – $5.57 | 5 |
| Pamidronate 30 mg/10 ml (3 mg/ml) intravenous solution HCPCS J2430 | $23.15 | $46.29 | $13.47 – $32.62 | 5 |
| Panitumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9303 | $240.93 | $481.85 | $173.03 – $268.59 | 8 |
| Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr HCPCS J2470 | $39.69 | $79.37 | $7.24 – $52.96 | 3 |
| Papaverin hcl injection HCPCS J2440 | $33.97 | $67.94 | $35.33 – $75.80 | 3 |
| Parathormone (pth) intact CPT 83970 | $324.50 | $649.00 | $41.28 – $408.29 | 9 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,360.50 | $2,721.00 | $531.39 – $1,793.14 | 9 |
| Parathyroid planar imaging CPT 78070 | $867.00 | $1,734.00 | $401.83 – $1,142.71 | 9 |
| Parathyroid planar img w/tomo spect CPT 78071 | $1,123.00 | $2,246.00 | $401.83 – $1,480.11 | 9 |
| Parial mast w/lymph removal 19302 CPT 19302 | not published | not published | $4,745.56 – $9,927.00 | 9 |
| Paricalcitol HCPCS J2501 | $8.68 | $17.35 | $1.04 – $12.99 | 5 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $191.50 | $383.00 | $175.03 – $1,509.00 | 9 |
| Part hymenectomy/revi hymenal ring 56700 CPT 56700 | not published | not published | $1,509.00 – $3,529.00 | 9 |
| Partial excision bone tars/metatars exc talus/calcaneus (both sides) (rest meth ii cah) CPT 28122 | $9,458.00 | $18,916.00 | $3,244.61 – $4,413.00 | 9 |
| Partial excision of lip CPT 40500 | not published | not published | $1,847.42 – $4,413.00 | 9 |
| Partial hysterectomy CPT 58180 | not published | not published | $4,016.13 – $8,272.00 | 8 |
| Partial removal finger bone CPT 26235 | not published | not published | $1,600.41 – $3,529.00 | 9 |
| Partial removal finger bone CPT 26236 | $2,757.00 | $5,514.00 | $1,600.41 – $3,529.00 | 9 |
| Partial removal foot fascia CPT 28060 | not published | not published | $2,149.00 – $4,413.00 | 9 |
| Partial removal leg bone(s) CPT 27360 | not published | not published | $3,244.61 – $6,895.00 | 9 |
| Partial removal of eye fluid CPT 67005 | not published | not published | $1,477.12 – $5,515.00 | 9 |
| Partial removal of eye fluid CPT 67010 | not published | not published | $1,477.12 – $6,895.00 | 9 |
| Partial removal of fibula CPT 27641 | not published | not published | $2,149.00 – $5,515.00 | 9 |
| Partial removal of foot bone CPT 28288 | not published | not published | $3,145.37 – $4,413.00 | 9 |
| Partial removal of lip CPT 40530 | not published | not published | $2,149.00 – $4,413.00 | 9 |
| Partial removal of radius CPT 25151 | not published | not published | $2,149.00 – $6,895.00 | 9 |
| Partial removal of rib CPT 21600 | not published | not published | $2,149.00 – $8,272.00 | 9 |
| Partial removal of sternum CPT 21620 | not published | not published | $943.00 – $3,689.00 | 8 |
| Partial removal of thyroid CPT 60220 | not published | not published | $2,149.00 – $9,927.00 | 9 |
| Partial removal of thyroid CPT 60225 | not published | not published | $3,508.00 – $9,927.00 | 9 |
| Partial removal of tibia CPT 27640 | not published | not published | $2,149.00 – $6,895.00 | 9 |
| Partial removal of toe CPT 28160 | not published | not published | $3,145.37 – $4,413.00 | 9 |
| Partial removal of tongue CPT 41120 | not published | not published | $3,469.00 – $6,895.00 | 9 |
| Partial removal of ulna CPT 25150 | not published | not published | $2,149.00 – $5,515.00 | 9 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,179.53 – $5,515.00 | 9 |
| Partial thyroid excision CPT 60210 | not published | not published | $3,689.00 – $9,927.00 | 9 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $2,024.46 | $4,048.92 | $3.55 – $19.77 | 5 |
| Part removal of metatarsal CPT 28110 | not published | not published | $3,244.61 – $4,413.00 | 9 |
| Part removal of metatarsal CPT 28113 | not published | not published | $3,145.37 – $4,413.00 | 9 |
| Passy muir valve metal trach HCPCS L8501 | $93.00 | $186.00 | $59.07 – $139.62 | 3 |
| Pdgfra gene CPT 81314 | $1,056.00 | $2,112.00 | $190.07 – $1,492.68 | 9 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | $1,731.50 | $3,463.00 | $198.70 – $2,178.57 | 9 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,829.23 – $4,413.00 | 9 |
| Pegaspargase injection HCPCS J9266 | $30,955.39 | $61,910.78 | $24,026.88 – $44,245.00 | 8 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | $483.79 | $967.57 | $89.34 – $98.28 | 8 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | $212.48 | $424.95 | $131.16 – $205.54 | 8 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | $364.22 | $728.43 | $106.33 – $211.76 | 8 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | $476.31 | $952.61 | $184.91 – $356.63 | 8 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | $192.38 | $384.75 | $99.13 – $161.42 | 8 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $946.50 | $1,893.00 | $178.02 – $1,445.33 | 9 |
| Pelvic CT scan (with contrast) CPT 72193 | $796.00 | $1,592.00 | $178.02 – $1,432.00 | 9 |
| Pelvic CT scan (without contrast) CPT 72192 | $587.50 | $1,175.00 | $106.34 – $1,432.00 | 9 |
| Pelvic MRI (with and without contrast) CPT 72197 | $1,421.00 | $2,842.00 | $357.13 – $3,973.50 | 9 |
| Pelvic MRI (with contrast) CPT 72196 | $932.00 | $1,864.00 | $357.13 – $2,237.50 | 9 |
| Pelvic MRI (without contrast) CPT 72195 | $835.00 | $1,670.00 | $241.72 – $2,149.00 | 9 |
| Pelvic Ultrasound (complete) CPT 76856 | $682.50 | $1,365.00 | $106.34 – $899.54 | 9 |
| Pelvic Ultrasound (limited) CPT 76857 | $476.50 | $953.00 | $106.34 – $628.03 | 9 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $280.50 | $561.00 | $80.04 – $369.70 | 9 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $337.00 | $674.00 | $80.04 – $444.17 | 9 |
| Pembrolizumab 25 mg/ml intravenous solution HCPCS J9271 | $81.78 | $163.55 | $60.29 – $91.16 | 8 |
| Pemetrexed disodium 100 mg intravenous powder for solution HCPCS J9305 | $104.10 | $208.19 | $2.77 – $5.81 | 8 |
| Pemivibart infusion HCPCS M0224 | $709.00 | $1,418.00 | $408.23 – $779.90 | 8 |
| Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe HCPCS J0561 | $37.81 | $75.61 | $2.85 – $45.61 | 8 |
| Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr HCPCS J2540 | $4.49 | $8.98 | $1.11 – $3.19 | 5 |
| Penile injection CPT 54235 | $327.50 | $655.00 | $120.71 – $1,043.00 | 9 |
| Penile vascular study CPT 93980 | $912.50 | $1,825.00 | $106.34 – $1,148.11 | 9 |
| Penile vascular study CPT 93981 | $660.00 | $1,320.00 | $106.34 – $830.41 | 9 |
| Pentamidine 300 mg solution for injection HCPCS J2516 | $53.16 | $106.31 | $76.72 – $76.72 | 1 |
| Pentamidine non-comp unit HCPCS J2545 | $53.34 | $106.67 | $60.10 – $161.28 | 8 |
| Pentobarbital sodium inj HCPCS J2515 | $83.54 | $167.07 | $65.02 – $161.28 | 6 |
| Perc cryo ablate renal tum CPT 50593 | $15,838.00 | $31,676.00 | $4,588.00 – $11,913.00 | 9 |
| Perc d-e cor revasc chro add HCPCS C9608 | $17,013.50 | $34,027.00 | $12,299.91 – $22,196.00 | 8 |
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.