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 |
|---|---|---|---|---|
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $7,916.00 | $15,832.00 | $1,048.63 – $3,462.25 | 9 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $11,683.00 | $23,366.00 | $1,226.88 – $5,946.27 | 9 |
| Place slctv cath subclavian art CPT 36225 | $8,275.00 | $16,550.00 | $1,061.64 – $3,462.25 | 9 |
| Place slctv cath vertebral art uni CPT 36226 | $14,173.00 | $28,346.00 | $1,061.64 – $5,946.27 | 9 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $301.00 | $602.00 | $147.30 – $331.10 | 8 |
| Platelet aggregation each agent teg CPT 85576 | $173.50 | $347.00 | $24.91 – $218.30 | 9 |
| Platelet automated CPT 85049 | $57.50 | $115.00 | $4.48 – $72.35 | 9 |
| Platelet deplete of harvest CPT 38213 | $1,361.00 | $2,722.00 | $437.18 – $3,529.00 | 9 |
| Platelet pheresis each unit HCPCS P9034 | $1,817.00 | $3,634.00 | $397.13 – $1,998.70 | 8 |
| Platelet pheresis irr ea HCPCS P9036 | $1,744.00 | $3,488.00 | $439.80 – $1,918.40 | 8 |
| Platelets each unit HCPCS P9019 | $218.00 | $436.00 | $75.96 – $239.80 | 8 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $2,443.00 | $4,886.00 | $439.80 – $2,687.30 | 8 |
| Platelets irradiated ea unit HCPCS P9032 | $208.00 | $416.00 | $135.78 – $228.80 | 8 |
| Platelets leukocytes reduced each unit HCPCS P9031 | $410.00 | $820.00 | $125.77 – $451.00 | 8 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $478.00 | $956.00 | $205.39 – $525.80 | 8 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $2,198.50 | $4,397.00 | $227.25 – $2,418.35 | 8 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $2,734.00 | $5,468.00 | $439.80 – $3,007.40 | 8 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $1,979.00 | $3,958.00 | $439.80 – $2,176.90 | 8 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $2,330.00 | $4,660.00 | $439.80 – $2,563.00 | 8 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $2,331.00 | $4,662.00 | $439.80 – $2,564.10 | 8 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $6,306.00 | $12,612.00 | $943.00 – $3,670.22 | 9 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $7,993.50 | $15,987.00 | $883.55 – $10,399.73 | 9 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $12,232.00 | $24,464.00 | $943.00 – $3,793.87 | 9 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $12,995.00 | $25,990.00 | $943.00 – $3,793.87 | 9 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | $787.00 | $1,574.00 | $719.32 – $23,187.49 | 9 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $2,198.00 | $4,396.00 | $703.59 – $2,149.00 | 9 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $1,074.50 | $2,149.00 | $883.55 – $1,679.93 | 9 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $962.00 | $1,924.00 | $879.27 – $23,187.49 | 9 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $212.50 | $425.00 | $194.23 – $2,005.33 | 9 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $390.50 | $781.00 | $356.92 – $2,005.33 | 9 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $225.00 | $450.00 | $205.65 – $2,005.33 | 9 |
| Plerixafor injection HCPCS J2562 | $579.69 | $1,159.37 | $25.33 – $185.97 | 8 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $285.50 | $571.00 | $152.37 – $359.22 | 9 |
| Plmt access bil tree sm bwl CPT 47541 | $4,143.00 | $8,286.00 | $943.00 – $6,863.73 | 9 |
| Plmt biliary drainage cath CPT 47534 | $6,306.00 | $12,612.00 | $943.00 – $3,670.22 | 9 |
| Plmt nephroureteral catheter CPT 50433 | $5,733.00 | $11,466.00 | $686.85 – $3,793.87 | 9 |
| Plmt ureteral stent prq CPT 50694 | $12,614.00 | $25,228.00 | $943.00 – $3,793.87 | 9 |
| Pm device progr eval dual CPT 93280 | $93.50 | $187.00 | $37.29 – $269.70 | 9 |
| Pm device progr eval multi CPT 93281 | $109.00 | $218.00 | $37.29 – $302.65 | 9 |
| Pml/raralpha 1 breakpoint CPT 81316 | $1,489.00 | $2,978.00 | $190.07 – $1,954.20 | 9 |
| Pmp22 gene dup/delet CPT 81324 | $1,199.00 | $2,398.00 | $758.36 – $4,177.75 | 9 |
| Pmp22 gene full sequence CPT 81325 | $687.00 | $1,374.00 | $755.70 – $864.38 | 9 |
| Pmp22 gene known fam variant CPT 81326 | $570.00 | $1,140.00 | $46.60 – $717.17 | 9 |
| Pms2 gene dup/delet variants CPT 81319 | $1,883.00 | $3,766.00 | $190.07 – $2,369.19 | 9 |
| Pms2 gene full seq analysis CPT 81317 | $1,869.50 | $3,739.00 | $676.50 – $5,625.22 | 9 |
| Pms2 known familial variants CPT 81318 | $262.00 | $524.00 | $190.07 – $453.95 | 9 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | $785.00 | $1,570.00 | $618.26 – $1,043.00 | 9 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $210.00 | $420.00 | $26.07 – $264.22 | 9 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | $184.66 | $369.31 | $136.67 – $212.06 | 8 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $1,542.00 | $3,084.00 | $1,017.39 – $2,773.09 | 9 |
| Polysom any age 1-3> param CPT 95808 | $2,598.00 | $5,196.00 | $1,017.39 – $3,268.80 | 9 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,186.00 | $6,372.00 | $1,017.39 – $3,994.79 | 9 |
| Positional nystagmus test CPT 92532 | $134.50 | $269.00 | $47.15 – $169.23 | 9 |
| Post-op hip abduct custom fa HCPCS L1685 | $1,327.50 | $2,655.00 | $876.15 – $2,070.90 | 3 |
| Post op service lvrs min 6 HCPCS G0305 | $1,616.50 | $3,233.00 | $152.00 – $1,778.15 | 8 |
| Potassium 24 hour urine CPT 84133 | $45.00 | $90.00 | $4.73 – $56.62 | 9 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | $11.91 | $23.82 | $0.16 – $6.01 | 5 |
| Potassium serum/plasma/whole blood CPT 84132 | $46.00 | $92.00 | $4.76 – $57.88 | 9 |
| Pq biliary strict dil s&i CPT 74363 | $593.00 | $1,186.00 | $294.34 – $1,041.93 | 9 |
| Pq dr cath chg w cont s&i CPT 75984 | $263.50 | $527.00 | $234.94 – $408.02 | 9 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $11,780.00 | $23,560.00 | $3,469.00 – $14,298.00 | 9 |
| Pq thr inj ext pse CPT 36002 | $566.00 | $1,132.00 | $441.48 – $2,485.00 | 9 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $422.00 | $844.00 | $658.32 – $8,545.00 | 9 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $4,848.50 | $9,697.00 | $3,244.61 – $6,895.00 | 9 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $4,848.50 | $9,697.00 | $3,244.61 – $6,895.00 | 9 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $9,410.00 | $18,820.00 | $1,847.42 – $4,413.00 | 9 |
| Pr application of long arm splint CPT 29105 | $329.00 | $658.00 | $106.80 – $1,043.00 | 9 |
| Pr application splint static short arm CPT 29125 | $348.00 | $696.00 | $106.80 – $1,043.00 | 9 |
| Pr biopsy skin punch single lesion CPT 11104 | $436.00 | $872.00 | $398.50 – $1,509.00 | 9 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $3,508.00 – $14,298.00 | 9 |
| Pr correction hammertoe CPT 28285 | $12,456.00 | $24,912.00 | $3,145.37 – $4,413.00 | 9 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $40.50 | $81.00 | $29.79 – $50.96 | 9 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $963.50 | $1,927.00 | $880.64 – $8,206.00 | 9 |
| Prcrd drg 6+yr without anomly CPT 33017 | $849.50 | $1,699.00 | $776.44 – $8,206.00 | 9 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $7,119.00 | $14,238.00 | $2,149.00 – $5,515.00 | 9 |
| Prealbumin CPT 84134 | $145.50 | $291.00 | $14.35 – $183.07 | 9 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $1,426.00 | $2,852.00 | $1,446.33 – $3,529.00 | 9 |
| Pregnancy associated plasma protein-a CPT 84163 | $524.50 | $1,049.00 | $14.35 – $659.93 | 9 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $708.00 | $1,416.00 | $106.34 – $933.14 | 9 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $654.00 | $1,308.00 | $106.34 – $861.97 | 9 |
| Pregnancy Ultrasound (limited) CPT 76815 | $451.00 | $902.00 | $106.34 – $594.42 | 9 |
| Pre-op service lvrs 10-15dos HCPCS G0303 | $3,720.00 | $7,440.00 | $152.00 – $4,092.00 | 8 |
| Pre-op service lvrs 1-9 dos HCPCS G0304 | $1,691.00 | $3,382.00 | $152.00 – $1,860.10 | 8 |
| Pre-op service lvrs complete HCPCS G0302 | $5,072.00 | $10,144.00 | $152.00 – $5,579.20 | 8 |
| Prepare penis study CPT 54230 | $183.00 | $366.00 | $167.26 – $2,955.43 | 9 |
| Prep skin to 100cm2 other CPT 15004 | $1,144.00 | $2,288.00 | $612.13 – $2,485.00 | 9 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $1,144.00 | $2,288.00 | $1,471.79 – $2,485.00 | 9 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $811.00 | $1,622.00 | $563.84 – $1,509.00 | 9 |
| Pressure max expiratory/inspiratory CPT 94799 | $203.00 | $406.00 | $83.53 – $255.41 | 9 |
| Pressure velocity wire add ves CPT 93572 | $1,240.50 | $2,481.00 | $658.04 – $2,604.74 | 9 |
| Pretreat rbc absorption reference CPT 86978 | $139.00 | $278.00 | $4.13 – $174.89 | 9 |
| Pretreat rbc density gradient separation reference CPT 86972 | $287.50 | $575.00 | $4.83 – $361.73 | 9 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $173.50 | $347.00 | $3.45 – $218.30 | 9 |
| Pretreat rbc w enzyme reference CPT 86971 | $262.50 | $525.00 | $2.75 – $330.28 | 9 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $250.00 | $500.00 | $160.67 – $451.00 | 9 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $4,812.00 | $9,624.00 | $1,285.16 – $3,529.00 | 9 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $3,542.00 | $7,084.00 | $1,509.00 – $3,529.00 | 9 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $1,422.00 | $2,844.00 | $399.53 – $1,509.00 | 9 |
| Prgrmg eval implantable dfb CPT 93284 | $121.50 | $243.00 | $37.29 – $379.36 | 9 |
| Prgr stim/pace a/iv drug CPT 93623 | $3,513.00 | $7,026.00 | $883.55 – $12,223.00 | 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.