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 |
|---|---|---|---|---|
| Prim art mech thrmbc non-intracranial CPT 37184 | $14,444.00 | $28,888.00 | $4,588.00 – $10,399.73 | 9 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $1,638.00 | $3,276.00 | $883.55 – $9,832.47 | 9 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $441.50 | $883.00 | $251.22 – $1,509.00 | 9 |
| Pr incision & drainage abscess simple/single CPT 10060 | $431.50 | $863.00 | $198.70 – $1,509.00 | 9 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $882.00 | $1,764.00 | $304.19 – $2,149.00 | 9 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $561.50 | $1,123.00 | $251.22 – $1,509.00 | 9 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $204.00 | $408.00 | $128.87 – $256.67 | 9 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $204.00 | $408.00 | $128.87 – $256.67 | 9 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $231.50 | $463.00 | $31.40 – $291.27 | 9 |
| Pr neuroplasty and/or transposition ulnar nerve at elbow CPT 64718 | not published | not published | $1,952.77 – $4,413.00 | 9 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $6,670.00 | $13,340.00 | $710.73 – $1,679.90 | 2 |
| Probe nasolacrimal duct CPT 68811 | not published | not published | $1,979.47 – $3,529.00 | 9 |
| Probe nasolacrimal duct CPT 68815 | not published | not published | $1,979.47 – $3,529.00 | 9 |
| Probe nl duct w/balloon CPT 68816 | $3,877.00 | $7,754.00 | $1,979.47 – $4,413.00 | 9 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | $47.80 | $95.59 | $74.23 – $324.16 | 8 |
| Procalcitonin CPT 84145 | $196.00 | $392.00 | $15.74 – $246.61 | 9 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | $141.58 | $283.16 | $220.86 – $220.86 | 1 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $18.06 | $36.12 | $2.53 – $23.99 | 5 |
| Proctosigmoidoscopy removal CPT 45308 | not published | not published | $1,509.00 – $4,413.00 | 9 |
| Progenamatrix, per sq cm HCPCS Q4222 | $297.50 | $595.00 | $92.82 – $210.46 | 4 |
| Progesterone CPT 84144 | $229.50 | $459.00 | $15.74 – $288.76 | 9 |
| Prolactin CPT 84146 | $242.50 | $485.00 | $15.74 – $305.11 | 9 |
| Proph rta dtchmnt pc CPT 67145 | not published | not published | $548.60 – $2,485.00 | 9 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $10.01 | $20.01 | $0.12 – $0.80 | 5 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | $14.99 | $29.98 | $15.49 – $23.38 | 3 |
| Pros sock multi ply upper lm HCPCS L8435 | $27.50 | $55.00 | $18.15 – $42.90 | 3 |
| Pros sock single ply ak HCPCS L8480 | $13.00 | $26.00 | $8.58 – $20.28 | 3 |
| Pros sock single ply upper l HCPCS L8485 | $16.00 | $32.00 | $10.56 – $24.96 | 3 |
| Prostate biopsy, any mthd HCPCS G0416 | $1,397.00 | $2,794.00 | $231.10 – $1,757.71 | 9 |
| Prostatectomy (turp) CPT 52601 | not published | not published | $3,689.00 – $8,272.00 | 9 |
| Prostate laser enucleation CPT 52649 | not published | not published | $3,469.00 – $9,927.00 | 9 |
| Prosthetic sock multi ply bk HCPCS L8420 | $25.50 | $51.00 | $16.83 – $39.78 | 3 |
| Prost sock sgl ply blw knee ea HCPCS L8470 | $10.00 | $20.00 | $6.60 – $15.60 | 3 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | $4.92 | $9.84 | $1.79 – $4.93 | 5 |
| Protector nerve neurawrap 4cm HCPCS C9353 | $2,045.82 | $4,091.64 | $742.63 – $1,755.31 | 3 |
| Protein c activity CPT 85303 | $161.00 | $322.00 | $5.25 – $202.57 | 9 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $142.00 | $284.00 | $6.47 – $178.66 | 9 |
| Protein s total CPT 85305 | $99.50 | $199.00 | $5.25 – $125.19 | 9 |
| Protein total 24 hour urine CPT 84156 | $51.50 | $103.00 | $3.67 – $64.80 | 9 |
| Protein total body fluid CPT 84157 | $53.00 | $106.00 | $4.00 – $66.68 | 9 |
| Protein total serum plasma whole blood CPT 84155 | $68.50 | $137.00 | $3.67 – $86.19 | 9 |
| Prothrombin complex kcentra HCPCS J7168 | $2.80 | $5.59 | $2.14 – $2.35 | 7 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $46.50 | $93.00 | $3.94 – $58.51 | 9 |
| Proton treatment complex CPT 77525 | $4,790.50 | $9,581.00 | $1,275.51 – $6,313.88 | 9 |
| Proton trmt intermediate CPT 77523 | $4,678.50 | $9,357.00 | $1,275.51 – $6,166.26 | 9 |
| Proton trmt simple w/comp CPT 77522 | $4,580.50 | $9,161.00 | $1,275.51 – $6,037.10 | 9 |
| Proton trmt simple without comp CPT 77520 | $3,720.00 | $7,440.00 | $578.47 – $4,902.96 | 9 |
| Protoporphyrin rbc screen CPT 84203 | $78.00 | $156.00 | $6.47 – $98.14 | 9 |
| Prp i/hern init block >5 yr CPT 49507 | not published | not published | $3,529.06 – $6,895.00 | 9 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $258.00 | $516.00 | $92.00 – $324.62 | 9 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $17,162.50 | $34,325.00 | $12,299.91 – $22,196.00 | 8 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $18,773.00 | $37,546.00 | $2,294.17 – $19,727.00 | 9 |
| Prq skel fix sprcndlr hum fx CPT 24538 | $22,372.00 | $44,744.00 | $2,149.00 – $7,858.10 | 9 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $18,773.00 | $37,546.00 | $2,294.17 – $19,727.00 | 9 |
| Prq tcat plmt ntrac st 2+les CPT 92930 | $29,810.50 | $59,621.00 | $12,299.91 – $37,507.57 | 9 |
| Prq trlml c athrc st angiop1 CPT 92933 | $29,810.50 | $59,621.00 | $2,642.64 – $19,727.00 | 9 |
| Prq trl rvs ch occ ant&rtrgr CPT 92945 | $18,773.00 | $37,546.00 | $12,299.91 – $23,620.19 | 9 |
| Prq trluml c angiop 1art&/br CPT 92920 | $9,255.50 | $18,511.00 | $2,008.44 – $11,645.27 | 9 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $18,773.00 | $37,546.00 | $2,427.85 – $23,620.19 | 9 |
| Prq trluml revsc ch occ ant CPT 92943 | $18,773.00 | $37,546.00 | $2,645.50 – $19,727.00 | 9 |
| Pr removal drug delivery implant CPT 11982 | $533.00 | $1,066.00 | $251.22 – $1,509.00 | 9 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $448.00 | $896.00 | $128.90 – $1,043.00 | 9 |
| Pr removal intrauterine device CPT 58301 | $532.50 | $1,065.00 | $304.19 – $1,509.00 | 9 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $620.50 | $1,241.00 | $399.53 – $1,509.00 | 9 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $377.00 | $754.00 | $198.70 – $1,043.00 | 9 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $647.50 | $1,295.00 | $198.70 – $1,043.00 | 9 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $363.00 | $726.00 | $198.70 – $1,509.00 | 9 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $422.00 | $844.00 | $198.70 – $1,043.00 | 9 |
| Pr robotic surgical system HCPCS S2900 | $4,511.00 | $9,022.00 | $3,978.70 – $7,037.16 | 5 |
| Pr split-thickness autograft trunk/arm/leg 1st 100 sq cm/<tbsa infant/child CPT 15100 | not published | not published | $1,829.23 – $4,413.00 | 9 |
| Prtl exc bone radial h/n CPT 24145 | not published | not published | $3,508.00 – $9,927.00 | 9 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $3,622.00 | $7,244.00 | $1,285.16 – $2,485.00 | 9 |
| PSA (Prostate) Test CPT 84153 | $141.00 | $282.00 | $14.35 – $177.41 | 9 |
| Psychoeducation 45 min + HCPCS G0177 | $269.00 | $538.00 | $210.00 – $295.90 | 8 |
| Psychotherapy group therapy CPT 90853 | $142.00 | $284.00 | $92.50 – $178.66 | 9 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $283.00 | $566.00 | $80.32 – $576.54 | 9 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $375.50 | $751.00 | $160.67 – $576.54 | 9 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $396.00 | $792.00 | $160.67 – $576.54 | 9 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | $490.00 | $980.00 | $88.44 – $616.52 | 9 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | $374.00 | $748.00 | $88.44 – $919.43 | 9 |
| Psychthrp grp 45-50min mcr HCPCS G0410 | $287.00 | $574.00 | $253.13 – $398.92 | 8 |
| Psycl/nrpsyc tech 1st CPT 96138 | $683.00 | $1,366.00 | $88.44 – $859.35 | 9 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | $89.00 | $178.00 | $79.35 – $141.79 | 9 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | $82.00 | $164.00 | $73.11 – $919.43 | 9 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | $102.00 | $204.00 | $88.44 – $919.43 | 9 |
| Psytx complex interactive CPT 90785 | $18.00 | $36.00 | $16.05 – $576.54 | 9 |
| Psytx pt w/e&m 16-37 min CPT 90833 | $124.00 | $248.00 | $110.56 – $576.54 | 9 |
| Psytx pt w/e&m 38-52 min CPT 90836 | $203.00 | $406.00 | $180.99 – $576.54 | 9 |
| Psytx pt w/e&m 53+ min CPT 90838 | $577.00 | $1,154.00 | $210.28 – $725.98 | 9 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $25.00 | $50.00 | $22.05 – $41.93 | 9 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $125.50 | $251.00 | $21.22 – $157.90 | 9 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $75.50 | $151.00 | $15.65 – $94.99 | 9 |
| Pt application of modality traction mechanical CPT 97012 | $87.00 | $174.00 | $15.87 – $109.46 | 9 |
| Pten gene dup/delet variant CPT 81323 | $4,652.00 | $9,304.00 | $190.07 – $5,853.15 | 9 |
| Pten gene full sequence CPT 81321 | $3,689.50 | $7,379.00 | $600.00 – $4,642.13 | 9 |
| Pten gene known fam variant CPT 81322 | $1,470.00 | $2,940.00 | $46.60 – $1,849.55 | 9 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $153.50 | $307.00 | $37.57 – $193.13 | 9 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $120.00 | $240.00 | $13.86 – $106.99 | 8 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $70.00 | $140.00 | $33.94 – $88.07 | 9 |
| Pt wheelchair management each 15 minutes CPT 97542 | $90.50 | $181.00 | $34.53 – $113.87 | 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.