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 |
|---|---|---|---|---|
| Assay of urine sulfate CPT 84392 | $42.00 | $84.00 | $3.50 – $52.84 | 9 |
| Assay of urine urobilinogen CPT 84580 | $109.00 | $218.00 | $6.47 – $137.14 | 9 |
| Assay of urine urobilinogen CPT 84583 | $77.00 | $154.00 | $6.05 – $96.88 | 9 |
| Assay phosphatidylglycerol CPT 84081 | $250.50 | $501.00 | $14.35 – $315.18 | 9 |
| Assay phosphohexose enzymes CPT 84087 | $149.50 | $299.00 | $6.47 – $188.10 | 9 |
| Assay rbc glutathione CPT 82979 | $107.00 | $214.00 | $6.47 – $134.63 | 9 |
| Assay toxin or antitoxin CPT 87230 | $243.50 | $487.00 | $11.72 – $306.37 | 9 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $427.50 | $855.00 | $104.13 – $919.43 | 9 |
| Assess cyst contrast inject CPT 49424 | $87.00 | $174.00 | $79.52 – $1,509.00 | 9 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $43.00 | $86.00 | $4.27 – $54.10 | 9 |
| Assistive tech assessment, ot CPT 97755 | $230.50 | $461.00 | $42.00 – $359.58 | 9 |
| Ast/sgot CPT 84450 | $90.50 | $181.00 | $5.18 – $113.87 | 9 |
| Atomic absorption CPT 82190 | $224.50 | $449.00 | $14.35 – $282.47 | 9 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $0.52 | $1.04 | $0.10 – $1.56 | 5 |
| Audiometry air + bone CPT 92553 | $160.00 | $320.00 | $111.18 – $201.31 | 9 |
| Auditory function + 15 min CPT 92621 | $37.00 | $74.00 | $32.99 – $419.46 | 9 |
| Auditory function 60 min CPT 92620 | $234.00 | $468.00 | $156.46 – $294.42 | 9 |
| Augmentation cheek bone CPT 21270 | not published | not published | $3,469.00 – $8,272.00 | 9 |
| Augment injectable kit 3.0cc HCPCS C1734 | $7,906.96 | $15,813.92 | $2,503.18 – $5,916.61 | 2 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $624.50 | $1,249.00 | $570.79 – $7,501.83 | 9 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $11,780.00 | $23,560.00 | $3,469.00 – $14,298.00 | 9 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $3,508.00 – $14,298.00 | 9 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $2,178.50 | $4,357.00 | $775.43 – $2,740.99 | 9 |
| Autologous blood op salvage CPT 86891 | $805.00 | $1,610.00 | $16.45 – $1,012.85 | 9 |
| Autologous blood process CPT 86890 | $262.50 | $525.00 | $11.63 – $330.28 | 9 |
| Autolog prp diab wound ulcer HCPCS G0465 | $4,568.00 | $9,136.00 | $1,471.79 – $5,024.80 | 8 |
| Autolog prp not diab ulcer HCPCS G0460 | $2,517.50 | $5,035.00 | $1,471.79 – $2,485.00 | 8 |
| Automated diff wbc count CPT 85004 | $40.00 | $80.00 | $6.47 – $50.33 | 9 |
| Autonomic nrv adrenrg inervj CPT 95922 | $228.00 | $456.00 | $128.90 – $286.87 | 9 |
| Autonomic nrv parasym inervj CPT 95921 | $234.50 | $469.00 | $156.46 – $295.05 | 9 |
| Autonomic nrv syst funj test CPT 95923 | $228.00 | $456.00 | $128.90 – $437.05 | 9 |
| Av fistula revision CPT 36833 | not published | not published | $3,689.00 – $8,272.00 | 9 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $3,508.00 – $8,272.00 | 9 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $3,508.00 – $6,895.00 | 9 |
| Av fusion direct any site CPT 36821 | not published | not published | $3,147.50 – $6,895.00 | 9 |
| Avul nail plate addl CPT 11732 | $310.00 | $620.00 | $95.61 – $1,509.00 | 9 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $379.00 | $758.00 | $95.61 – $1,509.00 | 9 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | $73.28 | $146.55 | $55.65 – $61.22 | 7 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | $881,265.00 | $1,762,530.00 | $0.01 – $829,788.86 | 8 |
| Azacitidine injection HCPCS J9025 | $8.17 | $16.34 | $0.33 – $66.22 | 8 |
| Azathioprine 50 mg tablet HCPCS J7500 | $3.46 | $6.91 | $0.09 – $5.43 | 5 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $41.15 | $82.30 | $2.84 – $60.89 | 5 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $5.64 | $11.28 | $3.54 – $4.73 | 5 |
| Baclofen eval charges CPT 97750 | $78.50 | $157.00 | $37.74 – $103.60 | 9 |
| Bacterial meningitis antigen CPT 86403 | $86.50 | $173.00 | $11.54 – $108.83 | 9 |
| Bacterial vaginosis pcr CPT 87801 | $463.00 | $926.00 | $69.10 – $582.55 | 9 |
| Bactericidal level serum CPT 87197 | $161.50 | $323.00 | $11.72 – $203.20 | 9 |
| #bac vag cand-c. albicans naa CPT 87481 | $195.00 | $390.00 | $35.09 – $245.35 | 9 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $154.00 | $308.00 | $35.98 – $193.76 | 9 |
| Balloon dilate urtrl strix CPT 50706 | $3,446.00 | $6,892.00 | $883.55 – $10,441.88 | 9 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $121.00 | $242.00 | $133.10 – $188.76 | 2 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $578.50 | $1,157.00 | $167.33 – $762.46 | 9 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $575.00 | $1,150.00 | $167.33 – $757.85 | 9 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $503.00 | $1,006.00 | $80.04 – $662.95 | 9 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $5,363.00 | $10,726.00 | $2,149.00 – $3,529.00 | 9 |
| Bartonella dna pcr-sendout CPT 87471 | $234.50 | $469.00 | $35.09 – $295.05 | 9 |
| Basic vestibular evaluation CPT 92540 | $284.50 | $569.00 | $156.46 – $1,377.58 | 9 |
| Basiliximab HCPCS J0480 | $6,158.10 | $12,316.20 | $2,504.99 – $7,273.18 | 8 |
| Bausch health Ultrasound surg HCPCS V2788 | $768.50 | $1,537.00 | $334.95 – $791.70 | 2 |
| B cells total count CPT 86355 | $329.50 | $659.00 | $37.73 – $414.58 | 9 |
| Bckdhb gene CPT 81205 | $353.00 | $706.00 | $51.70 – $651.69 | 9 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $5.21 | $10.42 | $3.89 – $6.06 | 8 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $73.12 | $146.24 | $56.07 – $87.19 | 8 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $11.87 | $23.74 | $1.88 – $2.89 | 8 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $18.98 | $37.96 | $13.49 – $20.43 | 8 |
| Benign lesion paring 2-4 CPT 11056 | $198.50 | $397.00 | $181.43 – $1,509.00 | 9 |
| Benign lesion paring 4+ CPT 11057 | $258.50 | $517.00 | $198.70 – $1,509.00 | 9 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $21.57 | $43.14 | $21.40 – $39.76 | 5 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $155.50 | $311.00 | $13.38 – $195.65 | 9 |
| Beta-2 microglobulin CPT 82232 | $149.50 | $299.00 | $15.74 – $188.10 | 9 |
| Beta-amyloid 1-40 CPT 82233 | $312.00 | $624.00 | $190.07 – $392.56 | 8 |
| Beta-amyloid 1-42 CPT 82234 | $312.00 | $624.00 | $190.07 – $392.56 | 8 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $15.79 | $31.58 | $9.71 – $16.86 | 5 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $111.11 | $222.21 | $46.82 – $113.70 | 8 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $89.62 | $179.23 | $27.86 – $44.91 | 8 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $65.97 | $131.94 | $25.77 – $37.26 | 8 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $181.00 | $362.00 | $44.62 – $227.73 | 9 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $71.50 | $143.00 | $25.17 – $145.28 | 9 |
| B-hexosaminidase ea assay CPT 83080 | $163.00 | $326.00 | $14.35 – $205.09 | 9 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $655.00 | $1,310.00 | $510.90 – $2,485.00 | 9 |
| Bilateral n block inj occipital 64405 CPT 64405 | $895.00 | $1,790.00 | $295.19 – $1,509.00 | 9 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $1,298.00 | $2,596.00 | $295.19 – $1,509.00 | 9 |
| Bile acids cholylglycine CPT 82240 | $238.50 | $477.00 | $26.58 – $300.08 | 9 |
| Biliary endo perq dx w/speci CPT 47552 | $2,149.00 | $4,298.00 | $2,149.00 – $9,927.00 | 9 |
| Biliary endoscopy thru skin CPT 47553 | $2,149.00 | $4,298.00 | $3,352.44 – $8,272.00 | 9 |
| Biliary endoscopy thru skin CPT 47554 | $2,149.00 | $4,298.00 | $3,352.44 – $9,927.00 | 9 |
| Biliary endoscopy thru skin CPT 47555 | $2,149.00 | $4,298.00 | $3,352.44 – $6,895.00 | 9 |
| Biliary endoscopy thru skin CPT 47556 | $2,149.00 | $4,298.00 | $3,352.44 – $8,545.00 | 9 |
| Bilicheck CPT 88720 | $17.50 | $35.00 | $5.02 – $31.80 | 9 |
| Bilirubin direct CPT 82248 | $72.50 | $145.00 | $5.02 – $91.22 | 9 |
| Bilirubin total CPT 82247 | $44.50 | $89.00 | $5.02 – $55.99 | 9 |
| Biofeedback, pt CPT 90901 | $149.50 | $299.00 | $20.17 – $188.10 | 9 |
| Biopsy abdominal mass CPT 49180 | $2,228.00 | $4,456.00 | $1,059.89 – $2,485.00 | 9 |
| Biopsy, bone open deep CPT 20245 | $5,879.00 | $11,758.00 | $2,626.58 – $5,515.00 | 9 |
| Biopsy bone trocar/needle superficial CPT 20220 | $1,162.00 | $2,324.00 | $966.12 – $2,485.00 | 9 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $1,772.50 | $3,545.00 | $752.86 – $2,485.00 | 9 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $2,149.00 – $4,413.00 | 9 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $1,847.42 – $4,413.00 | 9 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $3,211.00 | $6,422.00 | $1,509.00 – $3,529.00 | 9 |
| Biopsy lower leg soft tissue CPT 27613 | $2,184.00 | $4,368.00 | $1,285.16 – $3,529.00 | 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.