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Acute Care Hospital

Inova Fairfax Hospital

Falls Church, Virginia · Fairfax County · Emergency services listed

Summary

Inova Fairfax Hospital is an acute care hospital in Falls Church, Virginia. Medicare data lists emergency services. CMS overall star rating: 5 of 5 stars. Its official website lists 42 services, specialties and programs. Medicare lists 2,422 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(703) 698‑1110 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
5 of 5 stars5 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
2,422Doctors and clinicians
42Services listed

Quick answers

Does Inova Fairfax Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Inova Fairfax Hospital. In a medical emergency, call 911.
Where is Inova Fairfax Hospital?
3300 Gallows Road, Falls Church, VA 22042, in Fairfax County, Virginia.
What is the phone number of Inova Fairfax Hospital?
(703) 698-1110, as listed by Medicare (CMS).
What is the Medicare star rating of Inova Fairfax Hospital?
5 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Conditions treated[4]

Treatments[4]

  • Bypass surgery
  • Cardiac surgery
  • Joint replacement
  • Heart rhythm treatments
  • Robotic-assisted daVinci surgery
  • Heart transplant
  • Lung transplant
  • Kidney and pancreas transplant

Procedures[4]

Programs and centers[4][5]

  • Cystic fibrosis program
  • Diabetes education services
  • Organ donor care
  • Trauma center
  • Childbirth services
  • Stroke services

Emergency care (hospital website)[4][5]

Emergency roomYes
Open 24/7Yes
Trauma designationLevel I
Stroke designationJoint Commission Gold Seal for Stroke Care

Visiting and practical information

VisitingHospitalized patients: visitation 8 a.m. to 11 p.m. daily; two visitors at a time (ages 12+). Minors need an adult[6]
ParkingGarages $5 per day, waived if exit within 30 minutes; complimentary 24/7 valet for ER patients[6]

Recognition[5]

  • Joint Commission Gold Seal for Stroke Care
  • Level 1 Trauma Center verification from American College of Surgeons
  • Level 1 Trauma Center designation from the Commonwealth of Virginia

Doctors and clinicians (2,422)

2,422 doctors and other clinicians list Inova Fairfax Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (2,422)

And 2,398 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Inova Fairfax Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 4 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital5 of 5 stars
Nurses communicated well4 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home4 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1077%National average: 72%
Would definitely recommend the hospital80%National average: 71%
Nurses “always” communicated well79%National average: 80%
Doctors “always” communicated well77%National average: 80%
Staff “always” explained medicines before giving them57%National average: 62%
Were given information about recovery at home88%National average: 86%
Room and bathroom “always” clean76%National average: 74%
Area around the room “always” quiet at night56%National average: 60%
Completed surveys877Response rate: 22%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)0.574Better than the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.556Better than the national benchmark
Surgical site infections after colon surgery0.672No different from the national benchmark
Surgical site infections after abdominal hysterectomy0.969No different from the national benchmark
MRSA bloodstream infections0.499Better than the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.491Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients9.7%
Deaths within 30 days: heart failure patients10.1%
Deaths within 30 days: pneumonia patients12.6%
Deaths within 30 days: COPD patients7.9%
Deaths within 30 days: stroke patients10.9%
Deaths within 30 days: coronary bypass surgery (CABG)1.9%
Serious complications (patient safety indicator PSI-90)0.86No different from the national rate
Complications after hip or knee replacementToo few cases to report

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack12.5%
Readmitted within 30 days: heart failure20.9%
Readmitted within 30 days: pneumonia16.9%
Readmitted within 30 days: COPD17.7%
Readmitted within 30 days: coronary bypass surgery10.2%
Readmitted within 30 days: hip or knee replacementToo few cases to report

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)161 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)81%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in VirginiaBest hospitals in Virginia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 75 common services exactly as Inova Fairfax Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: HC FACT PROG CHRONIC NEW PT $685 $342.50 $305.37 – $534.30
New patient office visit (about 30–44 minutes): 10 of 18 insurance plan rates
  • aetna — fannie-mae: $408.26
  • aetna — hmo: $389.01
  • aetna — ppo: $389.01
  • carefirst — hmo: $376.75
  • carefirst — ppo: $397.30
  • cigna — exchange: $305.37
  • cigna — hmo: $442.37
  • cigna — ppo: $442.37
  • innovation — fully insured: $430.93
  • innovation — self insured: $430.93
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: HC FACT PROG ACUTE NEW PT $803 $401.50 $357.98 – $626.34
New patient office visit (about 60–74 minutes): 10 of 18 insurance plan rates
  • aetna — fannie-mae: $478.59
  • aetna — hmo: $456.02
  • aetna — ppo: $456.02
  • carefirst — hmo: $441.65
  • carefirst — ppo: $465.74
  • cigna — exchange: $357.98
  • cigna — hmo: $518.58
  • cigna — ppo: $518.58
  • innovation — fully insured: $505.17
  • innovation — self insured: $505.17
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC FACT PROG CHRONIC ESTAB PT $685 $342.50 $305.37 – $534.30
Established patient office visit (about 20–29 minutes): 10 of 18 insurance plan rates
  • aetna — fannie-mae: $408.26
  • aetna — hmo: $389.01
  • aetna — ppo: $389.01
  • carefirst — hmo: $376.75
  • carefirst — ppo: $397.30
  • cigna — exchange: $305.37
  • cigna — hmo: $442.37
  • cigna — ppo: $442.37
  • innovation — fully insured: $430.93
  • innovation — self insured: $430.93
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC LEVEL 3 E&M ED $1,839 $919.50 $276.89 – $2,678
Emergency room visit (moderate): 10 of 28 insurance plan rates
  • aetna — fannie-mae: $1,096.04
  • aetna — hmo: $1,044.37
  • aetna — medicare advantage: $276.89
  • aetna — ppo: $1,044.37
  • anthem — exchange hmo: $656.72
  • anthem — hmo: $756.99
  • anthem — medicare advantage: $276.89
  • anthem — ppo: $756.99
  • carefirst — hmo: $1,555
  • carefirst — ppo: $1,788
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC LEVEL 4 E&M ED $2,917 $1,458.50 $425.82 – $4,493
Emergency room visit (moderately high): 10 of 28 insurance plan rates
  • aetna — fannie-mae: $1,738.53
  • aetna — hmo: $1,656.56
  • aetna — medicare advantage: $425.82
  • aetna — ppo: $1,656.56
  • anthem — exchange hmo: $1,009.95
  • anthem — hmo: $1,164.15
  • anthem — medicare advantage: $425.82
  • anthem — ppo: $1,164.15
  • carefirst — hmo: $4,114
  • carefirst — ppo: $4,493
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC LEVEL 5 E&M ED $3,557 $1,778.50 $613.10 – $7,672
Emergency room visit (high): 10 of 28 insurance plan rates
  • aetna — fannie-mae: $2,119.97
  • aetna — hmo: $2,020.02
  • aetna — medicare advantage: $613.10
  • aetna — ppo: $2,020.02
  • anthem — exchange hmo: $1,454.14
  • anthem — hmo: $1,676.16
  • anthem — medicare advantage: $613.10
  • anthem — ppo: $1,676.16
  • carefirst — hmo: $6,414
  • carefirst — ppo: $7,672

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC PANEL CHEM BASIC W/TOTAL CA $301 $150.50 $8.46 – $234.78
Basic metabolic panel (blood test): 10 of 34 insurance plan rates
  • aetna — fannie-mae: $179.40
  • aetna — hmo: $170.94
  • aetna — medicaid advantage: $11.30
  • aetna — medicare advantage: $8.46
  • aetna — ppo: $170.94
  • anthem — exchange hmo: $8.46
  • anthem — hmo: $8.46
  • anthem — medicaid advantage: $10.76
  • anthem — medicare advantage: $8.46
  • anthem — ppo: $8.46
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC PANEL COMPREHENSIVE METABOLIC $389 $194.50 $10.56 – $303.42
Comprehensive metabolic panel (blood test): 10 of 34 insurance plan rates
  • aetna — fannie-mae: $231.84
  • aetna — hmo: $220.91
  • aetna — medicaid advantage: $11.30
  • aetna — medicare advantage: $10.56
  • aetna — ppo: $220.91
  • anthem — exchange hmo: $10.56
  • anthem — hmo: $10.56
  • anthem — medicaid advantage: $10.76
  • anthem — medicare advantage: $10.56
  • anthem — ppo: $10.56
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: HC OBSTETRICS PANEL $1,016 $508 $10.76 – $792.48
Obstetric blood test panel: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $605.54
  • aetna — hmo: $576.99
  • aetna — medicaid advantage: $11.30
  • aetna — medicare advantage: $47.81
  • aetna — ppo: $576.99
  • anthem — exchange hmo: $47.81
  • anthem — hmo: $47.81
  • anthem — medicaid advantage: $10.76
  • anthem — medicare advantage: $47.81
  • anthem — ppo: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC PANEL LIPID $290 $145 $10.76 – $226.20
Cholesterol panel (lipid panel): 10 of 34 insurance plan rates
  • aetna — fannie-mae: $172.84
  • aetna — hmo: $164.69
  • aetna — medicaid advantage: $11.30
  • aetna — medicare advantage: $13.39
  • aetna — ppo: $164.69
  • anthem — exchange hmo: $13.39
  • anthem — hmo: $13.39
  • anthem — medicaid advantage: $10.76
  • anthem — medicare advantage: $13.39
  • anthem — ppo: $13.39
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC PANEL RENAL FUNCTION $377 $188.50 $8.68 – $294.06
Kidney function panel: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $224.69
  • aetna — hmo: $214.10
  • aetna — medicaid advantage: $11.30
  • aetna — medicare advantage: $8.68
  • aetna — ppo: $214.10
  • anthem — exchange hmo: $8.68
  • anthem — hmo: $8.68
  • anthem — medicaid advantage: $10.76
  • anthem — medicare advantage: $8.68
  • anthem — ppo: $8.68
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC PANEL HEPATIC FUNCTION $456 $228 $8.17 – $355.68
Liver function panel: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $271.78
  • aetna — hmo: $258.96
  • aetna — medicaid advantage: $11.30
  • aetna — medicare advantage: $8.17
  • aetna — ppo: $258.96
  • anthem — exchange hmo: $8.17
  • anthem — hmo: $8.17
  • anthem — medicaid advantage: $10.76
  • anthem — medicare advantage: $8.17
  • anthem — ppo: $8.17
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC URINALYSIS AUTO W/MICRO $89 $44.50 $3.17 – $69.42
Urine test (automated, with microscope): 10 of 34 insurance plan rates
  • aetna — fannie-mae: $53.04
  • aetna — hmo: $50.54
  • aetna — medicaid advantage: $3.68
  • aetna — medicare advantage: $3.17
  • aetna — ppo: $50.54
  • anthem — exchange hmo: $3.17
  • anthem — hmo: $3.17
  • anthem — medicaid advantage: $3.50
  • anthem — medicare advantage: $3.17
  • anthem — ppo: $3.17
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC URINALYSIS W/O MICRO NONAUTO $50 $25 $3.48 – $39
Urine test (manual, without microscope): 10 of 34 insurance plan rates
  • aetna — fannie-mae: $29.80
  • aetna — hmo: $28.40
  • aetna — medicaid advantage: $3.68
  • aetna — medicare advantage: $3.48
  • aetna — ppo: $28.40
  • anthem — exchange hmo: $3.48
  • anthem — hmo: $3.48
  • anthem — medicaid advantage: $3.50
  • anthem — medicare advantage: $3.48
  • anthem — ppo: $3.48
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC URINALYSIS AUTO W/O MICRO $66 $33 $2.25 – $51.48
Urine test (automated, without microscope): 10 of 34 insurance plan rates
  • aetna — fannie-mae: $39.34
  • aetna — hmo: $37.48
  • aetna — medicaid advantage: $3.68
  • aetna — medicare advantage: $2.25
  • aetna — ppo: $37.48
  • anthem — exchange hmo: $2.25
  • anthem — hmo: $2.25
  • anthem — medicaid advantage: $3.50
  • anthem — medicare advantage: $2.25
  • anthem — ppo: $2.25
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL $282 $141 $14.35 – $219.96
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $168.07
  • aetna — hmo: $160.15
  • aetna — medicaid advantage: $15.07
  • aetna — medicare advantage: $18.39
  • aetna — ppo: $160.15
  • anthem — exchange hmo: $18.39
  • anthem — hmo: $18.39
  • anthem — medicaid advantage: $14.35
  • anthem — medicare advantage: $18.39
  • anthem — ppo: $18.39
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC THYROID STIMULATING HORMONE (TSH) $323 $161.50 $15.74 – $251.94
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $192.51
  • aetna — hmo: $183.43
  • aetna — medicaid advantage: $16.53
  • aetna — medicare advantage: $16.80
  • aetna — ppo: $183.43
  • anthem — exchange hmo: $16.80
  • anthem — hmo: $16.80
  • anthem — medicaid advantage: $15.74
  • anthem — medicare advantage: $16.80
  • anthem — ppo: $16.80
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC BLOOD COUNT COMP AUTO DIFF WBC $201 $100.50 $7.09 – $156.78
Complete blood count (CBC) with differential: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $119.80
  • aetna — hmo: $114.15
  • aetna — medicaid advantage: $7.44
  • aetna — medicare advantage: $7.77
  • aetna — ppo: $114.15
  • anthem — exchange hmo: $7.77
  • anthem — hmo: $7.77
  • anthem — medicaid advantage: $7.09
  • anthem — medicare advantage: $7.77
  • anthem — ppo: $7.77
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC BLOOD COUNT COMP AUTO $165 $82.50 $6.47 – $128.70
Complete blood count (CBC), automated: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $98.34
  • aetna — hmo: $93.70
  • aetna — medicaid advantage: $7.44
  • aetna — medicare advantage: $6.47
  • aetna — ppo: $93.70
  • anthem — exchange hmo: $6.47
  • anthem — hmo: $6.47
  • anthem — medicaid advantage: $7.09
  • anthem — medicare advantage: $6.47
  • anthem — ppo: $6.47
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC PROTHROMBIN TIME $90 $45 $4.29 – $70.20
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates
  • aetna — fannie-mae: $53.64
  • aetna — hmo: $51.11
  • aetna — medicaid advantage: $5.51
  • aetna — medicare advantage: $4.29
  • aetna — ppo: $51.11
  • anthem — exchange hmo: $4.29
  • anthem — hmo: $4.29
  • anthem — medicaid advantage: $5.25
  • anthem — medicare advantage: $4.29
  • anthem — ppo: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC THROMBOPLASTIN TIME PRTL (PTT) PLSMA/WHL $158 $79 $5.25 – $123.24
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates
  • aetna — fannie-mae: $94.17
  • aetna — hmo: $89.73
  • aetna — medicaid advantage: $5.51
  • aetna — medicare advantage: $6.01
  • aetna — ppo: $89.73
  • anthem — exchange hmo: $6.01
  • anthem — hmo: $6.01
  • anthem — medicaid advantage: $5.25
  • anthem — medicare advantage: $6.01
  • anthem — ppo: $6.01

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT HEAD-BRAIN WO IV CONT $1,255 $627.50 $106.34 – $1,739
CT scan of the head or brain, without contrast: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $1,486.66
  • aetna — hmo: $1,739
  • aetna — medicaid advantage: $484.75
  • aetna — medicare advantage: $106.34
  • aetna — ppo: $1,739
  • anthem — exchange hmo: $252.22
  • anthem — hmo: $290.73
  • anthem — medicaid advantage: $461.67
  • anthem — medicare advantage: $106.34
  • anthem — ppo: $290.73
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MRI BRAIN WWO IV CONT $2,958 $1,479 $357.13 – $4,376.99
MRI of the brain, before and after contrast: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $2,247.51
  • aetna — hmo: $2,629
  • aetna — medicaid advantage: $609.29
  • aetna — medicare advantage: $357.13
  • aetna — ppo: $2,629
  • anthem — exchange hmo: $847.04
  • anthem — hmo: $976.36
  • anthem — medicaid advantage: $580.28
  • anthem — medicare advantage: $357.13
  • anthem — ppo: $976.36
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC XR CHEST 2 VIEWS $494 $247 $80.04 – $385.32
Chest X-ray, 2 views: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $294.42
  • aetna — hmo: $280.54
  • aetna — medicaid advantage: $84.04
  • aetna — medicare advantage: $88.05
  • aetna — ppo: $280.54
  • anthem — exchange hmo: $208.83
  • anthem — hmo: $240.71
  • anthem — medicaid advantage: $80.04
  • anthem — medicare advantage: $88.05
  • anthem — ppo: $240.71
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC XR L/S-SPINE 4+ VIEWS $1,151 $575.50 $80.04 – $897.78
X-ray of the lower spine, at least 4 views: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $686
  • aetna — hmo: $653.65
  • aetna — medicaid advantage: $84.04
  • aetna — medicare advantage: $106.34
  • aetna — ppo: $653.65
  • anthem — exchange hmo: $252.22
  • anthem — hmo: $290.73
  • anthem — medicaid advantage: $80.04
  • anthem — medicare advantage: $106.34
  • anthem — ppo: $290.73
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MRI LUMB SPINE WO IV CONT $1,670 $835 $241.72 – $2,629
MRI of the lower back (lumbar spine), without contrast: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $2,247.51
  • aetna — hmo: $2,629
  • aetna — medicaid advantage: $362.32
  • aetna — medicare advantage: $241.72
  • aetna — ppo: $2,629
  • anthem — exchange hmo: $573.31
  • anthem — hmo: $660.84
  • anthem — medicaid advantage: $345.07
  • anthem — medicare advantage: $241.72
  • anthem — ppo: $660.84
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT PELVIS W IV CONT $1,592 $796 $178.02 – $2,698.15
CT scan of the pelvis, with contrast: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $1,486.66
  • aetna — hmo: $1,739
  • aetna — medicaid advantage: $484.75
  • aetna — medicare advantage: $178.02
  • aetna — ppo: $1,739
  • anthem — exchange hmo: $422.22
  • anthem — hmo: $486.68
  • anthem — medicaid advantage: $461.67
  • anthem — medicare advantage: $178.02
  • anthem — ppo: $486.68
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MRI LOEX JT WO IV CONT $1,670 $835 $241.72 – $2,629
MRI of a leg joint (such as the knee), without contrast: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $2,247.51
  • aetna — hmo: $2,629
  • aetna — medicaid advantage: $362.32
  • aetna — medicare advantage: $241.72
  • aetna — ppo: $2,629
  • anthem — exchange hmo: $573.31
  • anthem — hmo: $660.84
  • anthem — medicaid advantage: $345.07
  • anthem — medicare advantage: $241.72
  • anthem — ppo: $660.84
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT ABD-PEL W IV CONT $2,129 $1,064.50 $357.13 – $3,787.26
CT scan of the abdomen and pelvis, with contrast: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $1,486.66
  • aetna — hmo: $1,739
  • aetna — medicaid advantage: $484.75
  • aetna — medicare advantage: $357.13
  • aetna — ppo: $1,739
  • anthem — exchange hmo: $847.04
  • anthem — hmo: $976.36
  • anthem — medicaid advantage: $461.67
  • anthem — medicare advantage: $357.13
  • anthem — ppo: $976.36
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US ABD W/IMAGE DOC COMP $1,734 $867 $106.34 – $1,352.52
Ultrasound of the abdomen, complete: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $1,033.46
  • aetna — hmo: $984.74
  • aetna — medicaid advantage: $249.64
  • aetna — medicare advantage: $106.34
  • aetna — ppo: $984.74
  • anthem — exchange hmo: $252.22
  • anthem — hmo: $290.73
  • anthem — medicaid advantage: $237.75
  • anthem — medicare advantage: $106.34
  • anthem — ppo: $290.73
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC US OB>=14WKS SGL OR 1ST GEST $1,416 $708 $106.34 – $1,104.48
Pregnancy ultrasound (after the first trimester): 10 of 34 insurance plan rates
  • aetna — fannie-mae: $843.94
  • aetna — hmo: $804.15
  • aetna — medicaid advantage: $151.08
  • aetna — medicare advantage: $106.34
  • aetna — ppo: $804.15
  • anthem — exchange hmo: $252.22
  • anthem — hmo: $290.73
  • anthem — medicaid advantage: $143.89
  • anthem — medicare advantage: $106.34
  • anthem — ppo: $290.73
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US TRANSVAGINAL $1,151 $575.50 $106.34 – $897.78
Transvaginal ultrasound: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $686
  • aetna — hmo: $653.65
  • aetna — medicaid advantage: $164.77
  • aetna — medicare advantage: $106.34
  • aetna — ppo: $653.65
  • anthem — exchange hmo: $252.22
  • anthem — hmo: $290.73
  • anthem — medicaid advantage: $156.92
  • anthem — medicare advantage: $106.34
  • anthem — ppo: $290.73
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC DIGITAL MAMMO DX W/CAD UNI $541 $270.50 $67.44 – $421.98
Diagnostic mammogram, one breast: 10 of 27 insurance plan rates
  • aetna — fannie-mae: $322.44
  • aetna — hmo: $307.23
  • aetna — medicaid advantage: $70.81
  • aetna — ppo: $307.23
  • anthem — exchange hmo: $141.78
  • anthem — hmo: $141.78
  • anthem — medicaid advantage: $67.44
  • anthem — ppo: $141.78
  • carefirst — hmo: $300.83
  • carefirst — ppo: $326.39
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC DIGITAL MAMMO DX W/CAD BI $729 $364.50 $67.44 – $568.62
Diagnostic mammogram, both breasts: 10 of 27 insurance plan rates
  • aetna — fannie-mae: $434.48
  • aetna — hmo: $414
  • aetna — medicaid advantage: $70.81
  • aetna — ppo: $414
  • anthem — exchange hmo: $178.73
  • anthem — hmo: $178.73
  • anthem — medicaid advantage: $67.44
  • anthem — ppo: $178.73
  • carefirst — hmo: $381.92
  • carefirst — ppo: $414.37
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC DIGITAL MAMMO SCREEN W/CAD BI $691 $345.50 $67.44 – $538.98
Screening mammogram, both breasts: 10 of 27 insurance plan rates
  • aetna — fannie-mae: $411.84
  • aetna — hmo: $392.42
  • aetna — medicaid advantage: $70.81
  • aetna — ppo: $392.42
  • anthem — exchange hmo: $145.09
  • anthem — hmo: $145.09
  • anthem — medicaid advantage: $67.44
  • anthem — ppo: $145.09
  • carefirst — hmo: $288.53
  • carefirst — ppo: $313.04

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: HC CATH LT HEART W/INJ/S&I $11,173 $5,586.50 $3,216.41 – $11,406.22
Left heart catheterization (diagnostic): 10 of 34 insurance plan rates
  • aetna — fannie-mae: $8,708.87
  • aetna — hmo: $10,186
  • aetna — medicaid advantage: $3,741.11
  • aetna — medicare advantage: $3,216.41
  • aetna — ppo: $10,186
  • anthem — exchange hmo: $7,628.66
  • anthem — hmo: $8,793.39
  • anthem — medicaid advantage: $3,562.96
  • anthem — medicare advantage: $3,216.41
  • anthem — ppo: $8,793.39
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: HC EP EVAL RT A&V WO INDC $8,764 $4,382 $2,798.82 – $20,745.19
Heart rhythm study (electrophysiology evaluation): 10 of 34 insurance plan rates
  • aetna — fannie-mae: $15,930.18
  • aetna — hmo: $18,632
  • aetna — medicaid advantage: $10,304.96
  • aetna — medicare advantage: $7,588.10
  • aetna — ppo: $18,632
  • anthem — exchange hmo: $17,997.38
  • anthem — hmo: $20,745.19
  • anthem — medicaid advantage: $9,814.25
  • anthem — medicare advantage: $7,588.10
  • anthem — ppo: $20,745.19
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: HC TX ATRIAL FIB PULM VEIN ISOL $49,484 $24,742 $11,793 – $67,069.09
Heart rhythm study with ablation for atrial fibrillation: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $24,559.09
  • aetna — hmo: $28,724
  • aetna — medicaid advantage: $25,710.23
  • aetna — medicare advantage: $24,532.30
  • aetna — ppo: $28,724
  • anthem — exchange hmo: $58,185.42
  • anthem — hmo: $67,069.09
  • anthem — medicaid advantage: $24,485.93
  • anthem — medicare advantage: $24,532.30
  • anthem — ppo: $67,069.09
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC POLYSOM 6YRS+ 4+PRM $6,330 $3,165 $1,017.39 – $4,937.40
Sleep study (overnight, in a sleep lab): 10 of 34 insurance plan rates
  • aetna — fannie-mae: $3,772.68
  • aetna — hmo: $3,594.81
  • aetna — medicaid advantage: $1,159.36
  • aetna — medicare advantage: $1,017.39
  • aetna — ppo: $3,594.81
  • anthem — exchange hmo: $2,413.04
  • anthem — hmo: $2,781.46
  • anthem — medicaid advantage: $1,104.15
  • anthem — medicare advantage: $1,017.39
  • anthem — ppo: $2,781.46
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC POLYSOM 6YRS+ 4+PRM REDUCED SVC $6,204 $3,102 $1,017.39 – $4,839.12
Sleep study (overnight, in a sleep lab): 10 of 34 insurance plan rates
  • aetna — fannie-mae: $3,697.58
  • aetna — hmo: $3,523.25
  • aetna — medicaid advantage: $1,159.36
  • aetna — medicare advantage: $1,017.39
  • aetna — ppo: $3,523.25
  • anthem — exchange hmo: $2,413.04
  • anthem — hmo: $2,781.46
  • anthem — medicaid advantage: $1,104.15
  • anthem — medicare advantage: $1,017.39
  • anthem — ppo: $2,781.46

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC OT THERAP EX EA 15MIN $248 $124 $32.34 – $570.62
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates
  • aetna — fannie-mae: $147.81
  • aetna — hmo: $140.84
  • aetna — medicaid advantage: $53.46
  • aetna — ppo: $140.84
  • anthem — exchange hmo: $32.34
  • anthem — hmo: $32.34
  • anthem — medicaid advantage: $50.91
  • anthem — ppo: $32.34
  • carefirst — hmo: $67.20
  • carefirst — ppo: $68.64
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC PT THERAP EX EA 15MIN $248 $124 $32.34 – $570.62
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 27 insurance plan rates
  • aetna — fannie-mae: $147.81
  • aetna — hmo: $140.84
  • aetna — medicaid advantage: $53.46
  • aetna — ppo: $140.84
  • anthem — exchange hmo: $32.34
  • anthem — hmo: $32.34
  • anthem — medicaid advantage: $50.91
  • anthem — ppo: $32.34
  • carefirst — hmo: $67.20
  • carefirst — ppo: $68.64
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC PT EVAL LOW COMPLEXITY $424 $212 $110.07 – $570.62
Physical therapy evaluation (low complexity): 10 of 27 insurance plan rates
  • aetna — fannie-mae: $252.70
  • aetna — hmo: $240.79
  • aetna — medicaid advantage: $352.22
  • aetna — ppo: $240.79
  • anthem — exchange hmo: $110.07
  • anthem — hmo: $110.07
  • anthem — medicaid advantage: $335.45
  • anthem — ppo: $110.07
  • carefirst — hmo: $168
  • carefirst — ppo: $171.60
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC PT EVAL MOD COMPLEXITY $425 $212.50 $110.07 – $570.62
Physical therapy evaluation (moderate complexity): 10 of 27 insurance plan rates
  • aetna — fannie-mae: $253.30
  • aetna — hmo: $241.36
  • aetna — medicaid advantage: $352.22
  • aetna — ppo: $241.36
  • anthem — exchange hmo: $110.07
  • anthem — hmo: $110.07
  • anthem — medicaid advantage: $335.45
  • anthem — ppo: $110.07
  • carefirst — hmo: $168
  • carefirst — ppo: $171.60
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC PT EVAL HIGH COMPLEXITY $492 $246 $110.07 – $570.62
Physical therapy evaluation (high complexity): 10 of 27 insurance plan rates
  • aetna — fannie-mae: $293.23
  • aetna — hmo: $279.41
  • aetna — medicaid advantage: $352.22
  • aetna — ppo: $279.41
  • anthem — exchange hmo: $110.07
  • anthem — hmo: $110.07
  • anthem — medicaid advantage: $335.45
  • anthem — ppo: $110.07
  • carefirst — hmo: $168
  • carefirst — ppo: $171.60
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: HC PSYTX PT 16-37 MINUTES $566 $283 $105.68 – $606.71
Psychotherapy, 30 minutes: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $185.05
  • aetna — hmo: $216
  • aetna — medicaid advantage: $196.18
  • aetna — medicare advantage: $160.67
  • aetna — ppo: $216
  • anthem — exchange hmo: $381.08
  • anthem — hmo: $439.27
  • anthem — medicaid advantage: $186.84
  • anthem — medicare advantage: $160.67
  • anthem — ppo: $439.27
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: HC PSYTX PT 38-52 MINUTES $751 $375.50 $160.67 – $606.71
Psychotherapy, 45 minutes: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $283.86
  • aetna — hmo: $332
  • aetna — medicaid advantage: $220.79
  • aetna — medicare advantage: $160.67
  • aetna — ppo: $332
  • anthem — exchange hmo: $381.08
  • anthem — hmo: $439.27
  • anthem — medicaid advantage: $210.28
  • anthem — medicare advantage: $160.67
  • anthem — ppo: $439.27
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: HC PSYTX PT 53+ MINUTES $792 $396 $160.67 – $617.76
Psychotherapy, 60 minutes: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $472.03
  • aetna — hmo: $449.78
  • aetna — medicaid advantage: $220.79
  • aetna — medicare advantage: $160.67
  • aetna — ppo: $449.78
  • anthem — exchange hmo: $381.08
  • anthem — hmo: $439.27
  • anthem — medicaid advantage: $210.28
  • anthem — medicare advantage: $160.67
  • anthem — ppo: $439.27
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: HC PSYTX FAMILY W/O PT PRESENT 50 MINS $924 $462 $160.67 – $720.72
Family psychotherapy, without the patient: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $550.70
  • aetna — hmo: $524.74
  • aetna — medicaid advantage: $234.20
  • aetna — medicare advantage: $160.67
  • aetna — ppo: $524.74
  • anthem — exchange hmo: $381.08
  • anthem — hmo: $439.27
  • anthem — medicaid advantage: $223.05
  • anthem — medicare advantage: $160.67
  • anthem — ppo: $439.27
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: HC FAMILY PSYCHOTHERAPY W PT 50 MINS $701 $350.50 $160.67 – $546.78
Family psychotherapy, with the patient: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $417.80
  • aetna — hmo: $398.10
  • aetna — medicaid advantage: $234.20
  • aetna — medicare advantage: $160.67
  • aetna — ppo: $398.10
  • anthem — exchange hmo: $381.08
  • anthem — hmo: $439.27
  • anthem — medicaid advantage: $223.05
  • anthem — medicare advantage: $160.67
  • anthem — ppo: $439.27
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: HC GROUP PSYCHOTHERAPY NON FAMILY $284 $142 $92.50 – $398.92
Group psychotherapy: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $169.26
  • aetna — hmo: $161.28
  • aetna — medicaid advantage: $380.78
  • aetna — medicare advantage: $92.50
  • aetna — ppo: $161.28
  • anthem — exchange hmo: $219.40
  • anthem — hmo: $252.90
  • anthem — medicaid advantage: $362.65
  • anthem — medicare advantage: $92.50
  • anthem — ppo: $252.90

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient In the file: Removal of breast lesion Not listed in the file Not listed in the file $1,909.84 – $10,468.91
Removal of breast growth (open surgery): 10 of 32 insurance plan rates
  • aetna — fannie-mae: $5,091.48
  • aetna — hmo: $5,955
  • aetna — medicaid advantage: $2,005.33
  • aetna — medicare advantage: $3,829.28
  • aetna — ppo: $5,955
  • anthem — exchange hmo: $9,082.25
  • anthem — hmo: $10,468.91
  • anthem — medicaid advantage: $1,909.84
  • anthem — medicare advantage: $3,829.28
  • anthem — ppo: $10,468.91
Removal of breast growth (open surgery) CPT 19120 · Inpatient or outpatient · modifier 50 In the file: Removal of breast lesion Not listed in the file Not listed in the file $2,864.76 – $15,703.37
Removal of breast growth (open surgery): 10 of 32 insurance plan rates
  • aetna — fannie-mae: $7,637.22
  • aetna — hmo: $8,932.50
  • aetna — medicaid advantage: $3,008
  • aetna — medicare advantage: $5,743.92
  • aetna — ppo: $8,932.50
  • anthem — exchange hmo: $13,623.38
  • anthem — hmo: $15,703.37
  • anthem — medicaid advantage: $2,864.76
  • anthem — medicare advantage: $5,743.92
  • anthem — ppo: $15,703.37
Total hip replacement CPT 27130 · Inpatient or outpatient In the file: Total hip arthroplasty Not listed in the file Not listed in the file $12,866.82 – $35,176.72
Total hip replacement: 10 of 29 insurance plan rates
  • aetna — fannie-mae: $22,302.60
  • aetna — hmo: $26,085
  • aetna — medicaid advantage: $14,254.28
  • aetna — medicare advantage: $12,866.82
  • aetna — ppo: $26,085
  • anthem — exchange hmo: $30,517.37
  • anthem — hmo: $35,176.72
  • anthem — medicaid advantage: $13,575.50
  • anthem — medicare advantage: $12,866.82
  • anthem — ppo: $35,176.72
Total hip replacement CPT 27130 · Inpatient or outpatient · modifier 50 In the file: Total hip arthroplasty Not listed in the file Not listed in the file $19,300.23 – $52,765.08
Total hip replacement: 10 of 29 insurance plan rates
  • aetna — fannie-mae: $33,453.90
  • aetna — hmo: $39,127.50
  • aetna — medicaid advantage: $21,381.42
  • aetna — medicare advantage: $19,300.23
  • aetna — ppo: $39,127.50
  • anthem — exchange hmo: $45,776.06
  • anthem — hmo: $52,765.08
  • anthem — medicaid advantage: $20,363.25
  • anthem — medicare advantage: $19,300.23
  • anthem — ppo: $52,765.08
Total knee replacement CPT 27447 · Inpatient or outpatient In the file: Total knee arthroplasty Not listed in the file Not listed in the file $11,913 – $35,176.72
Total knee replacement: 10 of 29 insurance plan rates
  • aetna — fannie-mae: $22,302.60
  • aetna — hmo: $26,085
  • aetna — medicaid advantage: $14,254.28
  • aetna — medicare advantage: $12,866.82
  • aetna — ppo: $26,085
  • anthem — exchange hmo: $30,517.37
  • anthem — hmo: $35,176.72
  • anthem — medicaid advantage: $13,575.50
  • anthem — medicare advantage: $12,866.82
  • anthem — ppo: $35,176.72
Total knee replacement CPT 27447 · Inpatient or outpatient · modifier 50 In the file: Total knee arthroplasty Not listed in the file Not listed in the file $17,869.50 – $52,765.08
Total knee replacement: 10 of 29 insurance plan rates
  • aetna — fannie-mae: $33,453.90
  • aetna — hmo: $39,127.50
  • aetna — medicaid advantage: $21,381.42
  • aetna — medicare advantage: $19,300.23
  • aetna — ppo: $39,127.50
  • anthem — exchange hmo: $45,776.06
  • anthem — hmo: $52,765.08
  • anthem — medicaid advantage: $20,363.25
  • anthem — medicare advantage: $19,300.23
  • anthem — ppo: $52,765.08
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient In the file: Knee arthroscopy/surgery Not listed in the file Not listed in the file $3,125.34 – $8,870.47
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 32 insurance plan rates
  • aetna — fannie-mae: $5,360.06
  • aetna — hmo: $6,269
  • aetna — medicaid advantage: $3,281.61
  • aetna — medicare advantage: $3,244.61
  • aetna — ppo: $6,269
  • anthem — exchange hmo: $7,695.53
  • anthem — hmo: $8,870.47
  • anthem — medicaid advantage: $3,125.34
  • anthem — medicare advantage: $3,244.61
  • anthem — ppo: $8,870.47
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Inpatient or outpatient · modifier 50 In the file: Knee arthroscopy/surgery Not listed in the file Not listed in the file $4,688.01 – $13,305.71
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 32 insurance plan rates
  • aetna — fannie-mae: $8,040.09
  • aetna — hmo: $9,403.50
  • aetna — medicaid advantage: $4,922.42
  • aetna — medicare advantage: $4,866.92
  • aetna — ppo: $9,403.50
  • anthem — exchange hmo: $11,543.30
  • anthem — hmo: $13,305.71
  • anthem — medicaid advantage: $4,688.01
  • anthem — medicare advantage: $4,866.92
  • anthem — ppo: $13,305.71
Removal of tonsils and adenoids (under age 12) CPT 42820 · Inpatient or outpatient In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $3,107.67 – $16,172.88
Removal of tonsils and adenoids (under age 12): 10 of 32 insurance plan rates
  • aetna — fannie-mae: $5,091.48
  • aetna — hmo: $5,955
  • aetna — medicaid advantage: $3,263.05
  • aetna — medicare advantage: $5,915.66
  • aetna — ppo: $5,955
  • anthem — exchange hmo: $14,030.69
  • anthem — hmo: $16,172.88
  • anthem — medicaid advantage: $3,107.67
  • anthem — medicare advantage: $5,915.66
  • anthem — ppo: $16,172.88
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: HC UPPER GI ENDOSCOPY DX W/W/O COLLECTION SPECIMEN $2,968 $1,484 $937.56 – $2,857.22
Upper GI endoscopy (diagnostic): 10 of 34 insurance plan rates
  • aetna — fannie-mae: $2,190.02
  • aetna — hmo: $2,561
  • aetna — medicaid advantage: $1,518.65
  • aetna — medicare advantage: $937.56
  • aetna — ppo: $2,561
  • anthem — exchange hmo: $2,223.69
  • anthem — hmo: $2,563.20
  • anthem — medicaid advantage: $1,446.33
  • anthem — medicare advantage: $937.56
  • anthem — ppo: $2,563.20
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE $2,968 $1,484 $937.56 – $3,645
Upper GI endoscopy with biopsy: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $3,116.15
  • aetna — hmo: $3,645
  • aetna — medicaid advantage: $1,518.65
  • aetna — medicare advantage: $937.56
  • aetna — ppo: $3,645
  • anthem — exchange hmo: $2,223.69
  • anthem — hmo: $2,563.20
  • anthem — medicaid advantage: $1,446.33
  • anthem — medicare advantage: $937.56
  • anthem — ppo: $2,563.20
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient In the file: HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD $2,887 $1,443.50 $911.71 – $3,645
Colonoscopy (diagnostic): 10 of 34 insurance plan rates
  • aetna — fannie-mae: $3,116.15
  • aetna — hmo: $3,645
  • aetna — medicaid advantage: $1,509.10
  • aetna — medicare advantage: $911.71
  • aetna — ppo: $3,645
  • anthem — exchange hmo: $2,162.38
  • anthem — hmo: $2,492.53
  • anthem — medicaid advantage: $1,437.24
  • anthem — medicare advantage: $911.71
  • anthem — ppo: $2,492.53
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $1,179.08 – $3,645
Colonoscopy with biopsy: 10 of 32 insurance plan rates
  • aetna — fannie-mae: $3,116.15
  • aetna — hmo: $3,645
  • aetna — medicaid advantage: $1,509.10
  • aetna — medicare advantage: $1,179.08
  • aetna — ppo: $3,645
  • anthem — exchange hmo: $2,796.53
  • anthem — hmo: $3,223.50
  • anthem — medicaid advantage: $1,437.24
  • anthem — medicare advantage: $1,179.08
  • anthem — ppo: $3,223.50
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $1,179.08 – $3,645
Colonoscopy with removal of polyps (snare): 10 of 33 insurance plan rates
  • aetna — fannie-mae: $3,116.15
  • aetna — hmo: $3,645
  • aetna — medicaid advantage: $1,509.10
  • aetna — medicare advantage: $1,179.08
  • aetna — ppo: $3,645
  • anthem — exchange hmo: $2,796.53
  • anthem — hmo: $3,223.50
  • anthem — medicaid advantage: $1,437.24
  • anthem — medicare advantage: $1,179.08
  • anthem — ppo: $3,223.50
Ultrasound of the lower bowel by endoscope CPT 45391 · Inpatient or outpatient In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $1,179.08 – $3,645
Ultrasound of the lower bowel by endoscope: 10 of 32 insurance plan rates
  • aetna — fannie-mae: $3,116.15
  • aetna — hmo: $3,645
  • aetna — medicaid advantage: $1,509.10
  • aetna — medicare advantage: $1,179.08
  • aetna — ppo: $3,645
  • anthem — exchange hmo: $2,796.53
  • anthem — hmo: $3,223.50
  • anthem — medicaid advantage: $1,437.24
  • anthem — medicare advantage: $1,179.08
  • anthem — ppo: $3,223.50
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $911.71 – $3,645
Screening colonoscopy (not high risk): 10 of 32 insurance plan rates
  • aetna — fannie-mae: $3,116.15
  • aetna — hmo: $3,645
  • aetna — medicaid advantage: $1,509.10
  • aetna — medicare advantage: $911.71
  • aetna — ppo: $3,645
  • anthem — exchange hmo: $2,162.38
  • anthem — hmo: $2,492.53
  • anthem — medicaid advantage: $1,437.24
  • anthem — medicare advantage: $911.71
  • anthem — ppo: $2,492.53
Gallbladder removal by laparoscope CPT 47562 · Inpatient or outpatient In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $3,469 – $15,950.62
Gallbladder removal by laparoscope: 10 of 33 insurance plan rates
  • aetna — fannie-mae: $5,040.27
  • aetna — hmo: $5,895
  • aetna — medicaid advantage: $5,496.26
  • aetna — medicare advantage: $5,834.36
  • aetna — ppo: $5,895
  • anthem — exchange hmo: $13,837.88
  • anthem — hmo: $15,950.62
  • anthem — medicaid advantage: $5,234.53
  • anthem — medicare advantage: $5,834.36
  • anthem — ppo: $15,950.62
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $3,529.06 – $9,648.13
Groin (inguinal) hernia repair, age 5 or older: 10 of 32 insurance plan rates
  • aetna — fannie-mae: $5,360.06
  • aetna — hmo: $6,269
  • aetna — medicaid advantage: $5,534.28
  • aetna — medicare advantage: $3,529.06
  • aetna — ppo: $6,269
  • anthem — exchange hmo: $8,370.18
  • anthem — hmo: $9,648.13
  • anthem — medicaid advantage: $5,270.74
  • anthem — medicare advantage: $3,529.06
  • anthem — ppo: $9,648.13
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Inpatient or outpatient · modifier 50 In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $5,293.59 – $14,472.20
Groin (inguinal) hernia repair, age 5 or older: 10 of 32 insurance plan rates
  • aetna — fannie-mae: $8,040.09
  • aetna — hmo: $9,403.50
  • aetna — medicaid advantage: $8,301.42
  • aetna — medicare advantage: $5,293.59
  • aetna — ppo: $9,403.50
  • anthem — exchange hmo: $12,555.27
  • anthem — hmo: $14,472.20
  • anthem — medicaid advantage: $7,906.11
  • anthem — medicare advantage: $5,293.59
  • anthem — ppo: $14,472.20
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: Biopsy of prostate Not listed in the file Not listed in the file $2,048.51 – $5,600.43
Prostate biopsy: 10 of 28 insurance plan rates
  • aetna — medicaid advantage: $2,593.51
  • aetna — medicare advantage: $2,048.51
  • anthem — exchange hmo: $4,858.62
  • anthem — hmo: $5,600.43
  • anthem — medicaid advantage: $2,470.01
  • anthem — medicare advantage: $2,048.51
  • anthem — ppo: $5,600.43
  • carefirst — hmo: $3,529
  • carefirst — ppo: $3,563
  • cigna — exchange: $2,763
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Inpatient or outpatient In the file: Laps surg prst8ect rpbic rad Not listed in the file Not listed in the file $943 – $28,463.34
Prostate removal by laparoscope (radical prostatectomy): 10 of 26 insurance plan rates
  • aetna — medicaid advantage: $6,837.10
  • aetna — medicare advantage: $10,411.22
  • anthem — exchange hmo: $24,693.21
  • anthem — hmo: $28,463.34
  • anthem — medicaid advantage: $6,511.52
  • anthem — medicare advantage: $10,411.22
  • anthem — ppo: $28,463.34
  • carefirst — hmo: $943
  • carefirst — ppo: $953
  • cigna — medicare advantage: $10,827.67
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Inpatient or outpatient In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $3,179.53 – $8,692.54
Hysteroscopy with biopsy of the uterus lining: 10 of 32 insurance plan rates
  • aetna — fannie-mae: $5,091.48
  • aetna — hmo: $5,955
  • aetna — medicaid advantage: $3,584.14
  • aetna — medicare advantage: $3,179.53
  • aetna — ppo: $5,955
  • anthem — exchange hmo: $7,541.16
  • anthem — hmo: $8,692.54
  • anthem — medicaid advantage: $3,413.47
  • anthem — medicare advantage: $3,179.53
  • anthem — ppo: $8,692.54
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HC INJ EPIDURAL SGL LUMB-SACRAL W/IMG $3,420 $1,710 $692.52 – $2,678
Spinal injection, lower back (epidural), with imaging guidance: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $2,190.02
  • aetna — hmo: $2,561
  • aetna — medicaid advantage: $1,153.29
  • aetna — medicare advantage: $692.52
  • aetna — ppo: $2,561
  • anthem — exchange hmo: $1,642.52
  • anthem — hmo: $1,893.29
  • anthem — medicaid advantage: $1,098.37
  • anthem — medicare advantage: $692.52
  • anthem — ppo: $1,893.29
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HC INJ W/CT/FLRO TFL L/S SGL LVL $3,017 $1,508.50 $890.29 – $2,678
Nerve root injection, lower back, with imaging guidance: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $2,190.02
  • aetna — hmo: $2,561
  • aetna — medicaid advantage: $1,153.29
  • aetna — medicare advantage: $890.29
  • aetna — ppo: $2,561
  • anthem — exchange hmo: $2,111.58
  • anthem — hmo: $2,433.97
  • anthem — medicaid advantage: $1,098.37
  • anthem — medicare advantage: $890.29
  • anthem — ppo: $2,433.97
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier 50 In the file: HC INJ W/CT/FLRO TFL L/S SGL LVL $6,034 $3,017 $1,335.44 – $4,017
Nerve root injection, lower back, with imaging guidance: 10 of 34 insurance plan rates
  • aetna — fannie-mae: $3,285.03
  • aetna — hmo: $3,841.50
  • aetna — medicaid advantage: $1,729.94
  • aetna — medicare advantage: $1,335.44
  • aetna — ppo: $3,841.50
  • anthem — exchange hmo: $3,167.37
  • anthem — hmo: $3,650.96
  • anthem — medicaid advantage: $1,647.56
  • anthem — medicare advantage: $1,335.44
  • anthem — ppo: $3,650.96
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $1,952.77 – $5,338.71
Carpal tunnel release: 10 of 32 insurance plan rates
  • aetna — fannie-mae: $3,116.15
  • aetna — hmo: $3,645
  • aetna — medicaid advantage: $2,057.87
  • aetna — medicare advantage: $1,952.77
  • aetna — ppo: $3,645
  • anthem — exchange hmo: $4,631.57
  • anthem — hmo: $5,338.71
  • anthem — medicaid advantage: $1,959.88
  • anthem — medicare advantage: $1,952.77
  • anthem — ppo: $5,338.71
Carpal tunnel release CPT 64721 · Inpatient or outpatient · modifier 50 In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $2,929.16 – $8,008.07
Carpal tunnel release: 10 of 32 insurance plan rates
  • aetna — fannie-mae: $4,674.23
  • aetna — hmo: $5,467.50
  • aetna — medicaid advantage: $3,086.81
  • aetna — medicare advantage: $2,929.16
  • aetna — ppo: $5,467.50
  • anthem — exchange hmo: $6,947.36
  • anthem — hmo: $8,008.07
  • anthem — medicaid advantage: $2,939.82
  • anthem — medicare advantage: $2,929.16
  • anthem — ppo: $8,008.07
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: After cataract laser surgery Not listed in the file Not listed in the file $548.60 – $3,645
Laser treatment of clouding after cataract surgery: 10 of 32 insurance plan rates
  • aetna — fannie-mae: $3,116.15
  • aetna — hmo: $3,645
  • aetna — medicaid advantage: $869.59
  • aetna — medicare advantage: $548.60
  • aetna — ppo: $3,645
  • anthem — exchange hmo: $1,301.17
  • anthem — hmo: $1,499.83
  • anthem — medicaid advantage: $828.18
  • anthem — medicare advantage: $548.60
  • anthem — ppo: $1,499.83
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient · modifier 50 In the file: After cataract laser surgery Not listed in the file Not listed in the file $822.90 – $5,467.50
Laser treatment of clouding after cataract surgery: 10 of 32 insurance plan rates
  • aetna — fannie-mae: $4,674.23
  • aetna — hmo: $5,467.50
  • aetna — medicaid advantage: $1,304.39
  • aetna — medicare advantage: $822.90
  • aetna — ppo: $5,467.50
  • anthem — exchange hmo: $1,951.76
  • anthem — hmo: $2,249.75
  • anthem — medicaid advantage: $1,242.27
  • anthem — medicare advantage: $822.90
  • anthem — ppo: $2,249.75
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient In the file: Xcapsl ctrc rmvl w/o ecp Not listed in the file Not listed in the file $2,280.73 – $8,119
Cataract removal with lens implant: 10 of 32 insurance plan rates
  • aetna — fannie-mae: $5,040.27
  • aetna — hmo: $5,895
  • aetna — medicaid advantage: $2,612.15
  • aetna — medicare advantage: $2,280.73
  • aetna — ppo: $5,895
  • anthem — exchange hmo: $5,409.41
  • anthem — hmo: $6,235.31
  • anthem — medicaid advantage: $2,487.76
  • anthem — medicare advantage: $2,280.73
  • anthem — ppo: $6,235.31
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · modifier 50 In the file: Xcapsl ctrc rmvl w/o ecp Not listed in the file Not listed in the file $3,421.10 – $12,178.50
Cataract removal with lens implant: 10 of 32 insurance plan rates
  • aetna — fannie-mae: $7,560.41
  • aetna — hmo: $8,842.50
  • aetna — medicaid advantage: $3,918.23
  • aetna — medicare advantage: $3,421.10
  • aetna — ppo: $8,842.50
  • anthem — exchange hmo: $8,114.12
  • anthem — hmo: $9,352.97
  • anthem — medicaid advantage: $3,731.64
  • anthem — medicare advantage: $3,421.10
  • anthem — ppo: $9,352.97

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $84,195.16 – $260,994.70
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 27 insurance plan rates
  • aetna — fannie-mae: $167,282.52
  • aetna — hmo: $195,647.10
  • aetna — medicare advantage: $84,195.16
  • aetna — ppo: $195,647.10
  • anthem — exchange hmo: $160,198.61
  • anthem — hmo: $195,994.54
  • anthem — medicare advantage: $84,195.16
  • anthem — ppo: $195,994.54
  • carefirst — hmo: $176,814.33
  • carefirst — ppo: $212,365.02
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $17,810.48 – $50,989.58
Hip or knee replacement (major joint of the leg), without major complications: 10 of 26 insurance plan rates
  • aetna — fannie-mae: $32,681.37
  • aetna — hmo: $38,222.86
  • aetna — medicare advantage: $17,810.48
  • aetna — ppo: $38,222.86
  • anthem — exchange hmo: $31,297.41
  • anthem — hmo: $38,290.73
  • anthem — medicare advantage: $17,810.48
  • anthem — ppo: $38,290.73
  • carefirst — hmo: $34,862.94
  • carefirst — ppo: $41,872.56
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $21,930.03 – $64,021.60
Neck (cervical) spinal fusion, without complications: 10 of 26 insurance plan rates
  • aetna — fannie-mae: $41,034.14
  • aetna — hmo: $47,991.93
  • aetna — medicare advantage: $21,930.03
  • aetna — ppo: $47,991.93
  • anthem — exchange hmo: $39,296.47
  • anthem — hmo: $48,077.16
  • anthem — medicare advantage: $21,930.03
  • anthem — ppo: $48,077.16
  • carefirst — hmo: $44,124.06
  • carefirst — ppo: $52,995.74
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $9,806 – $32,416.44
Uterus and ovary surgery (not for cancer), without complications: 10 of 26 insurance plan rates
  • aetna — fannie-mae: $20,777.07
  • aetna — hmo: $24,300.05
  • aetna — medicare advantage: $11,939.34
  • aetna — ppo: $24,300.05
  • anthem — exchange hmo: $19,897.22
  • anthem — hmo: $24,343.20
  • anthem — medicare advantage: $11,939.34
  • anthem — ppo: $24,343.20
  • carefirst — hmo: $22,424.41
  • carefirst — ppo: $26,933.12

Source: Inova Fairfax Hospital’s standard charges file (inova.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 1, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address3300 Gallows Road, Falls Church, VA 22042
CountyFairfax County
StateVirginia
Phone(703) 698‑1110
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating5 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number490063
Name in Medicare recordsINOVA FAIRFAX HOSPITAL
Profile levelMedicare data + hospital website
Main phone on the hospital’s website(703) 776‑4001[4]
Official websiteinova.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau ZIP code areas (Gazetteer) — approximate position (center of the ZIP code area) used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Inova Fairfax Hospital — inova.org
  2. Inova Fairfax Hospital Emergency Room | Inova — inova.org
  3. Plan Your Visit to the Inova Fairfax Medical Campus | Inova — inova.org