Inova Fair Oaks Hospital

3600 Joseph Siewick Drive, Fairfax, VA 22033 · (703) 391-4170

Acute Care HospitalsVoluntary non-profit - OtherCMS rating 5/5Washington, DC-VA-MD-WV metro Website ↗

Price file

Prices published

File dated 2026-04-01

2,195 price rows for 60 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · metro median $151

$151

cash

$8 to $235

34 negotiated rates

$301

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $1,065

$1,065

cash

$357 to $3,787

34 negotiated rates

$2,129

list

CT scan of the head, no contrast

CPT 70450 · metro median $628

$628

cash

$106 to $1,739

34 negotiated rates

$1,255

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $796

$796

cash

$178 to $2,698

34 negotiated rates

$1,592

list

Cataract surgery with lens implant

CPT 66984

—

cash

$2,281 to $8,119

32 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$3,193 to $19,394

42 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · metro median $246

$246

cash

$35 to $383

34 negotiated rates

$491

list

Colonoscopy (diagnostic)

CPT 45378 · metro median $1,444

$1,444

cash

$912 to $3,645

34 negotiated rates

$2,887

list

Colonoscopy with biopsy

CPT 45380

—

cash

$1,179 to $3,645

32 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$1,179 to $3,645

32 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · metro median $92

$101

cash

$7 to $157

34 negotiated rates

$201

list

Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $195

$195

cash

$11 to $303

34 negotiated rates

$389

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $487

$365

cash

$67 to $569

27 negotiated rates

$729

list

Established patient office visit (about 40 minutes)

CPT 99215 · metro median $402

$402

cash

$358 to $626

18 negotiated rates

$803

list

Family psychotherapy with the patient

CPT 90847 · metro median $351

$351

cash

$161 to $547

34 negotiated rates

$701

list

Family psychotherapy without the patient

CPT 90846 · metro median $462

$462

cash

$161 to $721

34 negotiated rates

$924

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$3,469 to $15,779

32 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · metro median $215

$246

cash

$35 to $383

34 negotiated rates

$491

list

Group psychotherapy

CPT 90853 · metro median $142

$142

cash

$93 to $399

34 negotiated rates

$284

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$15,324 to $50,367

26 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$6,973 to $20,844

26 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$9,806 to $32,021

26 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$3,529 to $9,544

32 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$3,125 to $8,775

32 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$549 to $3,645

32 negotiated rates

—

list

Left heart catheterization

CPT 93452 · metro median $5,587

$5,587

cash

$3,216 to $11,225

34 negotiated rates

$11,173

list

Lipid panel (cholesterol test)

CPT 80061 · metro median $123

$145

cash

$11 to $226

34 negotiated rates

$290

list

Liver function panel

CPT 80076 · metro median $228

$228

cash

$8 to $356

34 negotiated rates

$456

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $1,479

$1,479

cash

$357 to $4,377

34 negotiated rates

$2,958

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · metro median $838

$835

cash

$242 to $2,629

34 negotiated rates

$1,670

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · metro median $835

$835

cash

$242 to $2,629

34 negotiated rates

$1,670

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $835

$835

cash

$242 to $2,629

34 negotiated rates

$1,670

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$18,965 to $63,240

26 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483 · metro median $1,509

$1,509

cash

$890 to $2,678

34 negotiated rates

$3,017

list

New patient office visit (about 30 minutes)

CPT 99203 · metro median $320

$343

cash

$305 to $534

18 negotiated rates

$685

list

New patient office visit (about 60 minutes)

CPT 99205 · metro median $402

$402

cash

$358 to $626

18 negotiated rates

$803

list

PSA test (prostate)

CPT 84153 · metro median $141

$141

cash

$14 to $220

34 negotiated rates

$282

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · metro median $78

$79

cash

$5 to $123

34 negotiated rates

$158

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $124

$124

cash

$32 to $583

54 negotiated rates

$248

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $708

$708

cash

$106 to $1,104

34 negotiated rates

$1,416

list

Prostate biopsy

CPT 55700

—

cash

$1,847 to $5,540

27 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$943 to $28,157

24 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · metro median $45

$45

cash

$4 to $70

34 negotiated rates

$90

list

Psychotherapy, 30 minutes

CPT 90832 · metro median $283

$283

cash

$80 to $607

34 negotiated rates

$566

list

Psychotherapy, 45 minutes

CPT 90834 · metro median $376

$376

cash

$161 to $607

34 negotiated rates

$751

list

Psychotherapy, 60 minutes

CPT 90837 · metro median $396

$396

cash

$161 to $618

34 negotiated rates

$792

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$1,910 to $10,356

32 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · metro median $366

$346

cash

$67 to $539

27 negotiated rates

$691

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $2,917

$3,102

cash

$1,017 to $4,937

68 negotiated rates

$6,204

list

Spinal injection, lower back, no imaging guidance

CPT 62322 · metro median $1,416

$1,416

cash

$890 to $2,678

34 negotiated rates

$2,831

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · metro median $1,458

$1,710

cash

$693 to $2,678

34 negotiated rates

$3,420

list

TSH test (thyroid)

CPT 84443 · metro median $162

$162

cash

$16 to $252

34 negotiated rates

$323

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$3,108 to $15,999

32 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · metro median $576

$576

cash

$106 to $898

34 negotiated rates

$1,151

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $867

$867

cash

$106 to $1,353

34 negotiated rates

$1,734

list

Upper endoscopy (EGD)

CPT 43235 · metro median $1,463

$1,484

cash

$938 to $2,857

34 negotiated rates

$2,968

list

Upper endoscopy with biopsy

CPT 43239 · metro median $1,484

$1,484

cash

$938 to $3,645

34 negotiated rates

$2,968

list

Urinalysis with microscope

CPT 81001 · metro median $34

$45

cash

$3 to $69

34 negotiated rates

$89

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$3,193 to $13,637

42 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $576

$576

cash

$80 to $898

34 negotiated rates

$1,151

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://www.inova.org/sites/default/files/patient_visitor/price_transparency/2026/540620889_inova-fair-oaks-hospital_standardcharges.csv
Inova Fair Oaks Hospital · parsed · wide v3.0.0 · file dated 2026-04-01 · 19.6 MB · 2195 price rows read · read Nov 2026