Inova Fair Oaks Hospital
INOVA FAIR OAKS HOSPITAL in Fairfax, VA charges 3.5x the Medicare reimbursement rate across 58 analyzed procedures, reflecting typical pricing patterns for nonprofit private hospitals.
Fairfax, VA 22033 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
C
Average
Avg markup vs Medicare
3.46x
Charge / Medicare rate
Max markup
5x
Worst procedure
Procedures analyzed
58
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $35,404 | $17,702 | — | 5x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $22,906 | $11,453 | — | 5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $49,088 | $24,544 | — | 4.6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $27,339 | $13,670 | — | 4.1x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $19,990 | $9,995 | — | 4x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $24,254 | $12,127 | — | 4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $49,655 | $24,828 | — | 4x |
| DIABETES WITH CC | 638 | $21,415 | $10,707 | — | 3.9x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $64,048 | $32,024 | — | 3.9x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $23,204 | $11,602 | — | 3.9x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $49,892 | $24,946 | — | 3.9x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $20,789 | $10,395 | — | 3.8x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $19,945 | $9,973 | — | 3.8x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $29,245 | $14,622 | — | 3.8x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $56,273 | $28,137 | — | 3.8x |
| SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC | 460 | $94,283 | $47,142 | — | 3.8x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $53,288 | $26,644 | — | 3.8x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $21,749 | $10,875 | — | 3.7x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $130,451 | $65,226 | — | 3.7x |
| SYNCOPE AND COLLAPSE | 312 | $21,371 | $10,686 | — | 3.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $19,600 | $9,800 | — | 3.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $31,364 | $15,682 | — | 3.6x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $12,922 | $6,461 | — | 3.5x |
| RENAL FAILURE WITH CC | 683 | $19,733 | $9,867 | — | 3.5x |
| O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC | 621 | $33,633 | $16,816 | — | 3.5x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC | 393 | $40,862 | $20,431 | — | 3.5x |
| DISORDERS OF THE BILIARY TRACT WITH CC | 445 | $23,844 | $11,922 | — | 3.5x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $27,843 | $13,922 | — | 3.5x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $39,959 | $19,979 | — | 3.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $22,172 | $11,086 | — | 3.4x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $28,959 | $14,480 | — | 3.4x |
| RED BLOOD CELL DISORDERS WITH MCC | 811 | $31,964 | $15,982 | — | 3.4x |
| OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC | 394 | $19,463 | $9,732 | — | 3.4x |
| PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE | 175 | $30,059 | $15,030 | — | 3.3x |
| PERIPHERAL VASCULAR DISORDERS WITH MCC | 299 | $34,838 | $17,419 | — | 3.3x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $17,246 | $8,623 | — | 3.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $17,128 | $8,564 | — | 3.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $33,207 | $16,604 | — | 3.3x |
| DIABETES WITH MCC | 637 | $30,647 | $15,324 | — | 3.2x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | 854 | $43,513 | $21,756 | — | 3.2x |
| DISORDERS OF THE BILIARY TRACT WITH MCC | 444 | $34,915 | $17,457 | — | 3.2x |
| GASTROINTESTINAL OBSTRUCTION WITH MCC | 388 | $28,369 | $14,184 | — | 3.2x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $22,510 | $11,255 | — | 3.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $30,782 | $15,391 | — | 3.2x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $77,077 | $38,539 | — | 3.1x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $88,484 | $44,242 | — | 3.1x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $29,939 | $14,970 | — | 3.1x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $42,300 | $21,150 | — | 3.1x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $39,267 | $19,633 | — | 3x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC | 418 | $33,722 | $16,861 | — | 3x |
Showing 50 of 58 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use