Inova Fairfax Hospital
INOVA FAIRFAX HOSPITAL in Falls Church, VA charges 3.7x the Medicare reimbursement rate across 225 analyzed procedures, representing a moderate markup among regional healthcare providers.
Falls Church, VA 22042 · Acute Care Hospitals · CMS Rating: 5/5
About the analyst
David Park researches procedure pricing and insurance reimbursement patterns at BillRazor Research. He specializes in cost comparison across care settings and metropolitan areas. Expertise: procedure pricing, insurance reimbursement, cost comparison.
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Pricing grade
C
Average
Avg markup vs Medicare
3.7x
Charge / Medicare rate
Max markup
10.69x
Worst procedure
Procedures analyzed
225
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 |
|---|---|---|---|---|---|
| KIDNEY TRANSPLANT | 652 | $203,461 | $101,730 | — | 10.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC | 322 | $79,267 | $39,634 | — | 7.5x |
| CONNECTIVE TISSUE DISORDERS WITH MCC | 545 | $90,724 | $45,362 | — | 7.3x |
| KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC | 650 | $230,274 | $115,137 | — | 6.5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $85,519 | $42,759 | — | 6.1x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC | 328 | $67,279 | $33,639 | — | 6x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $30,396 | $15,198 | — | 5.7x |
| DYSEQUILIBRIUM | 149 | $27,533 | $13,767 | — | 5.4x |
| CONNECTIVE TISSUE DISORDERS WITH CC | 546 | $44,590 | $22,295 | — | 5.4x |
| CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC | 027 | $81,572 | $40,786 | — | 5.3x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC | 282 | $28,436 | $14,218 | — | 5.3x |
| LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH MCC | 417 | $77,142 | $38,571 | — | 5.1x |
| OTHER O.R. PROCEDURES FOR INJURIES WITH CC | 908 | $71,611 | $35,806 | — | 5.1x |
| KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC | 658 | $59,086 | $29,543 | — | 5x |
| UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC | 741 | $46,686 | $23,343 | — | 5x |
| BRONCHITIS AND ASTHMA WITH CC/MCC | 202 | $27,922 | $13,961 | — | 5x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/ | 321 | $114,051 | $57,025 | — | 4.9x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $59,165 | $29,582 | — | 4.9x |
| KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC | 661 | $31,121 | $15,560 | — | 4.9x |
| PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 543 | $34,537 | $17,269 | — | 4.8x |
| AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC | 269 | $141,425 | $70,713 | — | 4.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $30,260 | $15,130 | — | 4.7x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC | 455 | $172,729 | $86,364 | — | 4.7x |
| CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC | 287 | $35,530 | $17,765 | — | 4.7x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O | 246 | $117,420 | $58,710 | — | 4.5x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $32,574 | $16,287 | — | 4.5x |
| OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC | 206 | $34,320 | $17,160 | — | 4.5x |
| POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC | 856 | $107,099 | $53,550 | — | 4.5x |
| DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC | 446 | $25,339 | $12,669 | — | 4.4x |
| HYPERTENSION WITHOUT MCC | 305 | $24,848 | $12,424 | — | 4.4x |
| UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | 743 | $38,244 | $19,122 | — | 4.4x |
| STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC | 327 | $78,911 | $39,456 | — | 4.4x |
| PULMONARY EMBOLISM WITHOUT MCC | 176 | $26,492 | $13,246 | — | 4.4x |
| OTHER VASCULAR PROCEDURES WITH MCC | 252 | $106,069 | $53,034 | — | 4.4x |
| LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC | 841 | $51,527 | $25,763 | — | 4.4x |
| CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC | 074 | $41,268 | $20,634 | — | 4.4x |
| CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC | 236 | $116,722 | $58,361 | — | 4.4x |
| VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC | 033 | $54,666 | $27,333 | — | 4.3x |
| CERVICAL SPINAL FUSION WITH CC | 472 | $94,932 | $47,466 | — | 4.2x |
| UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC | 740 | $52,599 | $26,300 | — | 4.2x |
| CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC | 234 | $154,551 | $77,275 | — | 4.2x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $33,966 | $16,983 | — | 4.2x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $68,302 | $34,151 | — | 4.2x |
| SIGNS AND SYMPTOMS WITHOUT MCC | 948 | $25,967 | $12,984 | — | 4.2x |
| LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA | 956 | $140,555 | $70,277 | — | 4.2x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $33,633 | $16,816 | — | 4.2x |
| EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | 982 | $72,677 | $36,338 | — | 4.2x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $185,684 | $92,842 | — | 4.2x |
| HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | 001 | $808,568 | $404,284 | — | 4.1x |
| PANCREAS, LIVER AND SHUNT PROCEDURES WITH CC | 406 | $78,751 | $39,376 | — | 4.1x |
Showing 50 of 225 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