Inova Fairfax Hospital
Inova Fairfax Hospital in Falls Church, VA publishes cash prices for 48 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
3300 Gallows Road, Falls Church, VA 22042-3307 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD-PEL W IV CONT | $1,064.50 | $2,129.00 | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD-PEL W IV CONT | $1,064.50 | $2,129.00 | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD-BRAIN WO IV CONT | $627.50 | $1,255.00 | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD-BRAIN WO IV CONT | $627.50 | $1,255.00 | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W IV CONT | $796.00 | $1,592.00 | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W IV CONT | $796.00 | $1,592.00 | 50% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DIGITAL MAMMO DX W/CAD BI | $364.50 | $729.00 | 50% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DIGITAL MAMMO DX W/CAD BI | $364.50 | $729.00 | 50% |
| Diagnostic mammogram, one breast CPT 77065 HC DIGITAL MAMMO DX W/CAD UNI | $270.50 | $541.00 | 50% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC DIGITAL MAMMO DX W/CAD UNI | $270.50 | $541.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MRI LOEX JT WO IV CONT | $835.00 | $1,670.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MRI LOEX JT WO IV CONT | $835.00 | $1,670.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MRI LOEX JT WWO IV CONT | $1,419.00 | $2,838.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MRI LOEX JT WWO IV CONT | $1,419.00 | $2,838.00 | 50% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI BRAIN WO IV CONT | $833.50 | $1,667.00 | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MRI BRAIN WO IV CONT | $833.50 | $1,667.00 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI BRAIN WWO IV CONT | $1,479.00 | $2,958.00 | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MRI BRAIN WWO IV CONT | $1,479.00 | $2,958.00 | 50% |
| MRI of the lower back, no contrast dye CPT 72148 HC MRI LUMB SPINE WO IV CONT | $835.00 | $1,670.00 | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MRI LUMB SPINE WO IV CONT | $835.00 | $1,670.00 | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB>=14WKS SGL OR 1ST GEST | $708.00 | $1,416.00 | 50% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB>=14WKS SGL OR 1ST GEST | $708.00 | $1,416.00 | 50% |
| Screening mammogram, both breasts both sides CPT 77067 HC DIGITAL MAMMO SCREEN W/CAD BI | $345.50 | $691.00 | 50% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC DIGITAL MAMMO SCREEN W/CAD BI | $345.50 | $691.00 | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6YRS+ 4+PRM REDUCED SVC | $3,102.00 | $6,204.00 | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOM 6YRS+ 4+PRM | $3,165.00 | $6,330.00 | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6YRS+ 4+PRM REDUCED SVC | $3,102.00 | $6,204.00 | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOM 6YRS+ 4+PRM | $3,165.00 | $6,330.00 | 50% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL | $575.50 | $1,151.00 | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL | $575.50 | $1,151.00 | 50% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABD W/IMAGE DOC COMP | $867.00 | $1,734.00 | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABD W/IMAGE DOC COMP | $867.00 | $1,734.00 | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 HC XR L/S-SPINE 4+ VIEWS | $575.50 | $1,151.00 | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR L/S-SPINE 4+ VIEWS | $575.50 | $1,151.00 | 50% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 HC PANEL CHEM BASIC W/TOTAL CA | $150.50 | $301.00 | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 HC PANEL CHEM BASIC W/TOTAL CA | $150.50 | $301.00 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC PANEL LIPID | $145.00 | $290.00 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC PANEL LIPID | $145.00 | $290.00 | 50% |
| Complete blood count (CBC) with differential CPT 85025 HC BLOOD COUNT COMP AUTO DIFF WBC | $100.50 | $201.00 | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC BLOOD COUNT COMP AUTO DIFF WBC | $100.50 | $201.00 | 50% |
| Complete blood count (CBC), no differential CPT 85027 HC BLOOD COUNT COMP AUTO | $82.50 | $165.00 | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC BLOOD COUNT COMP AUTO | $82.50 | $165.00 | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC PANEL COMPREHENSIVE METABOLIC | $194.50 | $389.00 | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 HC PANEL COMPREHENSIVE METABOLIC | $194.50 | $389.00 | 50% |
| Kidney function blood test panel CPT 80069 HC PANEL RENAL FUNCTION | $188.50 | $377.00 | 50% |
| Kidney function blood test panel inpatient CPT 80069 HC PANEL RENAL FUNCTION | $188.50 | $377.00 | 50% |
| Liver function blood test panel CPT 80076 HC PANEL HEPATIC FUNCTION | $228.00 | $456.00 | 50% |
| Liver function blood test panel inpatient CPT 80076 HC PANEL HEPATIC FUNCTION | $228.00 | $456.00 | 50% |
| Obstetric blood test panel CPT 80055 HC OBSTETRICS PANEL | $508.00 | $1,016.00 | 50% |
| Obstetric blood test panel inpatient CPT 80055 HC OBSTETRICS PANEL | $508.00 | $1,016.00 | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PROSTATE SPECIFIC ANTIGEN (PSA) FREE | $187.00 | $374.00 | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PROSTATE SPECIFIC ANTIGEN (PSA) FREE | $187.00 | $374.00 | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL | $141.00 | $282.00 | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL | $141.00 | $282.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC THROMBOPLASTIN TIME PRTL (PTT) PLSMA/WHL | $79.00 | $158.00 | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC THROMBOPLASTIN TIME PRTL (PTT) PLSMA/WHL | $79.00 | $158.00 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $45.00 | $90.00 | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $45.00 | $90.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC THYROID STIMULATING HORMONE (TSH) | $161.50 | $323.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC THYROID STIMULATING HORMONE (TSH) | $161.50 | $323.00 | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS AUTO W/MICRO | $44.50 | $89.00 | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS AUTO W/MICRO | $44.50 | $89.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS AUTO W/O MICRO | $33.00 | $66.00 | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS AUTO W/O MICRO | $33.00 | $66.00 | 50% |
| Urinalysis without microscope exam, manual CPT 81002 HC URINALYSIS W/O MICRO NONAUTO | $25.00 | $50.00 | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 HC URINALYSIS W/O MICRO NONAUTO | $25.00 | $50.00 | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,443.50 | $2,887.00 | 50% |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | $1,443.50 | $2,887.00 | 50% |
| Left heart catheterization, diagnostic one side CPT 93452 HC CATH LT HEART W/INJ/S&I | $5,586.50 | $11,173.00 | 50% |
| Left heart catheterization, diagnostic inpatient one side CPT 93452 HC CATH LT HEART W/INJ/S&I | $5,586.50 | $11,173.00 | 50% |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ EPIDURAL SGL LUMB-SACRAL W/IMG | $1,710.00 | $3,420.00 | 50% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ EPIDURAL SGL LUMB-SACRAL W/IMG | $1,710.00 | $3,420.00 | 50% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ EPIDURAL SGL LUMB-SACRAL W/O IMG | $1,415.50 | $2,831.00 | 50% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ EPIDURAL SGL LUMB-SACRAL W/O IMG | $1,415.50 | $2,831.00 | 50% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ W/CT/FLRO TFL L/S SGL LVL | $1,508.50 | $3,017.00 | 50% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ W/CT/FLRO TFL L/S SGL LVL | $1,508.50 | $3,017.00 | 50% |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $1,484.00 | $2,968.00 | 50% |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | $1,484.00 | $2,968.00 | 50% |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC UPPER GI ENDOSCOPY DX W/W/O COLLECTION SPECIMEN | $1,484.00 | $2,968.00 | 50% |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC UPPER GI ENDOSCOPY DX W/W/O COLLECTION SPECIMEN | $1,484.00 | $2,968.00 | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HC FAMILY PSYCHOTHERAPY W PT 50 MINS | $350.50 | $701.00 | 50% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC FAMILY PSYCHOTHERAPY W PT 50 MINS | $350.50 | $701.00 | 50% |
| Family therapy without the patient, 50 minutes CPT 90846 HC PSYTX FAMILY W/O PT PRESENT 50 MINS | $462.00 | $924.00 | 50% |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC PSYTX FAMILY W/O PT PRESENT 50 MINS | $462.00 | $924.00 | 50% |
| Group psychotherapy session CPT 90853 HC GROUP PSYCHOTHERAPY NON FAMILY | $142.00 | $284.00 | 50% |
| Group psychotherapy session inpatient CPT 90853 HC GROUP PSYCHOTHERAPY NON FAMILY | $142.00 | $284.00 | 50% |
| New patient office visit, about 30 minutes CPT 99203 HC FACT PROG CHRONIC NEW PT | $342.50 | $685.00 | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC FACT PROG CHRONIC NEW PT | $342.50 | $685.00 | 50% |
| New patient office visit, about 60 minutes CPT 99205 HC FACT PROG ACUTE NEW PT | $401.50 | $803.00 | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC FACT PROG ACUTE NEW PT | $401.50 | $803.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT THERAP EX EA 15MIN | $124.00 | $248.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT THERAP EX EA 15MIN | $124.00 | $248.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT THERAP EX EA 15MIN | $124.00 | $248.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT THERAP EX EA 15MIN | $124.00 | $248.00 | 50% |
| Psychotherapy session, 30 minutes CPT 90832 HC PSYTX PT 16-37 MINUTES | $283.00 | $566.00 | 50% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PSYTX PT 16-37 MINUTES | $283.00 | $566.00 | 50% |
| Psychotherapy session, 45 minutes CPT 90834 HC PSYTX PT 38-52 MINUTES | $375.50 | $751.00 | 50% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PSYTX PT 38-52 MINUTES | $375.50 | $751.00 | 50% |
| Psychotherapy session, 60 minutes CPT 90837 HC PSYTX PT 53+ MINUTES | $396.00 | $792.00 | 50% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PSYTX PT 53+ MINUTES | $396.00 | $792.00 | 50% |