INOVA FAIRFAX HOSPITAL — Hospital Ledger

45 CFR § 180 compliance

F · 55

This hospital published little of what § 180 requires.

●Machine-readable file published

○Gross / standard charges

○Discounted cash price

●Payer-specific negotiated rates

○Min / max negotiated charges

●Free, public, no login required

Procedures listed

2,166

Insurances with rates

CPT / HCPCS codes

Source MRF

csv ↗

Most expensive procedures (gross)

Code	Description	Gross	Cash	Min payer	Max payer	# insurers
891	axicabtagene ciloleucel 200000000 CELLS Susp 1 each Package	$1,762,530	$881,265	—	—	19
812	HC ACQUISITION LUNG SINGLE	$168,442	$84,221	—	—	3
815	HC BONE MARROW ACQUISITION	$106,317	$53,159	—	—	3
811	HC ACQUISITION KIDNEY LIVE DONOR	$84,241	$42,121	—	—	3
333	HC PLCMNT EXPANDABLE CATH BRST FOLLOW PRTL MAST	$34,156	$17,078	—	—	25
681	HC CODE FULL W/CRITICAL CARE	$21,084	$10,542	—	—	19
624	HC FDA IDE #G240020 BRIOVAD CONTROLLER AC ADAPTER	$17,178	$8,589	—	—	0
309	HC BRCA 1&2 DNA SEQ & FULL DUP/DEL	$15,946	$7,973	—	—	25
275	PACEMAKER 12.2 CC 24.8 GM ACCOLADE LATITUDE NXT IMAGEREADY RIGHTRATE	$15,009	$7,505	—	—	0
174	HC NURSERY LEVEL IV	$12,930	$6,465	—	—	3
361	HC MASTECTOMY PARTIAL	$11,639	$5,820	—	—	35
481	HC VALVULOPLASTY AORTIC	$11,151	$5,576	—	—	25
383	HC AUTOLOG PRP DIAB WOUND ULCER	$9,136	$4,568	—	—	22
404	HC PET SCAN MYOC PERF STUDY SGL	$8,112	$4,056	—	—	25
172	HC NURSERY LEVEL II	$7,021	$3,511	—	—	3
210	HC CCU	$6,501	$3,251	—	—	0
323	HC THORACIC AORTOGRAM S&I	$5,484	$2,742	—	—	25
871	HC CAR-T THERAPY HRVG BLD-DRV T LYMPHCYT PR DAY	$4,928	$2,464	—	—	18
483	HC ECHO TTE CNGNTL WO CTRST COMP	$4,255	$2,128	—	—	25
214	HC INTERMEDIATE CCU	$4,044	$2,022	—	—	0
126	HC STANDARD ROOM DETOXIFICATION	$3,063	$1,532	—	—	6
750	HC EGD TRANSORAL BIOPSY SINGLE/MULTIPLE	$2,968	$1,484	—	—	35
112	HC PRIVATE ROOM OBSTETRICS	$2,965	$1,483	—	—	0
450	HC LEVEL 4 E&M ED	$2,917	$1,459	—	—	21
127	HC STANDARD ROOM ONC	$2,836	$1,418	—	—	0
314	HC PATH ANY BX PROSTATE	$2,794	$1,397	—	—	25
111	HC PRIVATE ROOM MED/SURG/GYN	$2,663	$1,332	—	—	0
410	HC VENTILATOR MGMT INITIAL DAY	$2,662	$1,331	—	—	25
361	HC CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX	$2,472	$1,236	—	—	18
480	HC HEART/LUNG RESUSCITATION CPR	$2,369	$1,185	—	—	25
310	HC TRANP PREP CRYPRESV W/STORAGE	$2,299	$1,150	—	—	25
322	HC XR SHOULDER ARTHROGRAPHY S&I	$2,287	$1,144	—	—	25
901	HC ELECTROSHOCK THERAPY	$2,260	$1,130	—	—	25
171	HC NEWBORN SERVICES	$2,248	$1,124	—	—	3
482	HC CV STRESS TEST TRACING ONLY	$2,211	$1,106	—	—	25
128	HC STANDARD ROOM REH	$2,166	$1,083	—	—	9
391	HC BLOOD TRANSFUSION	$2,125	$1,063	—	—	25
278	HC BRACHY SRC NONSTRAND HDR IR-192	$1,994	$997	—	—	16
118	HC PRIVATE ROOM REHABILITATION	$1,942	$971	—	—	9
413	HC HB TX EA 30 MIN	$1,803	$902	—	—	22
342	HC HDR RDNCL SKIN BRACHTX LSN <2CM OR 1 CHNL	$1,755	$878	—	—	25
335	HC IV INF CHEMO INI UP TO 1HR	$1,744	$872	—	—	25
400	HC 3D RECON W/POSTPROCESS INDPNDT	$1,704	$852	—	—	9
340	HC RADIOPHARM INTRA ARTERIAL ADM	$1,703	$852	—	—	25
872	HC CAR-T THERAPY PREPJ BLD-DRV T LYMPHCYT F/TRNS	$1,677	$839	—	—	18
612	HC MRI CERV SPINE WO IV CONT	$1,670	$835	—	—	25
615	HC MRA HEAD WO IV CONT	$1,667	$834	—	—	25
611	HC MRI BRAIN WO IV CONT	$1,667	$834	—	—	25
362	HC TRANSP PREP THAW W/O WASH PER DONOR	$1,630	$815	—	—	25
255	ethiodized oil 480 MG/ML Oil 10 mL Vial	$1,597	$798	—	—	0

Showing top 50 of 2,166 priced procedures, sorted by gross charge.

Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.