CMS Price Transparency Data

Sepsis treatment (inpatient stay)

Facility: Inova Fairfax Hospital

Billing Code: 871 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$28,408
about 2.0× the $14,117 Medicare rate · typically $16,334–$36,967
modeled estimate · not a bill or quote
What this hospital charges insurers
$37,442
Above the fair price
about $9,034 over the fair price · 2.7× Medicare
Medicare pays $14,117 Fair price $28,408 This hospital $37,442

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $10,776 Priciest $37,442

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

A fair price for a Sepsis treatment (inpatient stay) is about $28,408 (about 2.0× the $14,117 Medicare rate). Inova Fairfax Hospital charges insurers about $37,442 — above the fair price. Located in Falls Church, VA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $28,408. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $18,465 - $53,061 131%
Blue Cross Blue Shieldmajor $18,465 - $42,168 131%
Aetnamajor $18,465 - $39,776 131%
Cignamajor $19,204 - $43,270 136%
Humanamajor $20,312 144%
Kaiser Permanentemajor $19,204 136%
Sentara $18,835 - $44,580 133%
+ 1 smaller / regional plan $33,807 - $40,776

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 3300 Gallows Road, Falls Church, VA 22042
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals