CMS Price Transparency Data

Spinal fusion, single level (inpatient stay)

Facility: Inova Fairfax Hospital

Billing Code: 451 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$37,636
about 1.6× the $23,504 Medicare rate · typically $26,980–$60,310
modeled estimate · not a bill or quote
What this hospital charges insurers
$60,473
Above the fair price
about $22,837 over the fair price · 2.6× Medicare
Medicare pays $23,504 Fair price $37,636 This hospital $60,473

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 $23,769 Priciest $60,473

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

A fair price for a Spinal fusion, single level (inpatient stay) is about $37,636 (about 1.6× the $23,504 Medicare rate). Inova Fairfax Hospital charges insurers about $60,473 — 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 $37,636. 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 $28,073 - $83,455 119%
Blue Cross Blue Shieldmajor $28,073 - $70,126 119%
Aetnamajor $28,073 - $62,559 119%
Cignamajor $29,196 - $68,056 124%
Humanamajor $30,880 131%
Kaiser Permanentemajor $29,196 124%
Sentara $28,634 - $70,116 122%
+ 1 smaller / regional plan $53,172 - $64,133

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