CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Inova Fair Oaks Hospital

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$29,067
about 2.1× the $14,044 Medicare rate · typically $16,706–$36,558
modeled estimate · not a bill or quote
What this hospital charges insurers
$34,728
Above the fair price
about $5,661 over the fair price · 2.5× Medicare
Medicare pays $14,044 Fair price $29,067 This hospital $34,728

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 $8,878 Priciest $34,728

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

A fair price for a Hip or knee replacement (inpatient stay) is about $29,067 (about 2.1× the $14,044 Medicare rate). Inova Fair Oaks Hospital charges insurers about $34,728 — above the fair price. Located in Fairfax, 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 $29,067. 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 $15,324 - $50,367 109%
Blue Cross Blue Shieldmajor $15,324 - $39,016 109%
Aetnamajor $15,324 - $36,967 109%
Cignamajor $15,937 - $40,978 113%
Humanamajor $16,856 120%
Kaiser Permanentemajor $15,937 113%
Sentara $15,630 - $39,413 111%
+ 1 smaller / regional plan $31,333 - $37,795

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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3600 Joseph Siewick Drive, Fairfax, VA 22033
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals