Fauquier Hospital
500 Hospital Drive, Warrenton, VA 20186 · 81 Priced Procedures · 58% Patient Recommendation
Typical commercial prices here are +132% above the fair benchmark (2.32×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 2.32× fair market pricing.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Fauquier Hospital prices routine shoppable procedures at 5.8× Medicare (median 2.00× Fair BaseRate) while upper-quartile commercial rates jump +132% to 4.63× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.22× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
- CMS clinical safety score (63/100 safety score) with 58% patient recommendation
- Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 7.2× markup over Medicare rates
- Commercial insurance median sits at 2.00× Fair BaseRate (5.8× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 4.63×) jump +132% above the median procedure ratio (Q50 2.00×)
- Unnegotiated chargemaster list prices average 3.8× Medicare (26¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Fauquier Hospital
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 81 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $61,547 | unverified |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $39,132 | 2.1× |
| Hip or knee replacement (inpatient stay) MS-DRG Code: 470 | $37,604 | 1.9× |
| Heart stent placement (inpatient stay) MS-DRG Code: 322 | $36,083 | 2.0× |
| Total hip replacement CPT Code: 27130 | $25,197 | 1.9× |
| Total knee replacement CPT Code: 27447 | $25,197 | 1.9× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $15,562 | 1.9× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $13,296 | 2.2× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $9,373 | 2.8× |
| Inguinal hernia repair CPT Code: 49505 | $9,373 | 2.6× |
| Breast lump removal CPT Code: 19120 | $7,268 | 1.9× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $4,540 | 4.6× |
| Upper endoscopy with biopsy CPT Code: 43239 | $4,540 | 4.6× |
| Colonoscopy with biopsy CPT Code: 45380 | $4,540 | 3.6× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $2,627 | 5.1× |
| MRI, brain (no contrast) CPT Code: 70551 | $2,627 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $2,627 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $2,627 | unverified |
| Blood transfusion CPT Code: 36430 | $2,117 | 4.3× |
| CT scan, head (no contrast) CPT Code: 70450 | $1,524 | 9.5× |
| CT scan, pelvis CPT Code: 72192 | $1,524 | 9.3× |
| CT scan, sinuses CPT Code: 70486 | $1,524 | 9.2× |
| CT scan, chest (no contrast) CPT Code: 71250 | $1,524 | 9.1× |
| CT scan, head (with contrast) CPT Code: 70460 | $1,524 | 6.3× |
| CT scan, head (with and without contrast) CPT Code: 70470 | $1,524 | 5.9× |
Audit a Bill or Quote at Fauquier Hospital (Zero PHI Required)
Above Standard 400% FPL Financial-Assistance Ceiling
At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Fauquier Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($147,713) is $116,938 above the denoised Fair BaseRate ($30,775) and 6.3× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Public IRS & CMS ownership records classify Fauquier Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)CMS Price Transparency Administrative Enforcement Log
Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Fauquier Hospital. Prior administrative notices do not necessarily reflect current compliance status.
- 2025-04-14·administrative_or_closure
Met Requirements
Recorded
Source: CMS Hospital Care Compare (416 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Fauquier Hospital.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.