Virginia / Inova Fair Oaks Hospital

CMS certification 490101 · Fairfax, VA · 2 entries in CMS's price-transparency list

Inova Fair Oaks Hospital: charges and Medicare payments

Inova Fair Oaks Hospital reported 1,993 Medicare inpatient stays across 60 DRGs in 2024. Across them it charged 2.92 times what it was paid — among the lower ratios in Virginia, number 48 of 66 hospitals with at least 100 stays (state median 3.6×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 370 stays at an average charge of $43,062, 52% below the national average. It also billed 4,019 outpatient services, charging 5.55 times what Medicare paid.

1Medicare inpatient stays 1,993
2Charge ÷ paid, inpatient 2.92×
3Rank in VA (highest ratio = 1) 48 of 66
4CMS price-transparency actions 2

Average charge per stay at Inova Fair Oaks Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 60 DRGs that can be compared with the national average, Inova Fair Oaks Hospital charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	370	$43,062	-52%	$15,329
291 Heart Failure and Shock with MCC	178	$34,704	-38%	$10,072
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	69	$26,412	-46%	$8,464
177 Respiratory Infections and Inflammations with MCC	67	$38,104	-46%	$14,150
689 Kidney and Urinary Tract Infections with MCC	66	$23,192	-55%	$9,487
698 Other Kidney and Urinary Tract Diagnoses with MCC	53	$31,957	-56%	$12,742
193 Simple Pneumonia and Pleurisy with MCC	45	$30,981	-48%	$10,535
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	44	$28,872	-52%	$10,275
330 Major Small and Large Bowel Procedures with CC	43	$65,050	-45%	$19,749
378 Gastrointestinal Hemorrhage with CC	41	$33,016	-32%	$7,888
690 Kidney and Urinary Tract Infections without MCC	41	$19,537	-48%	$6,501
683 Renal Failure with CC	40	$20,590	-49%	$7,464
329 Major Small and Large Bowel Procedures with MCC	39	$81,150	-62%	$36,353
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	39	$19,705	-51%	$6,615
603 Cellulitis without MCC	39	$18,530	-50%	$7,315
853 Infectious and Parasitic Diseases with O.R. Procedures with...	37	$88,707	-61%	$37,301
682 Renal Failure with MCC	35	$30,168	-54%	$11,591
389 Gastrointestinal Obstruction with CC	33	$19,833	-49%	$7,308
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	32	$35,922	-41%	$10,788
377 Gastrointestinal Hemorrhage with MCC	31	$40,266	-53%	$15,236
189 Pulmonary Edema and Respiratory Failure	29	$35,756	-38%	$9,933
481 Hip and Femur Procedures except Major Joint with CC	28	$55,963	-44%	$16,211
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	25	$27,879	-50%	$7,872
331 Major Small and Large Bowel Procedures without CC/MCC	25	$54,550	-36%	$13,876
280 Acute Myocardial Infarction, Discharged Alive with MCC	24	$40,487	-47%	$11,638
460 Spinal Fusion except Cervical without MCC	24	$119,270	-30%	$30,565
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	22	$38,300	-62%	$14,215
309 Cardiac Arrhythmia and Conduction Disorders with CC	22	$23,598	-35%	$6,513
699 Other Kidney and Urinary Tract Diagnoses with CC	19	$23,974	-50%	$9,184
308 Cardiac Arrhythmia and Conduction Disorders with MCC	18	$26,007	-54%	$9,976
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	18	$57,114	-44%	$16,432
602 Cellulitis with MCC	18	$28,164	-53%	$11,653
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	18	$19,879	-46%	$6,437
470 Major Hip and Knee Joint Replacement or Reattachment of...	17	$52,541	-44%	$14,251
039 Extracranial Procedures without CC/MCC	16	$22,386	-65%	$9,931
178 Respiratory Infections and Inflammations with CC	16	$21,161	-53%	$7,562
312 Syncope and Collapse	16	$24,038	-47%	$8,279
617 Amputation of Lower Limb for Endocrine, Nutritional and...	16	$42,233	-51%	$14,765
812 Red Blood Cell Disorders without MCC	16	$30,483	-31%	$7,889
388 Gastrointestinal Obstruction with MCC	15	$37,831	-45%	$16,084
393 Other Digestive System Diagnoses with MCC	15	$45,335	-41%	$12,372
660 Kidney and Ureter Procedures for Non-Neoplasm with CC	15	$39,803	-41%	$11,630
190 Chronic Obstructive Pulmonary Disease with MCC	14	$26,580	-47%	$10,465
394 Other Digestive System Diagnoses with CC	14	$26,244	-44%	$7,558
552 Medical Back Problems without MCC	14	$26,071	-47%	$8,516
299 Peripheral Vascular Disorders with MCC	13	$45,312	-40%	$12,346
439 Disorders of Pancreas except Malignancy with CC	13	$17,324	-60%	$6,816
467 Revision of Hip or Knee Replacement with CC	13	$107,410	-32%	$35,789
621 O.R. Procedures for Obesity without CC/MCC	13	$43,256	-42%	$17,235
281 Acute Myocardial Infarction, Discharged Alive with CC	12	$21,389	-58%	$6,748
390 Gastrointestinal Obstruction without CC/MCC	12	$16,089	-42%	$5,678
418 Laparoscopic Cholecystectomy without C.D.E. with CC	12	$38,707	-58%	$12,576
521 Hip Replacement with Principal Diagnosis of Hip Fracture...	12	$73,608	-46%	$24,570
038 Extracranial Procedures with CC	11	$25,750	-71%	$13,505
202 Bronchitis and Asthma with CC/MCC	11	$31,487	-32%	$7,708
483 Major Joint or Limb Reattachment Procedures of Upper...	11	$70,247	-44%	$18,586
811 Red Blood Cell Disorders with MCC	11	$41,388	-39%	$14,068
854 Infectious and Parasitic Diseases with O.R. Procedures with...	11	$45,332	-54%	$17,026
919 Complications of Treatment with MCC	11	$31,332	-65%	$13,273
981 Extensive O.R. Procedures Unrelated To Principal Diagnosis...	11	$62,506	-71%	$34,089

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	757	$17,837	$2,540
Level 2 Intraocular Procedures	510	$19,988	$3,766
Level 5 Musculoskeletal Procedures	309	$42,075	$12,116
Level 1 Laparoscopy and Related Services	252	$22,553	$5,274
Level 4 Vascular Procedures	206	$16,160	$5,086
Level 2 Upper GI Procedures	204	$5,382	$1,777
Level 5 Urology and Related Services	175	$31,341	$4,749
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	149	$12,558	$3,187
Level 4 Urology and Related Services	148	$15,324	$3,251
Level 3 Vascular Procedures	145	$10,748	$2,956
Level 3 Extraocular, Repair, and Plastic Eye Procedures	139	$13,161	$2,179
Level 6 Musculoskeletal Procedures	106	$58,307	$17,288
Level 3 Excision/ Biopsy/ Incision and Drainage	100	$14,239	$2,665
Level 3 Urology and Related Services	98	$11,682	$1,910
Level 1 Breast/Lymphatic Surgery and Related Procedures	73	$14,963	$3,535
Level 2 Excision/ Biopsy/ Incision and Drainage	69	$8,177	$1,520
Level 2 Breast/Lymphatic Surgery and Related Procedures	61	$26,765	$6,035
Level 3 Lower GI Procedures	60	$9,140	$2,576
Level 3 Intraocular Procedures	55	$38,014	$4,715
Level 4 Musculoskeletal Procedures	48	$29,470	$6,597
Level 2 Laparoscopy and Related Services	48	$48,277	$9,479
Level 5 ENT Procedures	47	$22,342	$5,402
Level 6 Urology and Related Services	42	$42,574	$8,469
Level 3 Musculoskeletal Procedures	39	$17,101	$3,035
Level 1 Intraocular Procedures	35	$13,303	$2,185

Against the Virginia average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Inova Fair Oaks Hospital charged $43,062 on average, 34% less than the Virginia average of $65,235, and was paid $15,329 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Inova Fair Oaks Hospital charged $34,704 on average, 15% less than the Virginia average of $40,795, and was paid $10,072 against a state average of $11,030. For Septicemia or Severe Sepsis without MV >96 Hours without MCC (DRG 872), Inova Fair Oaks Hospital charged $26,412 on average, 29% less than the Virginia average of $37,022, and was paid $8,464 against a state average of $8,962. For Respiratory Infections and Inflammations with MCC (DRG 177), Inova Fair Oaks Hospital charged $38,104 on average, 23% less than the Virginia average of $49,485, and was paid $14,150 against a state average of $13,709. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $17,837 was 9% below the state average of $19,506. For Level 2 Intraocular Procedures (outpatient APC 5492), its average charge of $19,988 was 1% above the state average of $19,841. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $42,075 was 50% below the state average of $83,920. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $22,553 was 50% below the state average of $45,021.

Price-transparency record

CMS's enforcement list records these actions for a hospital named Inova Fair Oaks Hospital in Fairfax, VA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2021-08-25 (CMS case 753)
Closure Notice — 2022-04-12 (CMS case 753)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.