Virginia / Inova Fairfax Hospital
CMS certification 490063 · Falls Church, VA · 4 entries in CMS's price-transparency list
Inova Fairfax Hospital: charges and Medicare payments
Inova Fairfax Hospital reported 11,113 Medicare inpatient stays across 230 DRGs in 2024. Across them it charged 2.9 times what it was paid — among the lower ratios in Virginia, number 49 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: 1215 stays at an average charge of $51,234, 43% below the national average. It also billed 9,901 outpatient services, charging 5.56 times what Medicare paid.
- 1Medicare inpatient stays 11,113
- 2Charge ÷ paid, inpatient 2.9×
- 3Rank in VA (highest ratio = 1) 49 of 66
- 4CMS price-transparency actions 4
Inpatient stays
For the 230 DRGs that can be compared with the national average, Inova Fairfax Hospital charged more than the national average in 1 (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 | 1215 | $51,234 | -43% | $20,570 |
| 291 Heart Failure and Shock with MCC | 492 | $36,724 | -35% | $13,397 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 271 | $160,027 | -28% | $41,891 |
| 177 Respiratory Infections and Inflammations with MCC | 193 | $44,606 | -37% | $17,578 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 187 | $68,177 | -32% | $22,360 |
| 481 Hip and Femur Procedures except Major Joint with CC | 177 | $57,741 | -43% | $19,283 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 164 | $26,910 | -45% | $11,227 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 160 | $41,588 | -45% | $16,008 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 158 | $140,589 | -39% | $53,671 |
| 193 Simple Pneumonia and Pleurisy with MCC | 139 | $33,499 | -44% | $13,446 |
| 378 Gastrointestinal Hemorrhage with CC | 139 | $31,665 | -35% | $10,904 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 137 | $41,909 | -43% | $17,958 |
| 219 Cardiac Valve and Other Major Cardiothoracic Procedures... | 134 | $281,707 | -29% | $94,075 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 123 | $35,180 | -42% | $13,980 |
| 025 Craniotomy and Endovascular Intracranial Procedures with MCC | 122 | $132,214 | -43% | $46,605 |
| 377 Gastrointestinal Hemorrhage with MCC | 122 | $51,898 | -39% | $18,995 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 121 | $190,752 | -33% | $58,768 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 119 | $76,746 | -32% | $25,070 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 117 | $43,645 | -22% | $11,143 |
| 689 Kidney and Urinary Tract Infections with MCC | 117 | $33,557 | -35% | $12,528 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 114 | $23,287 | -36% | $8,650 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 110 | $113,728 | -27% | $27,722 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 102 | $37,125 | -34% | $13,385 |
| 682 Renal Failure with MCC | 101 | $36,160 | -45% | $15,123 |
| 330 Major Small and Large Bowel Procedures with CC | 99 | $84,079 | -29% | $24,313 |
| 189 Pulmonary Edema and Respiratory Failure | 92 | $44,913 | -22% | $14,643 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 86 | $156,577 | -44% | $60,400 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 83 | $205,565 | -26% | $60,938 |
| 690 Kidney and Urinary Tract Infections without MCC | 80 | $21,986 | -42% | $9,310 |
| 312 Syncope and Collapse | 76 | $30,275 | -34% | $10,440 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 75 | $82,396 | -41% | $27,676 |
| 164 Major Chest Procedures with CC | 74 | $59,708 | -53% | $23,771 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 74 | $58,624 | -47% | $20,577 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 74 | $92,372 | -19% | $19,626 |
| 329 Major Small and Large Bowel Procedures with MCC | 74 | $95,290 | -56% | $43,584 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 74 | $23,771 | -41% | $9,355 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 72 | $177,305 | -39% | $55,868 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 70 | $37,591 | -38% | $14,439 |
| 552 Medical Back Problems without MCC | 70 | $26,548 | -46% | $10,152 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 68 | $24,575 | -34% | $9,069 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 66 | $142,746 | -32% | $37,666 |
| 314 Other Circulatory System Diagnoses with MCC | 62 | $58,159 | -39% | $22,080 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 61 | $18,311 | -36% | $6,851 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 59 | $45,635 | -30% | $15,146 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 59 | $125,060 | -24% | $38,975 |
| 460 Spinal Fusion except Cervical without MCC | 58 | $163,820 | -4% | $46,595 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 56 | $64,525 | -37% | $21,453 |
| 101 Seizures without MCC | 55 | $25,288 | -48% | $10,011 |
| 082 Traumatic Stupor and Coma >1 Hour with MCC | 54 | $68,170 | -41% | $25,975 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 53 | $82,569 | -49% | $30,318 |
| 603 Cellulitis without MCC | 53 | $24,635 | -34% | $9,995 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 53 | $32,612 | -31% | $11,714 |
| 811 Red Blood Cell Disorders with MCC | 53 | $62,947 | -8% | $20,201 |
| 100 Seizures with MCC | 52 | $61,402 | -35% | $21,650 |
| 165 Major Chest Procedures without CC/MCC | 52 | $54,565 | -47% | $17,488 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 52 | $34,634 | -32% | $12,513 |
| 196 Interstitial Lung Disease with MCC | 52 | $62,971 | -27% | $24,505 |
| 683 Renal Failure with CC | 52 | $25,060 | -38% | $9,874 |
| 056 Degenerative Nervous System Disorders with MCC | 51 | $51,622 | -46% | $22,044 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 51 | $33,268 | -34% | $10,089 |
Showing the 60 most frequent of 230 DRGs.
Outpatient services
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Inova Fairfax Hospital charged $51,234 on average, 21% less than the Virginia average of $65,235, and was paid $20,570 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Inova Fairfax Hospital charged $36,724 on average, 10% less than the Virginia average of $40,795, and was paid $13,397 against a state average of $11,030. For Endovascular Cardiac Valve Replacement and Supplement Procedures without MCC (DRG 267), Inova Fairfax Hospital charged $160,027 on average, 24% less than the Virginia average of $211,119, and was paid $41,891 against a state average of $39,829. For Respiratory Infections and Inflammations with MCC (DRG 177), Inova Fairfax Hospital charged $44,606 on average, 10% less than the Virginia average of $49,485, and was paid $17,578 against a state average of $13,709. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $18,494 was 5% below the state average of $19,506. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $6,501 was 45% below the state average of $11,766. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $16,747 was 47% below the state average of $31,869. For Level 3 Electrophysiologic Procedures (outpatient APC 5213), its average charge of $83,805 was 50% below the state average of $167,325.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Inova Fairfax Hospital in Falls Church, VA, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2021-05-18 (CMS case 13)
- CAP Request — 2021-10-27 (CMS case 13)
- Closure Notice — 2022-01-11 (CMS case 13)
- Met Requirements — 2025-04-02 (CMS case 3519)
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.