Tonsillectomy (under age 12) at Inova Fairfax Hospital
3300 Gallows Road, Falls Church, VA 22042-3307. From the hospital's federally required price file (v3.0.0), file date April 1, 2026 — source file. Last verified by PriceCheck: July 16, 2026. CPT 42820.
Median commercial rate here: $5,822 — 25% above the Washington, DC metro median of $4,646. Compare all Washington, DC hospitals →
Commercial insurance plans
| Payer / plan | Facility rate | Rate type |
|---|---|---|
| Sentara HealthExchange | $3,855 | negotiated rate |
| CignaExchange | $4,391 | negotiated rate |
| Sentara HealthHMO (+1 same-rate plans) | $5,073 | negotiated rate |
| AetnaFannie-Mae | $5,091 | negotiated rate |
| CignaHMO (+1 same-rate plans) | $5,689 | negotiated rate |
| AetnaHMO (+1 same-rate plans) | $5,955 | negotiated rate |
| CarefirstHMO | $9,927 | negotiated rate |
| CarefirstPPO | $10,024 | negotiated rate |
| AnthemExchange HMO | $14,031 | negotiated rate |
| AnthemHMO (+1 same-rate plans) | $16,173 | negotiated rate |
Medicare plans
| Payer / plan | Facility rate | Rate type |
|---|---|---|
| AetnaMedicare Advantage | $5,916 | negotiated rate |
| AnthemMedicare Advantage | $5,916 | negotiated rate |
| Sentara HealthMedicare Advantage | $6,034 | negotiated rate |
| CignaMedicare Advantage | $6,152 | negotiated rate |
| KaiserMedicare Advantage | $6,152 | negotiated rate |
| HumanaMedicare Advantage | $6,507 | negotiated rate |
Medicaid plans
| Payer / plan | Facility rate | Rate type |
|---|---|---|
| AnthemMedicaid Advantage | $3,108 | negotiated rate |
| Sentara HealthMedicaid Advantage | $3,201 | negotiated rate |
| HumanaMedicaid Advantage | $3,232 | negotiated rate |
| AetnaMedicaid Advantage | $3,263 | negotiated rate |
| KaiserMedicaid Advantage | $3,418 | negotiated rate |
Common questions
What do insurance plans pay for tonsillectomy (under age 12) at Inova Fairfax Hospital?
Inova Fairfax Hospital lists 10 commercial plan rates for Tonsillectomy (under age 12), from $3,855 (Sentara Health) to $16,173 (Anthem), with a median of $5,822. The Washington, DC metro median commercial rate for this procedure is $4,646.
Where do these prices come from?
Directly from the machine-readable file Inova Fairfax Hospital publishes under the CMS Hospital Price Transparency rule (45 CFR Part 180), file date April 1, 2026. These are price disclosures, not quotes.
Same procedure at nearby hospitals: The George Washington University Hospital · Children's National Hospital · Virginia Hospital Center Arlington Health System · Howard University Hospital Corp · Sibley Memorial Hospital