Impacted tooth removal (surgical) 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 41899.
Median commercial rate here: $959 — 45% below the Washington, DC metro median of $1,730. Compare all Washington, DC hospitals →
Commercial insurance plans
| Payer / plan | Facility rate | Rate type |
|---|---|---|
| AnthemExchange HMO | $551 | negotiated rate |
| CignaExchange | $562 | negotiated rate |
| AnthemHMO (+1 same-rate plans) | $635 | negotiated rate |
| CignaHMO (+1 same-rate plans) | $794 | negotiated rate |
| Sentara HealthExchange | $884 | negotiated rate |
| KaiserHMO (+1 same-rate plans) | $959 | negotiated rate |
| Sentara HealthHMO (+1 same-rate plans) | $1,162 | negotiated rate |
| AetnaFannie-Mae | $2,190 | negotiated rate |
| AetnaHMO (+1 same-rate plans) | $2,561 | negotiated rate |
| CarefirstHMO | $4,413 | negotiated rate |
| CarefirstPPO | $4,455 | negotiated rate |
Medicare plans
| Payer / plan | Facility rate | Rate type |
|---|---|---|
| AetnaMedicare Advantage | $232 | negotiated rate |
| AnthemMedicare Advantage | $232 | negotiated rate |
| Sentara HealthMedicare Advantage | $237 | negotiated rate |
| CignaMedicare Advantage | $242 | negotiated rate |
| KaiserMedicare Advantage | $242 | negotiated rate |
| HumanaMedicare Advantage | $255 | negotiated rate |
Medicaid plans
| Payer / plan | Facility rate | Rate type |
|---|---|---|
| AnthemMedicaid Advantage | $1,807 | negotiated rate |
| Sentara HealthMedicaid Advantage | $1,861 | negotiated rate |
| HumanaMedicaid Advantage | $1,879 | negotiated rate |
| AetnaMedicaid Advantage | $1,898 | negotiated rate |
| KaiserMedicaid Advantage | $1,988 | negotiated rate |
Common questions
How much does impacted tooth removal (surgical) cost at Inova Fairfax Hospital without insurance?
Inova Fairfax Hospital's price file lists a discounted cash (self-pay) facility rate of $615 for Impacted tooth removal (surgical), against a gross charge of $1,229. Facility rate only — physician, anesthesia, radiology, and pathology services bill separately.
What do insurance plans pay for impacted tooth removal (surgical) at Inova Fairfax Hospital?
Inova Fairfax Hospital lists 11 commercial plan rates for Impacted tooth removal (surgical), from $551 (Anthem) to $4,455 (Carefirst), with a median of $959. The Washington, DC metro median commercial rate for this procedure is $1,730.
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 · Suburban Hospital