Summary

10 facilities within 25 miles of Alexandria publish prices for Lumpectomy. Cash prices range from $3,484 to $19,379 — a 5.6x difference for an identical procedure. The Virginia average is $12,101.

$3,484 lowest
$19,379 highest
Best Value

Inova Fair Oaks Hospital

Fairfax, VA · Inova Health System · 14.3 mi

$5,820 Cash price
5/5 CMS rating
79.0% Patient satisfaction

Lowest price among hospitals rated 5 stars or above. Patient satisfaction: 79%. Cash price of $5,820 is below the statewide average of $12,101.

All facilities ranked by price

1
Fauquier Hospital 3★ · 5.9 mi · For-profit
$3,484
2
Inova Fair Oaks Hospital 5★ · 14.3 mi · Nonprofit
$5,820
3
Inova Loudoun Hospital 5★ · 5.9 mi · Nonprofit
$5,820
4
Inova Alexandria Hospital 4★ · 0.0 mi · Nonprofit
$5,820
5
Inova Mount Vernon Hospital 3★ · 0.0 mi · Nonprofit
$5,820
6
UVA Health Haymarket Medical Center 4★ · 5.9 mi · Nonprofit
$15,065
7
Novant Prince William Medical Center 4★ · 5.9 mi · Nonprofit
$19,379
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Fauquier Hospital Warrenton, VA · 5.9 mi $3,484 $8,709 2.5x 3/5 62.0% For-profit
2 Inova Fair Oaks Hospital Inova Health System Fairfax, VA · 14.3 mi $5,820 $11,639 2.0x 5/5 79.0% Nonprofit
3 Inova Loudoun Hospital Inova Health System Leesburg, VA · 5.9 mi $5,820 $11,639 2.0x 5/5 76.0% Nonprofit
4 Inova Alexandria Hospital Inova Health System Alexandria, VA · 0.0 mi $5,820 $11,639 2.0x 4/5 70.0% Nonprofit
5 Inova Mount Vernon Hospital Inova Health System Alexandria, VA · 0.0 mi $5,820 $11,639 2.0x 3/5 67.0% Nonprofit
6 UVA Health Haymarket Medical Center UVA Health Haymarket, VA · 5.9 mi $15,065 $25,108 1.67x 4/5 76.0% Nonprofit
7 Novant Prince William Medical Center Novant Health Manassas, VA · 5.9 mi $19,379 $38,758 2.0x 4/5 64.0% Nonprofit
8 Stonesprings Hospital Center Dulles, VA · 5.9 mi 3/5 76.0% For-profit
9 Reston Hospital Center HCA Virginia Reston, VA · 5.9 mi 3/5 66.0% Nonprofit
10 Dominion Hospital HCA Virginia Falls Church, VA · 14.0 mi For-profit

Insurance negotiated rates by facility

The rates below are what each insurer has contractually agreed to pay this hospital for Lumpectomy. Your actual out-of-pocket cost depends on your deductible status and copay structure.

UVA Health Haymarket Medical Center

Cash: $15,065
Insurance Plan Negotiated Rate vs Cash
TRICARE UVAMC & UVACHM & UVAPW & UVAHM - Tricare $671 -$14,394
Aetna UVAMC - Aetna (Comm. Book of Business) $1,244 -$13,821
Aetna UVAMC - Aetna (IFP) $1,903 -$13,162
Aetna UVAMC - Aetna Small Business $2,065 -$13,000
Aetna UVAMC - Aetna UVA Preferred $2,065 -$13,000
Anthem UVAMC - Managed Medicare (various) $3,928 -$11,137
Cigna UVAMC - Managed Medicare (various) $3,928 -$11,137
Medicare UVAMC - Managed Medicare (various) $3,928 -$11,137
UnitedHealthcare UVAMC - Managed Medicare (various) $3,928 -$11,137

28 additional plans not shown.

Novant Prince William Medical Center

Cash: $19,379
Insurance Plan Negotiated Rate vs Cash
TRICARE UVAMC & UVACHM & UVAPW & UVAHM - Tricare $657 -$18,722
Cigna $2,430 -$16,949
Cigna UVAPW & UVAHM - Cigna (IFP) $2,430 -$16,949
Aetna UVAPW & UVAHM - Aetna $3,870 -$15,509
UnitedHealthcare $3,914 -$15,465
UnitedHealthcare UVAPW & UVAHM - United (All Payer) $4,349 -$15,030
Cigna UVAPW & UVAHM - Cigna (OAP) $4,437 -$14,942
Cigna $5,014 -$14,365
Cigna $5,014 -$14,365

17 additional plans not shown.

Stonesprings Hospital Center

Cash: N/A
Insurance Plan Negotiated Rate
Cigna IFP $3,051
CareFirst HMO $3,898
CareFirst RPN $3,898
Cigna HMO $4,475
Cigna PPO $4,475
Lifeworks MCR $4,950
Bright Health COMM $5,995
Anthem HIX $6,665
Anthem HPN $6,734
Anthem HMO $7,221
Anthem PPO $7,221
Optima Health HMO $7,312
Optima Health PPO.POS $7,312
UnitedHealthcare AllPayerAppendix $7,357

Reston Hospital Center

Cash: N/A
Insurance Plan Negotiated Rate
Cigna IFP $3,051
CareFirst HMO $3,898
CareFirst RPN $3,898
Universal Healthcare Group MCR $4,250
Cigna HMO $4,475
Cigna PPO $4,475
Lifeworks MCR $4,950
Bright Health COMM $5,995
Anthem HIX $6,655
Anthem HPN $6,723
Anthem HMO $7,210
Anthem PPO $7,210
Optima Health HMO $7,312
Optima Health PPO.POS $7,312
UnitedHealthcare AllPayerAppendix $7,357

Dominion Hospital

Cash: N/A
Insurance Plan Negotiated Rate
Optima Health HMO $7,312
Optima Health PPO.POS $7,312

Before you call

The data in this report is from each hospital's publicly filed prices. Here's how to use it.

Confirm the price

Call the hospital's billing department and ask for a price estimate or Good Faith Estimate for Lumpectomy (CPT 19301). Under federal law, they must provide this. Compare it to the published price in this report.

Ask about cash pay

If you haven't met your deductible, ask for the cash/self-pay rate. At many hospitals, the cash price is lower than the insurance-negotiated rate. You can see this in the insurance table above — some negotiated rates exceed the cash price.

Compare before you schedule

You are not required to use the facility your doctor referred you to. You can request a referral to any in-network facility. The same procedure, same quality — sometimes at a fraction of the price.

Ask about financial help

Most nonprofit hospitals in Virginia offer financial assistance to patients based on household income. This is separate from insurance — even insured patients can qualify. Ask billing for their Financial Assistance Policy.

Financial assistance by facility

Nonprofit hospitals are legally required to have financial assistance programs. Below is what we know about each facility's charitable care.

Facility Status Charity Care Provided How to Apply
Fauquier Hospital For-profit N/A (for-profit)
Inova Fair Oaks Hospital Nonprofit Call billing, request Financial Assistance application
Inova Loudoun Hospital Nonprofit Call billing, request Financial Assistance application
Inova Alexandria Hospital Nonprofit Call billing, request Financial Assistance application
Inova Mount Vernon Hospital Nonprofit Call billing, request Financial Assistance application
UVA Health Haymarket Medical Center Nonprofit Call billing, request Financial Assistance application
Novant Prince William Medical Center Nonprofit Call billing, request Financial Assistance application
Stonesprings Hospital Center For-profit N/A (for-profit)
Reston Hospital Center Nonprofit Call billing, request Financial Assistance application
Dominion Hospital For-profit N/A (for-profit)

What to do next

  1. Identify your top 2-3 facilities based on price, quality rating, and distance. The data in this report shows that lower price does not mean lower quality — check the star ratings.
  2. Call billing before you schedule. Confirm the published price. Ask for a Good Faith Estimate. Ask whether there's a prompt-pay or cash-pay discount beyond the listed rate.
  3. Check your deductible status. If you haven't met your deductible, compare the cash rate to what you'd owe through insurance. In some cases, paying cash is cheaper than using your plan.
  4. Apply for financial assistance if your household income is under $60,000-$125,000 (thresholds vary). Most eligible patients never apply because they don't know the program exists.
  5. Get everything in writing. Before your procedure, get a written price estimate. After, review the bill line by line. Roughly 80% of hospital bills contain errors (Becker's Hospital Review).

Data sources

Hospital prices
Published machine-readable files, required under CMS Hospital Price Transparency Rule (45 CFR Part 180)
Quality ratings
CMS Hospital Compare, updated quarterly
Patient satisfaction
HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)
Financial data
CMS Cost Reports (charity care, revenue) and IRS 990 filings (officer compensation)

This report is for informational purposes only. It is not medical advice. Every price shown is a price a hospital published — not an estimate. Actual out-of-pocket costs depend on your insurance plan, deductible status, and clinical circumstances. Consult your healthcare provider and insurer before making decisions.