Summary

9 facilities within 25 miles of Arlington publish prices for Upper GI Endoscopy with Biopsy. Cash prices range from $1,484 to $4,735 — a 3.2x difference for an identical procedure. The Virginia average is $4,867.

$1,484 lowest
$4,735 highest
Best Value

Inova Fair Oaks Hospital

Fairfax, VA · Inova Health System · 11.8 mi

$1,484 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 $1,484 is below the statewide average of $4,867.

All facilities ranked by price

1
Inova Fair Oaks Hospital 5★ · 11.8 mi · Nonprofit
$1,484
2
Inova Loudoun Hospital 5★ · 0.5 mi · Nonprofit
$1,484
3
Inova Alexandria Hospital 4★ · 5.8 mi · Nonprofit
$1,484
4
Inova Mount Vernon Hospital 3★ · 5.8 mi · Nonprofit
$1,484
5
Novant Prince William Medical Center 4★ · 0.5 mi · Nonprofit
$3,901
6
UVA Health Haymarket Medical Center 4★ · 0.5 mi · Nonprofit
$4,735
Complete facility data
# Facility Cash Price Gross Charge Markup CMS Stars Patient Rating Ownership
1 Inova Fair Oaks Hospital Inova Health System Fairfax, VA · 11.8 mi $1,484 $2,968 2.0x 5/5 79.0% Nonprofit
2 Inova Loudoun Hospital Inova Health System Leesburg, VA · 0.5 mi $1,484 $2,968 2.0x 5/5 76.0% Nonprofit
3 Inova Alexandria Hospital Inova Health System Alexandria, VA · 5.8 mi $1,484 $2,968 2.0x 4/5 70.0% Nonprofit
4 Inova Mount Vernon Hospital Inova Health System Alexandria, VA · 5.8 mi $1,484 $2,968 2.0x 3/5 67.0% Nonprofit
5 Novant Prince William Medical Center Novant Health Manassas, VA · 0.5 mi $3,901 $7,802 2.0x 4/5 64.0% Nonprofit
6 UVA Health Haymarket Medical Center UVA Health Haymarket, VA · 0.5 mi $4,735 $7,892 1.67x 4/5 76.0% Nonprofit
7 Stonesprings Hospital Center Dulles, VA · 0.5 mi 3/5 76.0% For-profit
8 Reston Hospital Center HCA Virginia Reston, VA · 0.5 mi 3/5 66.0% Nonprofit
9 Dominion Hospital HCA Virginia Falls Church, VA · 11.5 mi For-profit

Insurance negotiated rates by facility

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

Novant Prince William Medical Center

Cash: $3,901
Insurance Plan Negotiated Rate vs Cash
TRICARE UVAMC & UVACHM & UVAPW & UVAHM - Tricare $135 -$3,766
Anthem UVAPW - Managed Medicare (various) $938 -$2,963
Cigna UVAPW - Managed Medicare (various) $938 -$2,963
Kaiser Permanente UVAPW - Managed Medicare (Kaiser) $938 -$2,963
Medicare UVAPW - Managed Medicare (various) $938 -$2,963
UnitedHealthcare UVAPW - Managed Medicare (various) $938 -$2,963
Aetna UVAPW - Managed Medicare - Aetna $948 -$2,953
Humana UVAPW - Managed Medicare (Humana) $957 -$2,944
Aetna UVAPW & UVAHM - Aetna $1,577 -$2,324
UnitedHealthcare $1,719 -$2,182

17 additional plans not shown.

UVA Health Haymarket Medical Center

Cash: $4,735
Insurance Plan Negotiated Rate vs Cash
TRICARE UVAMC & UVACHM & UVAPW & UVAHM - Tricare $138 -$4,598
Anthem UVAMC - Managed Medicare (various) $910 -$3,825
Cigna UVAMC - Managed Medicare (various) $910 -$3,825
Humana UVAMC - Managed Medicare (various) $910 -$3,825
Medicare UVAMC - Managed Medicare (various) $910 -$3,825
Aetna UVAMC - Aetna (Comm. Book of Business) $1,088 -$3,647
Aetna UVAMC - Aetna (IFP) $1,672 -$3,063

27 additional plans not shown.

Stonesprings Hospital Center

Cash: N/A
Insurance Plan Negotiated Rate
Anthem HIX $2,395
Anthem HPN $2,419
Cigna IFP $2,497
Lifeworks MCR $2,550
Anthem HMO $2,595
Anthem PPO $2,595
CareFirst HMO $2,747
CareFirst RPN $2,747
Bright Health COMM $3,105
Cigna HMO $3,273
Cigna PPO $3,273
UnitedHealthcare AllPayerAppendix $4,382
Optima Health HMO $5,124
Optima Health PPO.POS $5,124

Reston Hospital Center

Cash: N/A
Insurance Plan Negotiated Rate
Universal Healthcare Group MCR $1,995
Anthem HIX $2,390
Anthem HPN $2,414
Cigna IFP $2,497
Lifeworks MCR $2,550
Anthem HMO $2,589
Anthem PPO $2,589
CareFirst HMO $2,747
CareFirst RPN $2,747
Bright Health COMM $3,105
Cigna HMO $3,273
Cigna PPO $3,273
UnitedHealthcare AllPayerAppendix $4,382
Optima Health HMO $5,124
Optima Health PPO.POS $5,124

Dominion Hospital

Cash: N/A
Insurance Plan Negotiated Rate
Optima Health HMO $5,124
Optima Health PPO.POS $5,124

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 Upper GI Endoscopy with Biopsy (CPT 43239). 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
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
Novant Prince William Medical Center Nonprofit Call billing, request Financial Assistance application
UVA Health Haymarket 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.