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It's actually worth $343 million now (he paid $175M earlier this year)

Here is a table of all publicly available Bitcoin holdings as of December 12th: https://www.kevinrooke.com/bitcoin

That website has two different metrics: "current value" and "fair value".

Are they saying the market price of a coin isn't "fair"?

Hm I only see “current value” now.

It's mentioned in the different Holding History charts a little further down the page.

Those appear to be the value of their holdings as USD trade at that moment in time. Check the date on the far left.