CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Uva Health Culpeper Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $40
  • Cash Discount Price: $770
  • vs. Medicare Baseline: 4.12x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Uva Health Culpeper Medical Center is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $770. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 4.12x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.
Cash / Self-Pay
$770

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$9.71

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $9.71 (100%)
Cash / Self-Pay: $770 (7930%)
Insurance Median: $40 (412%)
Cash: $770 (7930% of Medicare)
Ins. Median: $40 (412% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $9.71 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 412% of the Medicare baseline (a markup of 312%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
UnitedHealthcare $8 - $385 82%
Blue Ridge Pace [10510] $9 - $120 93%
Medicaid / KanCare $9 - $120 93%
Aetna $10 - $139 103%
Blue Cross Blue Shield $10 - $385 103%
Champva [50002] $10 103%
Cigna $10 - $138 103%
HMO Part B [10099] $10 - $134 103%
Humana $10 - $140 103%
Medicare (plans) $10 - $138 103%
Sentara Behavioral Health [40052] $10 - $41 103%
Sentara [40021] $10 - $41 103%
Tricare $10 103%
VA Ccn [99926] $10 - $138 103%
VA Ccn [99927] $10 - $138 103%
Veterans Administration [99910] $10 - $138 103%
Geha [40009] $12 - $46 124%
Veterans [99909] $13 134%
Carefirst [30007] $41 - $45 422%
Beacon Health Options [40012] $45 463%
Commercial Contracted Hb Only [40056] $47 484%
Commercial Generic [40000] $47 - $63 484%
Commercial Contracted Tpa [40055] $54 - $63 556%
Umwa [40037] $63 649%
Healthsmart [40013] $68 700%
First Health Generic [40033] $74 762%
Gateway Health Alliance [40034] $76 783%
Multiplan Generic [40035] $76 - $123 783%
Vhn Generic [40040] $76 - $123 783%
Onenet Workers Comp Generic [60010] $79 814%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Sunset Lane, Culpeper, VA 22701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals