CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Uva Health Culpeper Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $15
Cash Discount Price: $603
vs. Medicare Baseline: 1.12x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Uva Health Culpeper Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $603. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 1.12x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

$603

Average discount available for prompt cash payment at this facility.

Insurance Median

$15

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$13.39

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13.39 (100%)

Cash / Self-Pay: $603 (4503%)

Insurance Median: $15 (112%)

Cash: $603 (4503% of Medicare)

Ins. Median: $15 (112% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13.39 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.

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$7 - $15	52%
UnitedHealthcare	$11 - $97	82%
Blue Ridge Pace [10510]	$12	90%
Medicaid / KanCare	$12	90%
Aetna	$13 - $116	97%
Champva [50002]	$13 - $14	97%
Cigna	$13 - $164	97%
HMO Part B [10099]	$13	97%
Humana	$13 - $14	97%
Medicare (plans)	$13	97%
Tricare	$13 - $14	97%
VA Ccn [99926]	$13	97%
VA Ccn [99927]	$13	97%
Veterans Administration [99910]	$13	97%
Sentara Behavioral Health [40052]	$14 - $57	105%
Sentara [40021]	$14 - $57	105%
Geha [40009]	$17 - $46	127%
Veterans [99909]	$17	127%
Carefirst [30007]	$56 - $62	418%
Beacon Health Options [40012]	$74	553%
Commercial Contracted Hb Only [40056]	$78	583%
Commercial Generic [40000]	$78 - $104	583%
Commercial Contracted Tpa [40055]	$89 - $104	665%
Umwa [40037]	$104	777%
Healthsmart [40013]	$112	836%
First Health Generic [40033]	$122	911%
Gateway Health Alliance [40034]	$127	948%
Multiplan Generic [40035]	$127 - $186	948%
Vhn Generic [40040]	$127 - $186	948%
Onenet Workers Comp Generic [60010]	$131	978%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $603.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80061.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Uva Health Culpeper Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 80061.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.