CMS Price Transparency Data

Blood test, hemoglobin

Facility: Uva Health Culpeper Medical Center

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $3
Cash Discount Price: $12
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Uva Health Culpeper Medical Center is $3. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 1.27x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

$12

Average discount available for prompt cash payment at this facility.

Insurance Median

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$2.37

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2.37 (100%)

Cash / Self-Pay: $12 (506%)

Insurance Median: $3 (127%)

Cash: $12 (506% of Medicare)

Ins. Median: $3 (127% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2.37 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
Aetna	$2 - $4	84%
Blue Cross Blue Shield	$2	84%
Blue Ridge Pace [10510]	$2	84%
Champva [50002]	$2	84%
Cigna	$2 - $16	84%
HMO Part B [10099]	$2	84%
Humana	$2	84%
Medicaid / KanCare	$2	84%
Medicare (plans)	$2	84%
Sentara Behavioral Health [40052]	$2 - $10	84%
Sentara [40021]	$2 - $10	84%
Tricare	$2	84%
UnitedHealthcare	$2 - $97	84%
VA Ccn [99926]	$2	84%
VA Ccn [99927]	$2	84%
Veterans Administration [99910]	$2	84%
Geha [40009]	$3 - $46	127%
Veterans [99909]	$3	127%
Carefirst [30007]	$10 - $11	422%
Multiplan Generic [40035]	$18 - $57	759%
Vhn Generic [40040]	$18 - $57	759%
Beacon Health Options [40012]	$34	1435%
Commercial Contracted Hb Only [40056]	$35	1477%
Commercial Generic [40000]	$35 - $47	1477%
Commercial Contracted Tpa [40055]	$40 - $47	1688%
Umwa [40037]	$47	1983%
Healthsmart [40013]	$50	2110%
First Health Generic [40033]	$55	2321%
Gateway Health Alliance [40034]	$57	2405%
Onenet Workers Comp Generic [60010]	$59	2489%

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 $12.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85018.

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 85018.
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.