CMS Price Transparency Data

Blood test, liver function panel

Facility: Uva Health Culpeper Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $11
  • Cash Discount Price: $122
  • vs. Medicare Baseline: 1.35x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Uva Health Culpeper Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $122. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 1.35x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.
Cash / Self-Pay
$122

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.17 (100%)
Cash / Self-Pay: $122 (1493%)
Insurance Median: $11 (135%)
Cash: $122 (1493% of Medicare)
Ins. Median: $11 (135% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.17 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.

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 Ridge Pace [10510] $7 86%
Medicaid / KanCare $7 86%
UnitedHealthcare $7 - $161 86%
Aetna $8 - $16 98%
Blue Cross Blue Shield $8 98%
Champva [50002] $8 98%
Cigna $8 - $162 98%
HMO Part B [10099] $8 98%
Humana $8 98%
Medicare (plans) $8 98%
Tricare $8 98%
VA Ccn [99926] $8 98%
VA Ccn [99927] $8 98%
Veterans Administration [99910] $8 98%
Sentara Behavioral Health [40052] $9 - $35 110%
Sentara [40021] $9 - $35 110%
Geha [40009] $10 - $46 122%
Veterans [99909] $11 135%
Carefirst [30007] $34 - $38 416%
Beacon Health Options [40012] $134 1640%
Commercial Contracted Hb Only [40056] $141 1726%
Commercial Generic [40000] $141 - $188 1726%
Commercial Contracted Tpa [40055] $161 - $188 1971%
Multiplan Generic [40035] $185 - $229 2264%
Vhn Generic [40040] $185 - $229 2264%
Umwa [40037] $188 2301%
Healthsmart [40013] $202 2472%
First Health Generic [40033] $221 2705%
Gateway Health Alliance [40034] $229 2803%
Onenet Workers Comp Generic [60010] $236 2889%

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