CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Uva Health Culpeper Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $656
Cash Discount Price: $1,911
vs. Medicare Baseline: 3.66x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Uva Health Culpeper Medical Center is $656. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,911. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 3.66x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

$1,911

Average discount available for prompt cash payment at this facility.

Insurance Median

$656

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $1,911 (1066%)

Insurance Median: $656 (366%)

Cash: $1,911 (1066% of Medicare)

Ins. Median: $656 (366% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 366% of the Medicare baseline (a markup of 266%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Champva [50002]	$120	67%
Tricare	$120	67%
Medicaid / KanCare	$158	88%
Aetna	$176 - $2,015	98%
Cigna	$176 - $1,340	98%
HMO Part B [10099]	$176	98%
Humana	$176 - $185	98%
Medicare (plans)	$176 - $181	98%
Blue Cross Blue Shield	$181 - $507	101%
UnitedHealthcare	$181 - $3,579	101%
VA Ccn [99926]	$181	101%
VA Ccn [99927]	$181	101%
Veterans Administration [99910]	$181	101%
Carefirst [30007]	$862 - $1,050	481%
Geha [40009]	$1,660	926%
Commercial Contracted Hb Only [40056]	$2,291	1278%
Multiplan Generic [40035]	$2,905 - $3,709	1621%
Vhn Generic [40040]	$2,905	1621%
Sentara Behavioral Health [40052]	$2,970	1657%
Sentara [40021]	$2,970	1657%
Commercial Contracted Tpa [40055]	$3,054	1704%
Healthsmart [40013]	$3,272	1826%
Kaiser Permenente [40014]	$3,440	1920%
First Health Generic [40033]	$3,578	1997%
Gateway Health Alliance [40034]	$3,709	2070%
Onenet Workers Comp Generic [60010]	$3,822	2133%

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 $1,911.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

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 70470.
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.