CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Uva Health Culpeper Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $526
Cash Discount Price: $1,445
vs. Medicare Baseline: 2.94x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Uva Health Culpeper Medical Center is $526. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,445. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 2.94x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

$1,445

Average discount available for prompt cash payment at this facility.

Insurance Median

$526

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: $1,445 (806%)

Insurance Median: $526 (294%)

Cash: $1,445 (806% of Medicare)

Ins. Median: $526 (294% 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 294% of the Medicare baseline (a markup of 194%). 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]	$99	55%
Tricare	$99 - $101	55%
Medicaid / KanCare	$158	88%
Aetna	$176 - $2,015	98%
Blue Cross Blue Shield	$176 - $526	98%
Cigna	$176 - $1,340	98%
HMO Part B [10099]	$176	98%
Humana	$176 - $185	98%
Medicare (plans)	$176 - $181	98%
UnitedHealthcare	$176 - $3,579	98%
VA Ccn [99926]	$176 - $181	98%
VA Ccn [99927]	$181	101%
Veterans Administration [99910]	$181	101%
Carefirst [30007]	$703 - $856	392%
Beacon Health Options [40012]	$1,392	777%
Commercial Contracted Hb Only [40056]	$1,462	816%
Commercial Generic [40000]	$1,462 - $1,950	816%
Geha [40009]	$1,660 - $3,579	926%
Multiplan Generic [40035]	$1,854 - $2,367	1035%
Vhn Generic [40040]	$1,854	1035%
Sentara Behavioral Health [40052]	$1,895	1057%
Sentara [40021]	$1,895	1057%
Umwa [40037]	$1,950	1088%
Healthsmart [40013]	$2,089	1166%
Kaiser Permenente [40014]	$2,195	1225%
First Health Generic [40033]	$2,284	1275%
Onenet Workers Comp Generic [60010]	$2,440	1362%

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 $1,445.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

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 70460.
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.