CMS Price Transparency Data

Culture, bacterial

Facility: Uva Health Culpeper Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $11
  • Cash Discount Price: $51
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Uva Health Culpeper Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $51. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 1.28x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.
Cash / Self-Pay
$51

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
$8.62

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.62 (100%)
Cash / Self-Pay: $51 (592%)
Insurance Median: $11 (128%)
Cash: $51 (592% of Medicare)
Ins. Median: $11 (128% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.62 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
UnitedHealthcare $7 - $177 81%
Blue Ridge Pace [10510] $8 93%
Medicaid / KanCare $8 93%
Cigna $9 - $67 104%
Sentara Behavioral Health [40052] $9 - $37 104%
Sentara [40021] $9 - $37 104%
Medicare (plans) $9 104%
VA Ccn [99926] $9 104%
Tricare $9 104%
VA Ccn [99927] $9 104%
Veterans Administration [99910] $9 104%
HMO Part B [10099] $9 104%
Champva [50002] $9 104%
Humana $9 104%
Blue Cross Blue Shield $9 104%
Aetna $9 - $16 104%
Veterans [99909] $11 128%
Geha [40009] $11 - $46 128%
Carefirst [30007] $36 - $40 418%
Vhn Generic [40040] $77 - $251 893%
Multiplan Generic [40035] $77 - $251 893%
Beacon Health Options [40012] $148 1717%
Commercial Contracted Hb Only [40056] $155 1798%
Commercial Generic [40000] $155 - $206 1798%
Commercial Contracted Tpa [40055] $177 - $206 2053%
Umwa [40037] $206 2390%
Healthsmart [40013] $221 2564%
First Health Generic [40033] $242 2807%
Gateway Health Alliance [40034] $251 2912%
Onenet Workers Comp Generic [60010] $258 2993%

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