CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Uva Health Culpeper Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $462
Cash Discount Price: $487
vs. Medicare Baseline: 2.94x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Uva Health Culpeper Medical Center is $462. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $487. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.94x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

$487

Average discount available for prompt cash payment at this facility.

Insurance Median

$462

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)

Cash / Self-Pay: $487 (310%)

Insurance Median: $462 (294%)

Cash: $487 (310% of Medicare)

Ins. Median: $462 (294% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 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
Blue Ridge Pace [10510]	$98	62%
Medicaid / KanCare	$98	62%
Aetna	$108 - $953	69%
Blue Cross Blue Shield	$108	69%
Cigna	$108 - $651	69%
HMO Part B [10099]	$108	69%
Humana	$108 - $111	69%
Medicare (plans)	$108	69%
UnitedHealthcare	$108 - $779	69%
VA Ccn [99926]	$108	69%
VA Ccn [99927]	$108	69%
Veterans Administration [99910]	$108	69%
Champva [50002]	$111 - $113	71%
Tricare	$111 - $113	71%
Geha [40009]	$208 - $629	133%
Carefirst [30007]	$263 - $321	168%
Beacon Health Options [40012]	$542	345%
Sentara [40021]	$547 - $757	348%
Sentara Behavioral Health [40052]	$558 - $757	355%
Commercial Contracted Hb Only [40056]	$569	362%
Commercial Generic [40000]	$569 - $758	362%
Commercial Contracted Tpa [40055]	$650 - $758	414%
Multiplan Generic [40035]	$740 - $921	471%
Vhn Generic [40040]	$740 - $921	471%
Umwa [40037]	$758	483%
Healthsmart [40013]	$812	517%
Kaiser Permenente [40014]	$877	559%
First Health Generic [40033]	$888	566%
Gateway Health Alliance [40034]	$921	587%
Onenet Workers Comp Generic [60010]	$949	605%

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 $487.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

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 77066.
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.