CMS Price Transparency Data

Drug screening test

Facility: Uva Health Culpeper Medical Center

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $117
Cash Discount Price: $104
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a Drug screening test at Uva Health Culpeper Medical Center is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $104. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 1.02x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

$104

Average discount available for prompt cash payment at this facility.

Insurance Median

$117

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$114.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $114.43 (100%)

Cash / Self-Pay: $104 (91%)

Insurance Median: $117 (102%)

Cash: $104 (91% of Medicare)

Ins. Median: $117 (102% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $114.43 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.

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
Aetna	$14 - $217	12%
Blue Cross Blue Shield	$14 - $216	12%
Cigna	$14 - $3,972	12%
Humana	$14 - $134	12%
Medicare (plans)	$14 - $134	12%
UnitedHealthcare	$14 - $216	12%
VA Ccn [99926]	$14 - $134	12%
VA Ccn [99927]	$14 - $134	12%
Veterans Administration [99910]	$14 - $114	12%
Geha [40009]	$46 - $72	40%
Multiplan Generic [40035]	$91 - $254	80%
Vhn Generic [40040]	$91 - $254	80%
Sentara Behavioral Health [40052]	$93 - $191	81%
Sentara [40021]	$93 - $191	81%
Blue Ridge Pace [10510]	$103 - $120	90%
Medicaid / KanCare	$103 - $120	90%
Kaiser Permenente [40014]	$108 - $221	94%
Veterans [99909]	$112	98%
HMO Part B [10099]	$114 - $134	100%
Champva [50002]	$115 - $117	100%
Tricare	$115 - $117	100%
Beacon Health Options [40012]	$123 - $150	107%
Commercial Contracted Hb Only [40056]	$129 - $157	113%
Commercial Generic [40000]	$129 - $209	113%
Commercial Contracted Tpa [40055]	$148 - $209	129%
Umwa [40037]	$172 - $209	150%
Healthsmart [40013]	$184 - $224	161%
First Health Generic [40033]	$202 - $245	177%
Gateway Health Alliance [40034]	$209 - $254	183%
Onenet Workers Comp Generic [60010]	$216 - $262	189%
Carefirst [30007]	$323 - $359	282%

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 $104.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0480.

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 HCPCS code G0480.
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.