CMS Price Transparency Data

Family therapy session

Facility: Uva Health Culpeper Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $288
Cash Discount Price: $135
vs. Medicare Baseline: 1.59x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Uva Health Culpeper Medical Center is $288. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $135. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.59x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

$135

Average discount available for prompt cash payment at this facility.

Insurance Median

$288

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)

Cash / Self-Pay: $135 (74%)

Insurance Median: $288 (159%)

Cash: $135 (74% of Medicare)

Ins. Median: $288 (159% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 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
Tricare	$99	55%
Champva [50002]	$99	55%
Aetna	$128 - $476	71%
Carefirst [30007]	$143	79%
Cigna	$149 - $261	82%
Multiplan Generic [40035]	$204 - $460	112%
Vhn Generic [40040]	$204 - $460	112%
Sentara [40021]	$209 - $497	115%
Sentara Behavioral Health [40052]	$209 - $497	115%
Kaiser Permenente [40014]	$242	133%
UnitedHealthcare	$263 - $389	145%
Beacon Health Options [40012]	$270	149%
Commercial Contracted Hb Only [40056]	$284	157%
Commercial Generic [40000]	$284 - $379	157%
Geha [40009]	$292 - $314	161%
Commercial Contracted Tpa [40055]	$325 - $379	179%
Umwa [40037]	$379	209%
Healthsmart [40013]	$406	224%
First Health Generic [40033]	$444	245%
Gateway Health Alliance [40034]	$460	254%
Onenet Workers Comp Generic [60010]	$474	261%

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 $135.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90847.

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 90847.
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.