CMS Price Transparency Data

Flu vaccine (high dose)

Facility: Uva Health Culpeper Medical Center

Billing Code: 90656 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90656
Insurance Median: $11
Cash Discount Price: $10
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Flu vaccine (high dose) at Uva Health Culpeper Medical Center is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

$10

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

N/A

Standard federal government reimbursement rate for this code.

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	$3 - $18	N/A
Blue Cross Blue Shield	$3 - $47	N/A
Cigna	$3 - $51	N/A
Humana	$3 - $5	N/A
Medicare (plans)	$3 - $5	N/A
UnitedHealthcare	$3 - $47	N/A
VA Ccn [99926]	$3 - $5	N/A
VA Ccn [99927]	$3 - $5	N/A
Veterans Administration [99910]	$3 - $4	N/A
HMO Part B [10099]	$4 - $5	N/A
Beacon Health Options [40012]	$8 - $10	N/A
Commercial Contracted Hb Only [40056]	$8 - $11	N/A
Commercial Generic [40000]	$8 - $14	N/A
Commercial Contracted Tpa [40055]	$9 - $14	N/A
Umwa [40037]	$10 - $14	N/A
Healthsmart [40013]	$11 - $15	N/A
Multiplan Generic [40035]	$11 - $17	N/A
Vhn Generic [40040]	$11 - $17	N/A
First Health Generic [40033]	$12 - $17	N/A
Sentara Behavioral Health [40052]	$12 - $22	N/A
Sentara [40021]	$12 - $22	N/A
Gateway Health Alliance [40034]	$13 - $17	N/A
Onenet Workers Comp Generic [60010]	$13 - $18	N/A
Kaiser Permenente [40014]	$14 - $18	N/A
Geha [40009]	$22 - $37	N/A
Carefirst [30007]	$35	N/A

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 $10.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: 90656.

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 90656.
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.