CMS Price Transparency Data

Group therapy session

Facility: Uva Health Culpeper Medical Center

Billing Code: 90853 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$125
about 1.2× the $104 Medicare rate · typically $57–$251
modeled estimate · not a bill or quote
What this hospital charges insurers
$118
About the fair price
about $7 under the fair price · 1.1× Medicare
Medicare pays $104 Fair price $125 This hospital $118 Cash price $253 Hospital's list price $506

How we calculate the fair BaseRate →

How this hospital compares to other VA hospitals

Highest price of the 9 VA hospitals we have prices for — worth calling around.

Cheapest $36 Priciest $118

Black dot = this hospital, among the 9 VA hospitals with a price for this procedure. Full list below.

A fair price for a Group therapy session is about $125 (about 1.2× the $104 Medicare rate). Uva Health Culpeper Medical Center charges insurers about $118, or about $253 in cash — about the fair price. Located in Culpeper, VA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $61 - $272 59%
Blue Cross Blue Shieldmajor $165 - $370 159%
Aetnamajor $75 - $400 72%
Cignamajor $39 - $250 38%
Kaiser Permanentemajor $281 - $400 271%
GEHA $125 120%
Sentara $115 - $242 111%
+ 6 smaller / regional plans $50 - $531
Government programs also on file: Military & VA.
Excludes 4 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 501 Sunset Lane, Culpeper, VA 22701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals