CMS Price Transparency Data

Hospital observation (per hour)

Facility: Uva Health Culpeper Medical Center

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $264
Cash Discount Price: $68
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Uva Health Culpeper Medical Center is $264. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $68. 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

$68

Average discount available for prompt cash payment at this facility.

Insurance Median

$264

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	$64 - $3,870	N/A
Sentara [40021]	$99 - $105	N/A
Sentara Behavioral Health [40052]	$102 - $105	N/A
Multiplan Generic [40035]	$103 - $264	N/A
Vhn Generic [40040]	$103 - $264	N/A
Kaiser Permenente [40014]	$122	N/A
Beacon Health Options [40012]	$156	N/A
Commercial Contracted Hb Only [40056]	$163	N/A
Commercial Generic [40000]	$163 - $218	N/A
Commercial Contracted Tpa [40055]	$187 - $218	N/A
UnitedHealthcare	$187 - $15,227	N/A
Umwa [40037]	$218	N/A
Healthsmart [40013]	$233	N/A
First Health Generic [40033]	$255	N/A
Gateway Health Alliance [40034]	$264	N/A
Onenet Workers Comp Generic [60010]	$272	N/A
Carefirst [30007]	$588 - $687	N/A
Cigna	$2,980 - $4,847	N/A
Geha [40009]	$3,111 - $10,746	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 $68.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0378.

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 G0378.
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.