CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Uva Health Culpeper Medical Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70551
Insurance Median: $734
Cash Discount Price: $1,686
vs. Medicare Baseline: 3.01x Medicare

The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Uva Health Culpeper Medical Center is $734. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,686. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.01x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

$1,686

Average discount available for prompt cash payment at this facility.

Insurance Median

$734

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $1,686 (692%)

Insurance Median: $734 (301%)

Cash: $1,686 (692% of Medicare)

Ins. Median: $734 (301% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 301% of the Medicare baseline (a markup of 201%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Champva [50002]	$133 - $136	55%
Tricare	$133 - $136	55%
Blue Ridge Pace [10510]	$215	88%
Medicaid / KanCare	$215	88%
Aetna	$239 - $3,094	98%
Blue Cross Blue Shield	$239 - $715	98%
Cigna	$239 - $2,454	98%
HMO Part B [10099]	$239	98%
Humana	$239 - $252	98%
Medicare (plans)	$239 - $247	98%
UnitedHealthcare	$239 - $5,134	98%
VA Ccn [99926]	$239 - $247	98%
VA Ccn [99927]	$239 - $247	98%
Veterans Administration [99910]	$247	101%
Carefirst [30007]	$1,302 - $1,586	534%
Beacon Health Options [40012]	$1,815	745%
Multiplan Generic [40035]	$1,815 - $3,086	745%
Vhn Generic [40040]	$1,815 - $3,086	745%
Sentara Behavioral Health [40052]	$1,855	761%
Sentara [40021]	$1,855	761%
Commercial Contracted Hb Only [40056]	$1,906	782%
Commercial Generic [40000]	$1,906 - $2,541	782%
Geha [40009]	$1,968 - $3,649	807%
Kaiser Permenente [40014]	$2,149	882%
Commercial Contracted Tpa [40055]	$2,178 - $2,541	893%
Umwa [40037]	$2,541	1042%
Healthsmart [40013]	$2,722	1117%
First Health Generic [40033]	$2,977	1221%
Gateway Health Alliance [40034]	$3,086	1266%
Onenet Workers Comp Generic [60010]	$3,180	1305%

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 $1,686.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70551.

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 70551.
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.