CMS Price Transparency Data

Office visit, established patient (20-29 min)

Facility: Uva Health Culpeper Medical Center

Billing Code: 99213 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$136

about 1.4× the $95 Medicare rate · typically $72–$260

modeled estimate · not a bill or quote

What this hospital charges insurers

$139

About the fair price

about $3 over the fair price · 1.5× Medicare

Medicare pays $95 Fair price $136 This hospital $139 Cash price $117 Hospital's list price $234

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 $66 Priciest $139

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

A fair price for a Office visit, established patient (20-29 min) is about $136 (about 1.4× the $95 Medicare rate). Uva Health Culpeper Medical Center charges insurers about $139, or about $117 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.

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

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

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	$34 - $773	36%
Blue Cross Blue Shieldmajor	$124 - $399	130%
Aetnamajor	$44 - $139	46%
Cignamajor	$23 - $156	24%
Humanamajor	$134 - $140	141%
Kaiser Permanentemajor	$211	222%
GEHA	$34 - $622	36%
Sentara	$182 - $243	191%
+ 8 smaller / regional plans	$30 - $178

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 117), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99213.

Insurance Before you use insurance

Call your insurance company to confirm Uva Health Culpeper Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 99213.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Uva Health Culpeper Medical Center

Compare: Office visit, established patient (20-29 min) at other VA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.