CMS Price Transparency Data

Psychological testing by technician

Facility: Uva Health Culpeper Medical Center

Billing Code: 96138 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96138
Insurance Median: $81
Cash Discount Price: $57
vs. Medicare Baseline: 0.18x Medicare

The contracted insurance negotiated median rate for a Psychological testing by technician at Uva Health Culpeper Medical Center is $81. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $57. Compared to the federal Medicare reimbursement reference rate of $456.4, this hospital’s rate is 0.18x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

$57

Average discount available for prompt cash payment at this facility.

Insurance Median

$81

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$456.4

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $456.4 (100%)

Cash / Self-Pay: $57 (12%)

Insurance Median: $81 (18%)

Cash: $57 (12% of Medicare)

Ins. Median: $81 (18% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $456.4 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.

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]	$34	7%
Tricare	$34	7%
Cigna	$44 - $76	10%
Carefirst [30007]	$51 - $63	11%
Aetna	$54 - $100	12%
Beacon Health Options [40012]	$57	12%
Commercial Contracted Hb Only [40056]	$60	13%
Commercial Generic [40000]	$60 - $80	13%
Geha [40009]	$66 - $292	14%
UnitedHealthcare	$66 - $360	14%
Commercial Contracted Tpa [40055]	$68 - $80	15%
Umwa [40037]	$80	18%
Healthsmart [40013]	$86	19%
Multiplan Generic [40035]	$87 - $97	19%
Vhn Generic [40040]	$87 - $97	19%
Sentara Behavioral Health [40052]	$89 - $179	20%
Sentara [40021]	$89 - $179	20%
First Health Generic [40033]	$93	20%
Gateway Health Alliance [40034]	$97	21%
Onenet Workers Comp Generic [60010]	$100	22%
Kaiser Permenente [40014]	$103	23%

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 $57.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 96138.

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 96138.
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.