CMS Price Transparency Data

Psychological testing evaluation

Facility: Uva Health Culpeper Medical Center

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 96136
Insurance Median: $14
Cash Discount Price: $10
vs. Medicare Baseline: 0.10x Medicare

The contracted insurance negotiated median rate for a Psychological testing evaluation at Uva Health Culpeper Medical Center is $14. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.10x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

$10

Average discount available for prompt cash payment at this facility.

Insurance Median

$14

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$135.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $135.93 (100%)

Cash / Self-Pay: $10 (7%)

Insurance Median: $14 (10%)

Cash: $10 (7% of Medicare)

Ins. Median: $14 (10% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $135.93 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
Cigna	$7 - $13	5%
Aetna	$9 - $17	7%
Beacon Health Options [40012]	$10	7%
Commercial Contracted Hb Only [40056]	$10	7%
Commercial Generic [40000]	$10 - $13	7%
Commercial Contracted Tpa [40055]	$11 - $13	8%
Geha [40009]	$11 - $292	8%
UnitedHealthcare	$11 - $360	8%
Umwa [40037]	$13	10%
Healthsmart [40013]	$14	10%
Multiplan Generic [40035]	$14 - $16	10%
Vhn Generic [40040]	$14 - $16	10%
Sentara Behavioral Health [40052]	$15 - $117	11%
Sentara [40021]	$15 - $117	11%
First Health Generic [40033]	$16	12%
Gateway Health Alliance [40034]	$16	12%
Kaiser Permenente [40014]	$17	13%
Onenet Workers Comp Generic [60010]	$17	13%
Champva [50002]	$23	17%
Tricare	$23	17%
Carefirst [30007]	$51 - $63	38%

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 $10.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 96136.

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 96136.
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.