CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Uva Health Culpeper Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $158
Cash Discount Price: $124
vs. Medicare Baseline: 0.87x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Uva Health Culpeper Medical Center is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $124. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 0.87x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

$124

Average discount available for prompt cash payment at this facility.

Insurance Median

$158

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)

Cash / Self-Pay: $124 (68%)

Insurance Median: $158 (87%)

Cash: $124 (68% of Medicare)

Ins. Median: $158 (87% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 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	$77 - $165	42%
Champva [50002]	$88	49%
Tricare	$88	49%
Beacon Health Options [40012]	$100	55%
Commercial Contracted Hb Only [40056]	$105	58%
Commercial Generic [40000]	$105 - $140	58%
Aetna	$117 - $176	65%
Commercial Contracted Tpa [40055]	$120 - $140	66%
UnitedHealthcare	$120	66%
Umwa [40037]	$140	77%
Healthsmart [40013]	$150	83%
First Health Generic [40033]	$164	90%
Gateway Health Alliance [40034]	$170	94%
Multiplan Generic [40035]	$170 - $188	94%
Vhn Generic [40040]	$170 - $188	94%
Sentara Behavioral Health [40052]	$192 - $396	106%
Sentara [40021]	$192 - $396	106%
Kaiser Permenente [40014]	$222	122%
Carefirst [30007]	$330 - $412	182%

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 $124.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90834.

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 90834.
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.