CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Uva Health Culpeper Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90837
Insurance Median: $218
Cash Discount Price: $152
vs. Medicare Baseline: 1.20x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Uva Health Culpeper Medical Center is $218. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $152. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.20x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

$152

Average discount available for prompt cash payment at this facility.

Insurance Median

$218

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: $152 (84%)

Insurance Median: $218 (120%)

Cash: $152 (84% of Medicare)

Ins. Median: $218 (120% 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	$117 - $202	65%
Champva [50002]	$129	71%
Tricare	$129	71%
Aetna	$144 - $267	79%
Beacon Health Options [40012]	$152	84%
Commercial Contracted Hb Only [40056]	$159	88%
Commercial Generic [40000]	$159 - $212	88%
Commercial Contracted Tpa [40055]	$182 - $212	100%
UnitedHealthcare	$182	100%
Umwa [40037]	$212	117%
Healthsmart [40013]	$227	125%
Multiplan Generic [40035]	$230 - $258	127%
Vhn Generic [40040]	$230 - $258	127%
Sentara Behavioral Health [40052]	$235 - $593	130%
Sentara [40021]	$235 - $593	130%
First Health Generic [40033]	$248	137%
Gateway Health Alliance [40034]	$258	142%
Kaiser Permenente [40014]	$273	151%
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 $152.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90837.

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 90837.
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.