CMS Price Transparency Data

Trauma team activation

Facility: Uva Health Culpeper Medical Center

Billing Code: G0390 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0390
Insurance Median: $6,288
Cash Discount Price: Unavailable
vs. Medicare Baseline: 4.62x Medicare

The contracted insurance negotiated median rate for a Trauma team activation at Uva Health Culpeper Medical Center is $6,288. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $1,361.78, this hospital’s rate is 4.62x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,288

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$1,361.78

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $1,361.78 (100%)

Insurance Median: $6,288 (462%)

Ins. Median: $6,288 (462% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $1,361.78 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 462% of the Medicare baseline (a markup of 362%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$2,703 - $3,994	198%
Geha [40009]	$3,032	223%
UnitedHealthcare	$3,032 - $7,187	223%
Cigna	$4,610 - $5,789	339%
Sentara [40021]	$5,091 - $5,203	374%
Sentara Behavioral Health [40052]	$5,203	382%
Beacon Health Options [40012]	$5,989	440%
Commercial Contracted Hb Only [40056]	$6,288	462%
Commercial Generic [40000]	$6,288 - $8,385	462%
Commercial Contracted Tpa [40055]	$7,187 - $8,385	528%
Umwa [40037]	$8,385	616%
Aetna	$8,864 - $10,541	651%
Healthsmart [40013]	$8,984	660%
First Health Generic [40033]	$9,822	721%
Gateway Health Alliance [40034]	$10,181	748%
Multiplan Generic [40035]	$10,181	748%
Vhn Generic [40040]	$10,181	748%
Onenet Workers Comp Generic [60010]	$10,493	771%

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 $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0390.

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 HCPCS code G0390.
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.