CMS Price Transparency Data

X-ray, ankle

Facility: Uva Health Culpeper Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $402
Cash Discount Price: $376
vs. Medicare Baseline: 4.52x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at Uva Health Culpeper Medical Center is $402. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $376. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.52x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

$376

Average discount available for prompt cash payment at this facility.

Insurance Median

$402

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $376 (423%)

Insurance Median: $402 (452%)

Cash: $376 (423% of Medicare)

Ins. Median: $402 (452% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 452% of the Medicare baseline (a markup of 352%). 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
Champva [50002]	$29	33%
Tricare	$29	33%
Aetna	$71 - $760	80%
Carefirst [30007]	$73 - $89	82%
Blue Ridge Pace [10510]	$79	89%
Medicaid / KanCare	$79	89%
Blue Cross Blue Shield	$87 - $261	98%
Cigna	$87 - $603	98%
HMO Part B [10099]	$87	98%
Humana	$87 - $92	98%
Medicare (plans)	$87 - $90	98%
UnitedHealthcare	$87 - $640	98%
VA Ccn [99926]	$87 - $90	98%
VA Ccn [99927]	$87 - $90	98%
Veterans Administration [99910]	$90	101%
Sentara [40021]	$119 - $702	134%
Sentara Behavioral Health [40052]	$122 - $702	137%
Beacon Health Options [40012]	$288 - $432	324%
Commercial Contracted Hb Only [40056]	$302 - $454	340%
Commercial Generic [40000]	$302 - $605	340%
Geha [40009]	$335 - $517	377%
Commercial Contracted Tpa [40055]	$346 - $605	389%
Umwa [40037]	$403 - $605	453%
Healthsmart [40013]	$432 - $648	486%
Multiplan Generic [40035]	$458 - $734	515%
Vhn Generic [40040]	$458 - $734	515%
First Health Generic [40033]	$472 - $708	531%
Gateway Health Alliance [40034]	$490 - $734	551%
Onenet Workers Comp Generic [60010]	$505 - $757	568%
Kaiser Permenente [40014]	$542 - $813	610%

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 $376.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73610.

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 73610.
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.