CMS Price Transparency Data

X-ray, pelvis

Facility: Uva Health Culpeper Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $237
Cash Discount Price: $270
vs. Medicare Baseline: 2.22x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Uva Health Culpeper Medical Center is $237. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $270. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.22x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

$270

Average discount available for prompt cash payment at this facility.

Insurance Median

$237

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $270 (253%)

Insurance Median: $237 (222%)

Cash: $270 (253% of Medicare)

Ins. Median: $237 (222% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 222% of the Medicare baseline (a markup of 122%). 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]	$20	19%
Tricare	$20	19%
Aetna	$49 - $490	46%
Carefirst [30007]	$72 - $88	67%
Cigna	$87 - $361	81%
Sentara [40021]	$90 - $420	84%
Sentara Behavioral Health [40052]	$92 - $420	86%
Blue Ridge Pace [10510]	$94	88%
Medicaid / KanCare	$94	88%
Blue Cross Blue Shield	$105 - $313	98%
HMO Part B [10099]	$105	98%
Humana	$105 - $110	98%
Medicare (plans)	$105 - $108	98%
UnitedHealthcare	$105 - $640	98%
VA Ccn [99926]	$105 - $108	98%
VA Ccn [99927]	$105 - $108	98%
Veterans Administration [99910]	$108	101%
Beacon Health Options [40012]	$278	260%
Commercial Contracted Hb Only [40056]	$292	273%
Commercial Generic [40000]	$292 - $390	273%
Geha [40009]	$324 - $517	303%
Commercial Contracted Tpa [40055]	$334 - $390	313%
Umwa [40037]	$390	365%
Multiplan Generic [40035]	$410 - $473	384%
Vhn Generic [40040]	$410 - $473	384%
Healthsmart [40013]	$418	391%
First Health Generic [40033]	$457	428%
Gateway Health Alliance [40034]	$473	443%
Kaiser Permenente [40014]	$486	455%
Onenet Workers Comp Generic [60010]	$488	457%

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 $270.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72170.

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 72170.
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.