Virginia / Uva Health Culpeper Medical Center
CMS certification 490019 · Culpeper, VA
Uva Health Culpeper Medical Center: charges and Medicare payments
Uva Health Culpeper Medical Center reported 793 Medicare inpatient stays across 27 DRGs in 2024. Across them it charged 2.74 times what it was paid — among the lower ratios in Virginia, number 57 of 66 hospitals with at least 100 stays (state median 3.6×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 120 stays at an average charge of $45,227, 50% below the national average. It also billed 1,022 outpatient services, charging 6.38 times what Medicare paid.
- 1Medicare inpatient stays 793
- 2Charge ÷ paid, inpatient 2.74×
- 3Rank in VA (highest ratio = 1) 57 of 66
- 4CMS price-transparency actions 0
Inpatient stays
For the 27 DRGs that can be compared with the national average, Uva Health Culpeper Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 120 | $45,227 | -50% | $16,797 |
| 291 Heart Failure and Shock with MCC | 100 | $26,403 | -53% | $10,536 |
| 193 Simple Pneumonia and Pleurisy with MCC | 87 | $30,665 | -49% | $11,383 |
| 177 Respiratory Infections and Inflammations with MCC | 45 | $35,185 | -50% | $14,247 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 43 | $25,525 | -48% | $8,761 |
| 689 Kidney and Urinary Tract Infections with MCC | 34 | $23,004 | -55% | $10,547 |
| 194 Simple Pneumonia and Pleurisy with CC | 25 | $21,033 | -45% | $7,419 |
| 683 Renal Failure with CC | 24 | $23,853 | -41% | $7,832 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 23 | $29,327 | -42% | $9,779 |
| 189 Pulmonary Edema and Respiratory Failure | 21 | $20,171 | -65% | $10,665 |
| 481 Hip and Femur Procedures except Major Joint with CC | 21 | $68,486 | -32% | $20,440 |
| 690 Kidney and Urinary Tract Infections without MCC | 21 | $18,946 | -50% | $7,165 |
| 389 Gastrointestinal Obstruction with CC | 20 | $24,742 | -36% | $7,850 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 20 | $18,149 | -55% | $7,189 |
| 603 Cellulitis without MCC | 20 | $19,537 | -48% | $7,905 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 19 | $62,190 | -39% | $16,651 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 19 | $35,416 | -41% | $11,223 |
| 682 Renal Failure with MCC | 19 | $30,096 | -54% | $12,251 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 16 | $31,233 | -44% | $9,363 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 14 | $29,806 | -47% | $12,480 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 13 | $28,304 | -57% | $11,791 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $20,716 | -44% | $7,379 |
| 312 Syncope and Collapse | 12 | $19,928 | -56% | $7,717 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 11 | $23,421 | -35% | $6,919 |
| 378 Gastrointestinal Hemorrhage with CC | 11 | $26,002 | -46% | $8,641 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 11 | $43,714 | -28% | $11,000 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 11 | $49,857 | -32% | $18,657 |
Outpatient services
Against the Virginia average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Uva Health Culpeper Medical Center charged $45,227 on average, 31% less than the Virginia average of $65,235, and was paid $16,797 against a state average of $16,367. For Heart Failure and Shock with MCC (DRG 291), Uva Health Culpeper Medical Center charged $26,403 on average, 35% less than the Virginia average of $40,795, and was paid $10,536 against a state average of $11,030. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Uva Health Culpeper Medical Center charged $30,665 on average, 31% less than the Virginia average of $44,717, and was paid $11,383 against a state average of $11,065. For Respiratory Infections and Inflammations with MCC (DRG 177), Uva Health Culpeper Medical Center charged $35,185 on average, 29% less than the Virginia average of $49,485, and was paid $14,247 against a state average of $13,709. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $14,917 was 24% below the state average of $19,506. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,741 was 9% below the state average of $11,766. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $54,347 was 35% below the state average of $83,920. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $2,991 was 13% above the state average of $2,642.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.