CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Novant Health Forsyth Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83036
Insurance Median: $56
Cash Discount Price: $55
vs. Medicare Baseline: 5.77x Medicare

The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Novant Health Forsyth Medical Center is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 5.77x the Medicare baseline. Located in 3333 Silas Creek Parkway, Winston-Salem, NC.

Cash / Self-Pay

$55

Average discount available for prompt cash payment at this facility.

Insurance Median

$56

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$9.71

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $9.71 (100%)

Cash / Self-Pay: $55 (566%)

Insurance Median: $56 (577%)

Cash: $55 (566% of Medicare)

Ins. Median: $56 (577% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $9.71 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 577% of the Medicare baseline (a markup of 477%). 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
Amerihealth	$7 - $27	72%
Blue Cross Blue Shield	$7 - $104	72%
Carolina Complete	$7 - $27	72%
Nc Department Of Public Safety	$7 - $27	72%
UnitedHealthcare	$7 - $98	72%
Wellcare	$7 - $27	72%
Aetna	$10 - $116	103%
Cigna	$10 - $86	103%
Humana	$10 - $113	103%
Liberty Health	$10	103%
Pace Of The Southern Piedmont	$10	103%
Caresource North Carolina	$15 - $58	154%
Atlantic Corporation Dba Atlantic Packaging	$21 - $82	216%
Plotkin Health	$23 - $87	237%
Amps	$25 - $94	257%
Medcost	$32 - $136	330%
Primary Physician Care	$33 - $128	340%
Beechstreet	$34 - $130	350%
Multiplan	$34 - $130	350%
Phcs	$34 - $130	350%
Employers Choice Network	$37 - $141	381%
Three Rivers Provider Network	$37 - $141	381%

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 $55.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83036.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Novant Health Forsyth Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 83036.
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.