CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Novant Health Forsyth Medical Center

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $77
Cash Discount Price: $74
vs. Medicare Baseline: 5.75x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Novant Health Forsyth Medical Center is $77. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $74. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 5.75x the Medicare baseline. Located in 3333 Silas Creek Parkway, Winston-Salem, NC.

Cash / Self-Pay

$74

Average discount available for prompt cash payment at this facility.

Insurance Median

$77

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$13.39

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13.39 (100%)

Cash / Self-Pay: $74 (553%)

Insurance Median: $77 (575%)

Cash: $74 (553% of Medicare)

Ins. Median: $77 (575% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13.39 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 575% of the Medicare baseline (a markup of 475%). 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
Carolina Complete	$9 - $37	67%
Nc Department Of Public Safety	$9 - $37	67%
Amerihealth	$10 - $38	75%
Blue Cross Blue Shield	$10 - $144	75%
UnitedHealthcare	$10 - $135	75%
Wellcare	$10 - $38	75%
Humana	$13 - $156	97%
Pace Of The Southern Piedmont	$13	97%
Aetna	$14 - $160	105%
Cigna	$14 - $119	105%
Liberty Health	$14	105%
Caresource North Carolina	$20 - $80	149%
Atlantic Corporation Dba Atlantic Packaging	$29 - $113	217%
Plotkin Health	$31 - $120	232%
Amps	$33 - $130	246%
Medcost	$43 - $188	321%
Primary Physician Care	$45 - $176	336%
Beechstreet	$46 - $180	344%
Multiplan	$46 - $180	344%
Phcs	$46 - $180	344%
Employers Choice Network	$49 - $194	366%
Three Rivers Provider Network	$49 - $194	366%

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 $74.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80061.

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 80061.
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.