CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Novant Health Forsyth Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85025
Insurance Median: $79
Cash Discount Price: $73
vs. Medicare Baseline: 10.17x Medicare

The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Novant Health Forsyth Medical Center is $79. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $7.77, this hospital’s rate is 10.17x the Medicare baseline. Located in 3333 Silas Creek Parkway, Winston-Salem, NC.

Cash / Self-Pay

$73

Average discount available for prompt cash payment at this facility.

Insurance Median

$79

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$7.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $7.77 (100%)

Cash / Self-Pay: $73 (940%)

Insurance Median: $79 (1017%)

Cash: $73 (940% of Medicare)

Ins. Median: $79 (1017% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $7.77 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 1017% of the Medicare baseline (a markup of 917%). 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	$5 - $612	64%
Blue Cross Blue Shield	$5 - $2,326	64%
Carolina Complete	$5 - $600	64%
Nc Department Of Public Safety	$5 - $600	64%
UnitedHealthcare	$5 - $2,174	64%
Wellcare	$5 - $612	64%
Aetna	$8 - $2,584	103%
Cigna	$8 - $1,250	103%
Humana	$8 - $2,516	103%
Liberty Health	$8	103%
Pace Of The Southern Piedmont	$8	103%
Caresource North Carolina	$12 - $1,292	154%
Atlantic Corporation Dba Atlantic Packaging	$16 - $1,825	206%
Plotkin Health	$17 - $1,938	219%
Amps	$19 - $2,100	245%
Medcost	$25 - $3,036	322%
Beechstreet	$26 - $2,907	335%
Multiplan	$26 - $2,907	335%
Phcs	$26 - $2,907	335%
Primary Physician Care	$26 - $2,842	335%
Employers Choice Network	$28 - $3,133	360%
Three Rivers Provider Network	$28 - $3,133	360%

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 $73.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85025.

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 85025.
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.