CMS Price Transparency Data

Blood test, lipase

Facility: Novant Health Forsyth Medical Center

Billing Code: 83690 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83690
Insurance Median: $62
Cash Discount Price: $94
vs. Medicare Baseline: 9.00x Medicare

The contracted insurance negotiated median rate for a Blood test, lipase at Novant Health Forsyth Medical Center is $62. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $6.89, this hospital’s rate is 9.00x the Medicare baseline. Located in 3333 Silas Creek Parkway, Winston-Salem, NC.

Cash / Self-Pay

$94

Average discount available for prompt cash payment at this facility.

Insurance Median

$62

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$6.89

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.89 (100%)

Cash / Self-Pay: $94 (1364%)

Insurance Median: $62 (900%)

Cash: $94 (1364% of Medicare)

Ins. Median: $62 (900% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.89 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 900% of the Medicare baseline (a markup of 800%). 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
Aetna	$7 - $189	102%
Blue Cross Blue Shield	$7 - $170	102%
Cigna	$7 - $140	102%
Humana	$7 - $184	102%
Liberty Health	$7	102%
Pace Of The Southern Piedmont	$7	102%
UnitedHealthcare	$7 - $159	102%
Carolina Complete	$14 - $44	203%
Nc Department Of Public Safety	$14 - $44	203%
Amerihealth	$15 - $45	218%
Wellcare	$15 - $45	218%
Caresource North Carolina	$31 - $94	450%
Atlantic Corporation Dba Atlantic Packaging	$44 - $133	639%
Plotkin Health	$46 - $142	668%
Amps	$50 - $153	726%
Medcost	$65 - $222	943%
Primary Physician Care	$68 - $208	987%
Beechstreet	$69 - $212	1001%
Multiplan	$69 - $212	1001%
Phcs	$69 - $212	1001%
Employers Choice Network	$75 - $229	1089%
Three Rivers Provider Network	$75 - $229	1089%

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 $94.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83690.

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 83690.
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.