CMS Price Transparency Data

Blood test, liver function panel

Facility: Novant Health Forsyth Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $72
Cash Discount Price: $73
vs. Medicare Baseline: 8.81x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Novant Health Forsyth Medical Center is $72. 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 $8.17, this hospital’s rate is 8.81x 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

$72

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$8.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.17 (100%)

Cash / Self-Pay: $73 (894%)

Insurance Median: $72 (881%)

Cash: $73 (894% of Medicare)

Ins. Median: $72 (881% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.17 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 881% of the Medicare baseline (a markup of 781%). 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	$6 - $27	73%
Blue Cross Blue Shield	$6 - $101	73%
Carolina Complete	$6 - $26	73%
Nc Department Of Public Safety	$6 - $26	73%
UnitedHealthcare	$6 - $94	73%
Wellcare	$6 - $27	73%
Aetna	$8 - $112	98%
Cigna	$8 - $83	98%
Humana	$8 - $109	98%
Pace Of The Southern Piedmont	$8	98%
Liberty Health	$9	110%
Caresource North Carolina	$12 - $56	147%
Atlantic Corporation Dba Atlantic Packaging	$18 - $79	220%
Plotkin Health	$19 - $84	233%
Amps	$20 - $91	245%
Medcost	$26 - $132	318%
Primary Physician Care	$27 - $123	330%
Beechstreet	$28 - $126	343%
Multiplan	$28 - $126	343%
Phcs	$28 - $126	343%
Employers Choice Network	$30 - $136	367%
Three Rivers Provider Network	$30 - $136	367%

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: 80076.

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 80076.
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.