CMS Price Transparency Data

Blood test, magnesium

Facility: Novant Health Forsyth Medical Center

Billing Code: 83735 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 83735
Insurance Median: $54
Cash Discount Price: $59
vs. Medicare Baseline: 8.06x Medicare

The contracted insurance negotiated median rate for a Blood test, magnesium at Novant Health Forsyth Medical Center is $54. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $6.7, this hospital’s rate is 8.06x the Medicare baseline. Located in 3333 Silas Creek Parkway, Winston-Salem, NC.

Cash / Self-Pay

$59

Average discount available for prompt cash payment at this facility.

Insurance Median

$54

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$6.7

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.7 (100%)

Cash / Self-Pay: $59 (881%)

Insurance Median: $54 (806%)

Cash: $59 (881% of Medicare)

Ins. Median: $54 (806% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.7 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 806% of the Medicare baseline (a markup of 706%). 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 - $85	104%
Blue Cross Blue Shield	$7 - $76	104%
Cigna	$7 - $63	104%
Humana	$7 - $83	104%
Liberty Health	$7	104%
Pace Of The Southern Piedmont	$7	104%
UnitedHealthcare	$7 - $71	104%
Carolina Complete	$10 - $20	149%
Nc Department Of Public Safety	$10 - $20	149%
Amerihealth	$11 - $20	164%
Wellcare	$11 - $20	164%
Caresource North Carolina	$22 - $42	328%
Atlantic Corporation Dba Atlantic Packaging	$32 - $60	478%
Plotkin Health	$34 - $64	507%
Amps	$36 - $69	537%
Medcost	$48 - $100	716%
Primary Physician Care	$49 - $93	731%
Beechstreet	$50 - $95	746%
Multiplan	$50 - $95	746%
Phcs	$50 - $95	746%
Employers Choice Network	$54 - $103	806%
Three Rivers Provider Network	$54 - $103	806%

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 $59.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 83735.

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 83735.
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.