CMS Price Transparency Data

Blood test, sodium

Facility: Novant Health Forsyth Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 84295
Insurance Median: $38
Cash Discount Price: $38
vs. Medicare Baseline: 7.90x Medicare

The contracted insurance negotiated median rate for a Blood test, sodium at Novant Health Forsyth Medical Center is $38. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $38. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 7.90x the Medicare baseline. Located in 3333 Silas Creek Parkway, Winston-Salem, NC.

Cash / Self-Pay

$38

Average discount available for prompt cash payment at this facility.

Insurance Median

$38

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$4.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.81 (100%)

Cash / Self-Pay: $38 (790%)

Insurance Median: $38 (790%)

Cash: $38 (790% of Medicare)

Ins. Median: $38 (790% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4.81 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 790% of the Medicare baseline (a markup of 690%). 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	$3 - $14	62%
Blue Cross Blue Shield	$3 - $55	62%
Carolina Complete	$3 - $14	62%
Nc Department Of Public Safety	$3 - $14	62%
UnitedHealthcare	$3 - $51	62%
Wellcare	$3 - $14	62%
Aetna	$5 - $61	104%
Cigna	$5 - $45	104%
Humana	$5 - $59	104%
Liberty Health	$5	104%
Pace Of The Southern Piedmont	$5	104%
Caresource North Carolina	$7 - $30	146%
Atlantic Corporation Dba Atlantic Packaging	$10 - $43	208%
Plotkin Health	$10 - $46	208%
Amps	$11 - $49	229%
Medcost	$14 - $71	291%
Beechstreet	$15 - $68	312%
Multiplan	$15 - $68	312%
Phcs	$15 - $68	312%
Primary Physician Care	$15 - $67	312%
Employers Choice Network	$16 - $74	333%
Three Rivers Provider Network	$16 - $74	333%

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 $38.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 84295.

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 84295.
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.