CMS Price Transparency Data

Family therapy session

Facility: Novant Health Forsyth Medical Center

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90847
Insurance Median: $232
Cash Discount Price: $238
vs. Medicare Baseline: 1.28x Medicare

The contracted insurance negotiated median rate for a Family therapy session at Novant Health Forsyth Medical Center is $232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $238. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.28x the Medicare baseline. Located in 3333 Silas Creek Parkway, Winston-Salem, NC.

Cash / Self-Pay

$238

Average discount available for prompt cash payment at this facility.

Insurance Median

$232

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)

Cash / Self-Pay: $238 (131%)

Insurance Median: $232 (128%)

Cash: $238 (131% of Medicare)

Ins. Median: $232 (128% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 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.

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
Carolina Complete	$54 - $93	30%
Nc Department Of Public Safety	$54 - $344	30%
Amerihealth	$55 - $95	30%
Blue Cross Blue Shield	$55 - $361	30%
UnitedHealthcare	$55 - $338	30%
Wellcare	$55 - $95	30%
Cigna	$112 - $298	62%
Caresource North Carolina	$116 - $201	64%
Atlantic Corporation Dba Atlantic Packaging	$164 - $284	90%
Humana	$172 - $391	95%
Pace Of The Southern Piedmont	$172	95%
Plotkin Health	$174 - $301	96%
Aetna	$176 - $402	97%
Liberty Health	$181	100%
Amps	$188 - $326	104%
Medcost	$246 - $472	136%
Primary Physician Care	$255 - $442	141%
Beechstreet	$261 - $452	144%
Multiplan	$261 - $452	144%
Phcs	$261 - $452	144%
Employers Choice Network	$281 - $487	155%
Three Rivers Provider Network	$281 - $487	155%

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 $238.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90847.

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 90847.
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.