CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Novant Health Forsyth Medical Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 90834
Insurance Median: $185
Cash Discount Price: $168
vs. Medicare Baseline: 1.02x Medicare

The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Novant Health Forsyth Medical Center is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.02x the Medicare baseline. Located in 3333 Silas Creek Parkway, Winston-Salem, NC.

Cash / Self-Pay

$168

Average discount available for prompt cash payment at this facility.

Insurance Median

$185

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: $168 (93%)

Insurance Median: $185 (102%)

Cash: $168 (93% of Medicare)

Ins. Median: $185 (102% 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	$52	29%
Nc Department Of Public Safety	$52 - $344	29%
Amerihealth	$53	29%
Blue Cross Blue Shield	$53 - $202	29%
UnitedHealthcare	$53 - $188	29%
Wellcare	$53	29%
Cigna	$108 - $177	60%
Caresource North Carolina	$112	62%
Atlantic Corporation Dba Atlantic Packaging	$158	87%
Plotkin Health	$168	93%
Aetna	$172 - $224	95%
Humana	$172 - $218	95%
Pace Of The Southern Piedmont	$172	95%
Liberty Health	$181	100%
Amps	$182	100%
Medcost	$238 - $263	131%
Primary Physician Care	$246	136%
Beechstreet	$252	139%
Multiplan	$252	139%
Phcs	$252	139%
Employers Choice Network	$272	150%
Three Rivers Provider Network	$272	150%

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 $168.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 90834.

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 90834.
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.