CMS Price Transparency Data

Psychotherapy session (60 minutes)

Facility: Novant Health Forsyth Medical Center

Billing Code: 90837 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90837
  • Insurance Median: $199
  • Cash Discount Price: $181
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (60 minutes) at Novant Health Forsyth Medical Center is $199. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $181. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.10x the Medicare baseline. Located in 3333 Silas Creek Parkway, Winston-Salem, NC.
Cash / Self-Pay
$181

Average discount available for prompt cash payment at this facility.

Insurance Median
$199

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: $181 (100%)
Insurance Median: $199 (110%)
Cash: $181 (100% of Medicare)
Ins. Median: $199 (110% 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.

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 $56 31%
Nc Department Of Public Safety $56 - $344 31%
Amerihealth $57 31%
Blue Cross Blue Shield $57 - $217 31%
UnitedHealthcare $57 - $203 31%
Wellcare $57 31%
Cigna $116 - $179 64%
Caresource North Carolina $120 66%
Atlantic Corporation Dba Atlantic Packaging $170 94%
Humana $172 - $234 95%
Pace Of The Southern Piedmont $172 95%
Aetna $176 - $241 97%
Liberty Health $181 100%
Plotkin Health $181 100%
Amps $196 108%
Medcost $256 - $283 141%
Primary Physician Care $265 146%
Beechstreet $271 149%
Multiplan $271 149%
Phcs $271 149%
Employers Choice Network $292 161%
Three Rivers Provider Network $292 161%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3333 Silas Creek Parkway, Winston-Salem, NC 27103
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals