CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $2,019
Cash Discount Price: $1,764
vs. Medicare Baseline: 0.86x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Medical West, An Affiliate of UAB Health System is $2,019. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,764. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.86x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$1,764

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,019

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$2,357.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,357.81 (100%)

Cash / Self-Pay: $1,764 (75%)

Insurance Median: $2,019 (86%)

Cash: $1,764 (75% of Medicare)

Ins. Median: $2,019 (86% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,357.81 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.

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
Cigna	$576 - $2,195	24%
Viva	$1,176 - $2,428	50%
Phcs	$1,411 - $1,646	60%
Beech Street	$1,458 - $1,646	62%
One Health Plan	$1,529	65%
Aetna	$1,646 - $2,111	70%
Geha	$1,646	70%
Healthchoice	$1,646	70%
Alamed	$1,842	78%
Construction Claims Management	$1,903	81%
Multiplan	$1,929	82%
Corvel	$1,944 - $2,117	82%
Novanet	$1,964	83%
Humana	$1,999 - $2,238	85%
UnitedHealthcare	$2,019 - $2,322	86%
Department Of Labor	$2,046	87%
Heritage Summit Health	$2,046	87%
Blue Cross Blue Shield	$2,090	89%
Cooper Green	$2,111	90%
Jefferson County Sheriff	$2,111	90%
Triwest	$2,111	90%
United Mine Workers	$2,111	90%
Pnoa	$2,117	90%
Three Rivers	$2,117	90%
Ambetter / Centene	$2,903	123%

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 $1,764.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 66984.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Medical West, An Affiliate of UAB Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 66984.
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.