CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Kingman Regional Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $4,639
  • Cash Discount Price: $2,030
  • vs. Medicare Baseline: 1.97x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Kingman Regional Medical Center is $4,639. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,030. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.97x the Medicare baseline. Located in 3269 Stockton Hill Road, Kingman, AZ.
Cash / Self-Pay
$2,030

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,639

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: $2,030 (86%)
Insurance Median: $4,639 (197%)
Cash: $2,030 (86% of Medicare)
Ins. Median: $4,639 (197% 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.

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
Hpn Sierra Nevada Mcr Adv $2,463 104%
Medicare (plans) $2,463 104%
Triwest - All Plans $2,463 104%
Humana $2,512 - $3,972 107%
UnitedHealthcare $2,537 - $6,157 108%
Care 1St Mcr Adv-All Other Plans $2,586 110%
Mercy Care Adv Snp-All Other Plans $2,709 115%
Blue Cross Blue Shield $3,305 140%
Health Plan Of Nevada-All Other Plans $3,497 148%
Aetna $3,578 152%
Geo Group Chc Az State Prison-All Plans $3,694 157%
Health Choice Hie Exchange $4,639 197%
Multiplan-All Plans $4,639 197%
Cigna $5,219 221%
Three Rivers-All Plans $5,335 226%
America'S Choice Provider Network-All Plans $5,509 234%
Apipa - Ahcccs-All Other Plans $5,799 246%
Az Foundation-All Plans $5,799 246%
Health Choice Az $5,799 246%
Health Choice Generations $5,799 246%
Mediversal-All Plans $5,799 246%
One Health Plan-All Plans $5,799 246%
Universal Health-All Plans $5,799 246%
Care 1St Mcaid $6,089 258%
Health Choice- All Other Plans $6,157 261%
Mercy Care Ahcccs Ddd $6,379 271%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3269 Stockton Hill Road, Kingman, AZ 86401
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals