CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Oroville Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 66984
Insurance Median: $4,061
Cash Discount Price: $2,538
vs. Medicare Baseline: 1.72x Medicare

The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Oroville Hospital is $4,061. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,538. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.72x the Medicare baseline. Located in 2767 Olive Highway, Oroville, CA.

Cash / Self-Pay

$2,538

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,061

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: $2,538 (108%)

Insurance Median: $4,061 (172%)

Cash: $2,538 (108% of Medicare)

Ins. Median: $4,061 (172% 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
Blue Cross Blue Shield	$633 - $5,638	27%
Butte County	$816 - $1,785	35%
Cigna	$1,875 - $4,100	80%
Coventry Health Care	$1,875 - $4,100	80%
Health Net	$1,875 - $4,100	80%
Multiplan	$1,875 - $4,100	80%
Interplan	$1,992 - $4,356	84%
Three Rivers Provider Network	$1,992 - $4,356	84%
UnitedHealthcare	$1,992 - $4,356	84%
Beech Street	$2,110 - $4,613	89%
Healthstar	$2,110 - $4,613	89%
Aetna	$2,220	94%
Community Care	$2,220	94%
Nivano Physicians Inc	$2,220	94%
Health Payors Organization	$2,227 - $4,869	94%
Blue Shield Of California	$2,274 - $4,971	96%
River City Medical Group	$2,442	104%
Blue Shield Value Network	$3,172	135%
Partnership Healthplan Of California	$3,664	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 $2,538.
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 Oroville Hospital 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.