CMS Price Transparency Data
Cataract surgery with lens implant
Facility: Clovis Community Medical Center
Billing Code: 66984 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 66984
- Insurance Median: $1,005
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.43x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Clovis Community Medical Center is $1,005. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.43x the Medicare baseline. Located in 2755 Herndon Ave, Clovis, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,005
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%)
Insurance Median: $1,005 (43%)
Ins. Median: $1,005 (43% 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
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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 | $140 - $10,449 | 6% |
| Advantek Table Mountain Rancheria Tribal Member | $478 - $2,968 | 20% |
| Aetna | $478 - $7,120 | 20% |
| Blue Shield | $478 - $10,208 | 20% |
| Blue Shield 65 Plus Hmo Ehs | $478 - $2,968 | 20% |
| Blue Shield 65 Plus Hmo First Choice | $478 - $2,968 | 20% |
| Blue Shield Hmo-Cvmp/Medpro | $478 - $2,968 | 20% |
| Blue Shield Promise - Imperial | $478 - $2,968 | 20% |
| Blue Shield Saint Agnes | $478 - $2,968 | 20% |
| Blue Shield Sante | $478 - $2,968 | 20% |
| Brand New Day | $478 - $2,968 | 20% |
| Bscphp - Dhmso | $478 - $2,968 | 20% |
| Bscphp - First Choice | $478 - $2,968 | 20% |
| Bscphp Hmo - First Choice | $478 - $2,968 | 20% |
| Care1St Hmo - Ehs | $478 - $2,968 | 20% |
| Cares Act Provider Relief Fund | $478 - $2,968 | 20% |
| Cigna | $478 - $12,957 | 20% |
| Gemcare Hmo | $478 - $2,968 | 20% |
| Generic | $478 - $2,968 | 20% |
| Generic Bscphp | $478 - $2,968 | 20% |
| Generic Victims Of Crime | $478 - $2,968 | 20% |
| Hartford Life Supplement | $478 - $2,968 | 20% |
| Healthnet Hmo - Cvmp/Medpro | $478 - $2,968 | 20% |
| Healthnet Hmo - Dhmso | $478 - $2,968 | 20% |
| Healthnet Hmo - La Salle | $478 - $2,968 | 20% |
| Healthnet Hmo - Sante | $478 - $2,968 | 20% |
| Healthnet Sante | $478 - $2,968 | 20% |
| Healthnet Sante - Sub Cap Dual Risk | $478 - $2,968 | 20% |
| Healthnet Sante Dual Risk | $478 - $2,968 | 20% |
| Humana | $478 - $2,968 | 20% |
| Medi-Cal Innovative Integrated Health | $478 - $2,968 | 20% |
| Medicare (plans) | $478 - $2,968 | 20% |
| Meritage Blue Shield 65 Plus | $478 - $2,968 | 20% |
| Meritage Brand New Day | $478 - $2,968 | 20% |
| Meritage Healthnet Hmo | $478 - $2,968 | 20% |
| Railroad Part A | $478 - $2,968 | 20% |
| Railroad Part A & B | $478 - $2,968 | 20% |
| Railroad Part B | $478 - $2,968 | 20% |
| Sante | $478 - $2,968 | 20% |
| Sante Sub Cap Healthnet Seniority | $478 - $2,968 | 20% |
| Sante Sub Cap-Blue Shield/Sante | $478 - $2,968 | 20% |
| Sante-Blue Shield/Sante | $478 - $2,968 | 20% |
| Sante-Healthnet Seniority | $478 - $2,968 | 20% |
| Sante-Sub Cap Ma Brand New Day | $478 - $2,968 | 20% |
| Scan Health Plan | $478 - $2,968 | 20% |
| Sequoia Pace - Peak Tpa | $478 - $2,968 | 20% |
| Todays Pyramid | $478 - $2,968 | 20% |
| UnitedHealthcare | $478 - $5,624 | 20% |
| Us Marshal | $478 - $2,968 | 20% |
| Victims Of Crime | $478 - $2,968 | 20% |
| Well Path (Cfmg) | $478 | 20% |
| Wellcare | $478 - $2,968 | 20% |
| Alignment Health Plan | $526 - $3,265 | 22% |
| Champion Health Plan Of California Ma | $526 - $3,265 | 22% |
| Innovative Integrated Health Community Plans Hmo | $526 - $3,265 | 22% |
| Imperial Health Plan Hmo | $550 - $3,413 | 23% |
| Correctcare Integrated Health | $621 - $3,859 | 26% |
| Coalinga State Hospital | $956 - $5,936 | 41% |
| Cal Caloptima | $1,005 | 43% |
| Ccs Fresno | $1,005 | 43% |
| Ccs Kern | $1,005 | 43% |
| Ccs Kings | $1,005 | 43% |
| Ccs Madera/Sacramento | $1,005 | 43% |
| Ccs Mariposa | $1,005 | 43% |
| Ccs Merced | $1,005 | 43% |
| Ccs Stanislaus | $1,005 | 43% |
| Ccs Tulare | $1,005 | 43% |
| Chdp | $1,005 | 43% |
| Fresno County Funded Specialty Care | $1,005 | 43% |
| Generic Care Out Of County | $1,005 | 43% |
| Generic Ccs Other Counties | $1,005 | 43% |
| Genetically Handicapped Person | $1,005 | 43% |
| Gold Coast Medi-Cal | $1,005 | 43% |
| Medi-Cal Alameda Alliance For Health | $1,005 | 43% |
| Medi-Cal Blue Shield Promise Health | $1,005 | 43% |
| Medi-Cal California Health & Wellness Plan | $1,005 | 43% |
| Medi-Cal Cencal Health | $1,005 | 43% |
| Medi-Cal Community Health Group | $1,005 | 43% |
| Medi-Cal Contra Costa Health Plan | $1,005 | 43% |
| Medi-Cal Health Plan Of San Mateo | $1,005 | 43% |
| Medi-Cal Inland Empire Health | $1,005 | 43% |
| Medi-Cal Kern Family Health | $1,005 | 43% |
| Medi-Cal La Care Health | $1,005 | 43% |
| Medi-Cal Molina | $1,005 | 43% |
| Medi-Cal Partnership Health Plan Of Ca | $1,005 | 43% |
| San Francisco Health Plan Medi-Cal | $1,005 | 43% |
| Santa Clara Family Health Plan - Premier Health | $1,005 | 43% |
| Santa Clara Family Health Plan - Valley Health | $1,005 | 43% |
| Naphcare Inc-Mendota | $1,028 - $6,382 | 44% |
| Health Plan Of San Joaquin | $1,508 | 64% |
| Sequoia Pace | $1,508 | 64% |
| Adventist -Mcl Calviva Sub Cap | $1,659 | 70% |
| Healthnet | $1,936 | 82% |
| Kaiser | $2,358 | 100% |
| Generic Multiplan | $8,490 | 360% |
| Phcs | $8,490 | 360% |