CMS Price Transparency Data
Cataract surgery with lens implant
Facility: Whittier Hospital Medical Center
Billing Code: 66984 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 66984
- Insurance Median: $2,921
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Whittier Hospital Medical Center is $2,921. 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 1.24x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$2,921
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: $2,921 (124%)
Ins. Median: $2,921 (124% 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 |
|---|---|---|
| Applecare Medical Group | $605 | 26% |
| Aetna | $920 - $4,235 | 39% |
| Aids Healthcare Foundation | $1,005 - $2,921 | 43% |
| Allied Physicians | $1,005 - $4,452 | 43% |
| Alta Med Health Network | $1,005 - $2,921 | 43% |
| Altamed Health Services Corporation | $1,005 | 43% |
| Beverly Hospital | $1,005 - $3,265 | 43% |
| Brand New Day | $1,005 - $3,651 | 43% |
| Emanate Health | $1,005 - $3,648 | 43% |
| Health Net | $1,005 - $2,921 | 43% |
| Healthy Way La | $1,005 | 43% |
| Heritage Provider Network | $1,005 - $4,007 | 43% |
| Kaiser Foundation | $1,005 - $10,389 | 43% |
| La Care Healthy Families/Healthy Kids | $1,005 | 43% |
| Non Contracted Medi-Cal | $1,005 | 43% |
| Prospect Health Plan | $1,005 - $4,749 | 43% |
| Synermed | $1,005 - $2,968 | 43% |
| Central Health Plan Of California | $1,020 | 43% |
| Universal Care | $1,100 - $1,250 | 47% |
| La Care Health Plan | $1,156 - $2,921 | 49% |
| Medicare (plans) | $1,373 - $3,066 | 58% |
| Pacific Independent Physician Association | $1,400 | 59% |
| Caloptima | $1,407 - $2,921 | 60% |
| Monarch Healthplan | $1,407 | 60% |
| Care First Health Plan | $1,442 | 61% |
| County Of Los Angeles Dept Of Health Services | $1,442 | 61% |
| Medi Caid/ Medi Cal | $1,442 | 61% |
| Molina Medical Center | $1,646 - $3,710 | 70% |
| Alignment Health Plan | $1,883 | 80% |
| Health Net Inc | $1,908 - $7,625 | 81% |
| UnitedHealthcare | $1,937 - $7,997 | 82% |
| Capnet | $2,000 | 85% |
| Edward Medical Group | $2,000 | 85% |
| Veterans Administration | $2,078 | 88% |
| Great-West Healthcare Of California | $2,500 | 106% |
| Prohealth | $2,500 | 106% |
| Care 1St Health Plan | $2,600 - $5,500 | 110% |
| Avanti | $2,671 - $3,562 | 113% |
| Hollywood Presbyterian Adv Med Mcal | $2,671 | 113% |
| Hollywood Presbyterian Medpoint Mcal | $2,671 | 113% |
| Cost Containment | $2,800 | 119% |
| Ahmc Reciprocity | $2,921 - $2,968 | 124% |
| Alta Los Angeles Hospitals Inc | $2,921 | 124% |
| Apa/Aco Inc | $2,921 | 124% |
| Blue Cross Blue Shield | $2,921 - $6,035 | 124% |
| Central Health Plan | $2,921 | 124% |
| Easy Choice Health Plan | $2,921 | 124% |
| Humana | $2,921 | 124% |
| Pacificare Of California | $2,921 | 124% |
| Scan Health Plan | $2,921 | 124% |
| Ahmc Medi-Cal Reciprocity Agreement | $2,968 | 126% |
| Ahmc Reciprocity Agreement Senior/Commercial | $2,968 | 126% |
| Blue Shield Of California | $2,968 - $7,499 | 126% |
| Caremore | $2,968 | 126% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $2,968 | 126% |
| La Care Covered Direct | $2,968 | 126% |
| Pacific Alliance Medical Center | $2,968 | 126% |
| Private Pay | $2,968 | 126% |
| Self-Pay | $2,968 | 126% |
| Molina Healthcare Of California | $3,067 | 130% |
| San Miguel Health Plan | $3,265 | 138% |
| Chinatown Service Center Pace | $3,562 | 151% |
| Ahmc Health | $3,710 | 157% |
| Knox-Keene Act | $3,710 | 157% |
| Fmc Los Angeles County | $3,750 | 159% |
| Interplan Health Group | $3,829 | 162% |
| Athens Administrators Ahmc Work Comp | $3,948 | 167% |
| Misc 1 | $3,948 | 167% |
| Multiplan Wc | $3,948 | 167% |
| Tricare | $5,096 | 216% |
| Healthnet | $7,397 - $8,908 | 314% |