CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Centinela Hospital Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $2,954
  • Cash Discount Price: $2,953
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Centinela Hospital Medical Center is $2,954. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,953. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.25x the Medicare baseline. Located in 555 East Hardy Street, Inglewood, CA.
Cash / Self-Pay
$2,953

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,954

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: $2,953 (125%)
Insurance Median: $2,954 (125%)
Cash: $2,953 (125% of Medicare)
Ins. Median: $2,954 (125% 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
Aids Healthcare Foundation $1,442 - $3,013 61%
Avanti Hospitals, Llc $1,442 - $2,954 61%
Blue Cross Blue Shield $1,442 - $1,514 61%
Blue Shield Of Promise $1,442 61%
Health Net Of Ca $1,442 - $4,312 61%
Kindred Hospital La $1,442 - $2,954 61%
L.A Care Health Plan $1,442 - $2,954 61%
Molina $1,442 - $2,954 61%
Traditional Medi-Cal $1,442 61%
UnitedHealthcare $1,442 61%
Access Medical Group $2,954 - $4,431 125%
Axminster Medical Group $2,954 - $4,431 125%
Blue Shield Of Ca Triwest Healthcare Ccn $2,954 125%
Centinela Valley Ipa $2,954 - $4,637 125%
Medicare (plans) $2,954 125%
Premier Physicians Network $2,954 - $4,637 125%
Renal Payer Solutions $2,954 125%
Tricare $2,954 125%
Welbe Health Pace $2,954 125%
Brand New Day $2,983 - $4,431 127%
Imperial Health Plan $3,131 133%
Aetna $3,774 160%
Americas Choice Provider Network $3,891 165%
Corvel $3,891 165%
Healthsmart Preferred Network $3,891 165%
Multiplan $3,891 165%
Occunet $3,891 - $5,907 165%
Prime Health Services $3,891 165%
Provider Network Of America $3,891 165%
Provider Select $3,891 165%
Three Rivers Provider Network $3,891 165%
Worker Compensation $3,891 165%
Employer Direct Healthcare $4,135 175%
Naphcare $4,578 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 555 East Hardy Street, Inglewood, CA 90301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals