CMS Price Transparency Data

Cataract surgery with lens implant

Facility: North Okaloosa Medical Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $2,811
  • Cash Discount Price: $4,572
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at North Okaloosa Medical Center is $2,811. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,572. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.19x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$4,572

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,811

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: $4,572 (194%)
Insurance Median: $2,811 (119%)
Cash: $4,572 (194% of Medicare)
Ins. Median: $2,811 (119% 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
Veterans Eval Services $514 22%
Amerigroup $1,112 47%
Medicaid / KanCare $1,112 47%
UnitedHealthcare $1,112 - $9,838 47%
Simply Healthcare $1,135 - $2,490 48%
Humana $1,146 - $2,490 49%
Integral Health $1,168 50%
Wellcare $1,168 - $2,443 50%
Magellan Health $1,196 51%
Prestige Health $1,290 55%
Tricare $2,290 97%
Aetna $2,371 - $19,049 101%
Blue Cross Blue Shield $2,371 - $8,316 101%
Cigna $2,371 - $19,811 101%
Medicare (plans) $2,371 101%
Node Champva $2,410 102%
Node Non Par Hospice Agree $2,410 102%
Node Va $2,410 102%
Florida Department Of Corrections $2,609 111%
Node Us Dept Of Labor $3,013 128%
Evolutions $4,367 - $22,351 185%
Usa Managed Care Work Comp Fl $4,367 185%
Prime Health Work Comp Fl $4,459 189%
Self Pay $4,572 194%
Amcomp Workers Comp $4,597 195%
State Auto Insurance Fl $4,820 204%
Occunet $6,025 256%
Oscar $6,985 296%
Corizon Health Inc $8,585 364%
Phcs $22,859 970%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Redstone Ave Se, Crestview, FL 32539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals