CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Madison County Memorial Hospital

Billing Code: 66984 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$1,316

about 0.6× the $2,358 Medicare rate · typically $579–$4,019

modeled estimate · not a bill or quote

What this hospital charges insurers

$923

Below the fair price — a good deal

about $393 under the fair price · 0.4× Medicare

Medicare pays $2,358 Fair price $1,316 This hospital $923 Cash price $1,885 Hospital's list price $3,770

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

On the higher side — 6 of 8 other FL hospitals charge less.

Cheapest $524 Priciest $1,165

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Cataract surgery with lens implant is about $1,316 (about 0.6× the $2,358 Medicare rate). Madison County Memorial Hospital charges insurers about $923, or about $1,885 in cash — below the fair price — a good deal. Located in Madison, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
Blue Cross Blue Shieldmajor	$923	39%
Aetnamajor	$245 - $2,563	10%
Humanamajor	$754	32%

Government programs also on file: Medicaid.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,885), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 66984.

Insurance Before you use insurance

Call your insurance company to confirm Madison County Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 66984.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Madison County Memorial Hospital

Compare: Cataract surgery with lens implant at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.