CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Memorial Health Meadows Hospital

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $4,376
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.86x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Memorial Health Meadows Hospital is $4,376. 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 1.86x the Medicare baseline. Located in One Meadows Parkway, Vidalia, GA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,376

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: $4,376 (186%)
Ins. Median: $4,376 (186% 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
Peach State $1,150 49%
Health One Alliance $1,776 75%
Amerigroup $2,187 93%
Pruitt Health $2,550 108%
Memorial Health Plan $2,987 - $3,906 127%
Friday Health $4,368 185%
Cigna $4,384 186%
Prime Health $5,150 218%
Employer'S Health Network $5,257 223%
United $5,400 229%
Centurion $7,512 319%
Aetna $15,750 - $22,050 668%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Meadows Parkway, Vidalia, GA 30474
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals