CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Sartori Memorial Hospital, Inc

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $2,358
  • Cash Discount Price: $14,975
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Sartori Memorial Hospital, Inc is $2,358. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,975. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 1.00x the Medicare baseline. Located in 515 College Street, Cedar Falls, IA.
Cash / Self-Pay
$14,975

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,358

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: $14,975 (635%)
Insurance Median: $2,358 (100%)
Cash: $14,975 (635% of Medicare)
Ins. Median: $2,358 (100% 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
Aetna $2,174 - $5,818 92%
Medicare (plans) $2,174 - $2,263 92%
Blue Cross Blue Shield $2,196 - $2,358 93%
UnitedHealthcare $2,218 94%
Iowa Total Care $2,317 98%
Medicaid / KanCare $2,340 - $2,349 99%
Bcn Domestic $2,358 100%
Blue Benefit Administrators Of Massachusetts $2,358 100%
Blue Care Network $2,358 100%
Blue Distinction Transplant $2,358 100%
Blue Shield - Ca $2,358 100%
Blue Shield - Id (Regence) $2,358 100%
Blue Shield - Ny Highmark Northeastern $2,358 100%
Blue Shield - Ny Highmark Western $2,358 100%
Blue Shield - Pa (Highmark) $2,358 100%
Blue Shield - Wa (Regence) $2,358 100%
Kaiser Domestic $2,358 100%
Pre-Employment $2,358 100%
Wc Domestic $2,358 100%
Amish Hospital Aid $2,951 125%
Oscar $3,405 144%
Centivo $3,683 156%
Ambetter / Centene $3,727 158%
Claimdoc $4,459 189%
Nova $4,459 189%
Allied Benefit Systems $5,818 247%
Asr Health Benefits $5,818 247%
Coventry $5,818 247%
First Health $5,818 247%
Lucent Health $5,818 247%
Luminare Health $5,818 247%
Medical Mutual $5,818 247%
Meritain $5,818 247%
Webtpa $5,818 247%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 515 College Street, Cedar Falls, IA 50613
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals