CMS Price Transparency Data

Cataract surgery with lens implant

Facility: University of Iowa Hospital & Clinics

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $3,135
  • Cash Discount Price: $4,572
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at University of Iowa Hospital & Clinics is $3,135. 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 1.33x the Medicare baseline. Located in 200 Hawkins Drive, Iowa City, IA.
Cash / Self-Pay
$4,572

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,135

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: $3,135 (133%)
Cash: $4,572 (194% of Medicare)
Ins. Median: $3,135 (133% 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 $489 - $10,032 21%
Iowa Total Care $489 - $2,612 21%
Medical Associates $489 - $4,376 21%
Molina Healthcare $489 - $2,612 21%
UnitedHealthcare $489 - $7,682 21%
Blue Cross Blue Shield $499 - $3,135 21%
Healthpartners $499 - $5,551 21%
American Health Plan $513 - $2,253 22%
Wellpoint (Amerigroup) $513 - $2,253 22%
Immergrun $884 - $1,633 37%
Aplos Health Plan $1,385 - $5,225 59%
Midlands Choice $1,967 - $4,245 83%
Quad City Community Healthcare $1,995 - $4,898 85%
Oscar Health $2,229 - $4,115 95%
Great River Health Systems $2,477 - $4,572 105%
Sedgwick $2,830 - $5,225 120%
Global Excel $3,007 - $5,551 128%
Sanford Health Plan $3,007 - $5,551 128%
Employee Benefit Systems $3,113 - $5,878 132%
Sisco $3,113 - $5,747 132%
Healthsmart $3,184 - $5,878 135%
Hfn $3,255 - $6,009 138%
Multiplan $3,255 - $6,009 138%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Hawkins Drive, Iowa City, IA 52242
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals